images

Illuminations Logo
Invitro Logo
M&M Logo
Sponsors

The AFA thanks Google, a premiere sponsor, for their online advertising grant.

Google Logo

Improving Implantation and IVF Success: Endometrial Activation

March 18, 2008 - Tuesday
8:00 PM to 8:00 PM (EST)
Guest Speakers: Gad Lavy, M.D., New England Fertility Institute

Categories
Acupuncture • Fertility • Fertility Drugs • IVF • PCOS • Pregnancy Loss


[Tue Mar 18 09:54:46 PDT 2008] tanyadockter joined.
[Tue Mar 18 09:55:01 PDT 2008] tanyadockter left.
[Tue Mar 18 10:11:46 PDT 2008] mwelch joined.
[Tue Mar 18 10:56:11 PDT 2008] MOJAYOLY joined.
[Tue Mar 18 10:57:01 PDT 2008] MOJAYOLY left.
[Tue Mar 18 11:10:39 PDT 2008] stacey5510 joined.
[Tue Mar 18 11:11:20 PDT 2008] stacey5510 left.
[Tue Mar 18 11:21:48 PDT 2008] jenniferconnell joined.
[Tue Mar 18 11:22:06 PDT 2008] jenniferconnell left.
[Tue Mar 18 12:11:52 PDT 2008] mwelch left.
[Tue Mar 18 12:53:08 PDT 2008] rackle joined.
[Tue Mar 18 12:53:24 PDT 2008] rackle left.
[Tue Mar 18 13:13:15 PDT 2008] pennyevans joined.
[Tue Mar 18 13:14:11 PDT 2008] pennyevans left.
[Tue Mar 18 13:16:20 PDT 2008] pennyevans joined.
[Tue Mar 18 13:16:43 PDT 2008] pennyevans left.
[Tue Mar 18 13:17:10 PDT 2008] pennyevans joined.
[Tue Mar 18 13:17:23 PDT 2008] pennyevans left.
[Tue Mar 18 13:17:50 PDT 2008] pennyevans joined.
[Tue Mar 18 13:20:31 PDT 2008] pennyevans left.
[Tue Mar 18 15:08:56 PDT 2008] tenayagirl joined.
[Tue Mar 18 15:31:05 PDT 2008] rosa joined.
[Tue Mar 18 15:33:40 PDT 2008] rosa left.
[Tue Mar 18 15:45:25 PDT 2008] lisamarie joined.
[Tue Mar 18 15:47:53 PDT 2008] lisamarie left.
[Tue Mar 18 15:50:18 PDT 2008] rini28 joined.
[Tue Mar 18 15:50:32 PDT 2008] rini28 left.
[Tue Mar 18 16:33:11 PDT 2008] CP-NJ joined.
[Tue Mar 18 16:42:59 PDT 2008] rachel2122 joined.
[Tue Mar 18 16:51:03 PDT 2008] meileechen joined.
[Tue Mar 18 16:51:38 PDT 2008] meileechen left.
[Tue Mar 18 16:52:31 PDT 2008] MC joined.
[Tue Mar 18 16:52:53 PDT 2008] glavy joined.
[Tue Mar 18 16:52:58 PDT 2008] mwelch joined.
[Tue Mar 18 16:54:35 PDT 2008] Corey_Whelan joined.
[Tue Mar 18 16:55:59 PDT 2008] Corey_Whelanwow! Welcome to all of our early birds! I see Dr. Lavy is here as well. Hi all. I'm Corey Whelan, The AFA's Director of Development and your chat moderator tonight. I am very pleased to introduce Dr. Gad Lavy of the New England Fertility Institute. We officially start in around five minutes, but please feel free to post an early question. Welcome everyone!
[Tue Mar 18 16:56:33 PDT 2008] Corey_WhelanWhile we are getting started, I wanted to mention that The AFA's Family Matters Conference has been booked for Sunday, October 5th at Steiner Studios in New York. Please be sure to save the date!
[Tue Mar 18 16:57:17 PDT 2008] glavyWelcome Everyone Endometrial activation was discovered serendipitously when endometrial biopsies were perfored prior to an IVF cycle. The success in cycles following the biopsies were higher. This led to some additinal research that has confirmed the original findings.The exact mechnaism of endometrial activation is not entirely clear.
[Tue Mar 18 16:57:55 PDT 2008] Corey_WhelanDr. Lavy, can you explain what endometrial activation is exactly?
