Open Nav
Apply Online Now - Tell us about yourself Get Started

Ask The Expert - Medical Issues Questions

  • Fibroids

    Hi I am 37 and have uterine fibroids After trying to conceive for over two years we have been referred for ivf. We have been told that fibroids shouldn’t be an issue however on a previous occasion when my gynaecologist wanted to see my ovaries they couldn’t be seen on ultrasound both on the tummy and vaginal because of the fibroids so I needed a mri scan to confirm that my ovaries were fin...

  • Clomid and excessive bleeding

    Hi. I am patient at the clinic, with dr. Peter. I did had a question and call clinic, talked to the nurse but she couldnt help me. I am hoping that maybe dr. Peter or anybody else could because I am concerned and confused about it. Last time I seen dr. we agreed to wait for my next cycle to start clomid , injection and then iui treatment. It was June. On the 12/07 I finally started period but was ...

  • What is the best option for us?

    Hi, I hope you can help with this query. I'm not sure, but I feel that it may be an unusual issue and we are struggling to know who to turn to for advice. Due to physical issues that my husband suffers with, we are almost completely unable to have full intercourse. We are desperate to start a family but really struggling to get any help from our GP other than "quick fixes" which don't really prov...

  • Primary testicular failure - SSR?

    My husband has been diagnosed with primary testicular failure due to him having non obstructive azoospermia, low testosterone level (7.9nml) and high FSH level (22.3nml) . Is there any point in him going through SSR or should we just opt to using a donor?If SSR is still an option can you recommend which technique is most suitable.

  • Do treat post UFE ?

    Have recently underwent Uterious fibroid embolisation and am trying to get pregnant can you help?

  • High FSH Low AMH

    I am 37 years old and have been trying to conceive for about nine months. After visiting a fertility specialist, I found out I have high FSH (19) and low AMH (.3). The specialist has offered me three options - ovulation induction with insemination, IVF and donor egg. From all that I have been reading, my chances of conceiving with OI or IVF is slim to non. Advice?

  • Miscarriage

    I am 43 years old and have suffered five miscarriages since November 2013. I have had all my recurrent miscarriage tests done and they have all come back as normal. Two of the miscarriages resulted in a D&C and after these I did not have a period for six months each time. My AMH was tested at 1.0 and the consultant that I saw said that I was in peri-menopause because of my blood results (these w...

  • Do AMH levels predict menopause in PCOS women?

    Do AMH levels predict menopause in PCOS women? I am 37 years old and AMH is 9.41 ug/l and I suffer from PCOS.

  • BMI

    I am wondering, what would be the highest BMI that you would start treatments and investigations on? I currently have PCOS and am struggling to lose weight.

  • Isthmocele

    I have been told that I have an Isthmocele following my C-section. I had IVF for my first child. Would you recommend having this repaired prior to having another cycle of IVF?

  • PCOS & Egg Quality

    Can PCOS affect egg quality? Can the protocol affect egg quality? 17 were collected and 10 fertilised. However all eggs were poor quality and slow progressing. Only 1 made it to blasto and had moderate fragmentation. How can I improve egg quality or is it just luck of the draw?

  • What is BMI requirement for Clomid?

    My current BMI is 37. Would I be able to start Clomid with the fertility clinic due to PCOS?

  • Should I have a HSG test after an ectopic?

    I had an ectopic pregnancy in 2005 in my right tube. The tube was not removed and I had a salpingectomy. I am now 31 and my partner and I would like to start a family, however I am afraid of a repeat ectopic pregnancy. Is it wise it have a HSG test done prior to trying to conceive? I have read online that it not only confirms if your tubes are healthy but it also removes small blockages. I...

  • Low AMH

    Hi, I am 31 and been trying to conceive for 5 years. I have had one cancelled IVF as my AMH levels are very low - around 1, and the follicles were too small. My sister kindly donated an egg, she has two children, but her AMH levels were also low. One good quality egg was produced, however it didn't implant. I am unsure what to do now. Is there any chance of a natural pregnancy? Should I take DHEA ...

