When Low Tech Doesn’t Work

January 12, 2005 - Wednesday
2:21 PM to 3:21 PM (EST)
Guest Speakers: Norman Assad, MD - Center for Applied Reproductive Sciences

Categories
Fertility • Insurance • IUI • IVF • Miscarriage

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Daniel_Becker	2. Welcome to The American Fertility Association’s online educational session. We are pleased to have Dr. Norman Assad (Center for Applied Reproductive Sciences) joining us this evening. We will be discussing the topic “When Low Tech Doesn’t work”. Thanks for joining us this evening! Daniel Becker, Esq., Board Member of The American Fertility Association.
Lori_Masi_-_AFA_Patient_Advocate	Welcome Everyone! Please call the toll free AFA Support Line at 888-917-3777 for a referral in your area, information or support!
Daniel_Becker	Hi Lori - how are you??
Lori_Masi_-_AFA_Patient_Advocate	Fine Dan & you?
Lori_Masi_-_AFA_Patient_Advocate	Will you be moderating the session this evening?
Daniel_Becker	Muddling through -- I will be moderating tonight
Lori_Masi_-_AFA_Patient_Advocate	Welcome!
Daniel_Becker	I just hope the doc makes it - I could not contact him today
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Daniel_Becker	Sorry I got bumped off - but I am back and ready to go in 4 minutes!!!!!
Lori_Masi_-_AFA_Patient_Advocate	Dan I'm sure Dr Assad will be here - but if worse comes to worse, we can have a dialog with all the participants on anything they would like to vent about, or ask!
Daniel_Becker	Sure thing Lori - that is what I spoke to Lisa about earlier today
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Daniel_Becker	Welcome Hanna, bsxx, lee and pwtnurse
Daniel_Becker	and of course Lori
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Daniel_Becker	Welcome Schuemama
Lori_Masi_-_AFA_Patient_Advocate	Welcome Everyone! Please call the toll free AFA Support Line at 888-917-3777 Mon - Fri 9am - 5 pm EST for a referral in your area, information or support!
Daniel_Becker	While we wait for Dr. Assad to come - we can "chat" about anything you would like to - I am a board member of The AFA and am guest moderating tonight
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Daniel_Becker	Welcome Lori
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Daniel_Becker	Welcome 3sunflower
schuemama	I've never "chatted" before, and i'm not sure what "low tech" means, so I amy not participate much, but I'm listening.
Daniel_Becker	For those that have just joined us in this room - feel free to ask about anything while we wait for Dr. Assad to come
Lori	Thank you
3sunflower	Thank you.
Lori_Masi_-_AFA_Patient_Advocate	I am Lori Masi the AFA Patient Advocate and if anyone has any questions while we wait I would be happy to try to answer them
Lori_Masi_-_AFA_Patient_Advocate	Welcome Everyone! Please call the toll free AFA Support Line at 888-917-3777 for a referral in your area, information or support!
Daniel_Becker	Schuemama - that is fine - low tech refers to the less evasive types of ART
3sunflower	Would Clomid and injectables be included in that?
Daniel_Becker	When you think about the old notions of BMS (baby making sex) it kind of reminds me of things like IUI
schuemama	I going for my first intrauterine insemination this weekend. I think that may be low tech. Mu dh has low sperm count, and so far they haven't found anything wrong with me. We've been trying for almost 3 years.
Daniel_Becker	3sun -- yes it sure could
Lori	hmm, this one might not be for me as I've already tried one IVF
Daniel_Becker	Schuemama - 3 years is a long time - are you taking any meds along with this IUI cycle
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Daniel_Becker	Lori - you can still ask about any topic
Daniel_Becker	Hi Pdaya
Daniel_Becker	welcome to "fertility" chat
schuemama	No meds. I have a very regular cycle. Am I wasting my $ by doing this w/o meds? No ins coverage for fertility treatments - only diagnosis.
pdaya	Hello my name is Pam
Lori_Masi_-_AFA_Patient_Advocate	Hi Pam Welcome!
