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Ask a Firtility Expert Victoria Koos L.Ac. MTOM is an acupuncturist and herbalist practicing at Yin and Tonic Acupuncture in New York City. The main focus of her healing practice is women's health and fertility.read more

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 fertility expert
  Thread Posted by Replies Views Date
  Pos Preg, now Spotting more less Question I prev posted about no soreness Pregnant again right after miscarraige Well I took another test came up positive   Went to doctor on Sept 19 positive there too   He took blood HCG 564 at 5 weeks   Sept 21 I started spotting dark brown blood I also started to have really bad cramps on my right lower abdomen that lasted about 8 hours   I almost went to the e r but the pain eventually stopped   I am still lightly spotting my next appt is Sept 24 for blood drawl   Do you think I misscarried   I still do not have soreness in my breast so I can't tell if my symptoms have dissapeared   I took another home preg test and it is still positive   When I was having the pain I called the on call doc and he said pos tubal but kinda early or maybe ovarian cyst   Still hopeful what do you think
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T03 1 353 9/23/07
1:12 pm
  long period? more less Question Hello I am hoping you can explain what is going on with me   Natural miscarriage at 8 weeks Period began 4 weeks from miscarriage Started bleeding on September 3 and still am bleeding today September 23 The bleeding has stopped on two ocassions for 2 3 days The first time was 9 days from the fist day of bleeding I had positive result on OPK The second time bleeding stopped was 9 days from the second time bleeding began also had positive result on OPK Is this considerd short cycles or one lond period   Was I really ovulating When should I become concerned if bleeding does not stop Since risk of miscarriage is very low once the heartbeat is detected are the possible causes different Thank you
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Sam 1 355 9/23/07
11:14 am
  Old -- and not pregnant anymore - due to low progeterone? more less Question Hi Dr Koos   Sadly I lost another pregnancy   To recall details:  I miscarried On Aug 15th at about 6 weeks   I ovulated about 2 weeks later and had a positive pregnancy test on 9/15   On 9/18 I went to a previously scheduled gyn appt and asked for labs   My 48 hour betas were 27 (9/18) then 10 (9/20)    I requested a progesterone with the 2nd beta and it was 2 9   I know this is far too low but did it possibly drop that low (so rapidly) after the pregnancy started failing    Or did the pregnancy possible fail DUE to low progesterone   I am 44 and I've heard it is more common to have low progesterone issues with advanced maternal age I want to try to get pregnant naturally   If you would suggest herbs and acupuncture I am in tune with that idea but I haven't been able to find anyone who is knowledgable with women's issues and fertility   I live rurally in southeast Arizoina but commonly go to Tucson for healthcare   Can you suggest someone   Thank you
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AzAngie 1 369 9/22/07
6:27 am
  cramping a little more less Question I am suppose to start my cycle on Sept 24 We are ttc and had unprotected sex on my ovulation days I have taken a home pregnancy test today and it came up negative I have been real tired for the last 3 4 days but no other syptoms I kind of have been cramping a little not allot for a day or two I had a m/c and d&c on July 23 of this year How long should I wait before I take another test Thanks
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patchamo 1 367 9/22/07
9:22 pm
  chromosome issue or not? more less Question i just had my third miscarriage i am 32 yrs old my husband is 30 my first one happened naturally so i will never know the cause the second was 4 months later and it was a partial mole and 7 months after that i just had my third the Dr told me it came back showing the fetus had 47 chromosomes he thinks my miscarriages were just unlucky flukes and that i should start trying again do you think there is an issue my husband is getting tested next week just to be safe and i was tested five years ago and was fine i'm confused b/c my dr is so confident that this wont happen again Any help you could give me would be much appreciated thank you
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julz75 1 358 9/17/07
8:12 pm
  What if my cycle is not regular? more less Question If my cycle is not regular when shld i test if i'm pregnant   As my cycle can be like 28 29 32 or 35ish
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Sang 1 384 9/19/07
12:49 am
  Is it alright to go for aeorbics class after trying for a bb? more less Question Hi I actually had an intercourse with my husband like one and half hour before my aeorbics class (lots of jumping) we were trying for a baby   After the class I had a bit of white discharge is it normal which I normally don't have discharge     And sometimes after having sex I also have some white discharge (is it his specimen)  
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Sang 1 359 9/19/07
12:39 am
  irregular period more less Question Hello I had a natural miscarirage August 3 and bleed for two weeks My period began exactly 4 weeks from the miscarriage I have been bleeding  (heavy in the beginning and now light ) off and on (more on) for 16 days I understand this is common When do you recommend seeking alternative medicine to regulate cycles after a miscarriage Thanks Samantha
