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Re: anovulationFrom: George M. Grunert (grunert@pop-server.icsi.net)Mon Mar 23 07:23:00 1998
> I see your point here, however, I would like to play devil's advocate. It > is my understanding that the definition of infertility (ie 1 year of > inability to conceive with regular unprotected intercourse) is utilized to > differentiate couples that truly have a problem from those who have not > become pregnant simply by chance. On a large scale, this will prevent > over-diagnosis and over-treatment with its consequent risk of multiple > gestation.. > > Agree or not? On a 'large scale' we do not want to include patients who are impatient and might just be at the end of the bell-shaped-curve and treat unnecessarilly. On the other hand, it seems absurd to take patients with an 'absolute' factor (anovulation, azoospermia, tubal occlusion, etc.) and arbitrarily make them wait a year so they can fit a diagnostic pigeon hole prior to treatment. Clomiphene is cheap, low risk when used correctly, and easy to use. I have no problem starting it and doing the rest of the work-up 'on the fly'. George M. Grunert, M.D. Director, Assisted Reproduction Program Obststrical and Gynecological Associates 7550 Fannin Houston, Texas 77054 713-512-7851 fax 713-512-7853 grunert@icsi.net
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