Unexplained Infertility

December 1, 2004 - Wednesday
2:27 PM to 3:27 PM (EST)
Guest Speakers: Andrew Levi, MD

Categories
Endometriosis • Infertility • IVF • Miscarriage • Ovulation

	Leece joined
	AFAadmin joined
AFAadmin	hello leece
Leece	Hi
	jessica joined
	Blueeyes joined
jessica	Type herehello
	Lori_Masi_AFA_Patient_Advocate joined
jessica	hello?
	Dr._Levi joined
	susang joined
	Lisa_Rosenthal joined
	Sid joined
	Glenda joined
	Eileen_Russell joined
	JenniferL joined
Lori_Masi_AFA_ Patient_Advocate	Welcome Dr Levi
Lisa_Rosenthal	Welcome everyone...
	STang joined
	riki joined
Lori_Masi_AFA_ Patient_Advocate	Welcome All! Please call the AFA Toll Free Support Line at 888-917-3777 for information, a referral in your area or just some good ol fashioned support. Looking forward to hearing from all of you! Lori Masi – AFA Patient Advocate
Leece	thanks, Lori
	karen joined
riki	what is your opinion on sperm antibody testing for unexplained secondary infertility
localhost	[2009] touser The American Fertility Association has a set of message boards, several which are moderated by a physician daily. Please feel free to stop by and ask questions there as well! Also, "Connections" will meet every week for an online educational session. Please check the schedule on our home page.
Leece	Dr. Levi, how do you define unexplained?
	Eileen_Russell left
Dr._Levi	hi riki -- sperm abntibody testing is contraversial -- in general, i don't test for it -- i recommend either iui or ivf to circumvent any possible "antobody" problems.
jessica	Can I get pregnant even if I don't get my period more than 3 times a year?
	Liz joined
Dr._Levi	leece -- in general, unexplained infetility (UI) is infertiltiy where the evaluation (male and female) finds no "significant problems" -- we don't know why a couple is having problems conceiving.
localhost	[2009] touser Welcome to The American Fertility Association's online educational session. We are pleased to have Dr. Andrew Levi joining us this evening. We will be discussing the topic "Unexplained Infertility". Thanks for joining us this evening! Lisa Rosenthal, Educational Coordinator for The AFA.
JenniferL	Does clomid generally effect the length of a person's menstrual cycle? And if so, does that effect poorly on ovulation?
Dr._Levi	Jessica -- you can get pregnant -- you just need help ovulating!
	wanttoknow2 joined
jessica	Dr. Levi, I have beem trying to get pregnant for 18 months, but I can't time it cause I do not always get my period
Leece	thank you. Can you be unexplained if all things check out well but you're 39 years old? Does my age make me not unexplained?
	wanttoknow2 left
	clarany joined
	AFAadmin left
localhost	[2009] touser Please feel free to post questions for Dr. Levi. Keep in mind that you mayed to repost them as the room is quite busy. You may want to save your questions in a word document instead of having to retype them.
Dr._Levi	JenniferL -- sometimes the cycle can be altered by Clomid. However, it does not usually affect or impact ovulation -- unless the patient did not ovulate -- that would be a problem.
	gruntled joined
Blueeyes	Dr. Levi, I have been undergoing ART for the past year. I have been a “low responder” to the protocols, with negative outcomes on 2 IUI’s and 1 IVF cycle. All protocols have included Gonal F, some in conjunction w/Clomid and the other w/a microdose flare (Lupron) protocol. Have done the normal testing: SHG, HSG, Endo Biopsy, Post-Coital, Clomid Challenge - All fine or within "normal" range. My DX has been unexplained. Recently, I had some other testing done - immunology, loss and chromosome panels. Tests came back with high TSH and Glucose levels, positive for MTHFR and my thyroid levels indicate hypothyroidism. I have read/heard that these things can affect egg quality and quantity. I am seein
	pam joined
riki	can you please explain why you generally do not do a sperm antibody test
Dr._Levi	jessica -- you need a good evaluation re: why you don't ovulate regularly -- once that is figured out, you should do fine!
