PREGNANCY-BIRTH Messages for June, 2002: Re: no free fluid during ovulation?-another question for Dr. Montgomery

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Re: no free fluid during ovulation?-another question for Dr. Montgomery

From: Laura (anonymous@obgyn.net)
Wed, 19 Jun 2002 17:52:58 -0500 (CDT)

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In reply to: Lynn Montgomery, M.D.: "Re: no free fluid during ovulation?"

Thanks for your quick response and yes, I'm confused too about the timing. My doctor specifically said yesterday he liked the sperm to be waiting in the tubes when the eggs release so . . . hopefully it's not all for nothing. I know their protocol with Clomid at least is HCG generally day 12, and IUI day 13 or 14, depending on LH surge. He said Clomid can often delay the release, even with HCG shot, but that Gonal-F doesn't cause that and he was confident that release would occur soon. Is this your experience? If this doesn't take, we'll likely only do one more round and I want to make sure I have more knowledge than questions this time! THanks again.

At Wed, 19 Jun 2002, Lynn Montgomery, M.D. wrote: >
>At Wed, 19 Jun 2002, Laura wrote:
>>
>>I am on my first cycle of Gonal-F, have 4 good, mature follicles. Had
>>IUI yesterday using donor sperm. Sperm count 100 million, motility
>>EXCELLENT. First time though that they saw no free fluid. Is this a
>>problem? Can my fallopian tube (only have one now) still scoop up eggs?
>>(HCG shot was 18 hours before IUI, but eggs had not yet released.) THANK
>>YOU!!!
>
>Whether or not there is any fluid present is really not that big of a
>deal. I wonder a bit about the timing of the IUI. I usually wait 34-36
>hours following HCG to do the IUI. Further, if you are following with
>ultrasound, then why not continue to follow until the follicles
>disappear-ovulation. When you spent all the money and aggravation
>undergoing stimulation, why leave the timing of IUI to chance...
>Lynn
>
>--
>Lynn D. Montgomery, M.D.
>Rocky Mountain Women's Health
>Missoula, Montana
>
>The information provided here is only an opinion and does not constitute the establishment of a patient-physician relationship. As with any medical problem, should you feel that you have a significant problem it is incumbent upon you to seek the appropriate medical care. I hope that you will understand that I cannot respond to individual e-mails directed to me.
>

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