Conceive, Trying to (cont.)

DR. AMOS:
The TSH levels are normal. Hypothyroidism usually prevents you from ovulating so if you now ovulate normally and the TSH is normal then you should not be concerned about hypothyroidism.

MEMBER QUESTION:
Do you recommend any herbal/natural remedies for regulation of hormones and ovulation or to help boost your fertility?

DR. AMOS:
There are many herbals available which can improve your chances of getting pregnant. The one that's been researched the most is called Vitex. Vitex has been shown to regulate hormones, especially if you have corpus luteum problem.

MEMBER QUESTION:
Is a history of an eating disorder (anorexia) associated with increased risk of miscarriage? I am now at a normal weight with healthy eating habits.

DR. AMOS:
Just having had the history of anorexia is unlikely to affect future fertility. If you are now at your normal weight, have a BMI (body mass index) between 20 and 25, and you ovulate normally, then you should be fine.

MEMBER QUESTION:
This weekend I had my cousin come over and while I was playing with her she hit me with her elbow in the side of my stomach. I felt a cramp for a few seconds. I'm 14 weeks pregnant. Did this harm my baby? Should I go see my doctor?

DR. AMOS:
Babies are usually very well protected inside the uterus and it's highly unlikely that this has harmed the baby, especially if you had no bleeding or cramps.

I also suggest you let your doctor know what happened, so that you can be followed appropriately.

MEMBER QUESTION:
My doctor has told me that if I get pregnant again I will have to take a shot of progesterone everyday or take a vaginal suppository three times a day. I have had three miscarriages and no answers as to why they happened. Is taking the progesterone normal in situations like mine?

DR. AMOS:
I suggest you ask your doctor why you need this medication. If you do not get a satisfactory answer then I suggest you find another doctor to help you.

MEMBER QUESTION:
How soon do early detection HPTs (home pregnancy tests) show positive after fertilization and implantation?

DR. AMOS:
HPTs usually become positive within a day or two after you miss your period, though sometimes it can take a couple of days longer.

MEMBER QUESTION:
How safe is it to take B vitamins, cough syrup, baby aspirin, progesterone, herbs, or other OTC (over-the-counter) substances to aid in having a normal cycle and getting pregnant? Which, if any, of these tactics would you recommend?

DR. AMOS:
None! I would suggest you talk to your doctor first.

"I wish you the best and hopefully everybody will have a BFP (big fat positive) next month!"

MEMBER QUESTION:
Is there anything OTC that tests progesterone levels?

DR. AMOS:
There are no OTCs than can measure adequately your progesterone levels.

MEMBER QUESTION:
Do you think a hormonal imbalance that causes hyperpigmentation, almost like a pregnancy mask, could also cause infertility? If so, what would the hormone be and should I start with requesting a certain blood test?

DR. AMOS:
I am not sure of any connection between hyperpigmentation and infertility problems.

MODERATOR:
Dr. Grunebaum, we are out of time for today. Do you have any final comments for our members today?

DR. AMOS:
Thank you so much for visiting today. I wish you the best and hopefully everybody will have a BFP (big fat positive) next month!

MODERATOR:
Thank you Dr. Grunebaum.


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