	Manda joined
Dr._Levi	leece -- 39 is young, but reproductively, there could be an issue at the level of the egg. i would be appropriately aggressive with treatment based on your age.
	Orly joined
localhost	[2009] touser Please feel free to post questions for Dr. Levi. Keep in mind that you mayed to repost them as the room is quite busy. You may want to save your questions in a word document instead of having to retype them.
Lori_Masi_AFA_ Patient_Advocate	Welcome All! Please call the AFA Toll Free Support Line at 888-917-3777 for information, a referral in your area or just some good ol fashioned support. Looking forward to hearing from all of you! Lori Masi – AFA Patient Advocate
Dr._Levi	hi blue eyes -- i missed the end ou your question . . .
susang	What testing would you do before you diagnose patient with as unexplained infertility
jessica	Dr. Levi would I be able to make an appt with you to find out why I don't ovulate regularly?
pam	Dr, if Day3 FSH is normal, is it still possible for there to be a problem with ovarian function or egg quality? Age 36
clarany	Dr. Levi I have a dilema. I did an IUI on 11/10. ON 11/23 (13dpiui) I had my first beta which was 29. The dr. told me it was low and he was concerned. On day 19 I went for a repeat beta and it's only 104. Is that a terrible number? I have mild cramping on and off during the day and I have been spotting since last thursday. Mostly a brown discharge but at times pink. The thing is also that at times I will get very bad lower back pains (very bad) that last about 10 minutes, it is after these lower back pains that I will spot pink. But after that it goes back to brown. my repeat beta is on monday and I am a wreck. I am scared and don't know what to expect. My progesterone is great 37, and my
Dr._Levi	riki -- i don't routinely do antibody testing because the result of the test (which is not always easy to interpret) usually does not affect how i treat the patient. iui or ivf would be my next step regardless of the test result.
Lisa_Rosenthal	A big thank you to Dr. Levi for joining us here this evening. Unexplained Infertility can be a frustrating diagnosis.
Leece	Dr. Levi, I just got preg for the first time after 2 years trying but had a m/c...that was on my first series of bravelle...in your opinion, would that mean injections are aggressive enough
Dr._Levi	susang -- a normal basal FSH, normal HSG amd SHG, normal ovulation, and a normal semen analysis would be unexplained. sometimes a normal laproscopy wouold also be part of the results as well.
riki	When at what age do you recommend a Day 3 FSH test
Dr._Levi	jessica --absolutely. we can get contact information to you later.
Lisa_Rosenthal	Clara, is there a specific reason that you have to wait until Monday?
clarany	he said it would give him a better idea after a week
pam	what is considered a normal semen analysis ? is it possible to have a possible semen analysis and the find out through a sperm wash that there might be a problem?
Dr._Levi	pam -- day 3 FSH is not a great test. a "normal" test is not always normal. abnormal is always abnormal. thus a patient could have a normal test yet still have an egg problem . . .
jessica	thank you Dr. Levi, how do I contact you?
	Stephen joined
clarany	Dr. Levi did you get to read my question?
Stephen	Hi Lisa and Dr. Levi, are men ever considered unexplained?
Blueeyes	Reposting for Dr.: I have been undergoing ART for the past year. I have been a "low responder" to the protocols, with negative outcomes on 2 IUI’s and 1 IVF cycle. All protocols have included Gonal F, some in conjunction w/Clomid and the other w/a microdose flare (Lupron) protocol. Have done the normal testing: SHG, HSG, Endo Biopsy, Post-Coital, Clomid Challenge - All fine or within “normal” range. My DX has been unexplained. Recently, I had some other testing done - immunology, loss and chromosome panels. Tests came back with high TSH and Glucose levels, positive for MTHFR and my thyroid levels indicate hypothyroidism. I have read/heard that these things can affect egg quality and quantity.
