Q&A With Our Experts

Get smart about your fertility. We've assembled a group of fertility-savvy health care practitioners to help.

Q&As

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Clomiphene (Clomid) and letrozole (Femara) are both medications that help induce ovulation. Clomiphene has been around longer and has been developed specifically for fertility treatment. Clomiphene…
Clomid remains in the body for a long period of time after taking the last dose. It takes five days for half of the drug to be eliminated. This is often referred to as the drug’s half-life or…
Implantation refers to the process where a fertilized egg becomes embedded in the uterine wall. This is considered to be the starting point of a pregnancy. To get a good understanding about the time…
Before we get on to the answer, let's first understand what pre-ejaculatory fluid is and what its function is. What is pre-ejaculatory fluid? Pre-ejaculatory fluid is also known as pre-ejaculate,…
When an egg is fertilized by sperm, an embryo is produced. This embryo travels to the uterus where it burrows into the uterine wall where it will receive nourishment from blood and oxygen. This…
Before we get on to the question, let’s run through what ovulation is and what ovulation predictor kits are. What is Ovulation? The process by which one egg (or more) is released from your…
The lifespan of sperm inside a woman’s body depends on the sperm itself as well as the surrounding environmental factors. A healthy adult male releases around 60 to 100 million sperm in a…
It is not unusual for a patient at her last obstetrics ultrasound visit to ask me when she can come back for another baby. My answer is to make this pregnancy and this baby your priority for at least…
Because of age-related changes in fertility, the number of embryos transferred is directly related to the age of the mother or egg donor. There is a balance to strike between achieving a pregnancy…
Experiencing infertility or loss is hard enough without the reminders and triggers that seem to exist everywhere. If Facebook is pretty sure that you want to see endless parenting-related ads and…
Hormonal testing that is part of a typical fertility evaluation includes screening for thyroid dysfunction. Overactive or underactive thyroid function can lead to issues with fertility and increased…
Answered by: Dr. Lora Shahine
Infertility and Miscarriage Specialist
These are my thoughts on the topic: There is still so much we need to learn about reproduction, and it can be so frustrating when all the testing is “normal,” but you are still not…
Answered by: Dr. Lora Shahine
Infertility and Miscarriage Specialist
The Hysterosalpingogram or (HSG) is an essential tool for evaluating fertility. Hystero (uterus) salpingo (tube) gram (study) is a test to evaluate not only whether the fallopian tubes are blocked or…
Answered by: Dr. Lora Shahine
Infertility and Miscarriage Specialist
Pros of a Day 5 Blastocyst Transfer By leaving the embryos in the lab until Day 5, the embryologist is better able to choose the better quality ones, which will provide a higher implantation rate…
The easy answer to this question: the best embryos are chosen! There are a number of factors that determine which embryos are deemed best. On any given day of culture, the embryos are expected to…
Embryo transfer can be carried out on any day of development, although most clinics do so on either day 3 or day 5 of development. The primary benefit of growing the embryos in the lab as long as…
A common question asked is, “Will my embryos fall out?” The answer is no, they will not fall out. Perhaps you are thinking of textbook illustrations that show uterine cavities as big open…
Recurrent miscarriage is one of the most frustrating problems that I see in my practice. The chance of a miscarriage in women less than age 30 is about 10%, but it goes up to about one in three or up…
Answered by: Dr. Mark Trolice
Infertility Specialist & Author
It's common for patients to be confused whenever I talk about IUI or IVF. These are the alphabet soup terms in the field of reproductive endocrinology. Intrauterine insemination (IUI) is when a…
Answered by: Dr. Mark Trolice
Infertility Specialist & Author
It is quite common for patients to ask if a frozen embryo transfer (FET) is likely to be more successful than a fresh embryo transfer. In medical literature, studies have shown that frozen embryo…
Answered by: Dr. Mark Trolice
Infertility Specialist & Author
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