Age, Fertility, and Donor Eggs

by Susan Trout, MD February 19, 2011 No Comments

Unfortunately, there really is such a thing as a biological clock. A woman’s fertility is directly linked to the number and quality of the eggs in her ovaries, which declines as we get older. Unlike men, who make new sperm all the time, women were born with all the eggs they are ever going to […]


In Vitro Fertilization

by Susan Trout, MD February 17, 2011 No Comments

IVF is the procedure in which eggs are taken out of the ovaries, fertilized in the lab, and then some of the resulting embryos are placed back into the uterus. It has the best pregnancy rates of all of the fertility treatments, and it is the most expensive. It can be done with a woman’s […]



by Susan Trout, MD February 16, 2011 No Comments

The term “injectables” refers to a group of fertility medications called gonadotropins. They are given by injection, of course. These medications either have FSH or FSH and LH in them. FSH and LH are the two hormones the pituitary makes to get the ovaries to mature eggs and get them ready for ovulation. In a […]



by Susan Trout, MD February 15, 2011 No Comments

Clomid (or clomiphene citrate) is one of the main fertility medications used in this country. It is a pill, and it is usually given for 5 days near the beginning of the cycle. It’s simple to take and inexpensive. Check with your local pharmacy, but it now one of Target, Sam’s Club, and Walmart’s $9 […]


A Male Side to Infertility

by Susan Trout, MD February 14, 2011 No Comments

When you look at couple having trouble conceiving, about 30% have a female issue, 30% have a male issue, 30% have both male and female issues, and 10% are unexplained. So that means that there is a sperm problem in 60% of couples who are struggling with infertility. That is why we always look at […]


Blocked Fallopian Tubes

by Susan Trout, MD February 13, 2011 6 Comments

Fallopian tubes can become blocked without you knowing or feeling it. Women with blocked tubes still ovulate and get their periods. Although sometimes blocked tubes can cause pain, usually you can’t feel it at all. Therefore your doctor will need to order a test, if you want to find out whether your tubes are blocked. […]


Not Ovulating?

by Susan Trout, MD February 12, 2011 No Comments

There are lots of reasons why a woman wouldn’t ovulate, but let’s take a step backwards and try and determine whether you are ovulating or not. If your periods do not come at all, or they are more than 40 days apart, then there is a very good chance that you are not ovulating. There […]


Do I Need to See a Doctor? What will happen if I do?

by Susan Trout, MD February 11, 2011 No Comments

Are you wondering whether it might be time to talk to a doctor about your fertility? Do you know who to talk to? These are questions I get asked a lot. The answers vary depending on your situation. If you have been trying to conceive for more than a year without any success, it’s time […]


My Journey Continued: The End

by Susan Trout, MD February 8, 2011 No Comments

I finally got to do my IVF cycle a little over 3 years after I had first started trying to conceive. The stimulation phase with the injectable medication went well. It looked like I was making lots of follicles and my estrogen levels were nice and high! I felt great on the new medication. No […]

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