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Blog Articles

My Pap Smear Was Abnormal - Now What?

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.

Oct 7th, 2020
5 Common Myths About Infertility

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.

Sep 21st, 2020
Is Preimplantation Genetic Testing?

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.

Aug 6th, 2020
5 Symptoms of Endometriosis

Are you experiencing uncomfortable symptoms related to your menstrual cycle? Between 2% and 10% of American women have endometriosis, which can cause numerous symptoms.

Jul 24th, 2020
COVID-19 Update and Measures Taken

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.

Mar 19th, 2020
State Of The Art Semen Analysis

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.

Feb 24th, 2017
Pregnancy at 48–Natural or Donor Eggs?

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.

Jan 11th, 2017
A Holiday Note Of Hope

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.

Dec 21st, 2016
Ovulation Induction and Exercise

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.

Aug 2nd, 2016
Can I get pregnant again at 46?

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.

May 2nd, 2016
Is There Any Way To Improve Egg Quality?

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.

Nov 3rd, 2015
“How In Vitro Fertilization Works”

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.

Jul 14th, 2015
"How In Vitro Fertilization Works" Video from TED-Ed

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...

Jul 13th, 2015
NIAW-National Infertility Awareness Week

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.

Apr 23rd, 2015
Submucous Fibroids: Do I Need A Hysterectomy?

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.

Dec 12th, 2014
Recurrent Miscarriages: Is It A Hormonal Issue?

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.

Aug 21st, 2014

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.

Jun 1st, 2014
Post-Lupron & Trying To Conceive

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.

Jan 27th, 2014
Protect Your Fertility!

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 ...

Sep 28th, 2013
Is A Tubal Reversal A Good Option For Me?

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.

Aug 22nd, 2013
Secondary Amenorrhea: A Description, Not A Diagnosis

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.

Aug 9th, 2013
Can I Use Non-Human Derived IVF Medications?

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 .

Jun 27th, 2013
39 Year Old With Recurrent Chemical Pregnancies

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

Jun 17th, 2013
Is A Big IVF Clinic Better Than A Small One?

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 the crowded one has all the plus points, it is experienced ...

May 19th, 2013
How To Reduce The Risk Of OHSS

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.

May 10th, 2013
Woman With High FSH & Fibroids Trying To Conceive

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.

Feb 28th, 2013
Canadian IVF Cycle Fails: Husband Asks, Try Again?

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).

Feb 22nd, 2013
Infertility Etiquette

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.

Feb 13th, 2013
Recurrent Pregnancy Loss: 5 Miscarriages Since 2009

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.

Jan 11th, 2013
Woman With Asherman’s Syndrome May Need Surrogate

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.

Jan 7th, 2013
Sixteen Year Old Does Not Have Her Period Yet: What To Do?

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.

Dec 22nd, 2012
40 Year Old TTC After Termination Of Trisomy Pregnancy

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.

Dec 2nd, 2012
Woman Has Salpingectomy Of Left Tube: Trying To Conceive Again

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.

Nov 28th, 2012
Smoking And Infertility

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?

Oct 8th, 2012
A Step By Step Guide To The IVF Process: Overview

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...

Jun 24th, 2012
Severe Allergy To Progesterone During IVF Cycles

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...

Jun 18th, 2012
3-D Animation Of The IVF Process

A very nice 3-D animation on In Vitro Fertilization from Schering-Plough (2009). It details the procedure as well as the fertilization process.

Jun 13th, 2012
IUTPI: Is It A Better Method Of Intra Uterine Insemination?

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...

Jun 8th, 2012
Recurrent Pregnancy Loss (RPL) Workup Shows MTHFR: What Next?

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.

Jun 4th, 2012