WOMENS-HEALTH Messages for June, 1998: Re: Second Opinion re: Infertility Treatment -- Doctors Please Read

Re: Second Opinion re: Infertility Treatment -- Doctors Please Read

From: William D. McIntosh, MD (anonymous@obgyn.net)
Mon, 29 Jun 1998 18:06:49 -0500 (CDT)

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In reply to: Monica: "Second Opinion re: Infertility Treatment -- Doctors Please Read"

At Mon, 29 Jun 1998, Monica wrote: >
>I would greatly appreciate a second opinion from the docs on this forum
>regarding my situation. I am 31, mother of 2 (1st one conceived w/out
>fertility drugs; 2nd one conceived on 3rd cycle of Clomid, which had
>been increased each month and ended up at 150 mg the cycle that worked.)
>We are trying for #3...took Clomid 100 mg for 2 months, charted temps,
>which rose slightly around time of ovulation, but not a lot (around 0.3
>or 0.4 degrees). So, month 3, increased to 150 mg Clomid. Did follicle
>study (ultrasound) followed by HcG shot on Day 13. (Follicle study
>showed 1 follicle at 2 cm and 4 or 5 smaller ones.) My temp did not go
>up until Day 20 (i.e. 7 days post HcG shot), but went up .7 degrees. My
>temp has fallen a couple of tenths of a degree now. (I'm on day 23 now)
>My doc says if not pregnant this month, he wants me to go to a
>specialist because he thinks I should try Metrodin rather than more
>Clomid. Do you agree with moving on to a more aggresive treatment at
>this point? My doc said that even if my temp went up Day 20, since it
>had been 7 days post HcG shot, the egg was probably not good
>(dismature). Please respond. Thanks!!!
>
>--
>Monica
>

Your Doc is the best judge of his or her own confidence in their ability at this juncture. Use of Clomid is not without risk, both at the time of use, and potentially later in life, so we generally try to limit the number of Clomid cycles to as few as possible. On the other hand, you have only ovulated once at the most. Since your odds of pregnancy, even with ovulation, are never more than 25% and could be much worse, the most common practice is to try at least 3 cycles on a regieme that has evidence of successful ovulation, before moving on to other interventions.

-- William D. McIntosh, MD

This is not intended to replace consultation and examination by a medical practitioner.

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Previous message: William D. McIntosh, MD: "Re: Is surgery to remove adhesions justifiable surgery?"
In reply to: Monica: "Second Opinion re: Infertility Treatment -- Doctors Please Read"

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