PREGNANCY-BIRTH Messages for August, 2001: Re: Typical progression of infertility treatments?

Re: Typical progression of infertility treatments?

From: Abby (anonymous@obgyn.net)
Mon, 13 Aug 2001 12:38:04 -0500 (CDT)

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In reply to: William F. von Almen, II, MD, FACOG: "Re: Typical progression of infertility treatments?"

At Mon, 13 Aug 2001, William F. von Almen, II, MD, FACOG wrote: >
>At Sun, 12 Aug 2001, anonymous@obgyn.net wrote:
>>
>>I have been ttc for over a year now. Just started seeing an RE a few
>>months ago. Have done 2 Clomid cycles, one with IUI. I was wondering
>>what the progression of treatments usually is. After 2-3 Clomid cycles,
>>I know you then have to get off the Clomid. Would a doctor typically
>>continue IUI's but with injectables? Or would an HSG be done to check
>>the tubes? Is IVF done only after the HSG shows the tubes are okay? I've
>>heard the HSG isn't very pleasant and would like to avoid if possible,
>>but I didn't know how far in treatment you can go before having tubes
>>checked. I know it depends a lot on what exactly all of the individual
>>test results, etc. show, but does anyone know the sort of standard
>>progression of treatments? Thanks.
>Anon
>
>The best I can tell you is that there is no typical. Talk to RE or his
>nurse and ask their progression.
>
>--
>William F. von Almen, II, MD, FACOG
>Editorial Advisor-Pregnancy and Birth
>Private Practice
>New Orleans, La.
>
>*Please understand I can not respond to private emails.
>
>*These comments are for educational purposes only. They are
>not meant to take the place of an examination by a qualified
>health care provider. They are not intended to be the start
>of a physician-patient relationship.
>

--
After trying for over a year and doing 2 unsuccessful clomid cycles, you should do an
hsg now to see what is going on with the tubes. There is no point in doing IUI
with injectibles until you see what is up with your tubes. Also, at this point your
husband should have a sperm analysis done. Regarding the HSG, if the tubes are open, there
shouldn't be any real pain. I have one tube blocked and I did feel pain but it
lasted for only a few seconds. One reason for IVF is when the tubes are not ok- you
don't need good tubes to do IVF. You should also have a blood test on day 3 to
measure your ovarian reserve.

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