The following transcript is from an online chat hosted by the American Fertility Association on March 18, 2008.
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[Tue Mar 18 16:55:59 PDT 2008] |
Corey_Whelan |
wow! Welcome to all of our early birds! I see Dr. Lavy is here as well. Hi all. I’m Corey Whelan, The AFA’s Director of Development and your chat moderator tonight. I am very pleased to introduce Dr. Gad Lavy of the New England Fertility Institute. We officially start in around five minutes, but please feel free to post an early question. Welcome everyone! |
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[Tue Mar 18 16:56:33 PDT 2008] |
Corey_Whelan |
While we are getting started, I wanted to mention that The AFA’s Family Matters Conference has been booked for Sunday, October 5th at Steiner Studios in New York. Please be sure to save the date! |
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[Tue Mar 18 16:57:17 PDT 2008] |
glavy |
Welcome Everyone Endometrial activation was discovered serendipitously when endometrial biopsies were performed prior to an IVF cycle. The success in cycles following the biopsies were higher. This led to some additional research that has confirmed the original findings. The exact mechanism of endometrial activation is not entirely clear. |
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[Tue Mar 18 16:57:55 PDT 2008] |
Corey_Whelan |
Dr. Lavy, can you explain what endometrial activation is exactly? |
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[Tue Mar 18 16:58:47 PDT 2008] |
glavy |
Creating a small area of injury activates certain proteins in the endometrium that are apparently essential for implantation |
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[Tue Mar 18 16:58:56 PDT 2008] |
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[Tue Mar 18 16:59:10 PDT 2008] |
mwelch |
Dr. Lavy is endometrial activation currently being utilized in fertility programs in the United States, as the research was originally done in Israel. |
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[Tue Mar 18 16:59:16 PDT 2008] |
Corey_Whelan |
Hi Patty. We are just getting started. |
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[Tue Mar 18 16:59:47 PDT 2008] |
glavy |
The original study was done to evaluate the endometirium of women whose IVF cycles were not sucesssful |
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[Tue Mar 18 17:00:24 PDT 2008] |
glavy |
The original studies were performed in Israel at the Weitzman Institute of Science. The team was led by Dr. Nava Dekel. |
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[Tue Mar 18 17:01:05 PDT 2008] |
glavy |
Following the original biopsy the women had undergone another IVF cycle and most of them conceived. |
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[Tue Mar 18 17:01:24 PDT 2008] |
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[Tue Mar 18 17:01:45 PDT 2008] |
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[Tue Mar 18 17:01:49 PDT 2008] |
mwelch |
If a patient elects this procedures, at what point is it done in the IVF cycle. . In other words how long between biopsy and transfer. |
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[Tue Mar 18 17:01:51 PDT 2008] |
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[Tue Mar 18 17:01:51 PDT 2008] |
Corey_Whelan |
Hi Penny, welcome to our chat with Dr. Gad Lavy. To see the transcript so far, just click on the action button. Ditto sb. |
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[Tue Mar 18 17:02:07 PDT 2008] |
Corey_Whelan |
Hi Rackie |
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[Tue Mar 18 17:02:55 PDT 2008] |
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[Tue Mar 18 17:03:22 PDT 2008] |
Corey_Whelan |
Hi Toni, welcome. Everyone please feel free to post your questions. |
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[Tue Mar 18 17:03:30 PDT 2008] |
glavy |
The biopsy is generally done in the luteal phase of the cycle preceding the IVF cycle. We have experimented with doing the biopsies several days prior to the transfer and have also observed excellent results in poor prognosis patients |
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[Tue Mar 18 17:04:37 PDT 2008] |
Corey_Whelan To[Private] mwelch |
Hi Marion. Some of the others are starting to post questions, why don’t you hold back for a few minutes. |
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[Tue Mar 18 17:05:24 PDT 2008] |
sb10847 |
