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Ask The Expert - Fertility Questions

  • Fertility after steroid use

    Hello, I am a competitive fitness model and I have been running steroids on and off for the last 7 years. I always ran a post cycle therapy course and seemed to recover fine, but for the last couple of years I have been shut down for the whole duration due to work commitments, and I have just been going to a low trt dose of testosterone in between cycles. I am now ready to completely come...

  • Nutrition phase before egg freezing cycle?

    I am a 30 year old female and want to go through a cycle of social egg freezing. I am trying to decide what is the better strategy: doing it immediately over the holidays or delaying slightly to prop up my body health over the next 3 months. For context: I am living in France, which does not allow social freezing, but will get the procedure done in Germany (where I am from). I already did a cycle ...

  • Healthy and first iui

    2 follicles on the right progesterone level was 29.20 and I’ve been cramping and I’m healthy have no fertility issues Could I be pregnant ?

  • Ivf

    Hi there I’ve recently given birth through ivf. My baby is 5 months old and I still haven’t received a period. Is this normal? We are considering going through ivf again but I’m worried as to why my cycle isn’t back. I had regular cycles before getting pregnant. Thanks Christina

  • What to do next

    First ivf agonist technique got empty egg syndrome with 6follicles total,amh 0.7,rest other parameters normal with have normal patent. Second ivf after three months mini ivf with clomid 100mg from second day and fsh 150mg, Four eggs retrieved but all of bad quality. I am 39years old,on nutrecell tablet,dhea tablet, Vitb12,folic acid My RE suggested me to go for egg donation Is there any more...

  • Chromosomes abnormalities

    I have had 4 miscarriages which I think are related to chromosomes abnormalities. How can I get checks done to see if there is a problem with the embryo?

  • Fertility at 44

    I am 44 have grown up children and wondering after 9 months of ttc and nothing do I stand a chance at IVF..my fsh is 5.4 and amh 17.3pmol ,?my partners semen analysis was 3%morph could this be the issue of no natural conception and would we stand a chance at IVF or be better with donor sperm ?

  • Anti mullerian hormone

    I am 37 will turn 38 in August I had antimullerian hormones test my rest is 10.1 pool/l the report said it’s normal can I conceive with this naturally many thanks

  • Testicular torsion, am I infertile?

    Hi At the age of 22 I had testicular torsion, sunsequently losing my right testicle. At the time of the surgery the right testicle was saved but then later died. I'm just wondering if this has had a negative effect on my left testicle. I have been trying to conceive for about 10 months now and I'm now really worried that I may be infertile due having one testicle. My partner did have a contracept...

  • Low AMH, Normal FSH, High TSH

    Dear Sir/Madam, I have received the results from my advanced fertility test yesterday and realised that my AMH is very low (1.7 pmol/L), my FSH is 6.1 IU/L though. I have a Hypothyroidism caused and my TSH is always on the upper border 4.18 mu/L (0.27-4.20). I am not taking any medication to lower the TSH as my GP didn't recommend any, but I think it might be influencing my fertility (ovulation) a...

  • Blood test results

    I have just had my results back from a blood test and my Serum progesterone level was 56.2. I have read that a week after ovulation a women should be at about 20.

  • Medication

    Do antipsycotic cause temporary infertility?

  • Low sperm count and infertility

    Hello Doctor, my total sperm count is 19.6 million, motility 70%, immotility is 30%, active is 50%, rapid is 20%, morphology normal shape is 60%, volume is 3.2 ml. Married since 2016, but still no baby. Taking Fertisure M tablets. Can I become a father?

  • Husband has Kleinfelters, wanting the facts on SSR and our options

    My husband has been diagnosed with Kleinfelters (XXY), diagnosed as azoospermic. He has an FSH of 34, Testosterone 15 and a negative Cystic Fibrosis gene test. He had an ultrasound scan which showed small bilateral testes which were sonographically normal with normal epididymi and small bilateral varicoceles. We have had a consultation which we have been given information about just moving for...

  • IVF

    Hi I've been given results of a low Amy level and elevated fsh level of 16 my anti follicle count was 6 but a Dominant 1 ready for ovulation would I still be able to use my own eggs for IVF or is there anything else I can do? Thanks.

  • ICSI suggestion

    Can ICSI fail fertilisation due to poor quality of egg or can sperm problem?

