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Doctor insights on: Ivf At 32

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Dr. Gregory Moneta
3 doctors shared insights

Ivf (Definition)

In vitro fertilization is an assisted reproductive technology. Ivf is a procedure used to treat fertility problems and assist with the conception of a child. During ivf mature eggs are retrieved from the ovaries and fertilized by sperm in a lab. A few days later, the fertilized egg (embryo) or eggs are implanted into the uterus. One cycle of in vitro fertilization ...Read more


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3 failed ivf. Blocked tube. Reports ok. Age factor so donor egg. Et cancelled - poor lining. Suggested cryocautery before FET in same cycle?Is it ok?

3 failed ivf. Blocked tube. Reports ok. Age factor so donor egg. Et cancelled - poor lining. Suggested cryocautery before FET in same cycle?Is it ok?

Cervical cryo?: In the same cycle as an fet? That would not be acceptable in the United States is all i can say. Or are you asking about another form of cryo? ...Read more

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Fusion at L3 L4 lateral herni at L5 moderate bulge l5s1 mild bilat neural foraminal exit stenos should L4 L5 s1 all be fused at this point ? Help pl

Fusion at L3 L4 lateral herni at L5 moderate bulge l5s1 mild bilat neural foraminal exit stenos should L4 L5 s1 all be fused at this point ? Help pl

Surgical risks: It sounds like you have chronic back pain, and that surgery(ies) have not been helpful. The problem with MRI scans of the spine is that they are good at identifying structural changes but do not let us know what is causing the pain. The changes you note on the MRI are common age associated changes. I suggest you see a physical medicine & rehab doctor (non-surgeon) who specializes in the spine. ...Read more

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Does being overweight affect my IVF success rate or affect the embryos implantation?

Does being overweight affect my IVF success rate or affect the embryos implantation?

Yes: when you're overweight you can be insulin resistant which can decrease your fertility. Discuss it w/your doctor. ...Read more

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4 levels at 6dpo on 50mg Clomid (clomiphene) were 12.9 & 10.8. Does this indicate poor egg quality or make fertilization more difficult? I'm on 100mg this cycle.

4 levels at 6dpo on 50mg Clomid (clomiphene) were 12.9 & 10.8. Does this indicate poor egg quality or make fertilization more difficult? I'm on 100mg this cycle.

No worries: Progesterone levels in a cycling woman are either ovulatory or non-ovulatory. If your level was over 1.5-2.0 you ovulated, if level is below 1.0-1.5 you didn't, or at least you didn't yet. People (doctors and patients alike) mistakenly try to use early ( 6 days) p4 levels to decide if a cycle is 'good' or 'not, ' the levels don't tell you that. ...Read more

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Wife--tubal reversal in 07. 13 miscarriages/ 1 tubal. Dna karyotyping &autoimmunity normal.How would genetics effect this?Blood types me a- / her o+.

Wife--tubal reversal in 07. 13 miscarriages/ 1 tubal. Dna karyotyping &autoimmunity normal.How would genetics effect this?Blood types me a- / her o+.

MTHFR?: Have they tested for the mthfr 677 ; 1298 genotypes yet? It is a very common cause of infertility and neural tube defects leading to miscarriages. The more abnormal genes you have, the worse the problems can be. Can treat with bellevue pharmacy "s8"supplement (msg for details).Also check her for antibodies to sperm. Would need ivf if +. Blood type could be an issue (abo incompatibility) rh is ok! ...Read more

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41 yo female pregnant after first IVF (2 mcs w/ no ivf) - is clexane necessary, and if so for how long? Risk of birth defects?

41 yo female pregnant after first IVF (2 mcs w/ no ivf) - is clexane necessary, and if so for how long? Risk of birth defects?

What's : Like all meds, ask the doc prescribing if you don't know what it's for or proper dosing. I'm sorry i'm not familiar with. ...Read more

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Does injection of hcg 5000 increase penis length? At 21.

Does injection of hcg 5000 increase penis length?  At 21.

No: be very careful using such medications. not always safe and someone of your age shouldn't have a true need for them. ...Read more

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Hi, 31y, male. Low sperm analysis results. My blood results for : s-tsh - 1.05 miu/l; FSH - 14.9 iu/l; LH - 12.6 iu/l. Where could the problem lie?

Hi, 31y, male. Low sperm analysis results. My blood results for : s-tsh - 1.05 miu/l; FSH - 14.9 iu/l; LH - 12.6 iu/l. Where could the problem lie?

Testicular problem: Your lh and fsh levels are elevated. This is consistent with a problem with your testicles producing both testosterone and sperm. There are many possible causes for this including genetic (klinefelters syndrome), infections (mumps), trauma, drugs. Many times we don't know why it occurred. You should see a urologist for evaluation. ...Read more

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Athlete from ages of 14-20 usually training at least 3 hours a day doing heavy cardio.Could this give me longterm bradycardia at 27 years old?

