Re: ?? For Dr

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Posted by Larry Grunfeld, MD on July 18, 19100 at 08:38:41:

In Reply to: ?? For Dr posted by Dennis Wynne on July 17, 19100 at 01:11:49:

The main question is whether an aggressive management is best for a 41 year old woman who is a good producer of eggs. While it is true that it is possible to conceive without IVF the chance of becoming pregnant is greater with IVF. As a general rule fertility procedures work best in the first 3 cycles of attempt. If you are not successful it is better to move to a more advanced therapy. The biggest enemy is time.

Larry Grunfeld, MD

: My apologies for the long post, but, I desired to clarify a point from my earlier post (located at the end of this one. My wife and I have gone through 13 procedures, starting with IUI, and proceeding through IVF. We have male factor, specifically, antibodies on 99.6% of my sperm, on the head, mid, and tail portions. At age 41, my wife was told, by a prominent dr here, that she had LUF, and as I stated earlier, the symptoms appeared to me to be Premature Surge, to which you agreed, Dr. Grunfeld. You suggested that after so many cycles, the best treatment for us would be IVF. I question this, and would like to expand a bit, if you will answer. Even at 41, with 1 tab of clomid per day, my wife produces several eggs. On Lupron, Follistim, Pergonal, etc., she produces an abundance of eggs. The question is this, As long as she is producing adequately, should we not use the least invasive procedure? I do not see how we gain from turning to ivf, other than to negate any premature surge, and does not increase the odds of conception appreciably.

: We have had 2 pregnancies besides the one child, and both only lasted for several days. Do we truly gain much by IVF?

: Thanks for your time, and bless you, once again.

: Dennis Wynne

: Posted by Dennis Wynne on July 10, 19100 at 12:54:11:

: I have Several questions here. Can Premature surge be treated, and if so, with what, and also, how about luteinized unruptured follicles? With the LUF, is that a
: permanent condition, or might it vary from cycle to cycle?

: Finally, my wife was told that she might have had LUF while on follistim, but her follicles were 13 and 14, which sounds to me more like Premature Surge. Thanks
: for any and all responses. God Bless you ladies out there! We have been through 13 attempts at pregnancy, from IUI through IVF. We have been blessed with one
: child from the IUI, with Donor (we have male factor), but the heartache is still there for another child. How many tears have been shed through our ten year
: walk......Like the sands of a beach, to innumerable to count.

: Be blessed, and do not give up hope!

: Dennis

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: Re: Prmature Surge and Luteinized unruptured follicle ?'s Larry Grunfeld, MD 13:07:39 7/10/100 (0)

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