[Tue Mar 18 16:58:47 PDT 2008] glavyCreating a small area of injury activates certain proteins in the endometrium that are apprently essential for implantation
[Tue Mar 18 16:58:56 PDT 2008] Patty joined.
[Tue Mar 18 16:59:10 PDT 2008] mwelchDr. Lavy is endometrial activiation currently being utilized in fertility programs in the United States, as the research was originally done in Israel.
[Tue Mar 18 16:59:16 PDT 2008] Corey_WhelanHi Patty. We are just getting started.
[Tue Mar 18 16:59:47 PDT 2008] glavyThe original study was done to evaluate the endometirium of women whose IVF cycles were not sucesssful
[Tue Mar 18 17:00:24 PDT 2008] glavyThe original studies were performed in Israel at the Weitzman Institure of Science. The team was led by Dr. Nava Dekel.
[Tue Mar 18 17:01:05 PDT 2008] glavyFollowing the original biopsy the women had undergone another IVF cycle and most of them conceived.
[Tue Mar 18 17:01:24 PDT 2008] pennyevans joined.
[Tue Mar 18 17:01:45 PDT 2008] sb10847 joined.
[Tue Mar 18 17:01:49 PDT 2008] mwelchIf a patient elects this procedures, at what point is it done in the IVF cycle. . In other words how long between biopsy and transfer.
[Tue Mar 18 17:01:51 PDT 2008] rackle joined.
[Tue Mar 18 17:01:51 PDT 2008] Corey_WhelanHi Penny, welcome to our chat with Dr. Gad Lavy. To see the transcript so far, just click on the action button. Ditto sb.
[Tue Mar 18 17:02:07 PDT 2008] Corey_WhelanHi Rackie
[Tue Mar 18 17:02:55 PDT 2008] toni joined.
[Tue Mar 18 17:03:22 PDT 2008] Corey_WhelanHi Toni, welcome. Everyone please feel free to post your questions.
[Tue Mar 18 17:03:30 PDT 2008] glavyThe biopsy is generally done in the luteal phase of the cycle preceeding the IVF cycle. We have experimented with doing the biopsies several days prior to the transfer and have also oberved excellent results in poor prognosis patients
[Tue Mar 18 17:04:37 PDT 2008] Corey_Whelan To[Private] mwelchHi Marion. Some of the others are starting to post questions, why don't you hold back for a few minutes.
[Tue Mar 18 17:05:24 PDT 2008] sb10847Is is just a sraitforward biopsy? - what does this "activate" per se?- I am fascinated by the autoimmune/cytokine issues with the endometrium and transplantation - I have had a biopsy done in conjunction with co-culture
[Tue Mar 18 17:05:55 PDT 2008] mwelch To[Private] Corey_WhelanJust gettting ready when it gets slow. I am so excited about this new technology.
[Tue Mar 18 17:06:19 PDT 2008] pennyevansI had a retrieval on Saturday that retrieved 12 eggs and 4 were mature and 8 were immature. The 4 that were mature they used icsi and only one fertilized. My RE called yesterday to say that it divided further and if it makes it to day 5 they will transfer it. I have 3 children and 8 losses and am 43.5 years old. She said if I have the 1 to transfer she will then start progesterone. Is there anything else at this point that I can do to promote implantation if I hopefully have an embryo on day 5?
[Tue Mar 18 17:06:30 PDT 2008] glavyHi sb. As I said it is not clear exactly what is being activated. It appears that certain genes responsible for induction endometrial proteins are being activated
[Tue Mar 18 17:07:10 PDT 2008] Corey_Whelan To[Private] mwelchcool! keep that enthusiasm, it makes for a great chat! I'm really glad you are here to help move things along and get the right information out, that's terrific
[Tue Mar 18 17:08:22 PDT 2008] glavyHi Pennyevans It appears that the problem was with egg quality probably related to your age. Endo activation may help but would probably not be effective in such cases.
[Tue Mar 18 17:09:13 PDT 2008] tenayagirl left.
[Tue Mar 18 17:09:14 PDT 2008] rackleWhat types of situations would endo activaton be effective?
[Tue Mar 18 17:10:17 PDT 2008] glavyHi rackle as all new procedures we have concentrated on poor prognosis patients.
