WOMENS-HEALTH Messages for December, 1997: Re: Haven't been there...need info!

Re: Haven't been there...need info!

From: Kelly (anonymous@obgyn.net)
Tue, 30 Dec 1997 22:34:48 -0600 (CST)

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In reply to: Stormy: "Haven't been there...need info!"

At Tue, 30 Dec 1997, Stormy wrote: >
>Need to know what comes next in this infertility challenge! I know that
>this will seem silly to those of you who have had years of trouble but I
>am just starting out and am totally ignorant of what to expect. Here's
>some history...
>
>I am 34 and was previously married and had 4 children. .... I have since divorced and have a new hubby
>and we are trying to have a baby together. He has 3 children from a
>previous marriage...youngest is 8. In the interim I was diagnosed with
>"mild" endometriosis in Oct. of 95. I had an IUD for a year and
>suffered from several uterine infections during that time. Then I had
>it removed and went on Micronor pills, which I understand are not too
>effective by themselves. I went off the pills in July and started
>trying to get pregnant. I started Clomid 50mg and am on my second cycle
>of Clomid along with doing my charts.
>
>....snipped....
>My doc wants to see me back if no luck after 3 months on the Clomid and
>I am just wondering what comes next. He mentioned endometrial biopsy
>and other "hurty" things. I think we both thought the Clomid would do
>the trick right away so I didn't ask many questions. Now I'm getting
>curious about what comes next if this doesn't work.
>
...snipped..... I have a history of hypothyroidism and >take Synthroid 0.1mg/day which has kept things stable since 1988,
>although I have it tested regularly. I have always been a very healthy
>person and always had uncomplicated pregnancies. I am a DES daughter
>and have a family history of ovarian cancer, but PAPs and pelvic
>ultrasounds have always been normal.
>
>For those of you who have been there or any docs that can tell me what
>to expect...clue me in! Thanks in advance for any info! I am definitely
>challenged in this area!
>
>--
> Stormy, RN, BSN

Stormy

I know you husband has 3 prior children, but 8 years is a long time -- he should have a semen analysis before you go any further.

Wiht your history of several infections with an IUD, I'd worry about your tubes -- you should have either 1) an HSG (hysterosalpingogram) -- dye is injected into the uterus and x-rays are taken to see if it spills out the tubes or 2) a saline infusion sonography using a special albumin material that can show whether the tubes are open via ultrasound or 3) a laparoscopy. #3 might be the best single choice considering you were diagnosed with endometriosis in hte past -- I'd combine the laparoscopy with a hysteroscopy.

Good luck.

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

Next message: Kelly: "Re: GBS Death"
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In reply to: Stormy: "Haven't been there...need info!"

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