Is is just a strait forward biopsy?—what does this “activate” per se?- I am fascinated by the autoimmune/cytokine issues with the endometrium and transplantation—I have had a biopsy done in conjunction with co-culture |
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[Tue Mar 18 17:05:55 PDT 2008] |
mwelch To[Private] Corey_Whelan |
Just getting ready when it gets slow. I am so excited about this new technology. |
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[Tue Mar 18 17:06:19 PDT 2008] |
pennyevans |
I had a retrieval on Saturday that retrieved 12 eggs and 4 were mature and 8 were immature. The 4 that were mature they used icsi and only one fertilized. My RE called yesterday to say that it divided further and if it makes it to day 5 they will transfer it. I have 3 children and 8 losses and am 43.5 years old. She said if I have the 1 to transfer she will then start progesterone. Is there anything else at this point that I can do to promote implantation if I hopefully have an embryo on day 5? |
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[Tue Mar 18 17:06:30 PDT 2008] |
glavy |
Hi sb. As I said it is not clear exactly what is being activated. It appears that certain genes responsible for induction endometrial proteins are being activated |
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[Tue Mar 18 17:07:10 PDT 2008] |
Corey_Whelan To[Private] mwelch |
cool! keep that enthusiasm, it makes for a great chat! I’m really glad you are here to help move things along and get the right information out, that’s terrific |
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[Tue Mar 18 17:08:22 PDT 2008] |
glavy |
Hi Pennyevans It appears that the problem was with egg quality probably related to your age. Endo activation may help but would probably not be effective in such cases. |
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[Tue Mar 18 17:09:13 PDT 2008] |
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[Tue Mar 18 17:09:14 PDT 2008] |
rackle |
What types of situations would endo activation be effective? |
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[Tue Mar 18 17:10:17 PDT 2008] |
glavy |
Hi rackle as all new procedures we have concentrated on poor prognosis patients. |
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[Tue Mar 18 17:10:59 PDT 2008] |
glavy |
These are patients who have had repeated IVF failures. It makes sense that those patients with “good” embryos would be the best candidates |
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[Tue Mar 18 17:11:31 PDT 2008] |
pennyevans |
Is there anything you would recommend to me at the age of 43.5 to help with implantation during an IVF cycle. I spontaneously conceived and miscarried 2 months ago and thought IVF would help with a good embryo and if I get that embryo on day 5 what may help with implantation which would be the next challenge of the ivf cycle. I try to remain positive since I had implantation naturally 2 months ago. |
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[Tue Mar 18 17:13:10 PDT 2008] |
sb10847 |
With your poor prognosis patients on whom this bx is done—do you prefer to do day 3 transfers? |
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[Tue Mar 18 17:13:23 PDT 2008] |
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[Tue Mar 18 17:13:40 PDT 2008] |
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[Tue Mar 18 17:13:44 PDT 2008] |
glavy |
You should be positive. Spontaneous pregnancy is definitely an excellent predictor of success. I feel that endo activation is worth trying as it has no downside and can only help |
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[Tue Mar 18 17:14:27 PDT 2008] |
Corey_Whelan |
Hi ENH and shaymer! |
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[Tue Mar 18 17:14:49 PDT 2008] |
shaymer01 |
hi corey! |
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[Tue Mar 18 17:14:55 PDT 2008] |
Corey_Whelan |
nice to see you. |
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[Tue Mar 18 17:15:07 PDT 2008] |
shaymer01 |
you too! |
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[Tue Mar 18 17:15:21 PDT 2008] |
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[Tue Mar 18 17:15:39 PDT 2008] |
Corey_Whelan |
Hi kay, welcome back! |
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[Tue Mar 18 17:15:51 PDT 2008] |
glavy |
The original study was done in 12 women and was followed by a larger study of 45 women and 89 controls. The results show that endometrial activation was associated with a significant increase in success. Women in the study group were twice as likely to conceive as the controls. |