[Tue Mar 18 17:10:59 PDT 2008] glavyThese are patients who have had repeated IVF failures. It makes sense that those patients with "good" embryos would be the best cadidates
[Tue Mar 18 17:11:31 PDT 2008] pennyevansIs there anything you would recommend to me at the age of 43.5 to help with implantation during an IVF cycle. I spontaneously conceived and miscarried 2 months ago and thought IVF would help with a good embryo and if I get that embryo on day 5 what may help with implantation which would be the next challenge of the ivf cycle. I try to remain positive since I had implantation naturally 2 months ago.
[Tue Mar 18 17:13:10 PDT 2008] sb10847With your poor prognosis patients on whom this bx is done - do you prefer to do day 3 transfers?
[Tue Mar 18 17:13:23 PDT 2008] Enter_Name_here joined.
[Tue Mar 18 17:13:40 PDT 2008] shaymer01 joined.
[Tue Mar 18 17:13:44 PDT 2008] glavyYou should be positive. Spontaneous pregnancy is definately an excellent predictor of success. I feel that endo activation is worth trying as it has no downside and can only help
[Tue Mar 18 17:14:27 PDT 2008] Corey_WhelanHi ENH and shaymer!
[Tue Mar 18 17:14:49 PDT 2008] shaymer01hi corey!
[Tue Mar 18 17:14:55 PDT 2008] Corey_Whelannice to see you.
[Tue Mar 18 17:15:07 PDT 2008] shaymer01you too!
[Tue Mar 18 17:15:21 PDT 2008] kaylalunaava joined.
[Tue Mar 18 17:15:39 PDT 2008] Corey_WhelanHi kay, welcome back!
[Tue Mar 18 17:15:51 PDT 2008] glavyThe oringinal study was done in 12 women and was followed by a larger study of 45 women and 89 controls. The results show that endometrial activation was associated with a significant increase in success. Women in the study group were twice as likely to coneive as the controls.
[Tue Mar 18 17:15:56 PDT 2008] kaylalunaavaThanks
[Tue Mar 18 17:16:32 PDT 2008] pennyevansAt my stage in the ivf cycle of this Thursday being day 5 if I still have an embryo are there any recommendations for this cycle to promote implantation?
[Tue Mar 18 17:16:43 PDT 2008] sb10847Who is the lead author on this study?
[Tue Mar 18 17:17:10 PDT 2008] CP-NJ left.
[Tue Mar 18 17:17:19 PDT 2008] mwelch Dr. Nava Dekel, as mentioned .
[Tue Mar 18 17:17:25 PDT 2008] glavyNava Dekel. The original article was published in Fert and Steril in 2003
[Tue Mar 18 17:17:35 PDT 2008] sb10847thanks
[Tue Mar 18 17:18:13 PDT 2008] glavywelcome
[Tue Mar 18 17:18:19 PDT 2008] glavygood luck
[Tue Mar 18 17:18:55 PDT 2008] shaymer01not sure if I missed it, can endo activation be explained? what is it?
[Tue Mar 18 17:19:39 PDT 2008] Corey_Whelanguys, always feel free to click on the action button and scroll through the transcript of the chat if you missed anything. And don't be afraid to ask any question!!!
[Tue Mar 18 17:21:00 PDT 2008] sb10847Two question - 1. top three factors affecting endometrial receptivity and 2. do you gravitate towards higher dose or lower dose IM progesterone support s/p IVF?
[Tue Mar 18 17:21:14 PDT 2008] toni left.
[Tue Mar 18 17:21:37 PDT 2008] MC Hi Dr. Lavy- is this procedure particularly helpful for those with PCOS undergoing IVF? Thanks.
[Tue Mar 18 17:22:19 PDT 2008] glavyProgesterone supplementation has to be tailored to the levels of estrogen in the cycle. For high estrogen cycles, a higher dose of progesterone is best.
[Tue Mar 18 17:22:47 PDT 2008] glavyEndometrial receptivity is affected by estrogen progesterone and blood flow delivering these hormones to the endometrium
[Tue Mar 18 17:23:22 PDT 2008] mwelch To[Private] Pattyhi patty, Do we know each other ?
[Tue Mar 18 17:23:30 PDT 2008] rackle left.
[Tue Mar 18 17:23:34 PDT 2008] Patty To[Private] mwelchyes
[Tue Mar 18 17:23:39 PDT 2008] pennyevans left.
[Tue Mar 18 17:23:39 PDT 2008] glavyI think that the PCOS patients deserve special attention. Their PCOS should be controlled prior to starting IVF. In PCOS there are egg factors as well as endometrial factors
[Tue Mar 18 17:23:44 PDT 2008] rini28 joined.
[Tue Mar 18 17:23:57 PDT 2008] CP-NJ joined.