Athlete from ages of 14-20 usually training at least 3 hours a day doing heavy cardio.Could this give me longterm bradycardia at 27 years old?

Bradycardia: Bradycardia, as long as it orginates from the sinus node, is not a pathologic finding and in fact, is a very common finding in well-conditioned athletes. It is a good sign. ...Read more

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I'm told that lupron (leuprolide) trigger prevents ohss. Why am i still in sharp pains 60hrs post IVF egg retrieval? Is it pms? Trigger e2 4200, 32 eggs retrieved.

PLEASE: Call your ivf doc about this, do not spend time online. Complications following egg retrieval are uncommon but can be serious; and nothing absolutely predicts ohss but peak e2 of 4200 is definitely risky. Your ivf doctor wants to hear from you! ...Read more

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Prolactin of 48.3 cycle day 21, estradiol of less than 25 cycle day 3. 22 year old female. hx of pituitary dwarfism. are those normal levels?

Prolactin of 48.3 cycle day 21, estradiol of less than 25 cycle day 3. 22 year old female. hx of pituitary dwarfism. are those normal levels?

You may have...: a microproctinoma or a large one. I would place you on cabergoline 0.5 mg two times per week to see if your results normalize. Also, many drugs such as Reglan raise prolactin levels. Your prolactin is moderately elevated. I would have other pituitary hormones checked. ...Read more

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Chances of successful IUI at age of 35wid 25%motility?

Chances of successful IUI at age of 35wid 25%motility?

Variable: Iui increases the chances of pregnancy from about 17% per cycle to just over 20% per cycle. It is commonly used when sperm counts or motility are lower than "normal". However, i treated a couple successfully four times with IUI with a count of 400, 00/cc with less than 10% motility. ...Read more

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Day 11 from cycle and 8 dys of hormonal therapy for IVF. Today LH 0,780 E2 350pg/ml, 1 follicle -11mm, 3 folicles 13mm. Is that good?

Day 11 from cycle and 8 dys of hormonal therapy for IVF. Today LH 0,780 E2 350pg/ml, 1 follicle -11mm, 3 folicles 13mm. Is that good?

IVF is not simple: IVF is a very complex process and requires a very qualified expert to evaluate all the information and your personal information too. While you have much data that appears promising, you must rely on your doctor to guide you. There are many resources out there but they do not take into account your special circumstances as a patient. I recommend you discuss all these details with your IVF doctor. ...Read more

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I'm 41 years old are these levels good for trying to conceive at my age? FSH 7.4 miu/ml; FH 11.2 miu/l; E3 35 pg/ml

I'm 41 years old are these levels good for trying to conceive at my age? FSH 7.4 miu/ml; FH 11.2 miu/l; E3 35 pg/ml

Depends on Day: The interpretation of these tests require one to know the day of the menstrual cycle tested. They vary through the month. An AMH hormone test may be more useful to you. ...Read more

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Six molars are gone, 2 at the top, four at the bottom only 25 years old. Are dental implants a good idea?

Six molars are gone, 2 at the top, four at the bottom only 25 years old. Are dental implants a good idea?

Absolutely!!!: If bone quantity/quality are sufficient, go with the implants. Be sure to get a CT scan to make sure no vital structures (nerves, blood vessels, and sinuses) are encroached upon. The other option is a partial denture. Yes dentures are cheaper, but at 43 years of age, you're way too young for dentures. If a bridge is an option you'll eventually loose the abutment teeth as well from recurrent decay. ...Read more

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What is the success rate for 1st IVF with the best possible embryo? We did a day 5 blastocyst transfer. My wife is 35 years old. 6 failed IUIs

What is the success rate for 1st IVF with the best possible embryo?  We did a day 5 blastocyst transfer.  My wife is 35 years old.  6 failed IUIs

It depends: It depends on the University Center or MD's office at which the IVF was done. Most results are reported as 3 or 6 month cycles for conception. Some Centers have even reported conception rates when no viable products can be obtained rather than live baby rates. So, this was a question that you should have asked your provider BEFORE embarking on IVF. ...Read more

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Preg loss of chromosome normal embryo 2 weeks after cardiac activity detection w/ immunosuppressant, anticoagulant treatments. Chance of future success?

Preg loss of chromosome normal embryo 2 weeks after cardiac activity detection w/ immunosuppressant, anticoagulant treatments. Chance of future success?

Probably good, but: Impossible to say without tests. Early loss is very common and usually does not increase the risk of happening again. You need to be examined and tested to determine if you have a risk for a second (or more) losses. Good luck. ...Read more