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[Tue Mar 18 17:15:56 PDT 2008] |
kaylalunaava |
Thanks |
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[Tue Mar 18 17:16:32 PDT 2008] |
pennyevans |
At my stage in the ivf cycle of this Thursday being day 5 if I still have an embryo are there any recommendations for this cycle to promote implantation? |
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[Tue Mar 18 17:16:43 PDT 2008] |
sb10847 |
Who is the lead author on this study? |
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[Tue Mar 18 17:17:10 PDT 2008] |
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[Tue Mar 18 17:17:19 PDT 2008] |
mwelch |
Dr. Nava Dekel, as mentioned . |
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[Tue Mar 18 17:17:25 PDT 2008] |
glavy |
Nava Dekel. The original article was published in Fert and Steril in 2003 |
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[Tue Mar 18 17:17:35 PDT 2008] |
sb10847 |
thanks |
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[Tue Mar 18 17:18:13 PDT 2008] |
glavy |
welcome |
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[Tue Mar 18 17:18:19 PDT 2008] |
glavy |
good luck |
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[Tue Mar 18 17:18:55 PDT 2008] |
shaymer01 |
not sure if I missed it, can endo activation be explained? what is it? |
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[Tue Mar 18 17:19:39 PDT 2008] |
Corey_Whelan |
guys, always feel free to click on the action button and scroll through the transcript of the chat if you missed anything. And don’t be afraid to ask any question!!! |
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[Tue Mar 18 17:21:00 PDT 2008] |
sb10847 |
Two question—1. top three factors affecting endometrial receptivity and 2. do you gravitate towards higher dose or lower dose IM progesterone support s/p IVF? |
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[Tue Mar 18 17:21:14 PDT 2008] |
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[Tue Mar 18 17:21:37 PDT 2008] |
MC |
Hi Dr. Lavy- is this procedure particularly helpful for those with PCOS undergoing IVF? Thanks. |
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[Tue Mar 18 17:22:19 PDT 2008] |
glavy |
Progesterone supplementation has to be tailored to the levels of estrogen in the cycle. For high estrogen cycles, a higher dose of progesterone is best. |
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[Tue Mar 18 17:22:47 PDT 2008] |
glavy |
Endometrial receptivity is affected by estrogen progesterone and blood flow delivering these hormones to the endometrium |
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[Tue Mar 18 17:23:22 PDT 2008] |
mwelch To[Private] Patty |
hi patty, Do we know each other ? |
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[Tue Mar 18 17:23:30 PDT 2008] |
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[Tue Mar 18 17:23:34 PDT 2008] |
Patty To[Private] mwelch |
yes |
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[Tue Mar 18 17:23:39 PDT 2008] |
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[Tue Mar 18 17:23:39 PDT 2008] |
glavy |
I think that the PCOS patients deserve special attention. Their PCOS should be controlled prior to starting IVF. In PCOS there are egg factors as well as endometrial factors |
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[Tue Mar 18 17:23:44 PDT 2008] |
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[Tue Mar 18 17:24:01 PDT 2008] |
mwelch To[Private] Patty |
Thought it was you. Thanks for joining. I think it is going well. This is very exacting technology |
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[Tue Mar 18 17:24:07 PDT 2008] |
Patty To[Private] mwelch |
I was curious what he had to say |
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[Tue Mar 18 17:24:09 PDT 2008] |
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[Tue Mar 18 17:24:12 PDT 2008] |
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[Tue Mar 18 17:24:18 PDT 2008] |
Corey_Whelan |
Hi rini and welcome back CP. Please feel free to jump in at any time with your questions. Ditto JoanK |
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[Tue Mar 18 17:24:27 PDT 2008] |
rini28 |
hi there |
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[Tue Mar 18 17:24:34 PDT 2008] |
Patty To[Private] mwelch |