Liz	Dr. Levi, Was dx'd w/ mild endometriosis over a year ago. Several md's told me this was the reason not getting pregnant. Current md at reputable ny clinic says this level of endo doesn't explain. Therefore it is 'unexplained." Just went through IVF (1st time) and got pregnant. HCG low and lost it after a week. MD says it was probably chromosomal abnormalities (had 2 "beautiful blastocysts") We are on round 2. Should I be thinking about other testing? Is mild endo not enough to explain 2+ yrs infertility? Are there other things they should be looking for esp. if round 2 doesn't work? Thanks.
Dr._Levi	clarany -- no worrries! early hcgs are notoriously wrong. don't look into things -- just take it one day and week at a time. your progesterone is great!
clarany	Would the progesterone be a sign that it's not ectopicc?
clarany	and what about the pains and spotting
localhost	[2009] touser Please feel free to post questions for Dr. Levi. Keep in mind that you mayed to repost them as the room is quite busy. You may want to save your questions in a word document instead of having to retype them.
Dr._Levi	leece -- i would stay with the same protocol. i'm sorry for your loss, but i imagine you will be successful soon with the same approach.
pam	thank you Dr. do you suggest retesting FSH if it appeared "normal"?
Leece	Thanks Dr. !
Dr._Levi	riki -- all woman with subfertility should have their fhs check on day 3, regardless of age.
Dr._Levi	jessica -- you can email me at ajlevi99@yahoo.com
	Wannababy joined
Dr._Levi	pam -- a normal semen analysis is "normal" for volume, motility, morphology (how they look), and count.
susang	Which protocol would suggest for unexplained infertility at age 29
jessica	thank you Dr. Levi, where is your office to make an appointment, I'm in New Jersey?
Lori_Masi_AFA_ Patient_Advocate	Please call the AFA Toll Free Support Line at 888-917-3777 for information, a referral in your area or support. Looking forward to hearing from all of you! Lori Masi – AFA Patient Advocate
	renee joined
riki	were is your practice located
Dr._Levi	stephen -- no ,if men have a normal SA, they are "normal", not unexplained. in general, unexplained refers to couples, not patients.
Dr._Levi	hi blueeyes -- i think that your egg quality and embryo quality at IVF is important in terms of your diagnosis. that's what i would like to see.
jessica	And Dr. Levi, do you accept United Healthcare
Dr._Levi	hi liz -- i agree. ivf usually bypasses endo anyway. i would recommend a good uterine evaluation. maybe implantation (the uterus) was the issue, not embryo quality.
riki	what is your opinion on SCSA
jessica	what is SCSA?
clarany	Dr. Levi what's the soonest to see a Sac?
Liz	Thanks Dr. Levi. What could be done to help implantation? I was on progesterone shots immediately following egg retrieval.
	gruntled left
Lisa_Rosenthal	Ladies and Gentlemen, Dr. Levi will be able to list his affiliation on our message board at some point in the future.
Dr._Levi	clarany -- in general, a progesterone (not on meds) over 25 is a good sign and usually not an ectopic. the pain and bleeding can be from a lot of things. however, like all patients, you should be followed closely to be certain that the pregancy is in the uterus.
Liz	.. also, I had a HSG 1.5 years ago and all was normal. Is there another exam?
Dr._Levi	pam -- yes, retesting can be helpful. you can also have a Clomid challenge test done, which is very good for being certain that there are no "ovarian reserve" issues.
Wannababy	Hi Doctor, doesn't unexplained just mean that the diagnosis can't be figured out?
clarany	One last thing Dr. Levi. The problem the last 5 RE's have had is that my ovaries are to high to be seen vaginally. They can only be seen via pelvic sono cause they are so high. Is this a condition?? All the dr's are surprised at this
Dr._Levi	susang -- in general, for folks <30, I either use Clomid, Clomid with injections, or lose-dose injections. i would also recommend insemination in case the cervix is acting as a barrier.
Dr._Levi	jessica -- i'm in fairfield county, connecticut - i can direct you to a clinic in nj assuming that's easier for you.
susang	How do you know if the cervix acts as a barrier?
Dr._Levi	jessica -- email me to discuss details . . .
clarany	Dr. Levi what is your e-mail address? And where is your office located
pam	what do you recommend for women over 35? and how often do you recommend HSG's to rule out blockages?
