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Doctor insights on: Infertility And Ganirelex

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What are treatment options for high testosterone. I'm trying to conceive and I have pcos caused by high testosterone. Clomid (clomiphene) and metformin failed.

What are treatment options for high testosterone. I'm trying to conceive and I have pcos caused by high testosterone. Clomid (clomiphene) and metformin failed.

Here are some ...: With thus far in your care for PCOS, it would not most logical and beneficial to bring this Q to the treating doctor so timely modification of care could be given. At this time, further online inquiry tends to cause more unnecessary confusion and anxiety. So, contact your treating doc who should be in line of today's knowledge and options of care. Worst, seeking second opinion is still easier &... ...Read more

Dr. Khurram Rehman
1,247 doctors shared insights

Infertility (Definition)

Infertility = inability to conceive or if a woman under age 35 - not being able to get pregnant after having regular sex for a year without birth control use. For a woman over 35 years old is not being able to get pregnant after having regular ...Read more


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Trying to get pregnant! any experience with fertility evaluation, treatments and costs?

Trying to get pregnant! any experience with fertility evaluation, treatments and costs?

Highly variable: Many insurances will cover evaluation of infertility, even if they don't cover treatment. The best tests to get for an individual will vary depending on your history (and the male-partner's history). Best to check the man quickly. Advancing age is a big factor, so get to a reproductive specialist soon. See: http://www.Socrei.Org/ for a directory of reproductive endocrinologists near you. ...Read more

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How does giving FSH and LH in a fertility drug for women who need IVF help?

How does giving FSH and LH in a fertility drug for women who need IVF help?

Superovulation: Fsh & lh help stimulate egg development in the ovaries. More eggs give you more embryos with better success rates for ivf. ...Read more

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Has anyone used letrozole for fertility and how effective?

Has anyone used letrozole for fertility and how effective?

Letrazole: Letrazole is probably as effective as Clomid (clomiphene) in inducing ovulation and probably better in patients with pcos. It is used off-label for this purpose but has some advantages over clomid (clomiphene). Does not cause thinning of the uterine lining, doesn't affect cervical mucus and induces a single follicle, so less chance of multiples and hyperstimulation. ...Read more

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Should stop providing fertility treatment to lesbian and single women?

Should stop providing fertility treatment to lesbian and single women?

Another Forum: This does not appear to be medically related question, since either staus is not a medical issue. Perhaps you would find another forum suitable for this type if discussion. ...Read more

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3rd iui with clomid (clomiphene) and ovidrel and unexplained infertility, wife is 34. Low chance of success? Losing hope and ashamed.

3rd iui with clomid (clomiphene) and ovidrel and unexplained infertility, wife is 34.   Low chance of success?  Losing hope and ashamed.

Don't lose hope...: pregnancy only occurs in 20% of IUI cycles, have faith and keep on trying! Try speaking with your doctor or their nurse for encouragement if needed, infertility is tough mentally and most couples can use some extra emotional support! ...Read more

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What is the best fertility drug for polycystic ovarian syndrome? Note: I have been taking metformim 500mg x3 daily, without success. Thank you.

Clomid (clomiphene): Clomid (clomiphene) if the best initial medical therapy for women with pcos trying to conceive. See your doctor for evaluation and to check if you are a candidate for Clomid (clomiphene) therapy. Good luck. ...Read more

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What is the best diet for infertility for both men and women?

What is the best diet for infertility for both men and women?

My guess!: No specific diet has been matched against another and published in a refereed medical or scientific publication. However, Insulin resistance is negated by a low carb diet. Insulin resistance increases with obesity (apple type) and causes metabolic syndrome. This in turn potentiates polycystic ovarian syndrome. Adiposity increases estrogen in men and decreases testosterone. Protein, veggies, water! ...Read more

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I need information about fertility treatments like IVF and birth defects?

I need information about fertility treatments like IVF and birth defects?

Birth defects & ART: Conventional ivf has not been convincingly linked to birth defects worldwide. There's some evidence linking micro-injection of sperm (ivf/icsi) to a possible slight increase in birth defects (2% or so;) this has not been proven conclusively, and is still being investigated. If an increased risk really does exist, it is a small one. ...Read more

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Does minomycin 50 50mg is good for acne? And to help in conceiving?

Does minomycin 50 50mg is good for acne? And to help in conceiving?

Don't do it: Minomycin is a good antibiotic for moderate acne but must never be used alone. It's a good choice along with topical benzoyl peroxide. It is also pregnancy class d -- shouldn't be used during pregnancy, and in any case isn't going to help you get pregnant. It should only be used on your physician's prescription. ...Read more

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I have pcos and i will be going for ovarian drilling soon after five cycles of clomid (clomiphene). What is the success rate for pregnancy with this procedure?