I agree he has talked about it during the tpr meetings |
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[Tue Mar 18 17:24:35 PDT 2008] |
rini28 |
this is just chat correct? |
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[Tue Mar 18 17:24:38 PDT 2008] |
glavy To[Private] mwelch |
hi marion. What do you think?? |
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[Tue Mar 18 17:24:46 PDT 2008] |
rini28 |
no dial in? |
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[Tue Mar 18 17:24:56 PDT 2008] |
Corey_Whelan |
yes, that is right. |
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[Tue Mar 18 17:25:21 PDT 2008] |
mwelch To[Private] glavy |
Great. I am very pleased. Corey wants me to hold my questions since it got busy . I wil wait till the end .This will ge posted on their site tomorrow.. |
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[Tue Mar 18 17:25:22 PDT 2008] |
rini28 |
so what is the steps |
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[Tue Mar 18 17:25:31 PDT 2008] |
rini28 |
for improving our chances |
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[Tue Mar 18 17:25:35 PDT 2008] |
mwelch To[Private] Patty |
There will be kit pick up tomorrow for the patient tonight. Dr. Browns patient. She will call before she comes. I am bushed…. |
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[Tue Mar 18 17:25:55 PDT 2008] |
glavy To[Private] mwelch |
thannks for being here |
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[Tue Mar 18 17:26:12 PDT 2008] |
rini28 |
my 1st son was an IVF baby and now trying for 2nd |
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[Tue Mar 18 17:26:13 PDT 2008] |
pennyevans |
I think my question was lost amongst others. If my embryo makes it to day 5 which is Thursday, do you have any suggestions to promote implantation after the transfer other than progesterone support which she said she would start Friday since I don’t know if my embryo will be viable until day 5. |
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[Tue Mar 18 17:26:16 PDT 2008] |
Patty To[Private] mwelch |
you home now or at the office |
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[Tue Mar 18 17:26:30 PDT 2008] |
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[Tue Mar 18 17:27:01 PDT 2008] |
mwelch To[Private] Corey_Whelan |
Corey what is the dial in??t |
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[Tue Mar 18 17:27:32 PDT 2008] |
Corey_Whelan To[Private] mwelch |
she was wondering if this was a telephone support group. They do phone. |
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[Tue Mar 18 17:27:34 PDT 2008] |
glavy |
Sorry Pennyevans. sounds as if you are getting the right advice. I generally use a small dose of estrogen in addition to the progesterone to improve endometrial receptivity |
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[Tue Mar 18 17:28:07 PDT 2008] |
mwelch To[Private] Corey_Whelan |
We would love to of help following the chat if appropriate. |
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[Tue Mar 18 17:28:18 PDT 2008] |
Corey_Whelan To[Private] mwelch |
not sure what you mean? |
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[Tue Mar 18 17:29:25 PDT 2008] |
rini28 |
what about olive oil as opposed to sesame seed oil in the progesterone? |
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[Tue Mar 18 17:29:26 PDT 2008] |
pennyevans |
What type and dose of estrogen do you use and what days of the cycle. I will mention it to my RE if I have a day 5 embryo. Thank you. |
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[Tue Mar 18 17:29:53 PDT 2008] |
glavy |
i use estrace 0.5 mg twice daily |
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[Tue Mar 18 17:31:07 PDT 2008] |
pennyevans |
Is the estrace 0.5 an oral medication and what days of the cycle do you recommend taking it? |
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[Tue Mar 18 17:31:08 PDT 2008] |
rini28 |
any holistic advice on improving implementation? |
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[Tue Mar 18 17:31:14 PDT 2008] |
JoanK |
With a failed IVF cycle, in some cases, is it possible to actually say implantation failure was a “cause” of why it was not successful? |
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[Tue Mar 18 17:32:00 PDT 2008] |
glavy |
Estrace is given orally. I use it from the very beginning of the cycle. |
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[Tue Mar 18 17:32:15 PDT 2008] |
Corey_Whelan |
