Comments on: Case of the month June '08: Episode #1 http://fertilityfile.com/2008/06/03/case-of-the-month-june-08-episode-1/ The inside view from a reproductive endocrinologist Tue, 27 Dec 2011 11:04:49 +0000 hourly 1 http://wordpress.org/?v=3.3 By: IVF-MD http://fertilityfile.com/2008/06/03/case-of-the-month-june-08-episode-1/comment-page-1/#comment-24540 IVF-MD Wed, 31 Mar 2010 06:25:39 +0000 http://fertilityfile.com/2008/06/03/case-of-the-month-june-08-episode-1/#comment-24540 Thanks for your comment. I posted a reply. http://fertilityfile.com/2010/03/30/pcos-at-age-42/ Thanks for your comment. I posted a reply. http://fertilityfile.com/2010/03/30/pcos-at-age-42/

]]> By: Becca Shaw http://fertilityfile.com/2008/06/03/case-of-the-month-june-08-episode-1/comment-page-1/#comment-23958 Becca Shaw Tue, 23 Mar 2010 03:16:34 +0000 http://fertilityfile.com/2008/06/03/case-of-the-month-june-08-episode-1/#comment-23958 Hi Dr. On CD 3 during my ultrasound they noticed left over follicles from Cycle #1. Just when I thought I was going two steps forward I feel as though I took two huge steps backwards. My follistim injectables were 300 iu for 5 days and then they lowered it to 225 iu for 2 days and then I triggered with Ovidrel so I guess the RE really wanted to stimulate those ovaries. Guess what? It worked! When they did my Progesterone levels it showed I ovulated. So not sure what went wrong there. E2 levels were so out of whack (263). Just a side note, I started taking Estrodial as the prescribed protocol as we were heading toward doing IVF if the IUI didn't work. I'm 42 years of age and will be turing 43 in Aug. DH for our IUIs had 14 mill. sperm and 12 million sperm. Not exactly sure if that was a problem or not. However, after the IUI didn't work and AF came early we decided to stay on course with another IUI cycle #2. Also, came off of the Estrodial. So my point here is that I am not sure if my body overloaded on the estrogen and this was a side effect resulting from it. Anyway, the RE recommended I force ovulation and trigger with Ovidrel and come back on March 27th for bloodwork to make sure I ovualted again. With ovulation, I am guessing you get another menstrual cycle and then DH and I will start another IUI cycle hopefully in early -mid April. Keeping our fingers crossed that by having 2 menstrual cycles back to back that all my hormone levels retreat back to normal and all the bad stuff in my body leaves and we can start the process again. However, after extensive reasearch on the internet and your site, it seems that I now have Polycystic ovarian syndrome. I do have all the sign and symptons of it especially the weight gain around the middrift area. Do you think I should request a check for insulin resistance to see if I should take metformin and start a excercise & diet plan? I notice the success rate is a bit higher once a good diagnosis has been established for PCOS. Maybe I am wrong it was just what I was reading. Thanks a million for reading and looking forward to your advice or questions I should be asking my RE about here in NJ so I can be successful in having a beautiful baby. Becca from NJ. Hi Dr.
On CD 3 during my ultrasound they noticed left over follicles from Cycle #1. Just when I thought I was going two steps forward I feel as though I took two huge steps backwards.
My follistim injectables were 300 iu for 5 days and then they lowered it to 225 iu for 2 days and then I triggered with Ovidrel so I guess the RE really wanted to stimulate those ovaries. Guess what? It worked! When they did my Progesterone levels it showed I ovulated. So not sure what went wrong there.
E2 levels were so out of whack (263). Just a side note, I started taking Estrodial as the prescribed protocol as we were heading toward doing IVF if the IUI didn’t work. I’m 42 years of age and will be turing 43 in Aug. DH for our IUIs had 14 mill. sperm and 12 million sperm. Not exactly sure if that was a problem or not. However, after the IUI didn’t work and AF came early we decided to stay on course with another IUI cycle #2. Also, came off of the Estrodial. So my point here is that I am not sure if my body overloaded on the estrogen and this was a side effect resulting from it. Anyway, the RE recommended I force ovulation and trigger with Ovidrel and come back on March 27th for bloodwork to make sure I ovualted again. With ovulation, I am guessing you get another menstrual cycle and then DH and I will start another IUI cycle hopefully in early -mid April. Keeping our fingers crossed that by having 2 menstrual cycles back to back that all my hormone levels retreat back to normal and all the bad stuff in my body leaves and we can start the process again.
However, after extensive reasearch on the internet and your site, it seems that I now have Polycystic ovarian syndrome. I do have all the sign and symptons of it especially the weight gain around the middrift area.
Do you think I should request a check for insulin resistance to see if I should take metformin and start a excercise & diet plan? I notice the success rate is a bit higher once a good diagnosis has been established for PCOS. Maybe I am wrong it was just what I was reading.
Thanks a million for reading and looking forward to your advice or questions I should be asking my RE about here in NJ so I can be successful in having a beautiful baby.
Becca from NJ.