I have pcos and i will be going for ovarian drilling soon after five cycles of clomid (clomiphene). What is the success rate for pregnancy with this procedure?

Drilling: In your situation, your two options are ovarian drilling or gonadotropin therapy (somewhat similar to ivf therapies). These two have similar pregnancy rates - about 55% success over 6 months, although some studies show success rates as low as 20%. Gonadotropin therapy is more time intensive and more expensive, but does not require surgery. Drilling might hasten menopause- but not definitely proven. ...Read more

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Has anyone had success on femara (letrozole) and norethindrone for endometriosis?

Has anyone had success on femara (letrozole) and norethindrone for endometriosis?

Hormonal treatment: Femara (letrozole) inhibits the formation of estrogen within the endometriosis tissue. Aromatase inhibitors, formerly used to treat some breast cancer, have been successful in the treatment of endometriosis. Norethindrone, a Progesterone is also successful in some cases. ...Read more

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Ave endometriosis and pcos. Taking metformin and Clomid (clomiphene) to see if I can get pregnant winfertility treatments. Is it possible to get pregnant w/this type of medicine combo?

Ave endometriosis and pcos. Taking metformin and Clomid (clomiphene) to see if I can get pregnant winfertility treatments.  Is it possible to get pregnant w/this type of medicine combo?

Yes, a good chance: Both metformin and Clomid (clomiphene) can increase your chance of becoming pregnant and the combo is better than either alone. Healthy diet/exercise to keep yourself in good health will help as well. I wish you the best of luck! ...Read more

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How safe is progesterone tablets for pcos fertility treatment?

How safe is progesterone tablets for pcos fertility treatment?

Safe; sometimes used: Progesterone or artificial versions (progestins) can be safely used to induce a period for women with pcos who have very few periods (less than 4 a year) or no periods. It does not improve your chances of conceiving because it induces bleeding, not ovulation (egg release). Progesterone can also be given for low Progesterone levels in the 2nd half of a cycle, or to support an early pregnancy. ...Read more

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Am faced w/ choices of lupron (leuprolide) or surgery for endometriosis. Unable to tolorate hormone contraceptives and have gilberts syndrome. Which option is best?

Am faced w/ choices of lupron (leuprolide) or surgery for endometriosis. Unable to tolorate hormone contraceptives and have gilberts syndrome. Which option is best?

Choices: Only a doctor who met and examined you can answer this. But, i recommend surgery for patients who are good candidates. Surgery is the only way to make a firm diagnosis, results are generally excellent, and though recurrences happen, they often don't. Lupron (leuprolide) can defintiely help with pain, but: no diagnosis, no fix, expensive, symptoms, and pain comes back when you discontinue. ...Read more

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No pcos not diabetic TTC my doc put me on cidophage 500mg, clomid (clomiphene) 50mg and cycloprogynova does cycloprogynova and cidophage affects my pregnancy?

No pcos not diabetic TTC my doc put me on cidophage 500mg, clomid (clomiphene) 50mg and cycloprogynova does cycloprogynova and cidophage affects my pregnancy?

Trying to conceive: You are not pregnant at this time so those medication are being given to you to help you get pregnant. They do not have long term effects on the pregnancy that hopefully will occur later on if that is what you are asking. ...Read more

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Which is more suitable for patient with pcos and endometriosis doing ivf? dydrogesterone or medroxyprogesterone?

Which is more suitable for patient with pcos and endometriosis doing ivf? dydrogesterone or medroxyprogesterone?

Similar: I think it comes down to "what are you using them for?" in IVF. Both are synthetic progestins, both are safe with limited side effects. For regulating a cycle start there should be no difference. Some protocols use Duphaston (dydrogesterone) for luteal support in IVF, MPA (medroxy-P) would be a less good choice - although micronized progesterone is probably superior to both. ...Read more

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Why is glucophage (metformin) and parlodel Used for treating fertility? Can it also rides my progesterone levels?

Why is glucophage (metformin) and parlodel Used for treating fertility? Can it also rides my progesterone levels?

Glucophage, (metformin) parlodel: The doctor who prescribed those medicines for you - I an not sure why - must explain the reasons for these meds. If the doctor gives you a hard time for asking this - see a diffierent gynecologist! ...Read more

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What is the common fertility rate for women 39-41? We have been trying to conceive for 8 months with one miscarriage and one failed implantation.

What is the common fertility rate for women 39-41? We have been trying to conceive for 8 months with one miscarriage and one failed implantation.

5-15% per month: Fertility peaks in late teens to late twenties and then gradual decline after age 30. 20-25% fecundity (chance for pregnancy per month) under age 30, then rapid decline in fertility after age 40 age 35: 15% fecundity rate age 40: 5-10% fecundity rate age 43:. ...Read more