I think Rini was next, then Joan, Dr. Lavy. |
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[Tue Mar 18 17:33:18 PDT 2008] |
rini28 |
tx |
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[Tue Mar 18 17:33:19 PDT 2008] |
glavy |
JoanK : implantation failure may be a result of embryo factor or endometrial factor. In most cases the fault is with the embryos. However an endometrial component should be suspected in cases where embryo quality appears to be good |
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[Tue Mar 18 17:33:58 PDT 2008] |
glavy |
Rini: the type of oil does not matter. Some women tolerate olive oil better that sesame or peanut oil |
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[Tue Mar 18 17:34:10 PDT 2008] |
mwelch To[Private] Patty |
home. id id get alot done today. We are moving through. |
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[Tue Mar 18 17:34:48 PDT 2008] |
rini28 |
tx |
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[Tue Mar 18 17:34:52 PDT 2008] |
glavy |
Acupuncture may help implantation by improving blood flow to the uterus |
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[Tue Mar 18 17:35:06 PDT 2008] |
shaymer01 |
does diet effect the health of the endometrium? |
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[Tue Mar 18 17:35:11 PDT 2008] |
Patty To[Private] mwelch |
we certainly are. by the end of the week we should be in great shape |
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[Tue Mar 18 17:35:16 PDT 2008] |
pennyevans |
Do you use estrace from the beginning to the end of the cycle? Would it be beneficial for me to start estrace at this point near a transfer? |
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[Tue Mar 18 17:35:53 PDT 2008] |
mwelch To[Private] glavy |
I always need to learn. Dr. Lavy mention our help line at the end Helpline@nefertility.com or info @nefertility.com. |
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[Tue Mar 18 17:36:30 PDT 2008] |
glavy |
Pennyevans: you need to speak to your doctor about that. It really depends on your estrogen levels. I am a firm believer in the beneficial effect of estrogen in priming the ovaries as well as the endometrium |
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[Tue Mar 18 17:37:32 PDT 2008] |
kaylalunaava |
Is Progesterone in oil given IM absorbed differently than Endometrin? |
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[Tue Mar 18 17:37:34 PDT 2008] |
glavy |
The effect of diet is not well researched. I am not aware of any studies looking at this connection. My personal impression is that diet low in refined carbohydrates is beneficial for IVF success in general |
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[Tue Mar 18 17:37:39 PDT 2008] |
mwelch To[Private] Patty |
I agree. I will be in Shelton office in am on pcos meeting. then back to get the checks done. |
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[Tue Mar 18 17:38:00 PDT 2008] |
Patty To[Private] mwelch |
ok |
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[Tue Mar 18 17:38:29 PDT 2008] |
sb10847 |
What is your opinion about physical activity and endometrial receptivity post transfer? |
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[Tue Mar 18 17:38:33 PDT 2008] |
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[Tue Mar 18 17:38:44 PDT 2008] |
Corey_Whelan |
Hi woodigit. Welcome back. |
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[Tue Mar 18 17:39:08 PDT 2008] |
glavy |
Kaylalunaava: Both preparations contains natural progesterone. Their absorption is different as the progesterone in oil is released gradually and provides a constant level in the blood. The endometria is absorbed in spurts. Whether that has an impact on success is not clear. |
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[Tue Mar 18 17:39:24 PDT 2008] |
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[Tue Mar 18 17:40:05 PDT 2008] |
kaylalunaava |
Thanks Dr. Lavy. The PIO then is more effective, correct? |
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[Tue Mar 18 17:41:27 PDT 2008] |
glavy |
I think so. It appears that the studies show that vaginal progesterone is probably close and oral progesterone is not nearly as effective |
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[Tue Mar 18 17:43:41 PDT 2008] |
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[Tue Mar 18 17:44:01 PDT 2008] |
JoanK |
