A Pap smear, or Pap test, is a screening test recommended for women ages 21-65 to detect early signs of cervical cancer. Abnormal results can be scary, but there are a few things you need to know.
A Pap smear, or Pap test, is a screening test recommended for women ages 21-65 to detect early signs of cervical cancer. Abnormal results can be scary, but there are a few things you need to know.
Infertility can send you on a search for answers. Unfortunately, there are a lot of wrong answers out there. This post sets the record straight regarding five common myths about infertility.
Couples who have chosen in vitro fertilization are taking a big step toward becoming parents. Preimplantation genetic testing is an important part of the process and can ensure your embryo is healthy before being transferred to the uterus.
Are you experiencing uncomfortable symptoms related to your menstrual cycle? Between 2% and 10% of American women have endometriosis, which can cause numerous symptoms.
TTC After Surgery For Stage Four Endometriosis
Dear patients, Update: As of April 6, 2020 our clinic will be operating on minimum staff. Dr. Ramirez has been deployed with his U.S. Army medical reserve unit to the East Coast to assist in supporting a field hospital.
Dear Dr. Ramirez, WOW!!!! I am so glad I found your blog “Women’s Health & Fertility“. You have given lots of great information that is very straight forward. Thank you for that.
Severe male factor infertility, once a barrier to parenthood, has virtually ceased to exist due to breakthroughs in the field of fertility medicine. One of those is ICSI, a procedure done during the in vitro process by our embryologist.
Question: This question is actually about my mother and not me. My mom is 48 years old. She has 2 grown up children but she wants to have another child.
We know that the holidays can be stressful, surrounded with so many expectations. There is pressure from family, friends and yourself to celebrate and to enjoy when unfortunately, for the person experiencing infertility, it can be very difficult to do so.
At Monterey Bay IVF, we routinely have patients who undergo a Frozen Embryo Cycle or FET. How this happens and why
QUESTION: I’m 39 years old and have done 3 IVFs. During the first two IVFs, half of my eggs were immature.
QUESTION: Dear Dr. Ramirez, I'm 39 years old and have done 3 IVFs (in vitro fertilization cycles). During the first two IVFs, half of my eggs were immature.
Question: Hi Dr. Ramirez, My husband and I are currently having Ovulation Induction (OI) because I have secondary amenorrhea and don’t ovulate by myself.
Dr. Ramirez is currently serving with his Army Reserve unit, 352nd Combat Support Hospital, in the Dominican Republic as Chief Medical Officer.
Hi Doctor, I recently visited a reproductive endocrinologist because I was having issues with my period (heavy clotty periods). They did an sonohysterogram and found a 2 cm uterine polyp. I am due to have that removed in May.
An excellent article, “Coping with the Holidays…again.” was published by Resolve back in 2009. Written by Linda Cimarusti, it still rings true… Coping with the Holidays — Again By Linda J. Cimarusti, PhD
The men and women in our armed forces go where our nation’s leaders direct them, serve in difficult and often dangerous conditions and do so with admirable dedication and professionalism. As a nation, we owe them our freedom.
Question: I am 38 years old from Los Angeles. I just had a failed IVF cycle because my six embryos arrested on Day 5. On Day 3, five were Grade A and one was Grade B. They were 10, 8 and 6 cell.
Hello Dr Ramirez. I am writing to you from Nebraska. I have had 2 fresh IVF cycles and 2 FET cycles. Only one pregnancy – from the first IVF 5 years ago.
Question: I'm from the U.S. After a long struggle with secondary infertility and 2 miscarriages, I am pregnant again, 9 weeks along.
Question: Dr Ramirez, What are the chances of a 45 year old woman conceiving using IVF with her own eggs? Would it be worth trying or would you recommend using donor eggs? A. from the UK
Infertility affects 1 in 8 couples worldwide. But in the last 40 years, more than 5 million babies have been born using in vitro fertilization (IVF). How does it work? Nassim Assefi and Brian A. Levine detail the science behind making a baby in a lab.
Dear Readers, I recently found this nicely animated video on In Vitro Fertilization created on the new TED-Ed platform. You might find this a good way to not only inform yourself but also friends and family who might have trouble understanding...
Every year Resolve, the national infertility association, sponsors a week of advocacy called NIAW across the nation. There are many ways that one can participate, from the “Walk for Hope” to actually lobbying in Washington D.C.
Hi Dr. Ramirez! I have a beautiful two year old daughter, but I can’t seem to carry another baby. I had a chemical pregnancy earlier this year followed by a blighted ovum.
Question: Hello Dr. Ramirez, I’m writing from Mexico. I’m 33 years old, never been pregnant and have just been diagnosed with fibroids. This year I’ve had heavy abnormal bleeding with large clots.
