BONUS 307: Ectopic Pregnancy

June 11, 2021

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Today’s bonus episode guest is Dr. Allison Rodgers. She is board certified in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility and has been practicing medicine since 2004. Dr. Rodgers currently practices at the Fertility Centers of Illinois. Her personal experiences with both secondary infertility and pregnancy loss have given her a unique insight into reproductive medicine in order to help you beat infertility.

Episode Sponsor:

Infertility Coaching with Heather Huhman

Dr. Rodgers begins by answering six listener questions. The full questions are read on the air, but here are brief summaries:

  • Kristin, 37, lives in Germany. Because of her ALICE and EMMA test results, she’s been on vaginal probiotics for a full cycle but wonders if that is enough. With only two normal blasts remaining, she asks if the EMMA test should be repeated before the next transfer in her attempt to have a second child.
  • Kaitlyn, 32, has 15 frozen embryos after a very successful retrieval cycle, but she was unable to get pregnant naturally or with IUIs. She asks about the chances for success with her next transfer.
  • Logan, 32, asks if spontaneous pregnancy is possible with her very short seven-day luteal phase. She wants to know about the latest research on the effect of a short luteal phase on fertility, along with recommended tests and the next course of action.
  • Jessica, 33, has been diagnosed with unexplained infertility. After one IVF cycle and FET, she is 12-weeks pregnant, but still has no answers. She asks if they will have to do IVF again to have a second child.
  • Rachael, 38, has been diagnosed with subclinical hypothyroidism, which is well-controlled with TSH. She asks about how pregnancy will affect TSH levels and how they will be monitored during pregnancy.
  • Kim, 37, has been trying to conceive her second child for almost three years. After four miscarriages, she was diagnosed with Turner syndrome. She asks about her chances of success and the recommended protocol.

Dr. Rodgers and Heather continue the episode by discussing ectopic pregnancies:

  • What is an ectopic pregnancy, and how common is it?
  • What causes an ectopic pregnancy?
  • Are there any factors that make you more likely to have an ectopic pregnancy?
  • What are the possible symptoms of ectopic pregnancy?
  • How are ectopic pregnancies diagnosed, where are they normally located, and are they ever located in other places?
  • Is the risk of ectopic pregnancy something that should scare listeners away from IVF?
  • How long can an ectopic pregnancy last?
  • Do ectopic pregnancies ever resolve on their own? If not, what are the options?
  • Can you tell us more about the surgery?
  • Tell us more about the surgery for heterotopic pregnancy, the rare occurrence of a pregnancy being in the uterus while another pregnancy is ectopic. How safe is the surgery for the viable pregnancy?
  • Do ectopic pregnancies ever result in live births?
  • Is there hope for a healthy live birth after having an ectopic pregnancy?
  • Has there been any good research about ectopic pregnancy that can give us helpful information for the future of treatment and diagnosis?
  • Do patients ever push back against the surgical option to end an ectopic pregnancy?
  • Can you share any success stories about patients with an ectopic pregnancy who went on to have a live birth?
  • Is there anything else you’d like to add about ectopic pregnancies?

Have a question you want Dr. Rodgers to answer next time she’s on? Click here.

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