Daniel_Becker	Schuemama - no not necessarily - the prudent course of action is usually to try 1 to 3 non medicated IUI cycles but this is also dependant on your age and ovarian reserve factors
Daniel_Becker	Hi Pam -- that is easier for me to type
Lori_Masi_-_AFA_Patient_Advocate	Welcome Everyone! Please call the toll free AFA Support Line at 888-917-3777 M-F 9 am - 5 pm EST for a referral in your area, information or support!
Daniel_Becker	Lori how did your first IVF cycle go??
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Daniel_Becker	Schuemama - just currious do you know how low the count is
Lori	It was a great learning experience, but not the outcome I wanted
schuemama	I'm 32, no children. DH has 16 year old from previous marriage. No history of gyno problems other than mild dysplasia 6 years ago. Always normal paps.
Daniel_Becker	Welcome 2b and maxine to the chat, my name is Daniel Becker, I am a board member to the AFA and am gust moderating
Daniel_Becker	welcome back hanna
schuemama	Dh has had several semen analysis. First one came back 650,000. Under 20 million is low. Second one came back at 6,500,000. Still low, but possible chance to conceive.
Lori	I tried FET as well but unsuccessful
2bmummy	HI! Are we getting to know each other?
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3sunflower	Daniel, are you an RE?
Daniel_Becker	Yes I guess so
Daniel_Becker	Welcome scoop
2bmummy	Ok, my question is about IUI, I just found out that my last cycle of clomid was unsuccessful and our next step is going to be meeting the RE and IUI. What can I expect?
Lori_Masi_-_AFA_Patient_Advocate	Welcome All - I am Lori Masi the AFA`Patient Advocate and while we are waiting for Dr Assad please feel free to ask Dan or myself any questions that are non medical as we are not doctors.
Daniel_Becker	Schuemama - the reason that I ask is - are they doing multiple collection for the IUI or just a single colection for the IUI - also will there be one or two IUI's for this cycle
Lori	I'm debating another try or to move onto adoption
Lori_Masi_-_AFA_Patient_Advocate	Lori how old are you?
Daniel_Becker	2b what is IUI
schuemama	one collection, one iui this cycle.
bsxx	I am a new 39 yo married last June, trying since and have a clomid challenge test with day 10 fsh 16 so told to do donor eggs. Sounds like IVF gives ~5% chance so am wondering about trying superovulation drugs and IUI since it is far cheaper - not sure of % chance of success - I believe similar
2bmummy	Isn't that the code word for artifical insemination or intrauterine insemination?
Daniel_Becker	Schuemama - well I think that is a good first start - who knows you can get lucky with just one cycle - but my guess is that if it does not work you should ask about a medicated cycle
Lori_Masi_-_AFA_Patient_Advocate	Please call the toll free AFA Support Line at 888-917-3777 for a referral in your area, information or just some good ‘ol fashioned support!
Daniel_Becker	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.
Lori	39, soon to be 40. Eggs retrieved were 6 grade 1, 2 made to blasts stage for fet
Lori_Masi_-_AFA_Patient_Advocate	As I said I am not a doctor but it sounds like your response was good so if you can afford to try again I would consider it!
schuemama	I'm praying that it works, but not optimisitic. Will medication just increase my chances of having more eggs available?
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Daniel_Becker	bsxx - if I understand correctly that your FSH is elevated and therefore you have been advised to do DE - I am not sure what the point would be to use bigger drugs as this will not impact the FSH value
bsxx	is one high fsh good enough to say poor ovarian reserve and to give up?
Daniel_Becker	schuemama - drugs can do more than that - sure they can increase the number of eggs for ovulation but ovulation can be chemically controlled
2bmummy	What does "kow tech" mean?
Daniel_Becker	Welcome Cris
schuemama	Is there any medication or other treatment for male infertility? Other than IVF? I haven't been able to find anything in my research.
maxine	maxine ive had one successful pregnancy with iui but had a miss abortion at 9 weeks. Now iam on a medicated cycle with clomid and have had two unsuccessful iui so far. I donot like the way the medication makes me feel but at 37 years old my chances are lower for a regular pregnancy what do you think i should do.