[Tue Mar 18 17:24:01 PDT 2008] mwelch To[Private] PattyThought it was you. Thanks for joining. I think it is going well. This is very excting technology
[Tue Mar 18 17:24:07 PDT 2008] Patty To[Private] mwelchI was curious what he had to say
[Tue Mar 18 17:24:09 PDT 2008] pennyevans joined.
[Tue Mar 18 17:24:12 PDT 2008] JoanK joined.
[Tue Mar 18 17:24:18 PDT 2008] Corey_WhelanHi rini and welcome back CP. Please feel free to jump in at any time with your questions. Ditto JoanK
[Tue Mar 18 17:24:27 PDT 2008] rini28hi there
[Tue Mar 18 17:24:34 PDT 2008] Patty To[Private] mwelchI agree he has talked about it during the tpr meetings
[Tue Mar 18 17:24:35 PDT 2008] rini28this is just chat correct?
[Tue Mar 18 17:24:38 PDT 2008] glavy To[Private] mwelchhi marion. What do you think??
[Tue Mar 18 17:24:46 PDT 2008] rini28no dial in?
[Tue Mar 18 17:24:56 PDT 2008] Corey_Whelanyes, that is right.
[Tue Mar 18 17:25:21 PDT 2008] mwelch To[Private] glavyGreat. I am very pleased. Corey wants me to hold my questions since it got busy . I wil wait till the end .This will ge posted on their site tomorrow..
[Tue Mar 18 17:25:22 PDT 2008] rini28so what is the steps
[Tue Mar 18 17:25:31 PDT 2008] rini28for improving our chances
[Tue Mar 18 17:25:35 PDT 2008] mwelch To[Private] PattyThere will be kit pick up tomorrow for the patient tonight. Dr. Browns patient. She will call before she comes. I am bushed....
[Tue Mar 18 17:25:55 PDT 2008] glavy To[Private] mwelchthannks for being here
[Tue Mar 18 17:26:12 PDT 2008] rini28my 1st son was an IVF baby and now trying for 2nd
[Tue Mar 18 17:26:13 PDT 2008] pennyevansI think my question was lost amongst others. If my embryo makes it to day 5 which is Thursday, do you have any suggestions to promote implantation after the transfer other than progesterone support which she said she would start Friday since I don't know if my embryo will be viable until day 5.
[Tue Mar 18 17:26:16 PDT 2008] Patty To[Private] mwelchyou home now or at the office
[Tue Mar 18 17:26:30 PDT 2008] CP-NJ left.
[Tue Mar 18 17:27:01 PDT 2008] mwelch To[Private] Corey_WhelanCorey what is the dial in??t
[Tue Mar 18 17:27:32 PDT 2008] Corey_Whelan To[Private] mwelchshe was wondering if this was a telephone support group. They do phone.
[Tue Mar 18 17:27:34 PDT 2008] glavySorry Pennyevans. sounds as if you are getting the right advice. I generally use a small dose of estrogen in addition to the progesterone to improve endometrial receptivity
[Tue Mar 18 17:28:07 PDT 2008] mwelch To[Private] Corey_Whelan We would love to of help following the chat if appropriate.
[Tue Mar 18 17:28:18 PDT 2008] Corey_Whelan To[Private] mwelchnot sure what you mean?
[Tue Mar 18 17:29:25 PDT 2008] rini28what about olive oil as opposed to sesame seed oil in the progesterone?
[Tue Mar 18 17:29:26 PDT 2008] pennyevansWhat type and dose of estrogen do you use and what days of the cycle. I will mention it to my RE if I have a day 5 embryo. Thank you.
[Tue Mar 18 17:29:53 PDT 2008] glavyi use estrace 0.5 mg twice daily
[Tue Mar 18 17:31:07 PDT 2008] pennyevansIs the estrace 0.5 an oral medication and what days of the cycle do you recommend taking it?
[Tue Mar 18 17:31:08 PDT 2008] rini28any holistic advice on improving implementation?
[Tue Mar 18 17:31:14 PDT 2008] JoanKWith a faiIed IVF cycle, in some cases, is it possible to actually say implantation failure was a "cause" of why it was not successful?
[Tue Mar 18 17:32:00 PDT 2008] glavyEstrace is given orally. I use it from the very beginning of the cycle.
[Tue Mar 18 17:32:15 PDT 2008] Corey_WhelanI think Rini was next, then Joan, Dr. Lavy.