  • How quickly can ovarian reserve decline

    I'm 32 years old and trying to get pregnant for the first time. In April I had AMH reading of 15, and now it's down to 12.5. How quickly can ovarian reserve decline? We are having ICSI soon and if I have embryos left, could they be used for a second pregnancy in a couple of years even if my AMH has declined to below 5? Thank you

  • Polyps

    Hello!My name is Kate and I'm 42 years old.For 3 years I have been trying to have a baby and I have had 3 in vitro procedures.The problem is that I always have endometrial polyps and had 3 hysteroscopies.Nobody can explain why I have polyps and if there is some prevention.Can you help me?

  • Abnormal AMH but Normal FSH

    I have been diagnosed with PCOS since I was 20. I have had very irregular periods, whether none at all for a year or bleeding continually for a year. I have been working with an OBGYN trying to get pregnant off and on for last last 8 years. No luck. I have done the maximum dose of 250mg cycle with Clomid and 150mg with Femara. Either have worked, still no ovulation. I recently asked if there were ...

  • Sterilisation reversal

    Hi I had my tubes cut 8 years a go and I would like to know if I could have it reversed

  • Can I afford to wait 1 year?

    Hi. I'm 36 & have had a internal 3D scan that showed total AFC of 9. Just got my AMH result back & it was 8.6. Both results are ok for my age but on the low side. I really want to have a child but I'm at a crucial point in an athletic career where if I take a year out now to have a baby I won't be able to achieve what I've spent my entire adult life trying to achieve. So my question is, given my r...

  • High BMI

    I have got an BMI of 40 can i still get pregnant. Try to get Pregnant 7year and trying to reduce weight but no hope. What are my options and chances????

  • Provera (medroxyprogesterone)

    Can Provera make me ovulate after one dose? I took a test the first day after my first dose of provera, it was positive.

  • Am I able to have IVF?

    I'm 44 and have been through menopause would I be able to have IVF?

  • Options

    I am 26 and desperate to start my own family! I was diagnosed with MS at 18 and I'm assuming this would rule me out of your egg sharing scheme, I would need donor sperm and am wondering if my medical history would stop me receiving treatment?

  • Best way forward

    I have been seeing a gynaecologist for over a year now she said the problem is 'probably endometriosis'. I have been trying to conceive for over a year with no luck, what should I do next?

  • AMH Levels.

    I had my amh levels tested privately three years ago and had a result of 33.1 which I was told was satisfactory. I have just turned 36 and am considering IVF as I have struggled to conceive for some time. Were these results acceptable at the time and can they change? Should I be tested again? Thanks.

  • Pernicious Anemia

    Can you give me advise, I have Pernicious Anemia and Hypothyroidism. Can I still have IVF treatment.

  • Low sperm count

    My son is 28 and had an operation when he was 14 for undescended testicles. He has had to have a sperm count which is very low. He is devastated and inconsolable as the count was below a million. What are the chances of becoming a father naturally?

  • 37 with AMH of 2.4pmol

    I have just found out my AMH is 2.4 and have been trying to conceive for 18 months. What are the chances of IVF working? What options do I have?

  • 37 old healthy female

    I have low egg count. Husband has low sperm. What is the best thing to do to start a family?

  • lack of ovulation

    I don't ovulate therefore unable to conceive

  • amh level

    im 42 and had my amh tested it is 3.4 . when i did the fsh on day 3 it was 5.3. for my age do i have a good chance of having babies . is the amh a good enough level?

  • Low Amh

    My Amh is 6.4 pmol and fsh 13 pmol , what is the best treatment option for me. I am 26 and single.

  • Low ovarian reserve

    I’m 41 and had a blood test to check my egg reserve. Was told it’s 2% and have a reverted womb. I’ve been trying for a baby for 12 months, is there any chance I can fall pregnant with an egg reserve as low as mine?

  • Questionable Infertility

    I have seen a fertility specialist and was told that my best option for a live birth was IVF with an egg donor. I am 37 years old and my FSH was 19 and AMH was .3. I'm wondering if I should get a second opinion or ask for the CCC test, Thoughts?

  • Elevated FSH

    I am 36 years old, and I’ve recently been told my FSH levels are elevated (1 of 10 & 1 of 12.4) but all other tests for me & my husband are normal. Not entitled to IVF on the NHS because of this so wondering where we can go from here? They have suggested Clomid, is this likely to work? I'm worried that due to elevated FSH we are running out of time.

  • Isolated tetrazoospermia

    My husband has been diagnosed with having very poor sperm morphology. His best sample has been 1% normal forms, but his count and motility is within range. Is ICSI the best option for isolated morphology problems? What would be the potential cause of this problem, and why would the motility and count not be affected?