Daniel_Becker	2b low tech refers to things less than IVF generally
Daniel_Becker	schuemama - I have sever male factor and the answer is yes
Lori_Masi_-_AFA_Patient_Advocate	Low Tech refers to non medicated cycles of IUI or IUI with a nminimum of drugs
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Daniel_Becker	it depends on what the cause of the problem is - I surely recomend that he see a urologist if that has not been done yet
Lori_Masi_-_AFA_Patient_Advocate	Maxine as I mentioned we are not physicians so you need to sit down with your RE and discuss your options
schuemama	He's already done that. They initially thought he had varicocele, but ultrasound proved otherwise. Urologist said he couldn't do anything else for him. We didn't like the urologist.
2bmummy	How does a low sperm volume influence conception chances?
Daniel_Becker	Maxine - so sorry to hear that - clomid is considered the weakest form of drugs for "infertiility" but it also can have nasty side effects - there are other drugs that can be taken but the cost increase is considerable - the main issue is how many eggs you are producing at what dose of medication
Daniel_Becker	schuemama - get a second opinion - that is certainly worth while - are his hormone levels "normal"??
Lori_Masi_-_AFA_Patient_Advocate	Please call the toll free AFA Support Line at 888-917-3777 for a referral in your area, information or just some good ‘ol fashioned support!
3sunflower	How many follicles does one typically produce on Clomid. I have only had 1 good one each cycle, followed by Hcg trigger and IUI and nothing yet...
schuemama	Yes. Normal hormone levels.
2bmummy	I agree, clomid does have nasty side effects- if clomid is doing it's job- producing quality eggs is it generally continued when doing the iui?
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Lori_Masi_-_AFA_Patient_Advocate	3sunflower - it varies from cycle to cycle and person to person
Daniel_Becker	3sunflower it depends on the dose - generally from personal experience with my wife I think her RE wanted to see between 1 and 3 durring a cycle
3sunflower	I'm up to 200mg!
Daniel_Becker	2b - it depends on the RE
Lori_Masi_-_AFA_Patient_Advocate	3 sunflower how many cycles of clomid have you done already?
Daniel_Becker	2b - can you imagine what it was like for my wife and I when we both were taking clomid in a cycle???
3sunflower	This is my 3rd.
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schuemama	db - why were you taking clomid? what does it do for men? increase hormone levels?
Lori_Masi_-_AFA_Patient_Advocate	3sunflower depening on your age they usually say after 3 cycles you should consider moving on to more aggressive treatment
Daniel_Becker	Welcome Queens - my name is Daniel Becker, I am a board member to The AFA and am guest moderating with Lori Masi tonight - we are not doctors but we are experienced so feel free to ask questions and we will give you our lay person oppinion
3sunflower	That's my plan for next cycle. I'm 30 so definitely on the younger side, but ready to move on. Plan is to start Gonal-F next month.
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Lori_Masi_-_AFA_Patient_Advocate	3 sunflower is that with IUI?
Daniel_Becker	schuemama - in my case my factor is caused from a genetic condition that causes low testosterone production and high estrogen production - it was thought that taking clomid perhaps could help sperm production - in my case it did not work
Daniel_Becker	Welome Liberati
Daniel_Becker	3Sun - you will like that more than clomid
3sunflower	Lori, do you mean the Clomid or the Gonal-F? Both are with IUI.
3sunflower	Daniel, why will I like it better?
2bmummy	If clomid works, do doctors generally continue with it to iui?
pwtnurse_yahoo.com	is the gonal-f an injection?
Lori_Masi_-_AFA_Patient_Advocate	3 sunflower have they given you a diagnosis as to why? At 30 it is not an age factor so do they know why and btw how long have you been trying?
3sunflower	Yes the gonal-f will be an injection.