Question: Hello, I have a son via FET. I have now had three cycles of FET total. The first did not work, the second we got my son, and this last one worked- however I had a miscarriage at 6.5 weeks pregnant.
QUESTION: Hi Dr. Ramirez, I had an failed IVF attempt last week. It was my first attempt. I am 41 yoa. My estrodial was 1950 and I had 5 follicles (14, 16, 20, 20, and 25)
Question: Dear Dr. Ramirez, I am writing from Pennsylvania. In 2006, I had two or three miscarriages. After that, I went to a fertility clinic and had TSH, prolactin, DRVV, and anti-cardiolipin antibodies tested.
Dear Readers, It has been a while since I last posted to this blog, and to my readers I apologize. Things have been quite busy, hectic and stressful this year.
Hi Dr. Ramirez, Thank you very much for your time, I greatly appreciate it. My question is this: I am 30 with 1 child, my husband is 43.
Hello, I am 24 years old and my husband and I are trying to conceive. I was diagnosed with endometriosis after a lap on Dec 15, 2007. I have been on two separate treatment cycles of Lupron Depo.
Question: Hello. I'm a 29 year old female. My husband and I have been trying to conceive for 7 months now. I had a laparoscopy done in June of 2013, due to an ovarian cyst on my right ovary.
Hello Doctor, I am from India and have been TTC (trying to conceive) for last 5 years. I am 29 years old right now. My first miscarriage was when I was 24 years old.
Question: Hello. I just turned 40 years old. I am healthy. I had 1 miscarriage in my early 30s. I waited a few years to conceive after that and conceived two children back to back in the first month of trying so I am hoping my fertility is still good.
Dear Dr. Ramirez, A few years ago, I had an IUD inserted to which my body never adjusted to. I bled the entire time until it was removed months later to discover that it caused an infection.
Question: Hi Dr. Ramirez, My name is A. and I am writing from Michigan. I am 33 years old and have DOR with an AMH of <.16, Hashimoto’s and positive ANA’s. I am on day 10 of stims for IVF #2 and responding poorly compared to our first attempt.
Hi Dr Ramirez, I have found this site all the way from New Zealand and am hoping you could provide me with some other answers?
Dear Readers, Sometimes I get great news from one of the many couples I help on AllExperts.com and this is one I would like to share with you. Over a year ago I began corresponding with this woman regarding her failed IVF cycles.
Dear Readers, The American Society of Reproductive Medicine has launched a campaign with the aim of educating women on how to protect their fertility by avoiding certain risk factors. The Society has made available a number of fact sheets, graphics ...
Hello Dr. Ramirez, I’m a 30-year-old active, healthy female from Texas trying to conceive my first child. I have been on the birth control pill for 15 years and just stopped taking it two cycles ago in late June.
Hello, I am writing from San Diego, CA. I was on 100mg Clomid on Cycle Day 3-7, then 2mg estradiol on cd 8-12. I went in for an ultrasound to check follicles on cycle day 13.
Question: Hi Dr. Ramirez, I'm back again with a question about my recent IVF (second one). This IVF (in vitro fertilization) cycle we did the same protocol as last time (antagonist) ...
QUESTION: I am a 33 year old mother of two. My children are 11 and nearly 10 years old. After the birth of my second child in 2003 I had surgery to prevent further pregnancies.
Question: Hello Doctor Ramirez, I´m almost 34 years old, from Spain but living in Mexico City for 8 years now. I´ve been reading you a lot your blog and you´re questions and answers here.
Question: Hello Dr. Ramirez, I'm 20 and 293 pounds. I have had Secondary Amenorrhea for close to 4 years now. It is apparently being caused by my weight. I'm not planning to TTC for at least another 12 or 13 years.
Question: Hello Dr. Ramirez, I’m writing to you from Ontario in Canada. After conceiving via IVF, my wife and I are scheduled for a 7 week ultrasound.
Question: I had an HSG (hysterosalpingogram) in November. The dye flowed freely through my left tube, which appeared normal and healthy. However, the dye would not enter my right tube until after the radiologist had me get on my right and then left side.
Hello Dr. Ramirez, I've written you in the past regarding my fertility challenges and your responses have been very encouraging. In my last, I discussed how I'd experienced an early loss in March after our first IVF attempt.
Question: Dear Dr. Ramirez, I am considering IVF and am more keen on using the non human derived IVF medications. I would be very grateful for your opinion on Gonal F when compared to Menopur .
Question: Hello - I have been reading you blogs for some time now and am so thankful that you take the time you do with such thoughtful answers. I am 38 and husband is 41. My history is as follows: 2009 wasted time on clomid prescribed ...