  • Very low AMH

    I am 42 years old with an AMH of 1.7 pmol/l. I am still ovulating, have regular cycles and all other hormone tests i.e. Prolactin, FSH, LH, Oestradiol, Progesterone etc are all normal. I was told the best chance for me is IVF. Would IUI on a natural cycle be a waste of time for me with these results or is there still a good chance I could get pregnant through IUI/donor insemination?

  • Fertility

    I am a female aged 29 years old and 6 months ago I got married. I have a lymphnode in my pancreas area of 3 inch in size, so now I am going through anti TB treatment, rest reports are normal so now I wanted to know whether this disease will affect my fertility?

  • Fourth time implantation failure

    I'm 32 and have low AMH but I retrieved good quality eggs. Last time I transferred 8 cell A grade embryos, but implantation didn't occur. What are the reasons behind this? Please suggest what I should do next.

  • Empty follicles?

    Hi there, I am quite upset as just had my egg pick up last week and they retrieved only two eggs (which appear to be not right either). This is my second cycle. Our history: 3 miscarriages in 9 months (all very early), then moved on to IVF to try to bank some embryos to implant later with immune treatment. First IVF cycle, no pill prior to it, Puregon 225IU daily and a day 10 collection and 5 ...

  • Recurrent Miscarriage

    I am 27 years old and I have had three recurrent miscarriages within the space of three years. The first in 2011 at 7 weeks, the second in 2013 at 6 weeks and then the third in May 2014 at 11 weeks but baby stopped growing at 10 weeks. I am now waiting for blood tests to see why this keeps happening. The baby and placenta was healthy and normal so nothing wrong there. I am very worried that I will...

  • Egg Shape

    I have just had my eggs collected and 4 have fertilised out of 7. However, I've been told that 2 of the fertilised eggs are slightly oval in shape - what is the significance of this and does this mean that they have less chance of developing?

  • IVF for same sex couple

    Hi, I was just wondering if you could provide me with some information regarding IVF for myself and my partner?

  • AMH

    I have a low AMH at 0.6, I believe our chances of conceiving with IVF are quite low. Is donor egg the way to proceed based on these values?

  • Appropriate treatment for male with low- sperm count and mobility

    I am fertile and my husband has low sperm count and low mobility. What would be my suggested treatment next? Will IUI still work for us?

  • AMH Test <0.5

    I had an AMH test in November 2013 which revealed more than 4, then another in February 2014 which came back at 0.5. This was done at Exeter and St Mary's respectively. Can AMH drop so quickly or is this due to different labs? We have been advised to consider using DHEA - is this likely to increase a level of 0.5 and allow IVF/ICSI.

  • Undescended testicle and delayed puberty

    I had an undescended testicle when born but had operation at 3-4 years old to normalise. Due to a lot of athletics at 13-16, I was very small and delayed puberty occurred. I had a number of injections (HGH I think) and this kickstarted puberty and I grew etc at 18. However, fertility always concerned me. Not that I have tried for children, but is there anything to worry about?

  • IVF

    I have an AMH of 2.2, would I still be able to conceive with IVF as my partner had a vescatomy many years ago. I'm 36 years old.

  • HIV and Infertility (serodiscordant couple)

    Firstly I would like to ask if there is any correlation between HIV and infertility? I have very regular cycles and ovulate on my own. Do you think I have a hostile womb or I must have my NK cells checked? My name is Busisiwe. I am 37 years old and from South Africa. I have been classified as a Secondary Infertility and we are a Serodiscordant couple. I was diagnosed in 2002, I conceived natur...

  • Husband has low motility

    My husband and I have been trying for a baby for over a year. My husband has done two sperm tests and has been told he has 1% lot motility. We are seeing the fertility doctor soon and we just want to know what will happen next? We will go straight in to IUI or will we go on medication?

  • Could i be pregnant?

    My normal cycle is between 26 and 28. I am on 25mg of chlomid and from my blood test results i ovulated this month (45.4).i am now on day 32 and no sign of period...could i be pregnant?, when shall i test? Been getting mild cramps, tiredness and sore breasts.

  • LH surge timing

    Hello. I'm confused because I've been testing for the LH surge first thing (that's usually 6 or 7 am for me) but then read that because typically the surge starts in the early hours for most women, whilst sleeping, that it won't show up in urine till later in the day. The leaflet in the kit says to test after 10am and not the first time you go to the loo after waking up. So if I continue to do the...

  • LH surge detection

    I'm confused about DIUI timing after three failed attempts, and reluctant to try another until I've understood something important in the process, and I didn't really understand what my doctor said when I asked her. I tested for the LH surge at home with a digital opk, in the early morning before work and again in the evening after work. I got my first positive in the evening. However, the info I ...