[Tue Mar 18 17:33:18 PDT 2008] rini28tx
[Tue Mar 18 17:33:19 PDT 2008] glavyJoanK : implantation failure may be a result of embryo factor or endometrial facor. In most cases the fault is with the embryos. However an endomtrial component should be suspected in cases where embryo quality apperas to be good
[Tue Mar 18 17:33:58 PDT 2008] glavyRini: the type of oil does not matter. Some women tolerate olive oil better that sesame or peanut oil
[Tue Mar 18 17:34:10 PDT 2008] mwelch To[Private] Pattyhome. id id get alot done today. We are moving through.
[Tue Mar 18 17:34:48 PDT 2008] rini28tx
[Tue Mar 18 17:34:52 PDT 2008] glavyAcupunture may help implanation by improving blood flow to the uterus
[Tue Mar 18 17:35:06 PDT 2008] shaymer01does diet effect the health of the endometrium?
[Tue Mar 18 17:35:11 PDT 2008] Patty To[Private] mwelchwe certainly are. by the end of the week we should be in great shape
[Tue Mar 18 17:35:16 PDT 2008] pennyevansDo you use estrace from the beginning to the end of the cycle? Would it be beneficial for me to start estrace at this point near a transfer?
[Tue Mar 18 17:35:53 PDT 2008] mwelch To[Private] glavyI always need to learn. Dr. Lavy mention our help line at the end Helpline@nefertility.com or info @nefertility.com.
[Tue Mar 18 17:36:30 PDT 2008] glavyPennyevans: you need to speak to your doctor about that. It really depends on your estrogen levels. I am a firm believer inthe beneficial effect of estrogen in priming the ovaries as well as the endomtrium
[Tue Mar 18 17:36:45 PDT 2008] kaylalunaava left.
[Tue Mar 18 17:36:45 PDT 2008] kaylalunaava joined.
[Tue Mar 18 17:37:32 PDT 2008] kaylalunaavaIs Progesterone in oil given IM absorbed differently than Endometrin?
[Tue Mar 18 17:37:34 PDT 2008] glavyThe effect of diet is not well researched. I am not aware of any studies looking at this connection. My personal impression is that diet low in refined carbohydrates is beneficial for IVF success in general
[Tue Mar 18 17:37:39 PDT 2008] mwelch To[Private] PattyI agree. I will be in Shelton office in am on pcos meeting. then back to get the checks done.
[Tue Mar 18 17:38:00 PDT 2008] Patty To[Private] mwelchok
[Tue Mar 18 17:38:29 PDT 2008] sb10847What is your opinion about physical activity and endometrial receptivity post transfer?
[Tue Mar 18 17:38:33 PDT 2008] woodigit joined.
[Tue Mar 18 17:38:44 PDT 2008] Corey_WhelanHi woodigit. Welcome back.
[Tue Mar 18 17:39:08 PDT 2008] glavyKaylalunaava: Both preparations contains natural progesterone. Their absorption is different as the progesterone in oil is released gradually and provides a constant level in the blood. The endometrin is absorbed in spurts. Whether that has an impact on success is not clear.
[Tue Mar 18 17:39:24 PDT 2008] rini28 left.
[Tue Mar 18 17:40:05 PDT 2008] kaylalunaavaThanks Dr. Lavy. The PIO then is more effective, correct?
[Tue Mar 18 17:41:27 PDT 2008] glavyI think so. It appears that the studies show that vaginal progesterone is probably close and oral progesterone is not nearly as effective
[Tue Mar 18 17:43:41 PDT 2008] fjp joined.
[Tue Mar 18 17:44:01 PDT 2008] JoanKI have had multiple failed IUI's plus 2 failed IVF cycles. I am "unexplained" diagnosis. One cycle I even did PGD and they had 3 "great" embryos, and it still did not take. any thoughts?
[Tue Mar 18 17:44:20 PDT 2008] Corey_WhelanHi fjp. We have about fifteen minutes left with Dr. Lavy so please feel free to ask a question at any time. You can read the past transcript of the chat by pressing the action key.
[Tue Mar 18 17:44:21 PDT 2008] fjp left.
[Tue Mar 18 17:44:29 PDT 2008] kathy1213 joined.
[Tue Mar 18 17:44:39 PDT 2008] Corey_WhelanHi Kathy.
[Tue Mar 18 17:44:44 PDT 2008] shaymer01How do you feel about large doses of estrogen (IM and oral) plus PIO plus vaginal progesterone being used up through the first 8 weeks of pregnancy?
