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Post by lynnhopes on Nov 24, 2008 18:19:01 GMT -5
So it is possible to take the tablets without having to do IVF?
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Post by fractal1 on Nov 24, 2008 18:37:11 GMT -5
Yes, but success rate is low (50% pregnancy of which 40% results in live birth rate) and can result in multiple pregnancy and/or ovarian hyperstimulation syndrome.... not to mention the very large possibility that, if autoimmune, her condition or some other autoimmune condition will occur in her offspring at some stage.
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Post by lynnhopes on Nov 24, 2008 19:06:11 GMT -5
So what should she do? Is there any hope for her to conceive naturally?
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Post by fractal1 on Nov 24, 2008 19:53:46 GMT -5
Ultimately, she must decide what is the right and ethical thing to do. But if she is secondary hypogonad and really wants to have a child of her own, she should see an appropriate doctor or specialists to get the tablets or injections mentioned. With a bit of luck, these will cause ovulation... with conception, of course, achieved by doing the 'jiggy' at the right time
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Post by fractal1 on Nov 25, 2008 0:28:25 GMT -5
Lynn, I just wanted to add that a symptom of adrenal insufficiency is irregular/absent menstruation. So, potentially she could have isolated ACTH deficiency with irregular menstruation because of it. Typically autoimmune hypopits that are secondary hypogonad are also secondary hypothyroid. I noticed she is primary hypothyroid.. so, there might be a chance it is isolated.
If she is truly secondary hypogonad, no hormone replacement will increase her fertility, but if she is not, then optimizing cortisol and thyroid should do the job. Before going with what I mentioned, she should address cortisol and thyroid first. Sorry to cause confusion.
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