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Sam 1 412 9/18/07
10:14 pm
  spotting more less Question Hi its me again thanks so much for answering my last I have a new one for you We are ttc LMP 08/17/2007 I know I ovulated 09012007 09032007 the cm was unbelievable on 09012007( so I either ovulated on that day or the 2nd or 3rd) My is I have a reg 31 32 day cycle I should have started on the 17th I started to lightly spot on thew 18th only when I wiped did I see anything it stopped last night I saw it again whem I wiped today Could this be implantation   I have loewr back pain/ache freq urination breast tenderness on and off I was going to give it a few days and test Saturday how long does it normally last if it goes more than 2 days only seeing it when I clean myself should I count it as a cycle
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worshipper 1 342 9/19/07
7:04 pm
  M/C D&C 8-9-07 +pregnancy test 9-07-07 more less Question I went in for my first ultrasound 8 9 07 8 wks alongwith pregnancy #1  Heartbeat could not be detected baby measured only 6 wks   I had D & C the following day I took a chance and TTC before my first period arrived Based on my basal body chart I ovulated on 8 28 07 I took HPT Friday 9 7 07 showed faint Repeated test Sat 9 8 07 test line appeared even lighter then the test line on Friday Today test appears negative   Based on information does this sound like possible chemical pregnancy What should I do now
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bird1610 1 426 9/9/07
3:44 pm
  a painfull miscarriage,y me? more less Question Today i experienced a miscarriage for the first time in my life   I was only 8 weeks   I feel so bad Not only did it effect me physically but it has done a toll on me emotionally as well as mentally   I am so deeply hurt in every aspect you may look at it   Its so bad that i don't even want to go to my friend's baby shower tommorrow or even look at someone's baby   How long will I feel this way and is this a normal feeling or is there something emotionally wrong with me
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mybaby 3 389 8/24/07
12:52 am
  Miscarriages and weight more less Question Hi I was reading some of the other posts and in particular came across one that asked about weight impacting miscarriages You stated that for a female a BMI over 27 can greatly increase the risk of miscarriage I always thought early miscarriages were due to chromosomal abnormalities/problems   Are you able to say more about how being overweight increases the chance of miscarriage I miscarried in January at 7 weeks and was never told about how my weight may have been a role I am overweight too I am not HUGE but I definitely have gained weight since my first pregnancy a couple of years ago (According to the BMI website I am over 27)   Thank you Rizzo
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Rizzo19 1 363 9/17/07
1:41 am
  Early Ovulation more less Question Is early ovulation (CD10) detrimental to fertility Which means I have a long luteal phase My 2 week wait is basically a 3 week wait since my cycles are 28d
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Kachic 5 420 9/13/07
7:57 pm
  TTC more less Question I had a d&C done on 08/10/07 My lmp was 09/07/07 My husband and I TTC on 09/08/07   two days into my LMP For the past week I've been nausea's and my breast have been sore When should I take a PT and how likely is it to get pregnant while your menstrating  
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michelle 1 330 9/17/07
2:51 pm
  Late ovulation more less Question Hi My ovulation date seems to always be at least the 20th day of my cycle I did have a child back in 4/06 that was conceived later in the cycle like that But since resuming periods after nursing her my ovulation seems to be even later   My periods seem to be coming later and later too from 30 days to 32 to 35ish Does this make it more difficult to conceive It does seem that my luteal phase is always about 12 days still I just had a miscarriage in August and so was wondering if this late ovulation had anything to do with that
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1 340 9/15/07
7:52 pm
  period after miscarriage more less Question I have been reading this site for a few weeks now   I just had a miscarriage (passed the tissue) on 8/22 I was 8 weeks pregnant and it seemed to be a blighted ovum a gestational sac but no visible baby My HCG levels were back down to normal this week I have read here and heard from several doctors and nurses that your period should return 4 6 weeks after the miscarriage But then the nurse told me this week that now that my levels were back to normal it would take 4 6 weeks from now to get my period Which is correct Also my miscarriage technically started on 8/19 and I bled for 2 weeks so will it be 4 6 weeks from 8/19 or 8/22 or this week I am just very anxious to get going with TTC again Thank you
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1 322 9/15/07
7:48 pm
  whats going on more less Question my last period was on the 23rd of august My next period come on the 20th of this month today is the 14th i took a shower and i had a spot of pinkish blood come out what could that be isn't too late to ovulate when your period is a couple of days away my period is only 6 days away I'm having lower back pains off and on and some cramps but i'm not bleeding Very scared cause  i really don't have a clue on what's going on What do you think it could be I cant be pregnant This really dont make any sense to me Can you help me please