  • PCOS-like ovaries

    I've just completed an unsuccessful cycle of IVF/ICSI, and my consultant told me that although they don't think I have PCOS, because I have regular periods (12 a year) and have not reported any irregularity or unusual symptoms such as heavy bleeding, my pre-treatment ovary scans show that I have lots of follicles (up to 14) on each, yet I have a lower than average (but not very low) AMH score. I a...

  • Premature ovarian failure: What is the AMH cut off point where Donor eggs is only option?

    I had POF confirmed yesterday and was devastated to hear that my 'only option' was IVF with donor eggs. I am 31 and have had this banded about since I was 28. During that time there have been differences of opinion which have resulted in many hopeful times, quickly followed by hopes being dashed. Getting the final decision was hard to hear but at least this gives me something to work from...

  • Clomid for men?

    Is the clinic ever able to offer medications such as clomid, nolvadex or HCG to men with low testosterone, low LH and FSH, and low sperm production? Thanks

  • Over suppression?

    I have a 2 failed ICSI cycles on the NHS and I had a 12 weeks prostap injection both times and on my last cycle I started stimming in the 10th week as well as 0.25 of buserelin so having double suppression I was on 450iu of menopur but still had only 2 viable embryos with poor quality eggs and some abnormal. Could being over suppressed have contributed to this?

  • Does Pulmonary Tuberculosis affect fertility?

    I am Sridevi, 32 yrs old and five years married. We have been trying to get pregnant for the past three years. Just to tell you a little about my health history - I had Pulmonary Tuberculosis at the age of 17 and suffered for 14 months, during which there was no menstrual cycle. However it returned to normal after I was treated for Tuberculosis. Today, my periods are very regular. After our first ...

  • Number of periods

    I underwent 6 yrs of infertility treatment. Does my number of periods in lifespan decrease?

  • No periods, weight loss and fertility

    I was told I had PCOS at a routine check when my periods stopped for 6 months. I was told to lose weight. Due to stress and other factors I gained weight. My periods have stopped. I only have one maybe every 3 years. My BMI is 38.5. My husband had his semen checked and the results were not good. only 3% normal. We have been TTC for 11 years. Is there any hope for us?

  • Is IVF the only option?

    I don't ovulate properly and as a result have been on clomid or 8 months with a pregnancy that ended in miscarriage at 6 weeks. My husband has no problems we have been referred for IVF? Is this our only treatment option?

  • High nUK cells

    I've now had 4 failed IVF cycles, with what appeared to have no issues, good response and eggs retrieval circa 16, with 50% fertilisation, 3 day good quality embryos however, no implantation. I have now had endometrial biopsy which has shown high nUK cells (5% normal, mine 16.7% !!) - so what next ? Should we try another IVF cycle or anything else before we start a new cycle?

  • Steroid Cycles with PCT clomid and Nolvadex

    I have done 4 steroid cycles with PCT clomid and Nolvadex. Everything was fine and I recovered pretty well but in the last cycle i didn't do so great. PCT so my semen volume is pretty low while libido is above normal .. I thought clomid would raise semen? I did three week clomid 50 mg but it didn't raise it up ... what should I do HMG?

  • High FSH levels

    My GP has said from blood results that I have FHS levels of 32. I am 38 years old and have been trying to concieve for one year. I have been told that I have Premature Ovarian Failure but wonder if it is Premature Ovarian Aging and if it would be possible to use my own eggs and if they would be of good enough quality. Menstrual cycle abnormal the last six months, no other signs of menaupause. No c...

  • Shortening Menstrual Cycle

    I'm 35 and have been trying to conceive 2nd child for 18 months, I have had 2 early miscarriages in that time. My cycles have been getting shorter and shorter gradually. They used to be around 28 days, but last two cycles have been 22 days. I ovulate around day 9 or 10. I've read this can been a sign of low egg quality, but my GP wants me to wait another 6 months before any testing. I'm worried I'...

  • Acupuncture

    I've heard acupuncture can have great results for people with fertility issues - can you recommend any clinics in Manchester or are you able to tell me any clinics which any of your patients have found useful?

  • What's the right test?

    I'm 23 and I've been trying for a baby for 2 years now and still no luck and I don't have the slightest idea what's wrong because I've conceived before but I was only 2 weeks and that didn't stay. What's the best test for me to find out what's wrong?

  • AMH results

    Im due to get my results tomorrow and getting conficting information on the web. What is classed as a good result?