Dr._Levi	riki -- SCSA has not been shown to affect outcome. i would not recommend such testing.
localhost	[2009] touser Please call our toll free hotline to ask our patient advocate for doctor referrals in your area. That number is: 888-917-3777 and our patient advocate is Lori Masi.
Dr._Levi	clarany -- usually at about 5 weeks or when the hCG is above 1500.
Lisa_Rosenthal	Dr. Levi, you are doing a wonderful job, with some interesting, complicated questions. Thanks so much for your time, energy and knowledge this evening!
	mindy joined
pam	I agree. Thank you very much.
Leece	me too, thanks
Dr._Levi	Liz -- consider a hysteroscopy and SHG to better evaluate the uterus. also, consider vaginal progesterone as well.
Liz	Thanks, Dr. Levi. Had HSG 1.5 years ago and all was fine. Is there any other test that should be done to addresss possible implantation problems. Is there anything that can be done to enhance implantation?
Sid	Is the assumption if a male tests fine, that the problem is with the woman?
Dr._Levi	wannababy -- i see it as that the testing doesn't show any "big" problems. probably something subtle that is preventing pregnancy.
Lori_Masi_AFA_ Patient_Advocate	Please call the AFA Toll Free Support Line at 888-917-3777 for information, a referral in your area or support. Looking forward to hearing from all of you! Lori Masi – AFA Patient Advocate
Dr._Levi	clarany -- have you had a laparoscopy? maybe they are "stuck" up high and can be released.
clarany	no i haven't
Liz	Thanks again. What is SHG? What would be the purpose of additional vaginal progesterone? Is hysteroscopy surgery?
riki	At what size does a follicle have to be in order to give anHSG shot to cause rupture. Is it possible that the follicle will rupture prematurely and is it a medical problem if it does?
jessica	Dr. Levi, I emailed you so you can send me information. My job is in rye new york, so i could come to fiarfield after work or on a saturday, if you are taking new patients??
Lisa_Rosenthal	Dr. Levi, can you give an idea of prognosis with a true "unexplained" infertility diagnosis? In other words, a diagnosis that is made after appropriate testing.
Dr._Levi	susang -- the testing for cervical problems unfortunately is poor. in cases of unexplained infertility, it's best to just bypass the cervix and perform insemination.
clarany	Dr. Levi .. I also asked them if I can do IVF through laparoscopy. (cause they said normal retriveal is to difficult with high ovaries) and he said they don't do that anymore. CAn I find a dr. that will do retreiveal Via LAPAROSCOPY?
Orly	I look forward to being able to make an appointment with you! I got more information this evening than i have from my own doctor.
mindy	We have been trying to concieve since I was 36 have had two miscarriages and am undecided about fertility treatment at age 40 ...if ivf is only limited success in older woment what is success rate of concieving on my own
clarany	ORLY I AGREE 100%
Dr._Levi	pam -- an HSG every 1-2 years will suffice.
localhost	[2009] touser Please call our toll free hotline to ask our patient advocate for doctor referrals in your area. That number is: 888-917-3777 and our patient advocate is Lori Masi.
susang	Can there be cervical problems if I have conceived twice but both ended in miscarriages
pam	can different diagnositc info be obtained from a sperm wash than from a semen analysis?
Dr._Levi	sid -- a normal analysis just means the #s look good. it doesn't mean that the sperm can get to where they need to. in cases of unexplained infertility, i often recommend insemination. after a few cycles, maybe it's time to move on to ivf.
localhost	[2009] touser The American Fertility Association has a set of message boards, several which are moderated by a physician daily. Please feel free to stop by and ask questions there as well! Also, "Connections" will meet every week for an online educational session. Please check the schedule on our home page.
Dr._Levi	liz -- SHG is sonohysterogram -- ultrasound to best visualize the uterine lining. a hysteroscopy is using a fiberoptic camera -- usually done in the office, takes me about 45 seconds to do.