I have had multiple failed IUI’s plus 2 failed IVF cycles. I am “unexplained” diagnosis. One cycle I even did PGD and they had 3 “great” embryos, and it still did not take. any thoughts? |
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[Tue Mar 18 17:44:20 PDT 2008] |
Corey_Whelan |
Hi fjp. We have about fifteen minutes left with Dr. Lavy so please feel free to ask a question at any time. You can read the past transcript of the chat by pressing the action key. |
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[Tue Mar 18 17:44:39 PDT 2008] |
Corey_Whelan |
Hi Kathy. |
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[Tue Mar 18 17:44:44 PDT 2008] |
shaymer01 |
How do you feel about large doses of estrogen (IM and oral) plus PIO plus vaginal progesterone being used up through the first 8 weeks of pregnancy? |
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[Tue Mar 18 17:45:13 PDT 2008] |
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[Tue Mar 18 17:45:15 PDT 2008] |
glavy |
JoanK: You are a PERFECT candidate for endometrial activation |
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[Tue Mar 18 17:45:30 PDT 2008] |
Corey_Whelan |
Hi Mindy |
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[Tue Mar 18 17:46:07 PDT 2008] |
JoanK |
Dr– what is endometrial activation??? |
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[Tue Mar 18 17:46:13 PDT 2008] |
mindy327 |
Hello I’m joining late in the session. Just going to read along for now. |
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[Tue Mar 18 17:46:19 PDT 2008] |
sb10847 |
Re-post: Opinion about endometrial receptivity and level of physical activity post transfer—how do you counsel your patients? |
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[Tue Mar 18 17:46:20 PDT 2008] |
glavy |
I Shaymer: I am not in favor of LARGE doses. The dose needs to be titrated to your blood levels. I don’t think that a combination of POI and vaginal progesterone is necessary |
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[Tue Mar 18 17:46:48 PDT 2008] |
pennyevans |
The estrace that you use is it from the beginning to the end of the cycle? |
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[Tue Mar 18 17:47:08 PDT 2008] |
kaylalunaava |
Are there any tests to determine whether or not the uterine environment is conducive to implantation? |
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[Tue Mar 18 17:47:15 PDT 2008] |
glavy |
JoanK: Please check the transcript for the details. EA is an endometrial biopsy done prior the IVF cycle. It has been shown to imrpove implantation in patiens with prior failed cycles |
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[Tue Mar 18 17:47:17 PDT 2008] |
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[Tue Mar 18 17:47:29 PDT 2008] |
glavy |
Pennyevans: Yes |
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[Tue Mar 18 17:47:31 PDT 2008] |
Corey_Whelan |
Hi Hoping, welcome back. |
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[Tue Mar 18 17:47:57 PDT 2008] |
glavy |
Kayla: Check Dr. Kliman’s website and his endometrial function test. |
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[Tue Mar 18 17:48:11 PDT 2008] |
kaylalunaava |
OK, Thanks |
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[Tue Mar 18 17:48:19 PDT 2008] |
hoping |
hi! |
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[Tue Mar 18 17:48:28 PDT 2008] |
JoanK |
thanks!! |
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[Tue Mar 18 17:48:38 PDT 2008] |
Corey_Whelan |
I have some copies of Dr. Kliman’s tests, if you have trouble finding it let me know and I will send you a dvd. |
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[Tue Mar 18 17:48:41 PDT 2008] |
glavy |
welocme |
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[Tue Mar 18 17:49:04 PDT 2008] |
pennyevans |
Corey Whelan, when I press the action key to look at the transcript it tells me no new messages. How do I view? |
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[Tue Mar 18 17:49:32 PDT 2008] |
Corey_Whelan |
hit recent room history, it should be the top option on the action key. |
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[Tue Mar 18 17:49:37 PDT 2008] |
mwelch To[Private] Corey_Whelan |
What is the site for Dr. Kliman, Not familiar with him. |
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[Tue Mar 18 17:49:56 PDT 2008] |
mwelch To[Private] Corey_Whelan |
Does the doctor do the telephone support>? |
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[Tue Mar 18 17:50:09 PDT 2008] |