  • High FSH with low AMH

    Hi, we have been investigated for infertility and have been informed that I have a high FSH of 18 and a low AMH of 1.9. On my husband's part he has got a relatively low sperm count and motility. We were recently told at the NHS appointment that the option of assisted conception will not yield anything and hence they could not offer anything. I have seen so many stories in relation to this and wou...

  • FSH 10.8?

    Hi there I have been trying to conceive for three years. Four months ago we were told our problem was male factor. My recent appointment with my NHS consultant said that it's not male problems, it's my fsh level (10.8... I'm 31yrs old, regular periods and believe im ovulating). My hsg and ultrasound came back fine but my doc wants me to have a lap (due to my having a section 11yrs ago). I'm worrie...

  • Unexplained Secondary Fertility

    I conceived my son, naturally, within a week or so of coming off the pill over 5 years ago. I have now been trying to conceive again for 4 years without success. We have had a failed IUI and 3 failed IVF attempts, and trying naturally in between. I have had many tests including a hysterosalpingogram and numerous blood tests. Nothing has shown a problem. I am also now using the DuoFertility mo...

  • Antisperm Antibodies

    I understand that antisperm antibodies reduce the chance of conception but if conception occurs can the antibodies cause a higher chance of miscarriage? Also at what percentage of antibodies does natural conception become virtually impossible? I have found it very difficult to find any reliable information on antisperm antibodies out there so any information is welcome! Thanks

  • Unexplained Infertility

    I have unexplained infertility, I am 25. I have been trying for 6 years and had a very bad experience on the NHS when they were investigating. I would now like to pay privately, what would be my best options?? Thank you

  • BMI and wanting treatment

    Hi Brian, I am currently 30 years old and have been trying for a baby for 6 years. I currently have a bmi of 36.5 and have lost 1 st 2 lbs so far. I desperatley want to get the ball rolling and have a fertility MOT and start treatment. I have been saving up and wanted to know if I managed to get my BMI under 35 would you review my case? Thanks, Mrs B

  • BMI and IVF treatment?

    I have a BMI of 37, can I still receive IVF from your clinic?

  • Unexplained infertility

    Hi I am 35 years, my husband 36 years old. We have one 7 year old son who was conceived naturally. We've been trying for 4 years now, one failed IVF due to ceased embroy on day three. So could not go through transfer, all results are good for both of us. What are the chances if we go for ICSI this time?

  • Conceiving naturally with low AMH

    I'm 32 and had an AMH test done in January '12. My result came back at 0.07. Is there any chance at all of us conceiving naturally? Thanks

  • Semen analysis

    Dear Brian, my partner has recently had results from semen analysis. It was his first test - and though volume and motility seemed to be fine, it showed abnormal forms of 100%. We asked for further detail but our GP could not give us any. Clearly this was very distressing - we have been told that another test needs to be done in a few weeks. Is there anything in the interim period that he should b...

  • Unexplained Infertility

    I'm 31 years old with a two year unexplained infertility. The only thing that was found from all the tests was that my husband's morphology rate was around 95% but was told that wouldn't stop me getting pregnant. What kind of treatment options would you recommend?

  • Blood tests for male infertility

    Hi Brian. I have performed two semen tests, both of which had a zero count, and I have been diagnosed with azoospermia. I have now had blood tests performed. What are the possible treatments post blood tests, and is it still possible that I will father my own child?

  • Steroids and sperm count?

    Hi, I have been on steroids for some time in the past and had a sperm count and it did not contain one living sperm. What can I do? I have had a daughter seven years ago. Thanks.

  • Egg Quality

    Shalom Dr Brian, l have regular periods and have no problem with ovulation. However after two failed attempts at IVF in Greece they tell me my problem is the quality of my eggs. My doctor tells me that l am only 30 years old so there's plenty time to keep trying and that they just have to keep changing the hormones they give to me in order to improve the quality. Could you please give me some advi...

  • Low sperm count?

    I have a low sperm count 5% motility. My wife is fine but 40 year old. What, if anything, can we do?

  • Minimum AMH level?

    What is the minimum AMH required for Fertility treatment?

  • Low sperm count

    I have a low sperm count and at 45 is there still hope?

  • Short luteal phase

    I have been using ovulation test kits and recording the days that I ovulate. I have found that I have a luteal phase of about 10 days. Is this likely to affect my fertility and if so is there any treatment I could try?

  • Fertility and getting older?

    I don’t want children yet but I’m worried about my fertility as I get older. What help can I get?

  • The Pill and its affect on fertility?

    Does previously being on the Pill affect my fertility?

  • Improving fertility? Is there a way?

    Is there a way I can improve my fertility?

  • Am I infertile?

    My GP says I need tests. Am I infertile?

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