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sexymomma 1 320 9/15/07
2:52 am
  Natural vs Clomid more less Question Sorry this is long   I am 32 years old with regular periods and do ovulate We had a "surprise" pregnancy that ended in MC at 12 weeks when there was no heartbeat seen   I had a D&C on 5/8/07 bleed for 18 days and got my first period about 6 weeks from the D&C   This period was terrible 12 days long heavy and more than a pad an hour   So I won't count that as a normal period but MD said all was normal   With that period my MD ordered a progesterone test a thyroid test and a prolactin test on day 21   Well that cycle lasted 37 days (and I never have longer than 32 day cycles usually 30  )  So you can see that the bloodwork was taken 16 days prior to the end of the cycle and most probably before ovulation   My progesterone came back at 1 9 which is actually normal for the time it was taken (but we didn't know that at the time thinking it was going to be a 28 30 day cycle)   Based on this bloodwork my MD diagnosed me with a LPD and prescribed Clomid   I didn't really want to take it but was scared not too   But my first month ever TTC I was now  medicated and diagnosed with infertilty   At the same time I went to see an acupuncturist for a more normal approach   He said that ovulation is not the problem don't worry about the progesterone but that I have cold uterus and gave me acupuncture and some warming herbs   My first period while waiting to start the clomid changed to bright red bleeding and lasting only 5 days   (Important to note that my previous periods have always been 10 12 plus days dark and clotty and with lots of spotting and lower back pain)   So almost immediately within 10 days of natural treatment I began to change The acupuncturist knew that I had been prescribed clomid and said that it was up to me if I wanted to take it   That first month with the clomid and warming teas was too hot no EWCM and terribley uncomfortable   My cycle was 27 days with a short luteal phase of 11 days and breakthrough bleeding   Again only a 5 day period and no clots The next cycle I did do the clomid again (began temping/charting) and did not use the warming teas just normal teas   Negative pregnancy test at 13 DPO and no period at 15 DPO just some pink smudges still a high temp   So of course this is probably the longest LP that I have ever had but no guarentee that I am pregnant   My questions are about Natural vs Clomid for the next cycle 1 ) Does it sound like I have an infertility problem yet  2 ) Is cold uterus a LPD   3 ) We have only been TTC for two months so when do I get worried  4 ) Can I not take the clomid next cycle without risk 5 ) Would you recommend just acupunctures and herbs 6 ) If I take clomid for cycle #3 and it fails then the MD moves to IUI is this reasonable for someone like me 6 ) what would your protocol be I really like my acupuncturist but there is a language barrier and he is hard to understand   I think my MD is being rather aggressive   Thank You
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Deborah 1 331 9/16/07
12:08 pm
  Old, Pregnant and HAPPY! more less Question Dear Ms Koos I appreciate your site   I have found interesting reading and education/inspiration     I have introduced myself before I am 44 and recently had a miscarriage after a surprise pregnancy   I miscarried on August 15 at 6 weeks had bleeding for 5 days like a normal cycle   I think I ovulated around the 30th as I had the noticible signs (mittleschmertz and changes in mucus)   I have slight breast sensitivity and mild nausea and hot flashes(new for me) so I took a HPT tonight and it was slightly positive    I am very happy but also very scared as I have done alot of research (as you recommended) and realize that this is a very fragile pregnancy    Is there anything I can do   I really want this to go well but I have guarded hope    Thank You
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AzAngie 1 352 9/15/07
7:51 am
  Possible pregnancy? more less Question I started bleeding on Aug 4th when I was about 5wks pregnant I went to Dr who did an ultra sound on Aug 8th and there was a heart beat I continued to bleed and another ultra sound revealed no heart beat on Aug 9th I went to Dr again on August 10th and pregnancy was still there Went again on Aug 14th and there was no embro present then I did not notice any blood clots that could have been the tissue from embro but it had to have came out sometime between the 10th and 14th My question is this I have not had a period yet My husband and I have been trying again since I quit bleeding on the 15th of Aug When is the soonest I could expect to be pregnant again When would my period start if it is I took a hpt and it was neg but figure it is too soon for that to register anyway Thank You
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TinaD 1 318 9/14/07
5:13 pm
  period after miscarriage more less Question Hello I had a miscarriage about 5 1/2 weeks ago Exactly 4 weeks after miscarriage I began bleeding which lasted 5 days   The bleeding stopped for 3 days I thought I was preparing to ovulate ( positive on ovulation kit and cervical mucous) however I began bleeding again which so far has been 3 days This time there are small pieces of what looks like tissue Could this be another miscarriage (we did have unproteced sex 2 weeks after miscarriage) or is it just my  period Thank you Samantha
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Sam 1 337 9/14/07
4:35 pm