Liz	Thanks again. What is SHG? What would be the purpose of additional vaginal progesterone? Is hysteroscopy surgery?
	jenemm joined
Dr._Levi	liz -- some folks do well with vaginal prog because of the local effect . . .
Liz	thank you!
localhost	[2009] touser Welcome to The American Fertility Association's online educational session. We are pleased to have Dr. Andrew Levi joining us this evening. We will be discussing the topic "Unexplained Infertility". Thanks for joining us this evening! Lisa Rosenthal, Educational Coordinator for The AFA.
Dr._Levi	riki -- it depends on if you are doing medication or not . . . usually, 18-22 mm.
Wannababy	How old is too old for using your own eggs?
jessica	what do you see in 45 seconds, that you are looking for on liz's question Dr. Levi?
Lisa_Rosenthal	Jessica, can you restate your question? It seems unclear.
Dr._Levi	Lisa R -- folks generally do quote well if they are diagnosed with UI. They may need IUI or IVF, but in the end, many to most are pregnant.
riki	Whathappens if I have a LH surge when my follicle is only17mm on a natural cycle. Can that be a medical problem and if yes how do you resolve.
jessica	And Dr. Levi is it possible to not have my period because maybe I don't have eggs?
Dr._Levi	Clarany -- i bet we can get your eggs out vaginally . . .
Lisa_Rosenthal	Ladies and Gentlemen, if you can stick to using black type, it makes it easier for the speaker to see which are questions. Thank you.
clarany	DO U THINK SO DR. LEVI?? iF THIS PREGNANCYdon't work out I will hold u to that
clarany	lol
Dr._Levi	mindy -- 2 miscarriages -- you probably should be evaluated to make sure you don't have a propensity for miscarriage. if you are now having problems getting pregnant, appropriate treatment is warranted.
Liz	sorry to be ignorant, but what do you mean by the "local effect" of vaginal progesterone (vs. injection?)?
Dr._Levi	susang -- if you conceived without insemination in the past, your cervix is likely not an issue -- unless you've had surgery since.
	jenemm left
Dr._Levi	pam -- the information at a sperm wash is inferior to that found by analysis.
localhost	[2009] touser Please feel free to post questions for Dr. Levi. Keep in mind that you may need to repost them as the room is quite busy. You may want to save your questions in a word document instead of having to retype them.
Dr._Levi	wannababy -- it gets tough after 42-43 . . .
pam	thank you. that is helpful to know.
Dr._Levi	jessica -- i look for polyps, fiboids, scar tissue, or inflammation.
mindy	can you define propensity, we had tissue of faetus evaluated, I had tests to determine that I was not rejecting the preganancy? other suggestions?
Wannababy	what if i have great fsh and am a good responder?
Dr._Levi	riki -- you may be ovulating prematurely. ask your doc about ganirelix, which can be used to bolck premature ovulation.
pam	when does unexplained infertility become age related infertility, Dr?
susang	Conceived after trying one cycle of injections gonal f 75iu (ended miscarriage due to abnormal chromosomes) , do I have a chance of conceiving natural.
Dr._Levi	jessica -- no -- you have eggs -- we just need to help you to ovulate them.
localhost	[2009] touser Welcome to The American Fertility Association's online educational session. We are pleased to have Dr. Andrew Levi joining us this evening. We will be discussing the topic "Unexplained Infertility". Thanks for joining us this evening! Lisa Rosenthal, Educational Coordinator for The AFA.
	lilly joined
jessica	Thank you Dr. Levi, that has been haunting me all along.
Dr._Levi	liz -- sorry -- sometimes if the progesterone is "close" to the uterine lining it is absorbed better.
	mahflex joined
jessica	But how do we really know, is there a test to see if I have eggs?
Dr._Levi	mindy -- i'd have to see what you've had done -- often the evaluation is incomplete . . .
lilly	What is the difference between repronex and follistim? My doctor put me only on follistim instead of repronex and follistim.
riki	Can you provide me with more details on premature ovulation and about ganirelix how it works.
Dr._Levi	wannababy -- you are a good responder if you "respond" well to the medications. the fsh is just a test. we need to see if you respond to the meds!