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Daniel_Becker	3sunflower - despite the fact that you will move to injections - there are few if any side effects talked about with Gonal F as comparred to the known and common side efects reported on clomid
liberati	HI - I am a little late
schuemama	Did anyone have a fear of needles before gonal-f? I just can't imagine doing injections?
3sunflower	Lori, I've been trying for almost 2 years. Had one termination at 14 weeks 1 1/2 years ago and a missed miscarriage 1 year ago.
Daniel_Becker	Liberati - you are not late the doctor is LATE
2bmummy	schuemama have you taken clomid? You might welcom needles if you experience the side effects of clomid.
Lori_Masi_-_AFA_Patient_Advocate	3 sunflower any diagnosis?
3sunflower	Luckily, I haven't had too many side effects from the Clmind--just a few hot flashes.
schuemama	No meds yet. First IUI this weekend. I can't look at needles.
3sunflower	Lori, no diagnosis as this point.
Daniel_Becker	schuemama - of course, I do not think anyone says "great can't wait to inject" but it really is not that bad - in the beggining of our treatment I injected for my wife while I did my one injections but within a short time she was injecting away
Lori_Masi_-_AFA_Patient_Advocate	I never had any side effects with clomid either
Daniel_Becker	3sun - when we were both on it it was like two cats in heat
pwtnurse_yahoo.com	i have done 7 rounds of clomid with minimal side effects
schuemama	I know I sound wimpy. I guess I'll have to wait and see, but i hope I never have to get to that point.
Daniel_Becker	like everything else in life - a lot of this is personal experience
2bmummy	I feel like an emotional basket case. I hope we change to another med
Daniel_Becker	2b there is good reason why they call "cycling" the roll-a-coster effect
pwtnurse_yahoo.com	how many iui's with clomid are normal? i will be doing my 2nd next week
Lori_Masi_-_AFA_Patient_Advocate	pwtnurse after 7 rounds I would suggest speaking to your RE about moving on - you don't want to take too many cycles of clomid
Daniel_Becker	although when we were in treatment it was not even the ups and downs that were so bad it was the wait between cycles that seemed so bad
2bmummy	pwtnurse- how many iui's with clomid have you done?
Daniel_Becker	pw - generally 3 seems like the magic number
3sunflower	Does one wait between cycles of injectables?
liberati	I am on my 3 rd cycle of clomid +HCG shot+IUI. My doc gives us3-4 tries on Clomid before we move to injectibles
Daniel_Becker	3sun it depends on RE - some don't other like to see 1 to 2 periods between
3sunflower	Liberati, I am in the same place you are.
Daniel_Becker	Liberati that sounds reasonable to me as the lay person
scoop	Type here
bsxx	Has anyone considered accupuncture and traditional chinese medicine?
Daniel_Becker	Hi scoop try again
scoop	Does anyone know where the doctor is?
2bmummy	I did two clomid only (and got a cyst), waited two months and did clomid with HCG and now will be moving on to iui but I don't know if that will be with clomid or what. I will meet the RE next week.
pwtnurse_yahoo.com	the 7 cycles have been spread out some, my biggest problem is that I live in an extremely rural area and there are no real specialists closer than 400 miles so we are doing what we can, i have only done 1 iui with clomid, i have mild endo but no other reasons, we have been trying for 3 years
Daniel_Becker	bsxx I have known others to go to alternative meds
Lori_Masi_-_AFA_Patient_Advocate	To anyone that has just joined us Dan Becker Board Member of the AFA and myself Lori Masi AFA~Patient Advocate are substituting for the doctor so we are trying to answer your questions with our non medical lay person opinions. So feel free to ask away, we are both very expereienced infertiltity patients.
3sunflower	Is the doctor not coming tonight?
Daniel_Becker	2b raise concerns or other issues or questions with your RE that is what he/she is there for!
scoop	I have a question about the cost of the medications?
maxine	maxine> I have also noticed that my cycle has changed alot after the miscarriage and also since taking clomid is this nornal.