[Tue Mar 18 17:45:13 PDT 2008] mindy327 joined.
[Tue Mar 18 17:45:15 PDT 2008] glavyJoanK: You are a PERFECT candidate for endometrial activation
[Tue Mar 18 17:45:30 PDT 2008] Corey_WhelanHi Mindy
[Tue Mar 18 17:46:07 PDT 2008] JoanKDr-- what is endometrial activation???
[Tue Mar 18 17:46:13 PDT 2008] mindy327Hello I'm joining late in the session. Just going to read along for now.
[Tue Mar 18 17:46:19 PDT 2008] sb10847Re-post: Opinion about endometrial receptivity and level of physical activity post transfer - how do you counsel your patients?
[Tue Mar 18 17:46:20 PDT 2008] glavyI Shaymer: I am not in favor of LARGE doses. The dose needs to be titrated to your blood levels. I dont think that a combination of POI and vaginal progesterone is necessary
[Tue Mar 18 17:46:48 PDT 2008] pennyevansThe estrace that you use is it from the beginning to the end of the cycle?
[Tue Mar 18 17:47:08 PDT 2008] kaylalunaavaAre there any tests to determine whether or not the uterine environment is conducive to implantation?
[Tue Mar 18 17:47:15 PDT 2008] glavyJoanK: Please check the transcript for the details. EA is an endometrial biopsy done prior the IVF cycle. It has been shown to imrpove implantation in patiens with prior failed cycles
[Tue Mar 18 17:47:17 PDT 2008] hoping joined.
[Tue Mar 18 17:47:29 PDT 2008] glavyPennyevans: Yes
[Tue Mar 18 17:47:31 PDT 2008] Corey_WhelanHi Hoping, welcome back.
[Tue Mar 18 17:47:57 PDT 2008] glavyKayla: Check Dr. Kliman's website and his endometrial fucntion test.
[Tue Mar 18 17:48:11 PDT 2008] kaylalunaavaOK, Thanks
[Tue Mar 18 17:48:19 PDT 2008] hopinghi!
[Tue Mar 18 17:48:28 PDT 2008] JoanKthanks!!
[Tue Mar 18 17:48:38 PDT 2008] Corey_WhelanI have some copies of Dr. Kliman's tests, if you have trouble finding it let me know and I will send you a dvd.
[Tue Mar 18 17:48:41 PDT 2008] glavywelocme
[Tue Mar 18 17:49:04 PDT 2008] pennyevansCorey Whelan, when I press the action key to look at the transcript it tells me no new messages. How do I view?
[Tue Mar 18 17:49:32 PDT 2008] Corey_Whelanhit recent room history, it should be the top option on the action key.
[Tue Mar 18 17:49:37 PDT 2008] mwelch To[Private] Corey_WhelanWhat is the site for Dr. Kliman, Not familiar with him.
[Tue Mar 18 17:49:56 PDT 2008] mwelch To[Private] Corey_WhelanDoes the doctor do the telephone support>?
[Tue Mar 18 17:50:09 PDT 2008] Corey_Whelanbtw, the chat transcript will be hanging on the AFA website starting tomorrow afternoon or Thursday a.m.
[Tue Mar 18 17:50:42 PDT 2008] pennyevansCorey Whelan, I pushed the recent room history and it tells me no more new messages.
[Tue Mar 18 17:51:06 PDT 2008] Corey_Whelanthen I'm stumped. I honestly don't know. But it will be on the website tomorrow. Sorry!
[Tue Mar 18 17:51:07 PDT 2008] glavy To[Private] mwelchI will
[Tue Mar 18 17:51:12 PDT 2008] smileyatc joined.
[Tue Mar 18 17:51:24 PDT 2008] Corey_WhelanHi smile
[Tue Mar 18 17:51:24 PDT 2008] pennyevans left.
[Tue Mar 18 17:51:32 PDT 2008] pennyevans joined.
[Tue Mar 18 17:51:46 PDT 2008] aurora529 joined.
[Tue Mar 18 17:51:55 PDT 2008] Corey_WhelanHi aurora.
[Tue Mar 18 17:52:02 PDT 2008] smileyatchello
[Tue Mar 18 17:52:04 PDT 2008] aurora529hello, sorry so late
[Tue Mar 18 17:52:12 PDT 2008] Corey_Whelanthat's ok!
