Posted by Larry Grunfeld, MD on May 07, 19100 at 08:09:26:
In Reply to: Doctors Please Help!! Questions about my treatment! posted by Joanne on May 06, 19100 at 08:59:34:
I do agree that your case justified a more aggressive approach. It is standard at your age with your duration of infertility to move on to gonadotropins and, if necessary, IVF. If you are not under the care of an RE you should consider swithching. If your doc is an RE find out why he/she does not want to be more aggressive.
Larry Grunfeld, MD
: First of all, thank you so much for answering my questions. A bit of a history: been ttc since July 1998. Have had blood
: levels looked at, hsg, lap/hysteroscopy - everything has come out normal. I do ovulate on my own and my progesterone
: level at 7 dpo on a natural cycle was 16. I have regular cycles but short periods, medium-heavy flow for 2 days and then
: just spotting, really. I used to spot before my period but for the first cycle since sugery (d & c done too) no spotting. dh
: has had 3 SA's done. Counts have been 19 mill/ml, 26 mill/ml and 46 mill/ml. Volume is always high around 7.5 to 8 ml.
: Morphology has been 50% norm, 70% norm and 30% norm. Motility always around 60%.
: I've been on 4 cycles of serophene with rest cycles in between because of cysts on cd3. I do ovulate on the serophene
: (50mg) but we have only managed to do 2 iui's because other cycles were not the best due to small cysts at the
: beginning of my cycle (usually around 14mm). Lining was always fine (usually around 10mm).
: My doctor now wants me to take antibiotics at the beginning of my next cycle in case of mycoplasm (??) and also have
: both dh and me have chromosomal testing done. He does wants us to try naturally for 3 more months ( I just had lap done
: on March 30) but I am 31 and dh is 37 so I'm concerned about time. What concerns me the most is that he does not want
: to move to gonal-f which I had thought would be our next course of action. I did develop a cyst (50mm) in the middle of my
: last serophene cycle. He is concerned about hyperstimulation. I really had my hopes high that gonal-f would be the
: "ticket" for us. Any thoughts you could shed on this situation would be very much appreciated. Thank you so much for
: your response.