Re: INFERTILITY: CCCT Results - are mine abnormal
From: Ben Gocial, MD (anonymous@obgyn.net)
Sun, 22 Feb 2009 17:06:59 -0600 (CST)
Message posted on Ben Gocial, MD behalf by: Hope Waltman, Fibroids and
Women’s Health Forum Moderator
Your thoughts are very common and to me bothersome. I hate for my
patients and for you to think of yourself as unhealthy. It sounds like
you take good care of yourself and are healthy. FSH rises in all women
eventually. Unfortunately, for reasons we do not understand, it happens
in some women earlier than others. The rise does not seem however to be
an issue of poor health.
CCCTs are an excellent predictor of fertility potential. I am not aware
of anything in particular which can cause an elevation. I have however
seen patients who have an elevation consistently demonstrated which, for
unexplained reasons, normalizes a year or two later. This experience is
uncommon and as mentioned unexplained.
I would urge you to consider the reality of your situation and do what
you have to do. Although we all try to blame ourselves for things, it
doesn't help and may even make things worse.
--
Ben Gocial, MD, Northern Fertility
Philadelphia, PA
Note: Opinions expressed here are for educational purposes
only and, as such, do not constitute a physician-patient
relationship. This information is not intended to supplant
the need for you to consult with your physician prior to
choosing therapeutic options and/or interventions.
** Private emails cannot be entertained due to time
constraints; consequently, they will receive no response.
At Fri, 20 Feb 2009, marie17 wrote:
>
>Dr. Gocial, Thank you for the information. This seems to be in line
>with what information I have gotten from my RE, where, my course of
>treatment seems to be - 1 or 2 months of Femara, 2 or 3 months of
>injectibles, then - move to IVF if no success. They are not telling me
>to do IVF right now, but definitely saying - if this is going to happen
>- this is your year.
>
>Is there anything which could make my FSH levels inaccurate? Perhaps I'm
>just having difficulty accepting the numbers. I've been an athlete all
>of my life and have always maintained a healthy weight and have taken
>care of myself - so to hear that a part of my body is not healthy has
>been troubling. Could excessive stress make my levels rise
>artificially? If I had recently taken clomid, could that make my levels
>rise? (I had taken 2 rounds of clomid 2 cycles before the CCCT -
>meaning, if my ccct was in jan, I took clomid in sept & oct)
>
>>CCCTs are accurate predictors of your potential for getting pregnant but
>>so is age. At 33, your chances should be good. The CCCT results are to
>>me considered high normal/slightly elevated. In my practice these
>>results would suggest the need for active/aggressive treatment. Only if
>>you failed usual treatments would I suggest egg donation.
>>
>>Ben Gocial, M.D.
>>Philadelphia, Pa 19107
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