Lori_Masi_-_AFA_Patient_Advocate	We are not sure what happened with Dr Assad
Daniel_Becker	3sun - it does not appear that he is but look how lucky you are to have me and Lori:)
3sunflower	I definitely am!
Daniel_Becker	maxine - yes
Lori_Masi_-_AFA_Patient_Advocate	pwtnurse how old are you?
pwtnurse_yahoo.com	28
Daniel_Becker	many things can effect your cycle from what I know about my wife - including stress!
Daniel_Becker	PW oh to be 28 again
schuemama	Since we are just staring down the road with ART, how much do people pay for IUI's, IVF? meds, etc? Does anyone have insurance that pays for this? Just curious as to what we are getting into.
scoop	Yes, I am curious too about buying meds. Has anyone gone overseas or on-line or can recommend a good pharmacy?
Lori_Masi_-_AFA_Patient_Advocate	pwtnurse Ok at 28 you have time but I would not take clomid for a long period of time, like any drug you don't want to take it forever, so I would say that after 3-6 cycles of clomid you need to move on
2bmummy	Our insurance does not pay ANYTHING for infertility. However, I ask my OB to file everytime- every sono, every exam, everything, and you know what- the insurance compnay who says that they pay nothing end up paying for some things- probably about 40%!
Daniel_Becker	schuemama - the more tech you do the more it costs - IUI's per say are not expensive in comparrison to IVF but the cost of meds can make even IUI's expensive - also you need to factor in whether or not your health insurance will pay for post IUI monotoring
Lori_Masi_-_AFA_Patient_Advocate	I have many wonderful specialty pharmacies for fertility meds on our referral list. Please call the toll free AFA Support Line at 888-917-3777 for a referral in your area, information or just some good ‘ol fashioned support!
maxine	maxine> my medication are covered by my insurance but the treatments depends on the organization you use for you speciments.
liberati	I am trying to decde iif I should have a lap done as well - has anyone had this done ?
Queens_College	Early fifties, donor egg, she takes ovulation suppressant medication and recipient also takes ovulation suppressant medication and build-up the uterus for implantation medication. One RE said the donor is taking more/stronger medication than the recipient
pwtnurse_yahoo.com	we are working on moving on but it is taking some real work to line up a specialist so far away to work with my dr here, we agreed to try 2 more iui's while we work on it
pwtnurse_yahoo.com	liberati, i had a lap last summer, they diagnosed endometriosis
Lori_Masi_-_AFA_Patient_Advocate	pwtnurse that sounds reasonable
schuemama	what is post iui monitoring?
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Daniel_Becker	scoop - generally there are some concerns about buying meds overseas because of various factors including control temperature question - you are better off buying in the US because it is known as good quality - there are many good pharmacies and many will deliver or ship at no charge, reduced charge or split charge
Daniel_Becker	Hi single welcome
3sunflower	Has anyone had an HSG? Is it as painful as its reputation?
Lori_Masi_-_AFA_Patient_Advocate	Welcome singleandtrying
schuemama	pw- any idea of endometriosis before lap procedure?
Daniel_Becker	3sun - generally not too bad if you get a little meds before
2bmummy	sunflower- I have had an HSG and I didn't think it was painful at all and I'm a wimp
liberati	pwtnurse - how long did it takeyou to recover from the lap?
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pwtnurse_yahoo.com	i also had an HSG, is was uncomfortable for me during but once is was done it wasn't anything
Lori_Masi_-_AFA_Patient_Advocate	3 sunflower if you take some over the counter meds like motrin an hour before you should be fine
Daniel_Becker	Zhas welcome - feel free to ask any question
pwtnurse_yahoo.com	i was back to work 4 days after my lap, still sore but not bad
Queens_College	who has option to use patch. Can you explain the difference in the approach of two different REs: one treats donor and recipient the same; the other doesn't. Is it a standardized protocol or customized according to whether recipient in early 50s is still possibly ovulating?
schuemama	I was told that HSG are NOT painful. Mine was. However, all pain subsided about 1 hour after procedure. No major or prolonged bleeding. A lot of cramping during procedure and after.
