Doctor insights on:
Methotrexate And Fertility
Methotrexate was originally used in the early 1950's as a treatment for cancer but was also found to be effective in many other diseases including rheumatoid arthritis and psoriasis. It has anti inflammatory and immunosuppressive properties which make it an excellent first line therapy for RA ...Read more
Can adding hCG shots while taking femara (letrozole) for infertility improve the chances of conceiving?
No.: Dangerous combination. Don't believe the internet.Get a more detailed answer ›
Better to be on methotrexate and hydroxychloroquine or methotrexate and a biologic when treating jra? Methotrexate only doesn't help
Depends on severity: Since you have already been on Methotrexate and its not helping you get complete relief from symptoms, further addition of therapies will depend on severity of your current symptoms. Hydroxychloroquine is milder in efficacy as compared to biologics & both have different side effect profiles. Talk to a rheumatologist who can assess your clinical course & treatment needs & then advise accordingly. ...Read moreSee 1 more doctor answer
3rd iui with clomid (clomiphene) and ovidrel and unexplained infertility, wife is 34. Low chance of success? Losing hope and ashamed.
Can i take other fertility helpers with my metformin and Clomid (clomiphene) to help get pregnant with pcos?
Dose-dependent: Regardless of dose, all male patients even considering fathering children in the future should ask about fertility preservation (such as sperm cryopreservation) before any treatment with radiation or chemotherapy. This is an extremely important point that all patients and multi-disciplinary physician teams should be proactive about so that fertility options are explored prior to treatment. ...Read moreSee 1 more doctor answer
Im 30 We are trying to convince,can clochecine and allopurinol for my gout treatment effects sperms and fertility?
Yes: Yes, you can take those together. If your sperm count has not improved after 3 months on Clomid (clomiphene) then I would see a urologist for an evaluation. Sometimes medications just do not work and you have to rely on medical techniques to improve your chances for conception. Intrauterine insemination (IUI) and IVF may be your best options. ...Read more
Taking allpurinol for gout trying to conceive can I take omega 3 and coenzyme q10 ? Can allpurinol effects fertility?
Consult your doctor: Allopurinol classified as category C-evidence of birth defects in animal studies at high doses, no human studies exist, decision to stay on allopurinol is based on risk versus benefit. Omega-3 supplementation has documented benefit in pregnancy specifically 1.6 g of EPA and 1.1 g of DHA beginning at week 25 for pregnancy until 3rd month of breast-feeding- less food allergy&eczema. coq10 not safe. ...Read more
Not in all cycles: Hcg, the pregnancy hormone, can be used as a trigger to ovulation. Structurally similar to luteinizing hormone, but longer lasting, HCG helps the follicle release the egg and switch from making estrogen to making progesterone, called luteinization. Hcg is also occasionally used to help the follicles mature. ...Read moreSee 1 more doctor answer
Can having been on fertlity drugs the month prior (clomid (clomiphene) and hCG trigger shot) effect day 3 labs? For example, make the values higher?
They Can: Most often they do not, however, if you have a funcitonal ovarian cyst left over from the month before this can cause your body to make higher levels of estrogen. This may cause your day3 Estradiol level to be elevated, but also consequently lowers your fsh. Recent prior cycles would not however explain an elevated fsh. This is most likely relatd to ovarian aging. ...Read more
If my wife drinks alcohol while taking Clomid (clomiphene) will it impact the effectiveness of clomid (clomiphene)?
Should Clomid (clomiphene) be combined with IUI in couples with unexplained infertility? Or is it okay to initiallly go with Clomid (clomiphene) on its own?
Studies suggest...: Clomid (clomiphene) ovulation induction is combined with IUI based on evidence from older studies showing statistical improvement in success unexplained infertility. Nowadays, unexplained infertility should be a rare disagnosis indeed, but the cc/iui combination is still prudent and evidence-based. Newer studies emphasize the proven success of ivf for unexplained. ...Read moreSee 3 more doctor answers
I take nabumetone, methotrexate, enbrel, plaquenil, vitamin d and folic acid for RA & dermatomyo. Which of these is making it difficult to lose wight?
Not the same: Clomid (clomiphene) is a nonsteroidal medication that causes the pituitary glands to stimulate ovulation. Metformin suppresses glucose production from the liver. Metformin is used for pcos pts that have irregular menses often with insulin resistance. Metformin can help some weight loss and regulate menses to help regular ovulation. ...Read moreSee 1 more doctor answer
Humira losing its effectiveness with RA. Unable to tolerate MTX or Plaquenil. Any Rheumotologists think Remicade (infliximab) would be a good option?
Can't hurt to try: I'm a family doctor, not a rheumatologist, but I do have RA patients who are on Remicaid who are responding very well with it. I don't know what that's worth to you, but I thought I would share. I think it's being used a lot more and does have FDA indication for RA. ...Read moreSee 1 more doctor answer
What are my chances of getting liver disease while taking arava (leflunomide) and methotrexate together?
See details: Studies of this combination have shown increased risk of liver disease over taking just one of these meds alone. The exact risk is open to debate. I personally never prescribe this combination of meds although other rheumatologists do. ...Read more
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