BONUS 138: Listener Question Extravaganza

January 19, 2018

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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 low AMH to MTHFR to Clomid to recurrent loss and more. The full questions are read on the air, but here are brief summaries:

  • Nanda: I’m 35, my husband is 30, and we have unexplained infertility, along with other issues. From four IUI’s and one IVF last year, we only have one normal embryo, which is frozen. The RE suggests another cycle to bank more embryos, but I feel like I was treated like a number by him and his clinic. How can I find a good doctor who will give me the proper attention?
  • Charity: I have a condition called situs inversus, which can cause Kartagener’s syndrome, in which the cilia in the Fallopian tubes flow the wrong way. I’m having a hard time being diagnosed with this and don’t see how a genetic test will help since I was born with it. Can you help me understand?
  • Emma: I just finished a 2nd cycle of Clomid, and I ovulate on my own with a short luteal phase. I had three follicles on the 1st round and only one on the 2nd. Are there other reasons that could explain the different results to the same medication, and is there any way to ensure a better response next time?
  • Hannah: I got pregnant easily with my first child, who is almost 2, but since then I’ve had no period, no ovulation, and no answers. I’m wondering what to do and what is causing this?
  • Emily: I’m 32 and have been diagnosed with diminished ovarian reserve, with an AMH level of .5 and then .2. The doctor recommends an IVF cycle to freeze embryos. I have one embryo with ICSI that is frozen and a 2nd round coming soon with a fresh transfer, but the doctor doesn’t recommend genetic testing. What is the likelihood that our embryo will have chromosomal issues, and should we pursue genetic testing?
  • Meghan: I’m 38 and diagnosed with diminished ovarian reserve. We decided to try on our own for a year, went gluten free, did acupuncture, and did more yoga. I’ve had 4 miscarriages in 18 months. The last IVF retrieval wasn’t successful, and the doctor recommends donor eggs. Would you recommend trying another round, and if so, what priming protocol would you suggest?
  • Lisa: I’m six days post-retrieval, and PIO injections have brought horrific pain, fever, hot flashes, chills, body aches, no appetite, and lightheadedness. Was my body having an allergic reaction, fighting a virus, or could it be something else? I was also prescribed suppositories, which I’m told can cause miscarriage. Do they cause miscarriages? What is the degree of risk?
  • Jennifer: I just listened to the episode on blood-clotting. I’m 30 and had a chemical pregnancy after a PGS-tested grade AA embryo was transferred. On my next cycle, we transferred the same grade embryo and miscarried at 8 weeks. The RE recommended another transfer, but a reproductive immunologist recommended Lovenox for blood flow issues. Does this treatment sound right to you?
  • Elysse: I was told I tested positive for MTHFR. I was told to stay away from folic acid, but I’ve heard Dr. Rodgers say that extra folic acid is necessary for the MTHFR mutation, so I want to check on this.
  • Mukti: I’m 37 with unexplained infertility. I’ve had five failed IUI’s and three failed transfers and have three frozen embryos remaining. In two years, I’ve never been pregnant and my RE recommends PGS testing for embryos. Is there anything else we can try or something we might be missing?
  • Emily: I’ve had four hysteroscopies to remove a uterine septum, but my menstrual cycle has decreased to almost nothing. I’ve had four failed IVF transfers and an endometrial biopsy. My RE thinks my embryos are the problem, since I’ve had two miscarriages and a chemical pregnancy from a fresh transfer. Any advice is appreciated.
  • Elizabeth: I’m 36 and my husband is 35; we are gearing up for our first IVF cycle. We had to sign a consent form for ICSI even though our clinic doesn’t do ICSI. We were told it was for “emergency ICSI,” which we’ve never heard of. Have you ever heard of this? What are the success rates and risks?
  • Rhianna: I’m 38 and my husband is 45 and we are on our third IVF cycle. Low dose naltrexone is recommended for now and up to 12 weeks gestation. What are your thoughts about this?
  • Katy: I’m on my fourth cycle of Clomid at triple dosage. I’m doing ovulation tests, which are showing unusual results. Should I be relying on these tests, is it normal for estrogen levels to surge for this long, and will I ovulate?
  • Melissa: I’m 35 and my husband is 37 and we’re both healthy. We have unexplained infertility, but our issue now is recurrent loss. We’ve moved recently and are ready to find a new RE in southern CA. What questions should we ask, what procedures and protocols should we try, and should we pursue another IVF cycle or go the donor egg route?

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

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Words of Hope:

Remember that you and the physician are a team and YOU are the captain. It’s important to go back to the RE and have open, honest dialogue about your treatment and his recommendations. Click To Tweet

References:

Thanks for listening!

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