Z	Type here
3sunflower	OK--thank you for that feedback. Can it increase fertility or is that an old wives' tale?
2bmummy	Has anyone been diagnosed with "unexplained infertilitity?"
Daniel_Becker	Queens I think it depends on the RE's practice and experience
liberati	so far I am definitely unexplained - and its driving me crazy
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2bmummy	Sun- my doctor told me to go home and try it out- maybe positive attitutde psychology but I have heard of people getting pregant after the procedure- the process of cleaning out the tubes may make for easier travel....
Daniel_Becker	3sun - not a wives tale - if there is a blockage - the blockage can get flushed and that will increase chances
Daniel_Becker	a146 welcome
pwtnurse_yahoo.com	I work on an ob unit as a nurse and i have seen many patients concieve after having a lap but is seems to be more luck than anything since many don't
Z	3sun is something you find on the counter
Daniel_Becker	I must say - this is an active room - it is great to see this
2bmummy	Thanks for the conversation everyone- got to go- best of luck to all who are ttc!
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Daniel_Becker	2b and to you too
Lori_Masi_-_AFA_Patient_Advocate	Welcome to everyone that just joined us - Dr Asad could not make it so Dan Becker our wonderful AFA Board Member and myself Lori Masi AFA Patient Advocate are trying to give everyone our non medical lay person input, so feel free to ask away!
scoop	Me to, I have some stuff I gotta get done. Good luck and keep on smiling!
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liberati	my doctor tells me the lap won't necessarily help increase my fertility - he recommends moving on to injectibles adn IVF if necessary without exploring the possibility of endometriosis. another specialist told me to have the lap after we tried clomid - not sure who to believe
schuemama	When I click on the "click herec' for upcoming sessions I don't get anything. can you tell me what some of the upcoming sessions are? what's next?
pwtnurse_yahoo.com	i did 3 rounds of clomid and then moved on the the HSG which was clear and then had my lap
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singleandtrying	i had my fsh tested on day 3 and it was 14.7. i took clomid this month and had it tested on day 10 and it was still 14.7. does it mean that with taking the clomid and the number not decreasing that i really should not be wasting my time with iui but should start pushing for IVF?
schuemama	pw - id you have the lap? just because you weren't conceiving?
schuemama	pw - sorry...why did you have the lap....
Daniel_Becker	pw it sounds like you are moving in the right directions - step at a time
pwtnurse_yahoo.com	i had the lap bacause of not conceiving and also due to severe cramping with my cycle
Lori_Masi_-_AFA_Patient_Advocate	single how old are you?
3sunflower	pw-how many follicles did you produce on Clomid?
pdaya	If it is an option of trying clomid which is noninvasive vs a lap I would try clomid first.
schuemama	what are follicles?
Daniel_Becker	follicles are the sacs that may or may not contain ova or eggs
3sunflower	Follicles are pouches which contain the eggs
schuemama	how many are "normal" in a cycle w/o meds?
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pwtnurse_yahoo.com	2-3, we haven't checked every cycle, my dr thinks that if you are ovulating there is no need to test every cycle
schuemama	does a follicle contain one egg, or many?
Lori_Masi_-_AFA_Patient_Advocate	schuemama e mail me at Loriattheafa@aol.com and I will forward the connections newsletter to you. Did everyone sign up for NO Barriers our Free ON Line membership - it is great and everything is e mailed to you
Daniel_Becker	pw test what - sorry I missed that
pwtnurse_yahoo.com	follicles
liberati	gotta go - good night!
Daniel_Becker	4. 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.
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Lori_Masi_-_AFA_Patient_Advocate	Please call the toll free AFA Support Line at 888-917-3777 for a referral in your area, information or just some good ‘ol fashioned support!
pwtnurse_yahoo.com	thanks for all you input! you both did great in a pinch!
Daniel_Becker	PW I don't understand - your RE does not check how many folicles you are producing each cycle??
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3sunflower	If follicles are growing on both ovaries, do both ovaries release eggs each month or just one?
pdaya	What times are there someone at the referal line?
