February 4, 2012

Case of the month Feb '08: Episode #4

Start here with Episode #1 Gabriela is back after being on metformin for 3 1/2 weeks. We hadn’t gotten any phone calls from her since she started, which to me means two things. One is that she didn’t have terrible side effects, because she would have called us. The other is that she never got [...]

Case of the month Feb '08: Episode #3

Start here with Episode #1 To summarize, Gabriela and Ross have been infertile for a little over a year. They have finished an initial round of testing. The basic testing is not complete, because we still don’t know for sure that Gabriela’s tubes and uterus are normal. However, we have found another problem to address [...]

Case of the month Feb '08: Episode #2

Start here with Episode #1 When Gabriela and Ross had their initial consultation, Gabriela was on day #5 of her cycle. Had she instead been near the time of her ovulation, I should have been able to see a maturing follicle on ultrasound rather than seeing the PCOS ovaries that I described last time. Also, [...]

Case of the month Feb '08: Episode #1

Gabriela and Ross (they asked me not to use their real names) came in to see me for help in conceiving. They had discovered me quite randomly, having been referred by Gabriela’s co-worker’s brother’s wife, who had been our patient and who had successfully given birth to twins conceived by IVF. Gabriela was 36-years-old and [...]

What does a reproductive endocrinologist really do?

During the initial consultation visit, I ask my new patients (both husband and wife) what kind of work they do. First of all, this helps me form a clearer mental image of who they are. It also helps me screen for any unusual stress-filled situations in their lives that need to be addressed in order [...]

A balanced life

Two of my core beliefs are currently having a knock-down drag-out war with each other. One belief is that if you correctly choose a career that is fun, stimulating, enjoyable and spiritually rewarding, then you will never really “work” a day in your life.  I still hold this to be true. The other belief is [...]

Just say no

Phone conversation between one of my staff and a patient’s husband who was a former competitive athlete and who admitted to taking "a whole lot of steroids" in the past. STAFF: Hello, Mr. ___ . This is ___ from Dr (IVF-MD)’s office. We have the results of your sperm test back from this morning. I’m [...]

Recommended by 2 out of 10 doctors

I get a few emails asking me what brand of ovulation kit or what herbal fertility potions I recommend. Sometimes the questions mention specific trade names, as in "What is your opinion on Brand XYZ fertility vitamins?" It puts me in a difficult situation, because most of the time, the truthful answer is that it [...]

Not ovulating on Clomid

Hello Dr. I’ve been on two cycles of clomid (50mg/100mg) but the follicles never matured =(. I haven’t been diagnosed with PCOS and have ovulated on my own in the past. My RE did blood work on cd10, 12, 14 and my estrogen levels were 55, 57, 65 and then 54. What could be the [...]

Using cards to better understand your fertility

This weekend, a friend invited me to play in a poker tournament on behalf of a charity that gives support to crime victims. It was organized by an exceptional group of women who regularly devote their time and energy to doing philanthropic activities. I didn’t do well in the tourney, but was glad to have [...]