  • Miscarriage risk

    I have recently found out I am pregnant after first round of IVF. While so pleased I am so scared of losing this pregnancy. I am 39, what chance do I have? Also if I'm taking progesterone if I do miscarry will I have any symptoms?

  • Natural Killer Cells

    Do you offer NK cells testing and if so what is the cost?

  • Beyond frustrated, fluid in uterus

    I'm beyond devastated and frustrated. I've had 2 failed donor egg IVF cycles owed I think mostly to the fact that whenever I my endometrium is prepared I always get a large buildup of fluid which I know is really bad news. In addition to this my lining never gets very thick. In the last cycle it was just 7mm. I have Turners Syndrome so doing a natural cycle isn't an option. I have been taking Prem...

  • I wonder if my own eggs are working?

    About 10 years ago I had Leukaemia, I had chemotherapy and a full body radiotherapy for bone marrow – all went well, had a few ups and downs but was successfully in remission. Because I had the radiotherapy it affected my eggs which meant three years ago we had to go through an IVF cycle (using donor egg and husband's sperm) which was successful and we were blessed with gorgeous twin boys. Since...

  • Low AMH

    I recently went to a fertility specialist. My AMH was 0.8 and AFL scan showed 6. He recommended that I freeze my eggs straight away as I'm also 40 and Asian. This has blown me away a bit. Does this mean that I have very low chances?

  • Endo scratch

    I've been tic for two years with four failed IVF cycles. After the last one, I had a number of tests just to ascertain why. Came up with hyperthyroidism and began treatment on 5mg Carbimazole. I've always had a regular period but my last period didn't come and no pregnancy symptoms. Did several hpt and they were negative. Went to hospital on June 11. Did blood test and scan and all negative. June ...

  • Management of Herpes during IVF

    I'm trying to get some information on the management of genital herpes during IVF. I used to have regular (monthly) severe outbreaks which have totally abated with the use of prophylactic Aciclovir (400mg). I'm anxious about discontinuing this and getting outbreaks during IVF treatment which is very, very likely to happen, but wonder whether continued use of Aciclovir throughout the cycle will red...

  • Failed IVF twice with very low quality eggs

    I have been failed twice with IVF. I had 3 eggs collected first time and 5 eggs second time. I am a 28 year old women. I have a undiagnosed PCOS. I never have periods of my own as I need to take medicine to have a monthly cycle or wait 4 to 5 month for my own. I had two time Laproscopy including ovarian drilling. I am losing hope now as I have been receiving treatment for the last 4 years via NHS....

  • Miscarriage

    I am 38 and TTC for four years. In between I have had two miscarriages. I have regular clockwork periods. I have had blood tests checking my ovulation and it came back normal. I went to a fertility clinic at the hospital and was told to lose 7 stone. I am possibly 2 stone overweight. I was also informed I may of may not get Clomid after 7 stone weight loss and also will not be immediately referre...

  • Ectopic pregnancy and low AMH

    I had an ectopic pregnancy at the end of 2014, following a year TTC. Following normal hormone results around a year ago I have now been told I have very low AMH (1.53) and high FSH (19). I am 33 and have regular periods. Is IVF an option? Should I be taking DHEA and if so how much?

  • Female sterilization

    I was sterilized four years ago in March using fishle clips. What options are available to me with regards to IVF or IUI?

  • Sterilization

    Did the tubal ligation a year ago, now I'm in a new relationship and would like to get pregnant again, but do not want to make the reversal of tubal ligation. Is there any way for me to get pregnant again without making the reversal of the tubes?

  • Very low AMH

    I am 37.5 years old, single and now live in Docklands in London. A couple of weeks ago I was in Greece and went for some blood tests. When I received the results, the Greek doctors told me that my AMH is too low, which means that I do not produce eggs and therefore I will never have my own children. Could you please tell me if there is any chance that the result for AMH was wrong? Can I repea...

