BONUS 166: Evaluating Your Ovaries, Tubes & Uterus

August 3, 2018

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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.

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

  • Rachael asks about the possible causes of chemical pregnancy where PGS-normal embryos implant, HCG rises and then drops, and miscarriage occurs.
  • Heidi asks how clinics support those with ethical issues about freezing embryos and the insensitivities.
  • Samantha asks about the possible causes of discrepancies between antral follicle count and AMH, and if vitamin D deficiency plays a role.
  • Noemi had a miscarriage at 9 weeks. She wants to know about TSH and what range is best for trying to conceive.
  • Hailey was on an antidepressant for 7 years and then weaned off of it to conceive. Since it’s been recommended to go back on the medication, she asks if it can raise prolactin levels and if its extended use can be a factor in fertility.
  • Jenny has low ovarian reserve and her husband has low sperm morphology. She asks about using Lupron versus microdose Lupron and Dr. Rodgers’ opinion about transferring aneuploid embryos.

Dr. Rodgers and Heather continue the episode by discussing diagnostic tests to evaluate your ovaries, tubes, and uterus:

  • Vaginal ultrasound
    • Why is it performed?
    • How is it performed?
    • What can patients expect in terms of the experience?
    • What are its limitations?
    • Is there anything else you’d like to add?
  • Saline infusion sonohysterography (SIS or SHG)
    • Why is it performed?
    • How is it performed?
    • What can patients expect in terms of the experience?
    • What are its limitations?
    • What are the possible risks and complications?
    • Is there anything else you’d like to add?
  • Hysterosalpingogram (HSG)
    • Why is it performed?
    • How is it performed?
    • What can patients expect in terms of the experience?
    • What are its limitations?
    • What are the possible risks and complications?
    • What are the next steps if a patient’s tubes are blocked?
    • Is there anything else you’d like to add?
  • Hysteroscopy
    • Why is it performed?
    • How is it performed?
    • What can patients expect in terms of the experience?
    • What are its limitations?
    • What are the possible risks and complications?
    • What are the typical post-operative care instructions?
    • Is there anything else you’d like to add?
  • Laparoscopy
    • Why is it performed?
    • How is it performed?
    • What can patients expect in terms of the experience?
    • What are its limitations?
    • What are the possible risks and complications?
    • What are the typical post-operative care instructions?
    • Is there anything else you’d like to add?
  • Are there any other diagnostic tests to evaluate your ovaries, tubes, and uterus that we haven’t discussed?
  • What words of hope would you offer to someone who’s just been told something was uncovered about her fertility as a result of one or more of these tests?

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

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