by Fred Licciardi, M.D. Spotting. Really frustrating. Where does it come from? We first look for an anatomical reason (a problem due to some sort of growth that we can see usually with the ultrasound). The most common reason is that there is a polyp inside the uterus. A polyp is a benign ...

by Fred Licciardi, M.D. Hello everyone, today we will discuss the differences between Clomid and Letrozol. This one is a little medical, but I think I can get everyone through it just fine. I'll start by saying both do the same thing, they both stimulate ovulation, but each does it in it's ...

by Fred Licciardi, M.D. Today I have answered the more interesting questions over the past few months. What do I think about cervical mucus? This is tricky question. I would not make any treatment plans based on cervical mucus. Some women have “normal” mucus and others have mucus ...

by Fred Licciardi, M.D. And how do they help us ovulate? Hormones are chemicals that are made in one part of the body and act in another part of the body. For example, estrogen, our favorite hormone, is made in the ovaries and acts in the uterus, bones and other areas of the body. The hormone ...

By Fred Licciardi, M.D. Spotting. Really frustrating. Where does it come from? We first look for an anatomical reason (a problem due to some sort of growth that we can see usually with the ultrasound). The most common reason is that there is a polyp inside the uterus. A polyp is a benign ...

I would like to address the very important issue concerning insulin resistance and PCO. I need to start by saying that, as with many things in medicine, we though we had this figured out but in the end, we may be a little off the mark. What is the definition of PCO? 2/3 of the following: 1) no or ...

by Fred Licciardi, M.D.   This we call “distal occlusion” and it can take a few forms. The most obvious and severe is what’s called a hydrosaplinx (or hydro for short), or bilateral hydrosalpinges when both are affected. This type of tube is completely closed near the ...

by Fred Licciardi, M.D. So a little story about a couple I saw recently. She was a poor responder with borderline FSH levels, normal tubes and a favorable age. He had low sperm counts. They had been through IVF. I suggested that he see a urologist because maybe there was something that ...

by Fred Licciardi, M.D. Thanks for reading yesterday's post.  Here is a little more about Clomid.  Clomid, also known as Serophene, is a very valuable medication, but it can be associated with some nasty side effects. Believe it or not, Clomid was originally devised to be used as a ...

by Fred Licciardi, M.D. A few years ago I was visiting another hospital. When touring the OBGYN department, I ran across a very busy obstetrician in the middle of office hours. He was running form room to room and had a pile of charts in his hands. After her appointment, one of his ...