The question
I had my first egg donor transfer at 43 years old and it was successful. Had a c-section with no complications. Now I am 47 years old and wanted to try once more. This time I have had 4 transfer cycles canceled because my endometrium will not get above 6mm. I had an ultrasound at my OBGYN and it showed no polyps or fibroids. I have been having hot flashes for 6 months and am probably in menopause. My body is naturally making very little estrogen. My level was 8.8 back in October. During the past cycle attempts, I was given 2mg estradiol 3 times daily with an added estradiol pill vaginally every 3rd night. I asked the doctors about Viagra. One doctor recommended 50 mg every other night another doctor recommended 25mg 4 times daily with an estradiol vaginal pill every day. I have been doing yoga and fertility massages in case it could be a blood flow issue. Also taking vitamin E supplements. What would be your recommendation? Also, do you believe in acupuncture? Thanks- Alicia
Answer from Dr. Geoffrey Sher
It is possible that with established menopause, the chronically low estradiol has suppressed endometrial estrogen receptors, rendering the lining refractory to short-term estrogen stimulation.
In my opinion you s might try a few months of cyclical estrogen/progesterone therapy to try and prime the endometrium (reawaken estrogen receptor response). I have seen this work in many cases such as yours.
Feel free to call my assistant, Patti Converse at 702-533-2681 and set up an online consultation with me to discuss.
Geoff Sher
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ADDITIONAL INFORMATION:
I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure:
1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “
http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link
https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
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General information only, not medical advice for your own situation. For that, book a consultation.