  • Hypogonadism

    Hi! I am hoping to begin fertility treatment and was wondering if it's possible with my condition of Hypogonadism, and what can I do to maximise my chances?

  • Endometriosis

    Is there any research in the success of IVF or IUI following removal of over severe Endometriosis? I also have a low AMH level of 15.9 and am concerned and confused about the way to move forward. We've not yet had the opportunity to try for children due to my health problems but I am only 32 so any advice would be useful.

  • Husband is diabetic?

    Hello, I am 34 and my husband is 36 with diabetes. He uses insulin. His diabetes is not in control and sometimes is as low as 30. I have been trying to conceive for two years now. Had IVF in October 2013 but THT also failed. I am extremely worried. Please help. What should I do?

  • DHEA Supplementation with HRT

    I am taking a low dose HRT after being diagnosed as having POF/POA - I would like to try DHEA supplementation but should this be taken as well as HRT or instead of?

  • DHEA sure good for conception?

    I have tried three cycles of IUI, with sperm count each time being 24-26 million /ml and count of 30 million to 35 million. My husband was asked to take fertility tablets before these treatments but couldn't see any increase. Surgeons say my ovaries may have layers of thin cyst which can't be seen in ultrasound so they laparoscopy to clean them. Also prolactin is high (26) for which another do...

  • Sickle cell

    I have PCOS and my husband and I are both Sickle cell carriers. We are planning on having a baby soon and are keen to explore what available treatment is best for us, to ensure we get pregnant and importantly have a healthy child without sickle cell. Please advise on the availability of treatments, and duration.

  • Infertility with tube problems?

    Is it possible to fall pregnant if H.S.G. Xray is showing "no left tube identified" due to previous ectopic pregnancy and also showing "terminal large hydrosalpinx" on the right tube? Thanks

  • Questions about Clomid

    I am 28 years old, married for three years and I had a miscarriage after two months of my marriage. I tried Clomid 50mg after two months of my abortion for five days and I became pregnant. I gave birth to my daughter and after one year I tried Clomid again but with 100mg for three days and I also became pregnant. The problem is that my last pregnancy was an ectopic entered surgery without removing...

  • Tubal Surgery

    I've recently been in for a Laparoscopy after two failed attempts of IVF. During my second cycle of IVF they found my tubes had a blockage which they thought was a hydrosalphinx but only very small and in one tube. Following this I had my Lap in which my new Gynae found I had cysts in both tubes which he has drained and stretched my tubes wider. They have put me on Folic Acid and said it should be...

  • Panhypopituitarism

    My husband has been diagnosed with panhypopituitarism and has low LH and FSH. We desperately would like a baby and wondered if there was any treatment for it. Would there be any treatments we could go for and what would be the best option please?

  • Retrograde ejaculation

    Do you treat retrograde ejaculation? My partner suffers from this condition, what could be done by your Hospital? Also I am currently under the NHS and have just had a failed 2nd cycle. I have one attempt left, how easy would it be to get transferred over to you?

  • IVF after four c-sections?

    I am 31 and have had 4 non-complicated c-sections, the 1st May 2002 and the last being May 2011 and was sterlilised Nov 2011 as I thought at the time it was what I wanted, me & my husband would now like to add to our family. Would this be possible through IVF?

  • Anti depressants and fertility?

    If a man takes anti depressants (SSRI like prozac) or a herbal alternative (St Johns Wort) can this effect/damage his fertility? Could this cause any abnormalities (mental or physical) to any child fathered by a man on these medications?

  • PCOS and Autism

    I have heard there is a link between PCOS and autism. Is there any way to prevent this? Can a mother with PCOS do certain things to ensure that her unborn child does not risk being born with austim?