Corey_Whelan |
btw, the chat transcript will be hanging on the AFA website starting tomorrow afternoon or Thursday a.m. |
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[Tue Mar 18 17:50:42 PDT 2008] |
pennyevans |
Corey Whelan, I pushed the recent room history and it tells me no more new messages. |
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[Tue Mar 18 17:51:06 PDT 2008] |
Corey_Whelan |
then I’m stumped. I honestly don’t know. But it will be on the website tomorrow. Sorry! |
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[Tue Mar 18 17:51:07 PDT 2008] |
glavy To[Private] mwelch |
I will |
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[Tue Mar 18 17:51:24 PDT 2008] |
Corey_Whelan |
Hi smile |
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[Tue Mar 18 17:51:55 PDT 2008] |
Corey_Whelan |
Hi aurora. |
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[Tue Mar 18 17:52:02 PDT 2008] |
smileyatc |
hello |
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[Tue Mar 18 17:52:04 PDT 2008] |
aurora529 |
hello, sorry so late |
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[Tue Mar 18 17:52:12 PDT 2008] |
Corey_Whelan |
that’s ok! |
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[Tue Mar 18 17:52:27 PDT 2008] |
glavy |
If anyone needs more information after the session, please send me a message to our help line helpline@nefertility.com or info@nefertility.com |
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[Tue Mar 18 17:52:43 PDT 2008] |
aurora529 |
thanks |
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[Tue Mar 18 17:53:18 PDT 2008] |
Corey_Whelan |
It was a great chat Dr. Lavy. Thank you so much. We have time for a few more questions. And as always, anyone is welcome to use the chat room after the chat ends for as long as you would like to stay. |
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[Tue Mar 18 17:53:18 PDT 2008] |
aurora529 |
I just had my egg retrieval yesterday…so I didn’t get the message about tonight’s chat until just now….it was interesting considering I’m in the middle of my IVF cycle |
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[Tue Mar 18 17:53:32 PDT 2008] |
mwelch To[Private] Corey_Whelan |
Corey do you want to mention that Dr. Lavy will have an upcoming article in the directory on the topic? |
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[Tue Mar 18 17:53:53 PDT 2008] |
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[Tue Mar 18 17:54:02 PDT 2008] |
Corey_Whelan |
Aurora, if you ever have a request (or anyone else of course) for a subject for the chat room, just let me know. |
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[Tue Mar 18 17:54:03 PDT 2008] |
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[Tue Mar 18 17:54:20 PDT 2008] |
glavy |
Aurora: Good luck. Ironically, we always find out new things while in the middle of a cycle. |
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[Tue Mar 18 17:54:38 PDT 2008] |
aurora529 |
eerrggg….got bumped out sorry again |
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[Tue Mar 18 17:55:09 PDT 2008] |
aurora529 |
I did want to ask if anyone knows about the benefits of Raspberry Leaf Tea |
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[Tue Mar 18 17:55:25 PDT 2008] |
Corey_Whelan |
I don’t, sorry. |
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[Tue Mar 18 17:55:42 PDT 2008] |
glavy |
I dont either. |
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[Tue Mar 18 17:56:28 PDT 2008] |
aurora529 |
if you don’t mind me asking….what were some of the suggestions to improve implantation? |
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[Tue Mar 18 17:56:54 PDT 2008] |
glavy |
Estrogen, progesterone, endometrial activation |
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[Tue Mar 18 17:57:10 PDT 2008] |
aurora529 |
endometrial activation? |
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[Tue Mar 18 17:57:48 PDT 2008] |
glavy |
endometrial biopsy done on the cycle prior to IVF |
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[Tue Mar 18 17:58:36 PDT 2008] |
frances1 |
I have three frozen embryos conceived with my own eggs and husband’s sperm at age 45 and have a gestational carrier. We will be having these implanted into her soon depending on the thaw results. Do I have a better chance with a young uterus? I had a hysterectomy. |
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[Tue Mar 18 17:59:24 PDT 2008] |
lisamarie |
