Pregnancy: Trying to Conceive: Worries (cont.)

MEMBER QUESTION:
Is it normal to have ovulation pain on one side every month consistently (and never on the other ovary)?

DR. AMOS:
Ovulation does not necessarily always happen on different sides, and it is possible to ovulate regularly from one side. As long as you ovulate regularly, this should not be a problem. However, having pain on one side does not necessarily mean ovulation happens on that side. A better way to check the side of ovulation is by ultrasound. You may want to discuss this with your doctor. The ultrasound is usually done shortly before ovulation and the developing egg (follicle) is usually watched until ovulation happens.

MEMBER QUESTION:
I have been told that I don't O on a regular basis but DH is reluctant to try any fertility options. Is there a natural way to help with this issue?

DR. AMOS:
There are some herbal solutions available which may help a couple trying to start off naturally. In circumstances where there may be a hormonal issue, some studies have shown that an herb called Vitex, or chasteberry, may help regulate your hormones. There is one product I know of which contains both all necessary vitamins and herbs to help your fertility. The product is called "FertilAid." You may want to use Google and find it online. Good luck.

MEMBER QUESTION:
Dr. Amos, what are the odds of a false negative on a home pregnancy test? I'm 21dpo and negative on the home pregnancy test. Would you suggest this late in the game to take a blood test or would you consider the HPTs to be correct? If something is stopping me from starting my period after I have ovulated, what could it be?

DR. AMOS:
False negatives are rare. The HPT is usually positive 16-17+ days after ovulation. How sure are you that you are on 21 dpo and that you actually ovulated?

MEMBER QUESTION:
Is there anything that can be done to improve the quality of a woman's eggs, like certain vitamins, or anything else? I am 36 and have miscarried twice in the last year, so I am worried that maybe my eggs are not good quality.

DR. AMOS:
As I mentioned before, there is one herbal supplement that includes all prenatal vitamins, folic acid, and chasteberry, which may help you with your fertility as part of your overall lifestyle. It's called FertilAid and it includes a combination of herbs and vitamins that may help.

MEMBER QUESTION:
I chart and with the temps and CM it was pretty clear that I ovulated.

DR. AMOS:
Not seeing your chart makes it impossible for me to address this question, but it is a very interesting question and I'd LOVE to see the chart. If you sign up at the WebMD Fertility Center I will make a point looking at the chart as soon as you post it.

"If you are now ovulating regularly and you did not get pregnant for about a year the next step would be to check his sperm count and your fallopian tube patency."

MEMBER QUESTION:
Is it normal for a woman not to have ovulation every cycle?

DR. AMOS:
It's not normal to ovulate irregularly. Some women may not ovulate maybe once a year, but if it happens more often than once a year then you may want to check it out. Have your doctor do some tests and find a possible reason.

MEMBER QUESTION:
I have a question regarding my history of pregnancies. I have been pregnant twice and both were unplanned. My first pregnancy ended when I had a miscarriage. My second pregnancy ended through an abortion. Although my husband and I haven't been trying per se, we are also not preventing pregnancy. I was on the Depo shot for seven years, and have now been off for 14 months. Will my history affect my chances now for pregnancy?

DR. AMOS:
Your history of one miscarriage and one safe uneventful abortion is unlikely to affect your fertility. If you are now ovulating regularly and you did not get pregnant for about a year the next step would be to check his sperm count and your fallopian tube patency.

MEMBER QUESTION:
I'm 42, highest FSH was 14.4, and have slight hydrosalpinx on left side. RE attempted repair but wasn't able to during a laparoscopy due to the tool not reaching the tube. I've tried injections and IUIs but no luck. My insurance coverage for IVF doesn't kick in until January 2005. Would it be worthwhile to repair the tube through laparotomy or wait until January for IVF? At my age, I haven't much time. I am also looking into doing the acupuncture/TCM/herbs route.

DR. AMOS:
Sounds to me that your very best success rate will be with IVF. Doing surgery and trying to get pregnant without IVF has, statistically speaking, a much lower chance of getting you pregnant. Good luck to you!

MEMBER QUESTION:
I had a miscarriage this January and have been trying the past three months, but no luck. Is there any problem with my ovaries? I had a missed abortion at six weeks due to fetal anomaly. I am 26 and my hubby is 30 and we are desperately trying to have a baby.

DR. AMOS:
Three months is really not much time to be concerned about your fertility. If you are ovulating normally without other problems it's generally suggested to wait a year until you start testing. In the meantime, you may want to make sure you take a prenatal supplement to make sure you decrease the risk of a miscarriage or fetal malformations.

MEMBER QUESTION:
How does freezing abnormal cells affect ovulation?

DR. AMOS:
Freezing of the cervix can destroy the glands producing mucus. After freezing you may want to make sure that there is enough cervical mucus. This becomes especially important if you have trouble conceiving. Your doctor can examine you at the time of ovulation and verify that there is enough fertile mucus.

MEMBER QUESTION:
My periods vary between 29-30 days. I haven't been able to chart my ovulation time. How do I do it?

DR. AMOS:
The very best place to chart is the WebMD Fertility Center. At the WFC you can chart, you can send in the chart, and I can provide you feedback. In addition there are many, many more fertility tools there that can help you get pregnant. You can go to fertility.webmd.com for more info on the Fertility Center.

MODERATOR:
Unfortunately, we have to wrap up for today. As always, far too many excellent questions to get to!

DR. AMOS:
Thank you very much for visiting today.

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