  • PCOS and Insulin

    Can PCOS be reversed? Do all women with PCOS produce too much insulin? Do all women with PCOS go on to develop diabeties in later life?

  • Low-quality embryos and poor fertilisation rate

    My husband and I recently completed an unsuccessful cycle of ICSi, our first. We were told our icsi was 'difficult' and that the fertilisation rate (4 out of 11 mature eggs) was poor. Subsequently we had a three day transfer of two poor quality embryos (6 and 7 cell with quite a bit of fragmentation). We were told at transfer that if it failed and we wanted to try again that my husband who has sev...

  • PCOS

    I wanted to know if there is a link between PCOS and Austism/Aspergers in a unborn child. Is there a higher chance of conceiving a baby with Austism in women suffering with PCOS because of the insulin resistance and excess production of male horomones?

  • Investigations!

    Hi, this is a bit long winded but, I had a molar pregnancy 20 yrs ago when I was 15, then 5 yrs after that I had an ectopic pregnancy and had my right tube removed, then another three years after that another ectopic in other tube that was also removed. After the second one I was told these was due to clymida! I have no tubes at all so told IVF is the only way of conceiving. We have now had four I...

  • No uterus and no ovaries

    I'm 48 years old and have been married for seven years now. I have no uterus and no ovaries following an operation to remove them. Is it possible to have IVF and would any infertility treatments be good for me? Thank you.

  • Becoming pregnant after a sterilisation

    I am 32 and I was sterilised in 2005. I have two children already. My husband and I though have no children and would love one. How do we go about this? What process is more successful? What are the costs?

  • Low AMH problem

    I am 37 years old and have been trying for a baby for about seven years now. I've had two miscarriages - one in 2008 and the other in 2011. My Amh is 0.5. What can I do?

  • IVF after sterilisation?

    I was sterilised 10 years ago whilst having a c section with my fourth child (2nd c section). Would it be possible to have IVF?

  • Vasectomy Reversal

    My husband had a vasectomy reversal last year. Unfortunately after a recent semen analysis there is no sperm present. I'm a 31 year old and am healthy with a 5 year old concieved with my husband. What procedure would be right for us to assist with conceiving?

  • HSG test

    I had Pelvic Inflammatory Disease approx 10 yrs ago and I'm now trying to get pregnant. Do you offer the HSG test to check my fallopian tubes have not been damaged by scar tissue? Thank you, Helena (35yrs).

  • Severe adhesions

    Hi there please can you advise us. I'm 31 years old a recent laproscopy showed adhesions that have plastered my tubes on top of my ovaries therefore preventing egg capture. I have an 11yr old from previous relationship that resulted in emcs. My consultant has reccommended a laparotomy to remove these adhesions. Is there a good success rate with this surgery? Will I be able to concieve naturally? I...

  • Uterine Polyps

    I have recently been diagnosed with a polypited uterine and have undergone a hysteroscopy, polypectomy and biopsy to remove some of the larger masses however the smaller polyps still remain and my consultant voiced some concerns regarding my uterine lining. Is there anything that you would recommend that may assist with correcting the lining of my uterus. Or should we start considering surrogacy?

  • Severe adhesions

    Hi please can you help me, I've been trying for 3yrs. Sperm test ok, hsg and ultrasound clear, my recent lap my doctor was unable to give me any treatment due to the severity of adhesions (I think from my emcs 11yrs ago). My doctor said my tubes are clear but my ovaries and tubes are in the wrong place. I'll be having surgery soon to fix this. What is the name of this surgery (I know he is going i...

  • Clomid and ovarian cyst

    I have PCOS and a larger 3cm simple cyst (along with several much smaller). I do not seem to be ovulating and would like to try clomid. I have had all other relevant investigations and so has my partner. I have heard that clomid cannot be given with cysts and am wondering if a 3cm cyst will be a problem or if I can try clomid with monitoring? Thanks.

  • Trying for three years...

