Comments on IVF Authority: Ovarian Cysts and IVF

Dear Doctor Sher I am on my third cycle of clomid ...

2010-03-18T17:53:41.374-07:00

Dear Doctor Sher
I am on my third cycle of clomid with HCG trigger shot and IUI. My baseline ultrasound showed 3 cm ovarian cyst and my estradiol level was slighlty elevated (109). I was told that everything looked ok for me to start clomid. Is it safe to start clomid with a 3cm ovarian cyst? I'm afraid that it may cause it to grow and I do not want any complications.

I would greatly appreciate any insight.

Joanne

Thank you kindly, There is an article on this blo...

2009-12-02T08:25:27.723-08:00

Thank you kindly,

There is an article on this blog on "Tubal Reversal"

Geoff Sher

I presented with an ovarian cyst on Day 2 of what ...

2009-11-17T19:06:33.468-08:00

I presented with an ovarian cyst on Day 2 of what was suppossed to be the 3rd month of meds for an IVF. The previous month I aimed for IVF and was shocked to get the call 2 days before retrieval that I was being converted to IUI, due to "only 4-5 mature follicles b/t 16-20" and considered not ideal for a 40 yo, secondary infertility patient. I am now at 33 days with no period (I am religiously a 28 day cycle) and half hoping I am pregnant and now wondering if the cyst has grown after reading your article. The only time I have been late is when I am pregnant... but is it possible this cyst kept growing and is delaying menstration even though the pain subsided weeks ago?

Its of course your call but all you need is 1 mont...

2009-10-27T16:16:53.773-07:00

Its of course your call but all you need is 1 month regular cycle between.

Good luck!

Geoff Sher

Thank you, Dr. Sher. I do have endometriosis whi...

2009-10-27T15:57:01.957-07:00

Thank you, Dr. Sher.

I do have endometriosis which I know causes a higher chance of ectopic in natural cycles.

I suppose it was my doctor's questioning because of the location, though he said it could be possible.

Many people say that I should be positive as this indicates that I can get pregnant, well I can assure you that is the last thing I am feeling.

Time to take a break. My RE also concurs that I need to take some time to heal,etc and then take the next step.

How soon after ectopic pregnancies do you recommend your patients wait to TTC (either naturally or with IVF).

Thank you again, you are so gracious to answer all of our questions and to give us a little piece of mind!

This is most likely ther consequence of IVF. Howev...

2009-10-27T15:49:24.427-07:00

This is most likely ther consequence of IVF. However, it happens 1: 30 IVFF pregnancies and is not due to a "mistake" or "an error". It is unavoidable. In fact the chance of this happening again remains 1:30, following IVF.

The prolonged period of bleeding before onset of pain is also quite expected and has no special significance.

Good luck!

Geoff Sher

Update and help: I went in and it they repeated m...

2009-10-27T15:04:58.372-07:00

Update and help:

I went in and it they repeated my BCHG and checked my hemoglobins and did a vaginal ultrasound. The Beta turned out positive-over 700! You can imagine my surprise and concern. I had had a negative Beta and a 7 day heavy period.

I ended up having laparascopy and they found the pregnancy (is it called fetus in this case?) in the tube, close to my ovary.

My doctor cannot be sure if the ectopic pregnancy was a result of the IVF or if it occurred naturally due to the location. It is very rare, according to your ART book, to even have IVF result in an ectopic, especially in that portion of the tube.

I need an answer, but fear that I will never get it. My RE is highly skilled, but error is possible.

How can my long and heavy period be explained prior to the pain that I had.

Sorry, so many questions, but this was shocking to say the least!

Indeed. It sounds like you have another cyst or an...

2009-10-22T11:50:41.775-07:00

Indeed. It sounds like you have another cyst or an endometrioma is developing on that ovary. Have it see to ASAP.

Good luck!

Geoff Sher

I have recently posted regarding OHSS and a failed...

2009-10-22T11:20:35.047-07:00

I have recently posted regarding OHSS and a failed IVF.

I underwent ER 24 days ago and ET 22 days ago. I had a negative Beta 9 days ago and have had a very heavy menstrual cycle since that same day that lasted for 7 days.

The reason for my question is the following: since last night (day 9 of my cycle) I have been experiencing a strong pain on my right side (ovary and Fallopian tube). I have also started will dark-brown spotting today.

The pain is getting worse and I fear that I may have a cyst.I have had a functional cyst in the past on my right ovary, though I never felt any pain; it was detected via ultrasound and disappeared after a few months.

I have endometriosis and usually experience painful periods, yet ironically, this last cycle after IVF had little to no pain. This pain is distinct and I don't know if I should go to see my specialist or see if the pain dissipates. Any ideas on what this could be?

Thanks as always!