Question: Hello there! I’m writing to you from Florida. I have recently suffered two miscarriages. One in Oct of 2012 and one in March of this year. Both occurred at about two weeks so very early. I guess the term is chemical pregnancy when it is that earl
Question: Dear Dr, We have just had our 4th failed IVF (in vitro fertilization). Our history. I am 36, my husband is 39. 1st pregnancy was in 2009 after 3 IuI's (intra uterine insemination) and clomid ...
Question: Hello, I am writing from Japan and want to ask that can big, crowded clinics be good or are small ones always good? Which is a worst choice...I'm very confused actually....like the crowded one has all the plus points, it is experienced ...
Dear Doctor, I am on clomid and doing intra uterine insemination. On Cd 5-9, I ovulated. On Cd 18-20 I had an u/s (ultrasound) and cd 13 follies were 8,13,20,20,21. Uterine lining was 6.
Question: Hello, I have been able to get pregnant naturally, but due to my kidney disease was not able to carry to term. I have about 50 percent kidney function due to mild segmental mesangial sclerorsis.
Dear Readers, This week, in the United States, through the great organization Resolve, we are promoting infertility awareness on many different venues...support groups, chats on Twitter and Facebook and over the blogosphere.
Question: Hi doctor, I’m having PCOS (polycystic ovarian syndrome) and for the treatment first I was given Metformin for a month though my sugar level was Normal, and now I’ve been given douluton L (contraceptive) for 21 days.
Hello, I don't even know how to begin because my infertility process has been so exhausting. I suppose I have diminished ovarian reserve. My last FSH check was 8.5. My AMH is 1.
Question: Hi there. Hubby and I have been TTC (trying to conceive) for almost 4 years now, with no success. We have been to two different REs, the first performed one HSG (hysterosalpingogram) ...
Question: Dear Doctor Ramirez, I’m 35 with two beautiful kids. On 2/6/13, I underwent a D&C, dilatation and curettage, (approx. 8wks in-missed miscarriage). Bled on and off for two weeks.
Question: Dear Doctor, Hi, I'm from Minnesota. My husband and I have been trying to conceive since August of 2011. I have endometriosis and PCOS (polycystic ovarian syndrome) since finding out when I was around 17 years old, I'm 25 now.
Dear Doctor, I am 40. I had two missed abortions at 37, both in the ninth week after heart beat was felt. Subsequently I did not conceive and my RE suggested IVF. I have regular 29 day cycle.
Question: Dear Dr. Ramirez, I am a 36 year old from Georgia. I have primary amenorrhea POF (premature ovarian failure). In short always had POF (now called POI) and never had a period on my own.
Question: Hello Dr. Ramirez, I am 37 years old with multiple fibroids. My gynecologist gave me Clomid and asked me to test FSH simultaneously and my result came out 22.9, I did ultrasound today and to his surprise there was an egg.
Question: Hello Dr. Ramirez and thank you so much for answering these questions. My wife and I just completed our first IVF (although there was no transfer). A previous attempt was cancelled due to only a couple follicles (150 Gonal F/150 Menopur).
Question: Dr. Ramirez, I was on the pill for 12 years, and stopped taking it back in September of 2012 to try and conceive. I did not have a period for over 3 months, so I went to the doctor who gave me a progesterone injection.
There are many, many blogs out there written by courageous women who are trying to put into words the very difficult journey they are on…infertility.
Hi Dr. Ramirez, Not sure what to do. I met the love of my life later in life and we just started trying to conceive, I am 42 years old. We really want to have a child, but not so sure about donor eggs.
Dear Dr. Ramirez, I am writing from Saint Louis, Missouri. Thank you for taking time out to answer my questions. I will try to be as brief as possible.
Question: Hi there, I'm in Ireland and having egg donation treatment in Spain. I've had several unsuccessful cycles and am now finding that my endometrium is not as thick as it used to be.
Question: Hello Dr. Ramirez, My husband and I have been trying to conceive since 2007. I have PCOS (polycystic ovarian syndrome) and I have had 5 miscarriages, first one in April 2009 at 10 weeks and the others at 6 weeks.
I often get the question: “What can I do to get pregnant?” or “What can we do to boost our fertility?”.
Dear Dr Edward, I am writing you from Nigeria. I am 28 years old. In 2009, I had a miscarriage at 10 weeks of pregnancy. The doctor performed a D&C (dilatation & curretage) to evacuate the residue from the pregnancy.
QUESTION: Hi, I was very much hoping you could help me with my infertility nightmare! Myself - 30 yrs old, AMH: 3 / FSH 9 / ttc 7 years / diagnosed this year with severe endometriosis mostly around my ovaries.
