BONUS 242: Listener Question Extravaganza

January 17, 2020

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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 answers more than a dozen listener questions. The full questions are read on the air, but here are brief summaries:

  • Erin has been trying to conceive for several years, tracking her ovulation along the way and doing medicated cycles for two years. For religious reasons, she doesn’t want to pursue IVF. She asks about the validity of her doctor’s concern about an increased cancer risk with a prolonged medicated protocol, how long she can use ovary-stimulating medications, and if there is any hope for pregnancy.
  • Amy asks for an opinion on going through a frozen transfer cycle while still breastfeeding a baby, and if that might have negative consequences.
  • Jill has PCOS with almost no periods or ovulation. She’s struggled for two years to get pregnant, but her OB/GYN says that OPKs are not reliable for PCOS patients. She asks if this is true and if Dr. Rodgers has had any experience with this issue.
  • Jessica was diagnosed with mild PCOS but has almost no symptoms. She’s pregnant with a single baby and is planning another retrieval after her son’s birth. She asks what she can do to improve egg quality.
  • Amy has been trying to conceive for several years. She’s had two failed IUIs and a chemical pregnancy. Testing now shows that her left tube is blocked with a suspected hydrosalpinx. She asks about her chances of conceiving naturally, if removal of that tube might help, and if any further tests should be done.
  • Kat has had multiple difficulties with her tubes. An ectopic pregnancy led to the loss of one tube, and her doctor suspected a hydrosalpinx at first but went ahead with IVF and an unsuccessful FET. Her doctor now recommends a medicated cycle with a biopsy and scan of the tube before proceeding with another FET. Kat asks if hydrosalpinx can come and go and if she should ask for an ultrasound right before the transfer.
  • Natasha is an American living in Rwanda. She’s been trying to conceive for a year and has been diagnosed with lean PCOS. The fertility specialist there is the only one in the whole country, and he recommended Clomid without even seeing her medical history. She asks about supplements and how to maximize her time to consult a specialist in the U.S. on an upcoming visit.
  • Jessika gave birth to her son a few years ago on her first IVF transfer, and now she’s trying to conceive again. She’s had three failed transfers but normal test results. With only two embryos remaining, she’s working to clear up gut and bowel inflammation, which has been an issue for her. She asks why her transfers are failing and if there is anything else she can do.
  • Shah had a missed miscarriage after an IUI last year, and now she’s doing IVF. Her thin lining isn’t responding to treatments and was possibly damaged by her D&C. A PCR biopsy and hysteroscopy have been recommended to rule out uterine tuberculosis. She asks what else she can do and if a Doppler ultrasound will help.
  • Kristin is struggling to get pregnant again after an ectopic pregnancy, but blocked tubes have been a problem. She hesitates to do IVF because of personal reasons about how sperm is collected. She asks if there are clinics that will allow special condoms to be used for sperm collection.
  • Katie has had two egg retrievals with suspected poor egg quality. The first yielded 19 eggs but only two blasts, and the second retrieval hasn’t yielded encouraging results. She asks why she has such low fertilization and blast rates, and if her high AMH with PCOS is causing poor egg quality.
  • Christy is 45 and has low AMH. She has been using Clomid with no success in the past year. Using an egg donor, she lost her first pregnancy at 13 weeks to a genetic anomaly; she lost a second pregnancy at six weeks to a different genetic anomaly. She’s currently pregnant with a PGT-normal embryo and asks what her chances are to have a healthy pregnancy or if she should expect another loss.
  • Sara’s husband has idiopathic urticaria flare-ups that cause painful genital swelling. She asks if this condition affects sperm production and morphology and what can be done to limit the impact on his fertility.
  • Michele asks what a Matris ultrasound is because she’s never heard of it before.
  • Sehrish’s husband has non-obstructive azoospermia. Immature sperm have been detected in his sample, which was frozen to check for spermatids. She asks if IVF can possibly be done with immature sperm.
  • Teresa had two miscarriages and was diagnosed with reciprocal balanced translocation. After three additional rounds of IVF with ICSI and two failed PGT-normal transfers, she has decided to go to a new clinic for a fresh start. She asks what questions she should ask, what additional tests she should request, and what they may be missing.
  • Jennifer has had no previous problems with egg quality. Her first IVF failed, but her three fertilized embryos all stalled at the 4-6 cell stage. She asks if she has poor egg quality and how many retrievals she should do before turning to other options.

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

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