[Tue Mar 18 17:52:27 PDT 2008] glavyIf anyone needs more information after the session, please send me a message to our help line helpline@nefertility.com or info@nefertility.com
[Tue Mar 18 17:52:43 PDT 2008] aurora529thanks
[Tue Mar 18 17:53:18 PDT 2008] Corey_WhelanIt was a great chat Dr. Lavy. Thank you so much. We have time for a few more questions. And as always, anyone is welcome to use the chat room after the chat ends for as long as you would like to stay.
[Tue Mar 18 17:53:18 PDT 2008] aurora529I just had my egg retrieval yesterday...so I didn't get the message about tonights chat until just now....it was ineresting considering I'm in the middle of my IVF cycle
[Tue Mar 18 17:53:32 PDT 2008] mwelch To[Private] Corey_WhelanCorey do you want to mention that Dr. Lavy will have an upcoming article in the directory on the topic?
[Tue Mar 18 17:53:53 PDT 2008] mindy327 left.
[Tue Mar 18 17:54:02 PDT 2008] Corey_WhelanAurora, if you ever have a request (or anyone else of course) for a subject for the chat room, just let me know.
[Tue Mar 18 17:54:03 PDT 2008] aurora529 left.
[Tue Mar 18 17:54:20 PDT 2008] glavyAurora: Good luck. Ironically, we always find out new things while in the middle of a cycle.
[Tue Mar 18 17:54:23 PDT 2008] aurora529 joined.
[Tue Mar 18 17:54:38 PDT 2008] aurora529eerrggg....got bumped out sorry again
[Tue Mar 18 17:55:01 PDT 2008] Enter_Name_here left.
[Tue Mar 18 17:55:09 PDT 2008] aurora529I did want to ask if anyone knows about the benefts of Raspberry Leaf Tea
[Tue Mar 18 17:55:25 PDT 2008] Corey_WhelanI don't, sorry.
[Tue Mar 18 17:55:39 PDT 2008] pennyevans left.
[Tue Mar 18 17:55:42 PDT 2008] glavyI dont either.
[Tue Mar 18 17:55:55 PDT 2008] frances1 joined.
[Tue Mar 18 17:56:08 PDT 2008] lisamarie joined.
[Tue Mar 18 17:56:28 PDT 2008] aurora529if you don't mind me asking....what were some of the suggestions to improve implantation?
[Tue Mar 18 17:56:54 PDT 2008] glavyEstrogen, progesterone, endometrial activation
[Tue Mar 18 17:57:10 PDT 2008] aurora529endometrial activation?
[Tue Mar 18 17:57:48 PDT 2008] glavyendometrial biopsy done on the cycle prior to IVF
[Tue Mar 18 17:58:16 PDT 2008] hoping left.
[Tue Mar 18 17:58:36 PDT 2008] frances1I have three frozen embryos conceived with my own eggs and husband's sperm at age 45 and have a gestational carrier. We will be having these implanted into her soon depending on the thaw results. Do I have a better chance with a young uterus? I had a hysterectomy.
[Tue Mar 18 17:59:24 PDT 2008] lisamarieI've heard the age of the uterus doesn't matter.
[Tue Mar 18 17:59:30 PDT 2008] Corey_WhelanDr. Lavy, thanks again so much for being here tonight, what an interesting chat! Again, you are all welcome to stay as long as you like. Please log off with a state roll call, if you don't mind - I'd love to know where you are all from!! And also, please do consider making a small donation to the afa for bringing this weekly series to all of y'all.
[Tue Mar 18 17:59:36 PDT 2008] Corey_Whelanthanks so much guys.
[Tue Mar 18 17:59:44 PDT 2008] glavyGestational carrier are picked primarily based on their obsterical history. Their age is only secondary. Age does not appear to impact the chacnes of succes with GCs
[Tue Mar 18 17:59:59 PDT 2008] sb10847 left.
[Tue Mar 18 18:00:10 PDT 2008] glavyGood night. Thank for being here.
[Tue Mar 18 18:00:19 PDT 2008] glavy To[Private] mwelchThank Marion. good night
[Tue Mar 18 18:00:23 PDT 2008] MCMC signing off from California. Thanks!
[Tue Mar 18 18:00:25 PDT 2008] MC left.
[Tue Mar 18 18:00:26 PDT 2008] shaymer01thanks
[Tue Mar 18 18:00:28 PDT 2008] frances1 left.
[Tue Mar 18 18:00:48 PDT 2008] shaymer01ny
[Tue Mar 18 18:01:05 PDT 2008] aurora529Signing off from Northern VA
[Tue Mar 18 18:01:05 PDT 2008] shaymer01 left.