  ovulation and period more less Question Is it correct to say that even if a woman has a 28 or 30day  cycle that whenever her cycle does start she can count 14 before that date and that is when she actually ovulated or am I misunderstanding the calculation   I  am ttc  LMP was Aug 17 2007 We had intercourse on  aug22 26 28 30 and again on sept 1 (this is the day I am positive I ovulated the cm was unbelievable so we took advantage:) then we made love on sept 2( be he did not ejaculate) and again on sept 3 then again on the 5 Now I have a 31 32 day cycle and would be due to miss my period on 09172007 If I indeed ovualted on the 1st of Sept then 14 days later would be the 15 would I be due to  not start then (my cycle) I hope this makes sense
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worshipper 2 352 9/13/07
8:59 pm
  charting vs. OPK more less Question Hello I have been charting for the past three months as well as using OPKs   The chart for my first month there was a temp shift at day 14 and day 17 whereas the second month the shift was at day 16   The OPKs positive readings came at day 16 17 for both months   Which should be more accurate Thank you      
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hopefulmom 1 309 9/14/07
12:50 pm
  no soresness more less Question I had a miscarraige on 8/14 I bleed for 2 weeks   I had cervical fluid and felt like I ovulated (I always cramp on the lower right side when I ovulate) on 8/28   I had unprotected sex that day   I have not gotten my period yet I took a hpt it had a very faint positive   My question is my breasts are not sore   That was the first sign I had in my prev pregnancy well before my hpt that time   Could this be a false pregnancy My m/c was natural and the doc had drawn my blood 2X and my hcg levels were decreased appropriately I have an 8 yo and my breast were sore with him as well
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T03 1 328 9/14/07
12:41 pm
  Herbs and acupuncture more less Question Hello again Ms Koos Because you are an acupuncturust and herbalogist I want to know how the two together as treatment change a woman's cycle   Because I am trying to concieve it causes me to be overly anxioous and worried about EVERY single symptom I have   I always have a 30 day cycle with menstruation lasting 5 7 days   Since I've been doing acupuncture for the past 3 months the last 2 (after miscarriage) have done about the same but this month I've started exactly on the same day expected I had regular flow for 2 days then had some major cramping passed all the clotting and everything and the next morning (had acupuncture) and then it stayed as a light flow for 2 more days   the light spotting seems to be mixed with a littler brown then rose pink and curiously almost like water or a light clear fluid   I noticed this "water" and spotting the first week after starting the herbs and acupuncture  Is this a normal period since I've always beena 5 day flow    I'm just very curious and interested with these after effects and are they normal   Hopefully you can prevent me from having a total hypochondriac meltdown   I had all my exams and the ob/gyn says I'm fine and everyone pats me on my back and insists I stop to worry and that I'm just fine   I would love to get your opinion   Thanks so much for being available and sharing your knowledge Kris
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kris 1 342 9/14/07
4:10 am
  Adderall more less Question Hello Do you have any information on the possible side effects adderall can have on male's sperm when trying to conceive Thank you
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Sam 1 361 9/13/07
11:58 am
  sperm more less Question Hello Ms Koos      Thank you very much for your last advice you are a very supportive person   Keep up the good work   My new question to you is this: Since hubby and I have been TTC for over a year we had not seen his sperm in a long time but the other day since I'm menstruating  he had to find other ways and when he ejaculated it was VERY thick and clumped like   I've never seen it like that   Most of the time during the 2 years when we weren't TTC it was rather runny   Why was it so thick   We had not done anything in over a week when this happend and I thought maybe it just got backed up or something but then I thought about maybe that's why we're not conceiving   Just wondering if it matters any   Thank you in advance
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Kyarbro 1 382 9/12/07
1:10 pm
  Ovulation more less Question Is it normal to be ovulating and not have much discharge
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Lindsey 1 434 8/27/07
4:59 pm
  Could I be pregnant? more less Question I have spoken to you before I had a D&C on 08 01 07 I was ovulating on 08 19 so my husband and I have TTC again  I am feeling sick in the mornings and tired all day and dizzy too Is there a possibility that I might be pregnant I am taking a HPT tonight to see what the results say I know on 08 14 my HCG levels were at 10 so I am thinking they must have fallen to 0 in order for me to Ovulate right I haven't recieved my period yet and I am thinking that I might be pregnant and thats why I haven't gotten it yet
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michbridon 2 474 8/29/07
2:42 pm
  pap or no more less Question I am due for an annual in 5 weeks however if things go as planned i will be 3 weeks pregnant   i previously had a m/c on 8/10 i was only 6 weeks i am concerned that this pap may lead to another m/c   any advice
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nat 1 322 9/12/07
1:54 am
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