May 18, 2012

Case of the month May '08: Episode #8

Click here for episode #1 When I saw their names on my morning schedule, I smiled at the surprise. Six years ago, when they left our practice, I had said a silent prayer for this sweet couple. Now, six years later, Anthony and Cora were back. It’s not unusual for patients to come back after [...]

Case of the month May '08: Episode #7

Click here for episode #1 When patients come in for their pregnancy test and they look happy and excited, many times, it’s because they already did a home urine pregnancy test. That was our first guess when Cora arrived to get her pregnancy test drawn. However, when we asked, she denied testing. She just felt [...]

Case of the month May '08: Episode #6

Click here for episode #1 SUMMARY: Cora and Anthony are infertile. The biggest concern is a history of endometriosis and tubal adhesions. While it’s true that Cora’s Fallopian tubes are patent, they are suspected to be less than optimal. They failed their first IUI cycle. In their second, although she was on a stronger dose [...]

Case of the month May '08: Episode #5

Click here for episode #1 SUMMARY: Cora and Anthony have just failed their first IUI cycle and are here to discuss the next step. Failing a single IUI cycle is not necessarily the end of the line when it comes to IUI’s. Just because the first one failed doesn’t necessarily mean it’s time to give [...]

Case of the month May '08: Episode #4

Click here for episode #1 SUMMARY: Cora and Anthony are a very happy and affectionate young couple who have now been infertile for three years. The primary suspected problem is Cora’s endometriosis and subsequent tubal damage. Despite all this, her tubes are not completely blocked. They had a choice of IUI vs IVF and chose [...]

Case of the month May '08: Episode #3

Click here for episode #1 Baseline Ultrasound: CORA’s period started on Thursday, so she was here Saturday morning on D#3. The baseline ultrasound is helpful in confirming that it’s safe to start stimulating the ovaries. Here’s what we COULD HAVE seen: There’s a 21 mm cyst in the right ovary and nothing in the left [...]

Case of the month May '08: Episode #2

Click here for episode #1 ANTHONY and CORA are a young couple who have not been able to conceive yet. They have already had the basic workup done. The current thinking is that the problem lies not with the sperm or eggs themselves, but with their ability of the sperm and eggs to physically come [...]

Case of the month May '08: Episode #1

ANTHONY and CORA (not their real names) came for their consultation wearing matching colors and holding hands. He was 27. She was 25. They were smiling much more enthusiastically than the average couple do on the first consultation visit, with no hint of the usual nervousness. Two things I noticed right away. They sat on [...]

Case of the month Apr '08: Episode #7

Click here for episode 1 Six days after her IUI, we got a phone call from Aimee. "I think something is wrong", she said. "I feel pretty bad, with a lot of cramping and my stomach is really swollen. Is it normal to feel this way?" My staff transferred the call back to me. It [...]

Case of the month Apr '08: Episode #6

Click here for episode 1 On the day when patients get their inseminations, many times, we have to face challenges with the scheduling. Aimee had called me the day before the insemination in a panic because she found out that Boyd had to leave town on a short road trip. This was for a baseball [...]