[Tue Mar 18 18:01:13 PDT 2008] aurora529 left.
[Tue Mar 18 18:01:16 PDT 2008] kathy1213Signing off from Media, Pennsylvania
[Tue Mar 18 18:01:48 PDT 2008] lisamarieI'm starting the pill next week and doing my first IVF next month. Any suggestions for implantation or any advice?
[Tue Mar 18 18:02:00 PDT 2008] JoanKJoan- from Northern VA/ DC area
[Tue Mar 18 18:02:41 PDT 2008] Corey_WhelanYou guys are the best. Lisa Marie, you know you can always post your questions for physicians on our message boards during the week as well. Sweet dreams all, and good luck. Signing off from Brooklyn, NY. xoxo
[Tue Mar 18 18:02:44 PDT 2008] Corey_Whelan left.
[Tue Mar 18 18:02:54 PDT 2008] mwelch To[Private] glavyThank you Dr Lavy , It went very well. See you in Shelton
[Tue Mar 18 18:02:59 PDT 2008] kathy1213 left.
[Tue Mar 18 18:03:18 PDT 2008] lisamarieThis is my first time here.
[Tue Mar 18 18:04:21 PDT 2008] Pattybye from south salem,ny
[Tue Mar 18 18:04:24 PDT 2008] mwelch To[Private] Pattygood night patty thanks for coming. to the chat. Dr. L. always does a great job.
[Tue Mar 18 18:04:27 PDT 2008] Patty left.
[Tue Mar 18 18:05:01 PDT 2008] moaicha joined.
[Tue Mar 18 18:05:35 PDT 2008] mwelchThank you to all the participants . Connneticut
[Tue Mar 18 18:05:37 PDT 2008] Patty joined.
[Tue Mar 18 18:05:39 PDT 2008] moaichais it over
[Tue Mar 18 18:05:46 PDT 2008] Patty To[Private] mwelchyes he does, sleep well
[Tue Mar 18 18:06:13 PDT 2008] mwelchyes. But you can send questions to Helpline@nefertility.com
[Tue Mar 18 18:06:18 PDT 2008] Patty left.
[Tue Mar 18 18:06:45 PDT 2008] moaichacan i read some of the Q&A
[Tue Mar 18 18:06:58 PDT 2008] mwelch left.
[Tue Mar 18 18:07:05 PDT 2008] lisamarieHow can I find out about the discussions tonight? I just joined a few minutes ago.
[Tue Mar 18 18:07:26 PDT 2008] JoanKdoes anyone know how oftern the AFA hosts these chats? it's been very informative...
[Tue Mar 18 18:08:54 PDT 2008] JoanKlisamarie-- i think if you hit the 'action' button, you can scroll to the beginning of the chat.
[Tue Mar 18 18:09:09 PDT 2008] lisamarieThanks!
[Tue Mar 18 18:09:19 PDT 2008] fjp joined.
[Tue Mar 18 18:11:09 PDT 2008] fjp left.
[Tue Mar 18 18:13:26 PDT 2008] JoanK left.
[Tue Mar 18 18:17:48 PDT 2008] kaylalunaava left.
[Tue Mar 18 18:18:59 PDT 2008] moaicha left.
[Tue Mar 18 18:21:47 PDT 2008] lisamarie left.
[Tue Mar 18 18:23:30 PDT 2008] woodigit left.
[Tue Mar 18 18:32:29 PDT 2008] tubes joined.
[Tue Mar 18 18:32:56 PDT 2008] rachel2122 left.
[Tue Mar 18 18:32:59 PDT 2008] lverlin joined.
[Tue Mar 18 18:33:52 PDT 2008] lverlin left.
[Tue Mar 18 18:37:08 PDT 2008] tubes Has Dr. Lavy joined yet?
[Tue Mar 18 18:40:42 PDT 2008] tubes left.
[Tue Mar 18 18:42:51 PDT 2008] tubes joined.
[Tue Mar 18 18:43:21 PDT 2008] tubes left.
[Tue Mar 18 18:48:00 PDT 2008] smileyatc left.
[Tue Mar 18 19:09:55 PDT 2008] hils joined.
[Tue Mar 18 19:10:47 PDT 2008] hils left.
[Tue Mar 18 19:25:47 PDT 2008] glavy left.
[Tue Mar 18 19:34:46 PDT 2008] tubes joined.
[Tue Mar 18 19:38:00 PDT 2008] tubes left.