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Re: ?'s about my fertility workup
From: gail (anonymous@obgyn.net)
Sun, 9 Jul 2000 19:31:56 -0500 (CDT)
>>> I (age 31) have miscarried three times. Then I was diagnosed with a septate uterus, which I have undergone two surgeries to correct. Followed by taking estrace and progesterone for two months for healing. My doctor now wants me to go through a series of tests, including post-coital, baseline Ultra Sound and Midcycle Ultra Sound along with taking clomid and injections of HCG and being on something to maintain the pregnancy until the third month. Are these tests and proceedures necessary? I have been pregnant three confirmed times. Plus I have tested positive at home at least a dozen more times in the last 5 years. Are these tests just standard operating proceedures, and do I really need all this?
At Sun, 14 May 2000, R. Daniel Braun, MD wrote:
>
>At Sun, 14 May 2000, Harvey S. Marchbein, M.D. wrote:
>>
>>At Sun, 14 May 2000, Bonnie wrote:
>>>
>>>Hi,
>>>
>>>I (age 28)have been seeing an RE for about two months now, seen ob/gyn 6
>>>months prior. The tests that I have done are 3-day FSH
>>>level(normal),Estradoil (normal), HSG(tubes clear), Hysterosonogram
>>>(normal), 21 day bloodwork,prolactin(normal),TSH (normal),progestrone
>>>(level of 11.2). All of those tests have come back fine, I believe my
>>>progestrone may be a little low?.
>>
>>Maybe.
>>
>>>My cycle runs 28-30 days,7 day
>>>periods. I have never been pregnant before. No past gynecology
>>>problems either. Also, I take paxil for panic/anxiety. Would this have
>>>something to do with my fertility?
>>
>>Not likely.
>>
>>>My husband (age 47) has had a Semen Analysis,all else was fine, except
>>>the volume came back at 1.0. He has since taken another, the results
>>>are not back in yet. My husband has 2 children who are 18 & 26 from
>>>previous marriage. I was wondering if it was possible for you to tell
>>>me what might be next for us in the future? (As in tests? procedures?) I
>>>have been trying to conceive on & off for 3+ yrs now.
>>
>>Post coital test might be helpful in cetain people. Others' might
>>recommend endometrial biopsy as well. After that, some would consider
>>injectible medication along with IVF or IUI depending upon the post
>>coital test and how the next semenanalysis comes out.
>>
>>Good luck.
>>
>>>Thanks
>>>Griff202@aol.com
>>
>>--
>>Harvey S. Marchbein, M.D. FACOG, FACS
>>Great Neck, New York
>>
>>**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 no private emails will receive a response.
>>
>>**Thank you for your understanding ;-)
>>
>And some might want to do a Laparoscopy as well.
>
>RDB
>
>--
>R.Daniel Braun, MD FACOG FOG
>
>**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 no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
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