Daniel_Becker	3sun usually one side ovulates
Lori_Masi_-_AFA_Patient_Advocate	Everyone please sign up for No Barriers our FREE on line membership and the connections newsletter will be e mailed to you every month with the schedule as well as all sorts of great info!
schuemama	Thanks Lori and Dniel for chatting. I'll stop back next time if the topic relates to me. I don't know if I signed up forBarriers, but I do get an e-mail from AFA. That's how I learned about the chat. Thanks again.
Daniel_Becker	good luck to you
Lori_Masi_-_AFA_Patient_Advocate	Schuemmama Good Luck!
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Daniel_Becker	we still have some time - anything else
3sunflower	How many good-size follicles are typical with injectables?
Daniel_Becker	welcome back single
Daniel_Becker	3sun that is a tough one
singleandtrying657	did you see my prior question
Lori_Masi_-_AFA_Patient_Advocate	I want to thank Dan Becker for being such a great moderator and filling in for the doc in a pinch at the very last minute - Great Job Dan!
Daniel_Becker	it really depends on the type and durration of the meds
Daniel_Becker	single sorry I missed it tell me again
Daniel_Becker	3sun it also depends on what kind of cycle you are doing
Lori_Masi_-_AFA_Patient_Advocate	single I missed it too
Daniel_Becker	obviously, if you are doing IVF you want more folicles than if you are doing IUI
singleandtrying657	i had my fsh tested on day 3 and it was 14.7 which is high. i took clomid this month and had it tested on day 10 and it was still 14.7. decause it did not go down and it is high does that mean i am wasting my time tryiing to do iui and need to push for ivf?
Daniel_Becker	Thank you Lori M for those kind words
3sunflower	I'll be doing IUI with Gonal-F 150.
pdaya	Thanks Lori and Daniel. It has been very interesting. I will call the referral line. Thanks and good luck to all.
Daniel_Becker	single I am not a doc but I am not sure the relevance of why testing on day 3 and Day 10 - day 3 is the standard protocall
Lori_Masi_-_AFA_Patient_Advocate	single it depends on your age too - how old are you if you don't mind my asking
Daniel_Becker	3sun I think between 1 and 3 is what most REs would look for
singleandtrying657	42
singleandtrying657	being single insurance won't pay for anything until i am diagnosed as infertile andi don't want to run out of money or time before then and want to be as agressive as possible
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Daniel_Becker	single I think you should really talk with your doc about this
Daniel_Becker	single I am confussed - then why not get a diagnosis
Lori_Masi_-_AFA_Patient_Advocate	single at 42 I would stronly suggest that after 3 cycles of IUI and/or clomid I would definitely move on..... I might move on right away!
singleandtrying657	i was trying to get a second opinion by coming here to ask one or others who may have
singleandtrying657	so then i will try the 3 cycles before i start my push. thank you
Lori_Masi_-_AFA_Patient_Advocate	single we are not doctors but I would move on.....to IVF
singleandtrying657	thanks
Lori_Masi_-_AFA_Patient_Advocate	We will have to stop in a few minutes any more questions?
3sunflower	Thank you for your thoughtful answers. Good night.
Daniel_Becker	well everyone it has been a pleasure to spend this time with you - I wish you all the best of things to come. On behalf of Lori Masi and the rest of The AFA, I thank you for taking time out to spend some time with us. We are sorry that Dr. Assad could not make it but I hope that you found this "chat" worthwhile"
Lori_Masi_-_AFA_Patient_Advocate	Please call the toll free AFA Support Line at 888-917-3777 for a referral in your area, information or just some good ‘ol fashioned support!
singleandtrying657	thank you and goodnight
Daniel_Becker	Good Night ALL
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Lori_Masi_-_AFA_Patient_Advocate	Good Night and Good Luck to All!
	singleandtrying657 left
	maxine left
	Daniel_Becker left
	Lori_Masi_-_AFA_Patient_Advocate left
	Z left
	3sunflower left
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