Conceive, Trying to (cont.)

DR. AMOS:
Blocked tubes prevent the egg from meeting the sperm. One way to treat this problem is by doing surgery to "unblock" the tubes. But a better and more successful treatment is usually IVF, in-vitro fertilization. IVF has a very high success rate with blocked tubes.

MEMBER QUESTION:
I have some hormonal problems that have been addressed using medication (dexamethasone, Follistim and Clomid). My husband has spermatocele causing antisperm antibodies and a varicocele. What are the options? Will IVF work?

DR. AMOS:
I'm not sure what the hormone-problem diagnosis is, but with sperm problems many doctors feel that IVF and ICSI (intracytoplasmic sperm injection) will work best getting you pregnant.

MEMBER QUESTION:
I bought a basal thermometer. Do you take your temperature at the start of your period or when the period stops? This would be my first time taking my temperature to check ovulation.

DR. AMOS:
You usually start taking your temperature on cycle day number one -- that's the first day of your period.

MEMBER QUESTION:
My husband is an avid bike rider. We have been TTC for almost 1 year, and did conceive in January, but miscarried at five weeks. Is it possible that normal bike riding could be affecting my husband's sperm?

DR. AMOS:
You are absolutely correct. Using a bike can increase his scrotum temperature and affect his sperm production. Do a sperm count and find out for sure.

MEMBER QUESTION:
Does the fact that I had a C-section mean I will have trouble conceiving again?

DR. AMOS:
An uneventful cesarean section should not affect your future fertility.

MEMBER QUESTION:
We are an example of a couple where both husband and wife have issues. I have PCOS, although I have successfully ovulated on dexamethasone and Clomid also have been successful on Follistim. My husband has a small spermatocele and a small varicocele -- therefore he has tested positive for sperm antibodies and his morphology is a bit low (6%). Surgery has been suggested for him, which we are open to. While we are waiting for surgery and since we are impatient (we are told the results from the surgery will take 3 months and the surgery is not for another 2 months) is IVF a viable option? Can IVF get around the low morph and the positive sperm antibodies?

DR. AMOS:
Sounds to me like IVF would be optimal for this kind of a problem, specifically if ICSI is being done, which can overcome the antibody issue. Good luck.

"Many doctors suggest that you should stay on your back for about 10-15 minutes after making love."

MEMBER QUESTION:
I first took my hCG on a Monday -- it was 240. Then on Wednesday it was 439, on Friday 749, on Monday 2162, and then on Wednesday it was 2617. I had a sonogram at 2162 and saw egg sac, but no baby. The doctor said it might be blighted ovum. How do your levels rise when there is no baby? Can I still have a healthy baby if the numbers keep going up slowly? There is no bleeding and nothing else to indicate miscarriage.

DR. AMOS:
The levels between Monday and Wednesday did not rise as fast as they should. They should rise at least 60% in two days, but you really can't be sure from just these two tests. I suppose this was last week, so at this point you should be able to see something on ultrasound. Good luck.

MEMBER QUESTION:
Is it a bad thing to use the bathroom and clean myself after we have sex? I usually will lay there for a few minutes afterward just to be safe but is that long enough?

DR. AMOS:
Many doctors suggest that you should stay on your back for about 10-15 minutes after making love. You could get pregnant without that, but you may improve your chances by staying longer on your back.

MEMBER QUESTION:
I'm 27 and for about 2 weeks now I've been very tired and my breasts are tender. If I don't get a chance to eat, my stomach cramps up on me until I do eat. Last week, after being with my mate, I had some slight staining that didn't last long. I also have pelvic pressure and am backed up. I'm not due for a cycle for a week and a half yet. My partner is tired a lot and hungry more too. We are together about three times a week and we don't use protection. Is there a good chance I could be expecting?

DR. AMOS:
You didn't mention when you ovulated and if you missed your period. If you missed your period then a pregnancy test should be positive now if you are pregnant. Only a positive test can tell you for sure.

MODERATOR:
Our thanks to Dr. Amos Grunebaum for joining us today. And thanks to you, members, for your great questions. I'm sorry we couldn't get to all of them. For more information, check out the WebMD Fertility Center.



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