Dear Dr. Ramirez, My wife and I have been trying to conceive (TTC) our second child unsuccessfully for the past 3 months now. She is 32 while I am 33. We are both of Asian descent.
Question: Hi, writing from Califonia! My name is E. and I am 16 years old, will be 17 on June 9th, 2013. I'm 5'9" and I am overweight, but not terribly obese or anything. I have always been active, and I have been a swimmer since I was 7.
Hi, I have been on the birth control, known as Sprintec 28, the oral pill for 5 years, and as of this April, I have not taken it. Since I have been off, I have had only one normal period and that was in July.
Question: Dear Dr. Ramirez, I am here to seek your advice once again. I just found out my second IVF (in vitro fertilization) attempt finished with a chemical pregnancy. I tested HCG levels at 11dp2dt and it was 19,2 miu/ml (pretty low),...
Hello, Doctor. I am a 40 YO who has never had any trouble conceiving. I've been pregnant seven times. I had a child when I was 37; all went fine. My husband and I are TTC (trying to conceive). GYN did an AMU (.86) a year ago.
Hello, first, thank you for offering this service. I appreciate the detailed responses and the stories give me hope. I am a 33 year old female from Seattle.
Question: Hi, My name is Lindsay; I’m from Atlanta, Ga. I recently underwent emergency surgery to remove my left Fallopian tube that had ruptured due to an ectopic pregnancy. I lost a severe amount of blood, resulting in receiving 5 blood transfusions.
November 28, 2012 To my patients, followers and visitors, I am pleased to be writing a blog on women’s health issues. I hope that by doing so I can help people by giving them the information they need from an expert in the field.
Question: Hi Doctor, I live in Idaho where we only have 1 IVf (in vitro fertilization) clinic, so I don't have the option of a second opinion and can't decide if it's worth the six plus hour drive to find out if anyone else would do anything different...
Hello, I am a 35-year-old woman writing from Missouri. My husband and I have been trying to conceive for 15 months. After we'd been trying for a year, we went for testing, and my husband was found to have no sperm.
QUESTION: Hello, During the last year we did two IVM (in vitro maturation) and two IVF (in vitro fertilization) cycles at different clinics at Montreal, Canada. All failed. I'm 39 years old and my husband is 40. My FSH was 11.1 and AMH 2.2 two years ago.
QUESTION: dear doctor ramirez, i am so glad to find you on this website and would very much appreciate your help. I will try to give you some background.
Question: Dear Dr. Ramirez, I'm 18 and I just started smoking, but I'm afraid it will effect my ability to have children. I know smoking can cause cancers, but in females, does smoking cause permanent infertility?
Dear Readers: This is the seventh and final part in the series I have begun to help answer what In Vitro Fertilization (IVF) is and how it works with my world-wide Blog audience. What you read here is what I also provide my patients with on a daily basis.
Dear Readers: This is the sixth part in the series I have begun to help answer what In Vitro Fertilization (IVF) is and how it works with my world-wide Blog audience. What you read here is what I also provide my patients with on a daily basis.
Dear Readers: This is the fifth part in the series I have begun to help answer what In Vitro Fertilization (IVF) is and how it works with my world-wide Blog audience. What you read here is what I also provide my patients with on a daily basis.
Dear Readers: This is the fourth part in the series I have begun to help answer what In Vitro Fertilization (IVF) is and how it works with my world-wide Blog audience. What you read here is what I also provide my patients with on a daily basis.
Dear Readers: This is the third part in the series I have begun to help answer what In Vitro Fertilization (IVF) is and how it works with my world-wide Blog audience. What you read here is what I also provide my patients with on a daily basis.
Dear Readers, This is the second part in the series I have begun to help answer what In Vitro Fertilization (IVF) is and how it works with my world-wide Blog audience. What you read here is what I also provide my patients with on a daily basis.
Dear Readers, I get many many questions regarding what In Vitro Fertilization (IVF) is and how it works that I thought I would share the information with my world-wide Blog audience. What you read here is what I also provide my patients with on...
QUESTION: Dr. Ramirez, I have a problem with progesterone but my symptoms are not typical of an allergic reaction. My husband and I have done 3 IVF cycles, all failed. They were all chemical pregnancies...
A very nice 3-D animation on In Vitro Fertilization from Schering-Plough (2009). It details the procedure as well as the fertilization process.
Question: My wife and I are trying for a child for almost a year now and a doctor recommended us this new method of intrauterine insemination, IUTPI (IntraUterine TuboPeritoneal Insemination). I would like to ask you if you have heard about it and...
Question: Dear Dr. Ramirez, I am 31 years old and have had 3 chemical pregnancies in the past 12 months. They have run a slew of genetic testing and a RPL (recurrent pregnancy loss) workup and all has come back normal with exception to the MTHFR test.