    Hi there, we have been trying for 3yrs, hsg clear, ultrasound fine, bloods fine, sperm fine, regular periods and ovulation. As I had an emergency section years ago my gyne is giving me a laproscopy. I'm not eligable for IVF, could my lap result in pregnancy? Regards

  • PCOS and IVF

    Hi I have PCOS and low egg reserve I plan on having IVF in July do you think I should ask my doctor for metformin to improve my chances of pregnancy. Also could it lower the risk of ohs? Thanks

  • ICSI and defect rates?

    We have been treated through MFS and are currently pregnant (very early days!). We have just read an article that ICSI treatments result in 10% defect rates. Is this a treatment practised by MFS?

  • What type of treatment would I be looking for

    I am 28 year old women whom has bmi of 37.5 i have pcos and have been trying for a baby for 7 years what kind of treatment would I be looking for and how much would it roughly cost me?

  • Fostimon Injections

    I have always had irregular periods and have been recently diganosed with PCOS. I tend to have a period every three months. I wanted to know if I actually release an egg when I have my period? Also, I have had 5 cycles of clomid and took 150mg at the highest dose. I did not respond well to clomid, I produced a 19mm follicule once whilst on clomid but did not fall pregnant. I have now been advise...

  • Adhesions

    What are adhesions to the fallopian tubes and how can they prevent a pregnancy?

  • IVF after sterilisation

    Hi, I have had 4 caesarian sections, I was sterilised, I've now been in a new relationship for over three years and he has no children of his own. We wish to have a baby together, would I be considered for IVF?

  • Both have been sterilised?

    Hello Brian, could you please tell me if it's possible for me and my partner to recieve treatment and what nature of treatment this would be to start a family, as both concerned parties have been sterilised?

  • Blighted ovum

    How often does a blighted ovum occur in case of IVF? What are the causes and how can it be prevented? Doctors told us that husband suffers from severe Azoospermia... (low count, low morphology, low motility)

  • Chlomid

    Dear Professor Brian, I have been trying to get pregnant for 12 months with no success, if I were to take Chlomid 'before' having diagnostic tests such as hysteroscopy etc, would the medication cause any harm if my tubes were blocked? (therefore no point in taking chlomid) I know I should only take prescribed medication by a Consultant but Chlomid is available over the internet, it has worked for ...

  • Moderate Dyskaryosis?

    What is the policy/procedure for commencing IUI treatment with a mild dyskaryosis smear result? My subsequent colposcopy showed a small area of moderate dyskaryosis. The gynaecologist recommended no treatment of this until I had my family. Would I still be able to start treatment at your clinic with these results?

  • Endometriosis

    I have severe endometriosis with no symptoms. I am 29 now and want to get IVF done. No blockage of tubes. FSH and Estradiol are all normal. Do you think IVF will work for me the first time?

  • Embryo screening?

    Hi, I am 41 and was wondering if the embryos you choose for transplantation are screened for chromosomal abnormalities e.g. Downs?

  • Endometriosis

    Are there any treatments that can be used to prevent the negative effects of endometriosis on outcomes to IVF treatment? I've seen a couple of articles about low dose aspirin and wonder what the current evidence/your opinion is on using this to improve success rates?

  • Medical issues, please help!

    Hello Professor Brian. I'm 40 years old, my cycle has become irregular in the last two years. Over the last two months I have started to feel mild hot flashes only at night and I need the toilet 3 to 4 times but no hurry or incontinence, while during the day I'm fine. Recently I have whitish, itchy vaginal discharge and I pass lots of wind. I have not seen my cycle for two months now. Are these me...

  • Low ovarian reserve

    Hello Professor, I came to you approximately 7 years ago and was advised to adopt due to my blocked tubes, high fsh levels and low ovarian reserve. I am now in my forties and following tubal surgery became pregnant without any clomid/drugs just over a year ago. Can you tell me if you can use the eggs I produce naturally (without any drugs), and then just try IVF this way? Sofia.