Manda	OK, so I was just going to listen, BUT, I'm 26, never used birth control, never gotten pregnant, been trying seriously for 18 months. any suggestions?
Dr._Levi	pam, i begin to think that things are not so unexplained once a woman is 35-37. at the point, the eggs can certainly become an issue.
mindy	what is the success rate for a woman age 40 with ivf
Dr._Levi	jessica -- ivf is the only way to see if the eggs are present. i have no doubt that you have eggs.
pam	is the only way to ultimately know if eggs are an issue through IVF?
Dr._Levi	lilly -- do real difference in terms of stimulating your ovaries. sometime we use repronex in women with low LH levels.
	mahflex left
jessica	I thought IVF was a way to get pregnant, not a test to see if I have eggs, but in that case do I need the ivf test?
Dr._Levi	riki -- it is a little compication for this forum. ganirelix blocks the body's own drive to surge, thus blocking ovulation from occuring too early. we then give hCG to induce ovulation.
Dr._Levi	manda -- time for a good, thorough evalution -- check out the tubes and uterus, check the sperm, and make sure you are ovulating. and a baseline FSH as well.
clarany	So Dr. Levi although my hcg # are low, and I am spotting and cramping but good progesterone and lining there is still hope for this pregnancy?
	vhulteen joined
Leece	Dr what about Bravelle, Follistim and Gonal-F, are they given for more specific reasons also
Dr._Levi	mindy, in general the preg rates are about 25-30% at "good" programs; unfortuately, the "take-home baby rate" is much lower.
pam	how do you know if a program is "good"?
Dr._Levi	pam -- i'd recommend a clomid challenge test to best assess ovarian reserve.
STang	Dr. Levi, my wife has regular period and temperature surge but has hard time getting ovulation reading from OvuQuick. We tried iui (unsuccessful) last month. Chromid did help bringing out ovulation reading. We are told to do more cycles. Do you consider missing ovulation reading "unexplained" ? (we went through various check/analysis without any problem).
Lisa_Rosenthal	Dr. Levi, do you consider a day 3 FSH check part of any evaluation, no matter what the age of the patient?
Dr._Levi	jessica -- we do not do ivf to test eggs. however, it is a way to see the eggs coincidentlly. ivf is not done just to llok at the eggs.
Stephen	What about PGD to test eggs?
Lori_Masi_AFA_ Patient_Advocate	Please call the AFA Toll Free Support Line at 888-917-3777 for information, a referral in your area or support. Looking forward to hearing from all of you! Lori Masi – AFA Patient Advocate
Dr._Levi	clarany -- how many weeks are you and what is your hcg?
mindy	how reliable are the ovulation kits for predicting ovulation?
riki	Very interesting. I have been to 3 specialist and they all say unexplained. I had 6 IUI's on clomid and natural cycles however my feeling was that they were missing something . How do you determine premature ovulation
Dr._Levi	pam -- just have them show you their pregnancy rates!
clarany	I am 3 weeks gestation
jessica	Oh ok, I'll wait to ask you some more questions when you answer my email to make an appointment. Thanks
clarany	My HCG on day 13 dpiui was 29 DAy 19 DPIUI it was 104 .. Progesterne 37
clarany	3 weeks gestation
Lisa_Rosenthal	Pam, pregnancy rates can be checked through the CDC website and through SART. Pregnancy rates are not the only way to evaluate a program.
Dr._Levi	Stang -- i'd recommend midcycle ultrasound monitoring and blood testing. i think you're through with the home kits!
jessica	Dr. Levi what are your pregnancy rates?
Lisa_Rosenthal	Please consider calling our patient advocate, Lori Masi for a referral in your area.
Dr._Levi	Lisa R -- all women with subfertility should have a basal FSH checked -- it's so easy to do.
localhost	[2009] touser Please call our toll free hotline to ask our patient advocate for doctor referrals in your area. That number is: 888-917-3777 and our patient advocate is Lori Masi.
pam	Lisa, how else can you evaluate a program?
susang	Conceived after trying one cycle of injections gonal f 75iu ( ended in mis. due to abnormal chromosomes) Do I have chances of conceiving naturally
Dr._Levi	Stephen -- PGD checks embryos rather than eggs. PGD is another topic unto itself . . .
pam	what is SART?
