I really think that most doctors are actually afraid of shots. I remember as a Duke medical student the scene during my first year when we were all lined up to get our hepatitis vaccines….what a bunch of weenies. Boy, we were shaking in our boots over a stupid little shot. Of course, now I am on the other side of the needle.So why do we use the barbaric progesterone in oil shots after IVF or for an FET or donor egg cycle? Honestly, there is no really satisfactory answer. We know that progesterone suppositories work as well and yet we have a hard...
lundi 26 novembre 2007
jeudi 15 novembre 2007
Medical terminology can really give patients fits and no where is this more apparent than in the distinctions between hysterosalpingogram (HSG), hysteroscopy (HSC) and hysterosonogram (H2O sono or water sono). In fact, these three tests are very different although similar information can be gleaned from them depending upon the clinical situation. Taking an accurate medical history is so very important. We ask our patients to recount specific details...
mercredi 14 novembre 2007
Patients end up seeing a Reproductive Endocrinologist as a result of a multitude of factors. Some are referred by friends and co-workers. Some are sent by their primary care provider or by their Ob/Gyn. Many are self-referred and end up seeing us because of advertising, the internet or because they read this fantastic book titled “100 Questions and Answers about Infertility.” Actually, I have yet to see a patient who came running to see me because of the book, but you never know what will happen once Oprah makes it a selection for her Book Club....
lundi 12 novembre 2007
What is the problem? That question is at the heart of most of our initial consultations and yet sometimes even after extensive testing we still are not sure why a couple is infertile. Overall, it is important to remember that infertility is a disease of couples. Often the male partner is less than enthusiastic about his role in the testing process but more than half the time male factor infertility plays a role in the couple’s situation. I always...
jeudi 8 novembre 2007
Older brothers can certainly torment younger ones a great deal. My brother Steven is a typical middle child. As my eldest brother (and my protector in the family), Mike, always wanted to be like our surgeon father, it fell to Steve to be the “black sheep/bad boy” of the family. Part of this mission was to torture his younger, spoiled brother…yours truly. His favorite means of torture was psychological, although physical brutality, such as making...
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