I’ve heard the age of the uterus doesn’t matter. |
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[Tue Mar 18 17:59:30 PDT 2008] |
Corey_Whelan |
Dr. Lavy, thanks again so much for being here tonight, what an interesting chat! Again, you are all welcome to stay as long as you like. Please log off with a state roll call, if you don’t mind—I’d love to know where you are all from!! And also, please do consider making a small donation to the afa for bringing this weekly series to all of y’all. |
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[Tue Mar 18 17:59:36 PDT 2008] |
Corey_Whelan |
thanks so much guys. |
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[Tue Mar 18 17:59:44 PDT 2008] |
glavy |
Gestational carrier are picked primarily based on their obstetrical history. Their age is only secondary. Age does not appear to impact the chances of success with GCs |
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[Tue Mar 18 18:00:10 PDT 2008] |
glavy |
Good night. Thank for being here. |
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[Tue Mar 18 18:00:19 PDT 2008] |
glavy To[Private] mwelch |
Thank Marion. good night |
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[Tue Mar 18 18:00:23 PDT 2008] |
MC |
MC signing off from California. Thanks! |
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[Tue Mar 18 18:00:26 PDT 2008] |
shaymer01 |
thanks |
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[Tue Mar 18 18:00:48 PDT 2008] |
shaymer01 |
ny |
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[Tue Mar 18 18:01:05 PDT 2008] |
aurora529 |
Signing off from Northern VA |
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[Tue Mar 18 18:01:16 PDT 2008] |
kathy1213 |
Signing off from Media, Pennsylvania |
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[Tue Mar 18 18:01:48 PDT 2008] |
lisamarie |
I’m starting the pill next week and doing my first IVF next month. Any suggestions for implantation or any advice? |
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[Tue Mar 18 18:02:00 PDT 2008] |
JoanK |
Joan- from Northern VA/ DC area |
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[Tue Mar 18 18:02:41 PDT 2008] |
Corey_Whelan |
You guys are the best. Lisa Marie, you know you can always post your questions for physicians on our message boards during the week as well. Sweet dreams all, and good luck. Signing off from Brooklyn, NY. xoxo |
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[Tue Mar 18 18:02:54 PDT 2008] |
mwelch To[Private] glavy |
Thank you Dr Lavy , It went very well. See you in Shelton |
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[Tue Mar 18 18:03:18 PDT 2008] |
lisamarie |
This is my first time here. |
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[Tue Mar 18 18:04:21 PDT 2008] |
Patty |
bye from south salem,ny |
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[Tue Mar 18 18:04:24 PDT 2008] |
mwelch To[Private] Patty |
good night patty thanks for coming. to the chat. Dr. L. always does a great job. |
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[Tue Mar 18 18:05:35 PDT 2008] |
mwelch |
Thank you to all the participants . Connneticut |
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[Tue Mar 18 18:05:39 PDT 2008] |
moaicha |
is it over |
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[Tue Mar 18 18:05:46 PDT 2008] |
Patty To[Private] mwelch |
yes he does, sleep well |
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[Tue Mar 18 18:06:13 PDT 2008] |
mwelch |
yes. But you can send questions to Helpline@nefertility.com |
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[Tue Mar 18 18:06:45 PDT 2008] |
moaicha |
can i read some of the Q&A |
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[Tue Mar 18 18:07:05 PDT 2008] |
lisamarie |
How can I find out about the discussions tonight? I just joined a few minutes ago. |
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[Tue Mar 18 18:07:26 PDT 2008] |
JoanK |
does anyone know how oftern the AFA hosts these chats? it’s been very informative… |
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[Tue Mar 18 18:08:54 PDT 2008] |
JoanK |
lisamarie– i think if you hit the ’action’ button, you can scroll to the beginning of the chat. |
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[Tue Mar 18 18:09:09 PDT 2008] |
lisamarie |
Thanks! |
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[Tue Mar 18 18:37:08 PDT 2008] |
tubes |
Has Dr. Lavy joined yet? |
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