Dr._Levi	mindy -- studies show that they can be wrong 7-10% of the time.
Dr._Levi	clarany -- i think you'll do great, but it's a bit too early to tell for sure . . .
lilly	How would I know the quality of my eggs? My last ivf I had 6 follicles they looks perfect (divided to 6,6,6, and 8,8,), they transferred 5 of them and said that the reason it did not work was because the eggs were retrieved too big(20 mm). IÕm 40, Could it be the reason that it did not work? Or I should be worried about something else.
Lisa_Rosenthal	Ladies and Gentlemen, the way that I get such wonderful speakers is to promise them that I will have them off at 9 PM sharp, which gives us about 6 minutes with Dr. Levi.
Lisa_Rosenthal	SART is Society of
	mella joined
Dr._Levi	susang -- you do -- but just make sure that you stay on track!
susang	what do you mean on track?
Dr._Levi	lilly -- could be an egg/embryo quality issue. it might be best to try again.
Lori_Masi_AFA_ Patient_Advocate	Don’t Forget to please call the AFA Toll Free Support Line at 888-917-3777 for information, a referral in your area or support. Looking forward to hearing from all of you! Lori Masi – AFA Patient Advocate
Lisa_Rosenthal	Society of Assisted Reproductive Technology- the association that does a tremendous job of self-regulation
Dr._Levi	susang -- if you stop treatment and try on your own, i'd recommend restarting treatment if you were not pregnant in a few months.
Lisa_Rosenthal	any program that does not report to SART or adhere to their guidlines should be suspect
pam	thank you Dr,Lisa.,Lori and AFA! What great support for us.
jessica	Lisa do you have a link to SART?
Liz	thanks, Dr. Levi.
mindy	the closest fertility treatment to me is 5 hours away, what suggestions for treatment with GP?
susang	Thanks
	Liz left
Dr._Levi	mindy -- a gp can do a good job with clomid and maybe with injectable gonadotropins. some do sperm washes too.
Lisa_Rosenthal	Jessica, I believe that it is SART.org
Lori_Masi_AFA_ Patient_Advocate	Jessica call me tomorrow and I will get you the info
jessica	oh thank you Lisa
Lisa_Rosenthal	Dr. Levi, thanks so much for all your time and energy this evening. Will you join us again sometime soon?
mindy	thanks all
	mindy left
Glenda	Thanks Lisa and Dr. Levi
Dr._Levi	Lisa -- ANY TIME! Always an honor and a pleasure!
	Glenda left
Leece	I hope so you were the best so far Dr Levi
lilly	thank you Dr. Levi
jessica	I emailed you Dr. Levi, I want to set up an appointment,
Lori_Masi_AFA_ Patient_Advocate	Good Night and thank you Dr Levi for all the wonderful info!
jessica	bye
Stephen	good night
	Stephen left
	karen left
lilly	Lori, I need a support group in ny
Lisa_Rosenthal	Everyone here was teriffic and so well behaved about waiting for answers!!!Thanks to all of you for joining us. Hope to see you next week...
pam	what is next weeks topic?
	riki left
Lori_Masi_AFA_ Patient_Advocate	Lilly call me tomorrow at 888-917-3777
Dr._Levi	Good night everyone!
	Dr._Levi left
STang	Thanks Dr.
lilly	Thanks
	STang left
	JenniferL left
	Leece left
	jessica left
	lilly left
	JenniferL joined
Orly	Good night
	Orly left
	Blueeyes left
	Manda left
	pam left
	JenniferL left
	Sid left
	renee left
	Wannababy left
Lisa_Rosenthal	Hope to see you all next week, thanks for joining us this evening!
	Lisa_Rosenthal left
	Lori_Masi_AFA_Patient_Advocate left
	susang left
	vhulteen left
	clarany left
	mella left

Unexplained Infertility

Categories

Chat Archives