]]> By: IVF-MD http://fertilityfile.com/2008/06/03/case-of-the-month-june-08-episode-1/comment-page-1/#comment-36 IVF-MD Thu, 05 Jun 2008 00:22:13 +0000 http://fertilityfile.com/2008/06/03/case-of-the-month-june-08-episode-1/#comment-36 KSF I'm asked the question of "What specialty should I go into" very often, but my answer is always "I don't know you well enough to answer that question." You might want to check http://medblog-groupie.blogspot.com/ to see if she has any Peds blogs listed. Good luck. It is NOT too early to be researching this, as long as you keep an open mind. KSF

I’m asked the question of “What specialty should I go into” very often, but my answer is always “I don’t know you well enough to answer that question.”

You might want to check http://medblog-groupie.blogspot.com/ to see if she has any Peds blogs listed. Good luck. It is NOT too early to be researching this, as long as you keep an open mind.

]]> By: KSF http://fertilityfile.com/2008/06/03/case-of-the-month-june-08-episode-1/comment-page-1/#comment-35 KSF Wed, 04 Jun 2008 05:49:20 +0000 http://fertilityfile.com/2008/06/03/case-of-the-month-june-08-episode-1/#comment-35 Dr. "Terra" (yes, I saw the SDN article): 1. I am entering medical school this upcoming fall. 2. I love your blog, though I have not perused it extensively. 3. This comment is unrelated to your post which it is replying to. While deciding between radiology versus oncology versus etceterology is supposedly several years away, yes yes yes, I am still desperately interested in my future, like, today. Thus, I am curious: do you have any advice for someone who is quite interested both in internal and peds? I know there is a peds/int combined residency, something I glanced at and thought I would like less than either field alone. Aside from that bit of knowledge, and aside from my upcoming shadowing of a pediatric cardiologist, I am looking for more perspective on this personal issue...even if it is very ahead of time, yes yes. See my blog and leave a comment if interested in giving me advice. It would be extremely appreciated, for example, if you knew of a blog of a peds person which you could refer me to. Thanks! Dr. “Terra” (yes, I saw the SDN article):

1. I am entering medical school this upcoming fall.
2. I love your blog, though I have not perused it extensively.
3. This comment is unrelated to your post which it is replying to.

While deciding between radiology versus oncology versus etceterology is supposedly several years away, yes yes yes, I am still desperately interested in my future, like, today.

Thus, I am curious: do you have any advice for someone who is quite interested both in internal and peds? I know there is a peds/int combined residency, something I glanced at and thought I would like less than either field alone. Aside from that bit of knowledge, and aside from my upcoming shadowing of a pediatric cardiologist, I am looking for more perspective on this personal issue…even if it is very ahead of time, yes yes.

See my blog and leave a comment if interested in giving me advice. It would be extremely appreciated, for example, if you knew of a blog of a peds person which you could refer me to. Thanks!

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