  • After sterilisation, is IVF the best option?

    Hi, I am 32 years of age and have been sterilised for nearly 12 years. Is IVF treatment my best option?

  • Polycystic ovaries and miscarriage

    Hi, I have been told that I have polycystic ovaries (although I do not have PCOS). I had an ectopic pregnancy in 2008 (age 36) and then the tube was removed, I went on to have 2 missed miscarriages (natural conception) at approx 6 weeks (aged 36 & 38). Following the first miscarriage I had 4 lots of IVF (not at MFS), 1 fresh cycle (abandoned due to moderate OHSS), 1 stimulated frozen, 1 natural fr...

  • Low AMH - what are my chances of conceiving?

    I have low AMH 1.82. Please can you advise if IVF would be a possibility and if so, what are my chances of conceiving? Thanks in advance.

  • Tubal Ligation - Can I have IVF?

    I have had tubal ligation and now with a new partner. I will be 40 in a couple of months. Can I have IVF?

  • Persistant Adult Acne cleared when on Oestrogen (but no PCOS?)

    I have been plagued by Acne all my adult life, physically have the appearance of someone with PCOS but all tests have ruled it out (and no PCO reactions during IVF). I also have long cycles and do not always ovulate. During a recent frozen egg transfer cycle I was put on HRT and my acne cleared up! I am presuming that this may indicate that I have low/poor oestrogen levels. Could low oestrogen lev...

  • Endometriosis

    I have stage 4 endometriosis, is there any history of IVF success with patients who have this condition?

  • Polycystic ovaries... Another IVF treatment?

    I have polycystic ovaries. One IVF treatment ended in 23weeks miscarriage in 2008. Then three more unsuccesful IVF without conception. I am 32 . Should I opt for another IVF?

  • AMH

    Would clomid affect the results of an AMH test?

  • Cerebral Palsy

    I've got cerebral palsy. Would that stop me from freezing my sperm or donating?

  • What is the long time side effect for the use of steroid?

    I have been on prednisolone for 15 years. I haven't been able to father a child since I got married in 2005. Does that mean I am infertile?

  • Help! Chemotherapy and having treatment

    I'm having chemo for cancer and hormone tablets and I want a baby after but will be 44 years old. What treatment will be best for me if it brings on the menopause?

  • PCOS!

    Hello, I am 27 years old and have been trying for a baby with my husband for four years with no success. I have PCOS which is mainly down to not conceiving, will ICSI help me?

  • Fallopian Tubes Blocked

    I am due to have a lap dye procedure and consultant has said if my tubes are blocked or damaged they will remove them whilst they are doing this procedure. I am very confused and do not know whether to cancel as if my tubes are removed then my only option ever is IVF and I can only afford one treatment. Can IVF work without having my tubes removed?

  • Bilateral tubal occlusion with a right hydrosalpinx

    Hi Brian, I've been diagnosed with Bilateral tubal occlusion with a right hydrosalpinx. I've read that having a hydrosalpinx can cause problems with IVF. Have you had success patients with this diagnosis or do you recommend having surgery first? Thanks

  • Is there any chance left?

    I lost a baby at 27 weeks of pregnancy because of an infection on 2009. After that I had metroragy for about 5 months (August to December 2010) when I found out that I have an uterine arterio-veinous malformation for which I suffered an aembolisation on December 2011. Now I stopped a stimulation treatment because my eggs do not grow enough - the biggest is of 5,9 mm, the other is 4,5 mm and my do...

  • Premature Ovarian Failure

    What treatment options are there for premature ovarian failiure? I've not had any periods for 8 years and am desperate to get pregnant.

  • Vaginiusumus

    I suffer from vaginasmus and desperately want to start a family. Is there any possible treatment where I can be knocked out to allow the IUI process to work?

Back to ‘Ask the Expert’ index

Search the archives