WOMENS-HEALTH Messages for October, 2000: Re: Appt. with new doctor about conceiving after m/c..

Re: Appt. with new doctor about conceiving after m/c..

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 26 Oct 2000 09:08:38 -0500 (CDT)

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In reply to: Beth: "Appt. with new doctor about conceiving after m/c.."

At Wed, 25 Oct 2000, Beth wrote: >
>I have an appt. with a new doctor on Friday. I suffered a miscarriage
>in January at 12.5 weeks. We have been trying to conceive since March
>with no luck. I have been temping since March and have only noticed one
>anovulatory cycle, but I have suffered from severe migraines since the
>miscarriage around ovulation and menstruation. I plan on taking my
>charts with me. Is there any particular questions or tests that I
>should address at this first visit, other than "HOW LONG WILL IT TAKE
>FOR ME TO GET PREGNANT AGAIN"? I am 32 and husband is 40, we don't want
>to have to wait a year or more. Also, do you think that I need to try
>Clomid or something like that. I don't really want birth control pills
>again.
>
>--
>Beth
>

Beth, I think that you have to consider the basic evaluation if that has not been done yet. Remember that ovulation is only part of the story. There are the issues of male factor that can decrease the odds, as well as your anatomic component (tubal or intrauterine factors). The initial evaluation will address these. If these things are all normal, then you have unexplained infertility and the next step is usually something to increase the odds-this is where clomid might come into play... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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 e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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