BONUS 134: Listener Question Extravaganza

BONUS 134: Listener Question Extravaganza

Today’s Guest:

Dr. Allison Rodgers is board certified in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility, and has been practicing medicine since 2004. She currently practices at the Fertility Centers of Illinois. Dr. Rodgers’ 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.
Dr. Allison Rodgers answers more than a dozen listener questions about everything from the difference between PCO and PCOS to over-supplementation and more. The full questions are read on the air, but here are brief summaries:

  • Abi: I’m 44 years old, and we’ve been trying for 6 months. Although my numbers are good, we have a slight morphology problem and a blocked tube. Should we keep doing timed intercourse and IUI or jump to donor IVF?
  • Lindi: My wife and I have been doing at-home inseminations without success. Our problem is long cycles that are sometimes without ovulation. The doctor insists that we do IUI, but that is expensive and we are without insurance coverage. We are devastated and don’t know where to go next. What do you recommend?
  • Rebecca: I was diagnosed with endometriosis in July, but since then we’ve seen a dramatic decrease in morphology. We are both 25 and healthy but wonder if we should be concerned about this decrease.
  • Sarah: I just miscarried at 9 weeks due to a blighted ovum. I was told the embryo stopped growing very early, but I am wondering why it takes so long to be expelled from the uterus.
  • Jessica: After 2 failed IVF cycles, I’ve been told a have a possible luteal phase defect. Do you have any suggestions for patients with thin lining and implantation concerns?
  • Carly: We conceived naturally on the first try after years of using an IUD, but then terminated because of a genetic abnormality. We are considering pursuing IVF now, but would you advise using neupogen to help thicken the uterine lining?
  • Allison: I’m curious about being an RE, but it seems overwhelming. How do you manage to keep track of so many patients, and how do you balance the physical and emotional demands? Do you become personally invested in each patient? What made you want to become an RE?
  • Laura: I’m 35 years old, and we’ve been trying for 2 years, during which time we’ve had a blighted ovum and a natural miscarriage. We have now reached the point in my job where insurance coverage will kick in. Should I try right away or wait a couple of cycles?
  • Elizabeth: What is the difference between PCO and PCOS? How do they develop, and how is the egg quality affected with PCO?
  • Also from Elizabeth: After completing my second IUI, I’m pregnant. My beta number was low at first and didn’t rise fast enough, so the doctor suspects an ectopic pregnancy. Can you discuss the ins and outs of ectopic pregnancy?
  • Ming: My husband is 33, and I’m 28. We’ve been trying to conceive for 5 years. With PCOS and hypothyroidism, we have done 4 medicated cycles. Our sperm numbers are good and my tubes are open. I might have scar tissue from a previous surgery, so do you think a laparoscopy is necessary or should we move to IVF?
  • Heather: I’m 42 and have conceived 3 times, all ending in miscarriage. The last embryo tested positive for trisomy 15. We’ve done 3 IUIs and are now moving to IVF. I have a fear of IVF not working and spending a fortune for nothing. I’m hopeless, scared, and defeated. Do you have any advice for us?
  • Lindsay: My husband is 33, and I’m 32. I’ve had 3 miscarriages since January. My doctor did a full workup and found everything to be 100% perfect. I saw an RE for tests, and he discovered a septum. Is it likely that the septum was the cause of my losses, and would you recommend that we pursue IVF?
  • Angela: I’m 53, with a history of PCOS, diabetes, and early miscarriage. I’m non-menopausal but have no menstrual cycle. Are there any treatments for women of advanced reproductive age, or is there no hope?
  • Cynthia: I’m 35 and have been diagnosed with PCOS, hypothyroidism, and adrenal fatigue. I’ve had 6 IUIs in the last year, with 2 pregnancies, one of which was ectopic. I have a healthy BMI and am taking medications and many supplements in preparation for IVF. Could I be over-supplementing?
  • Crystal: I’m 34, and my husband is 32. We have male factor infertility, but he is on medications to increase his sperm count. We did IVF with ICSI and got 34 eggs, which yielded 7 embryos. After PGS testing, they were all abnormal. Is there anything we can do to increase the chance of getting normal embryos, and what is the likelihood of getting the same results again?
  • Marie: My daughter has PCOS and has had 2 rounds of IVF. The embryos were PGS tested, but she still miscarried both times. She is under a lot of stress over a custody dispute. Could stress be the cause of her miscarriages?

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

Words of Hope:

It’s hard to give people bad news. I still find a lot of satisfaction and professional joy in being with people during the very hardest times. Click To Tweet

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