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   shorter cycle after miscarriage Question I'm having trouble getting this to post so I hope it gets to you Hi Ms Koos I had a m/c in November 2006 Afterwards I had a lot of issues with spotting that have continued until now My cycles used to be 28 29 days with no spotting before After the m/c I spotted constantly until Feb when my Dr put me on 10 days of progesterone I didn't spot the next cycle but the next one it started again 4 or 5 days before my AF and has been that way since But about 4 cycles ago (5 cycles post m/c) my cycle length changed and has been 24 26 days since then still with spotting a few days before I have a couple questions regarding this Is is normal or ok that my cycle has shortened What could the possible reason(s) be What are your thoughts on the spotting before My Dr did a hormone panel thinking it was low progesterone but all results were normal Also I had started seeing a naturpathic Dr but she accepted a job too far from me Can you possibly recommend someone in the Burlington Ontario area who specializes in fertility Thanks so much Answer KellyS 1 346 9/4/07 2:32 pm   shorter cycle after miscarriage Question Hi Ms Koos I had a m/c in November 2006 Afterwards I had a lot of issues with spotting that have continued until now My cycles used to be 28 29 days with no spotting before After the m/c I spotted constantly until Feb when my Dr put me on 10 days of progesterone I didn't spot the next cycle but the next one it started again 4 or 5 days before my AF and has been that way since But about 4 cycles ago (5 cycles post m/c) my cycle length changed and has been 24 26 days since then still with spotting a few days before I have a couple questions regarding this Is is normal or ok that my cycle has shortened What could the possible reason(s) be What are your thoughts on the spotting before My Dr did a hormone panel thinking it was low progesterone but all results were normal Also I had started seeing a naturpathic Dr but she accepted a job too far from me Can you possibly recommend someone in the Burlington Ontario area who specializes in fertility Thanks so much Answer KellyS 1 309 9/4/07 2:32 pm   shorter cycle after miscarriage Question Hi Ms Koos I had a m/c in November 2006 Afterwards I had a lot of issues with spotting that have continued until now My cycles used to be 28 29 days with no spotting before After the m/c I spotted constantly until Feb when my Dr put me on 10 days of progesterone I didn't spot the next cycle but the next one it started again 4 or 5 days before my AF and has been that way since But about 4 cycles ago (5 cycles post m/c) my cycle length changed and has been 24 26 days since then still with spotting a few days before I have a couple questions regarding this Is is normal or ok that my cycle has shortened What could the possible reason(s) be What are your thoughts on the spotting before My Dr did a hormone panel thinking it was low progesterone but all results were normal Also I had started seeing a naturpathic Dr but she accepted a job too far from me Can you possibly recommend someone in the Burlington Ontario area who specializes in fertility Thanks so much Answer KellyS 1 269 9/4/07 2:31 pm   shorter cycle after miscarriage Question Hi Ms Koos I had a m/c in November 2006 and have had lots of issues with spotting since About 4 cycles ago (5 mo post m/c) my cycle length changed from 28 29 days (with no spotting before) to 24 26 days (with 2 4 days of spotting prior)  My questions are 1 ) Is it normal or ok that my cycle has gotten shorter What could the possible reasons be 2 ) What are your thoughts on the spotting before my AF Some people say it's normal and some say not My Dr thought low progesterone but we did a hormone panel and all came back fine 3 ) I had started seeing a naturopathic Dr for acupuncture and herbs but she accepted a job in a city too far from me Can you possibly recommend someone in the Burlington Ontario area Thanks so much Answer KellyS 1 313 9/4/07 2:07 pm   5 chemical pregnancys in a row!!!! Question Hi Victoria I have written to you before I am now at chemical pregnancy #5 Im very frustrated and am starting to loose hope My Doc is a nice guy but I dont think he is doing all he can as far as testing goes I have had my chromisomes checked they are fine and I have had my progesterone levels done they are normal I have  1 copy positive for methel flolate reductose then my fasting  homosistine levels checked they are normal So I went back to him and he is now in the proces of checking my Hubbys chromisomes blood had  been drawn I asked him if we should check his sperm and he said no He also said that he thinks it could be that Im just not having good luck I think this is B S Im only 34 I already have one child she will be 2 in 1 week I had no problems with her pregnancy except I had to deliver by c section because she was stuck in my pelvis My question to you is should I get a second oppinin and what other tests could I ask him to preform My health Isn doesnt cover Infertiliy treatments Do you have any sugestions as to where I can turn to next I live in Massachusetts south of Boston and I would also like to go and see a natural path do you know of any around this area Look ofrward to your reply any information would be helpful Kind regards Mary Answer Krinkle 1 347 9/4/07 1:13 am   ovulation after d&c Question I first would like to say this website is awesome and the advice you guy is great and a big THANK YOU go out to all of you I had a d&c on July 14 went to my 2 week post op appt I bleed for about 10days after the operation I started birthcontrol on Sunday Sept 3 My cycle is ususally 30days I am wondering when will I begin to ovulate How long will it take to begin to ovulate Can you give me some insight Thank you sooo much Answer babyjpooh2001 1 320 9/4/07 12:28 am   trying to conceive question Question Hi I am 27  years old and currently trying to conceive for our first month   my last period started aug 17th and I had sex on 8/27 8/29 and 8/31   Well on 8/31 while having intercourse I had lots of bleeding during sex   It stoped immediately after and then a day or two later (yesterday and today) I had spotting which was bright red blood   Enough to wear a pantiliner   I have a regular 28 day cycle and I'm not due for my period until about the 9th of sep   About two years ago I was diagnosed with hpv and had surgery to remove the bad cells that showed up in a biopsy   About a year after that my pap smears were normal   I was wondering what this bleeding during sex thing is and will it affect my trying to conceive   I had this bleeding during intercourse one other time in my life two months ago   It doesn't happen everytime I have sex only these two times   Please help   Answer happygolucky 1 361 9/3/07 11:39 pm   trying to conceive question Question Hi I am currently trying to conceive for the first month   I have been off birth control for over a year now and have very normal 28 day cycles   According to several websites my husband and I had sex two times during my fertile days   Not quite sure if I was ovulating or not since I'm new to this   Then on our third day trying I had bleed during intercourse   Then very very slight spotting the day after and now nothing at all   this bleeding during intercourse thing has happened one other time about two monts ago   About two and a half years ago I had HPV and underwent surgery to remove the bad cells I recovered great and ever since my paps are normal   I was wondering if you know what the bleeding during intercourse means and will it affect my trying to conceive   Also could I still possibly be pregnant eventhough I bled during intercourse   Please help if you can   I have one week until my period so I know for sure it wasn't that   Answer happygolucky 1 366 9/3/07 3:12 pm   Turns out I had cervical stenosis- worried about recurrance? Question Sorry if this is a duplicate tried posting earlier and it didn't work   Turns out I had cervical stenosis I had a rush Laparoscopy on Friday (due to a NICE doctor taking pity on my pain and understanding I start a new job in s afew weeks) Somthing I thought might be wrong from the beginning but it didn't show up on the ultrasounds or CT scans so they thought I had endometriosis   She said there was a lot of old blood trapped in my uterus and it explained the lack of periods infertility and the pain (I had a LEEP about 3 years ago and they took tissue from the cervical canal the theory is BC stopped the periods and didn't resume wnen I stopped because of the blockage She said she 'dialated' my cervix and that should fix this   I am confused I have read some artlicles saying that this only works for a certain period of time and may recur   Can you tell me what the likelyhood of cerical stenosis returning and if it is common how often I would need to be 'dialated'    Would it always need to be a huge big deal like being put completely under and having to miss a week of work like for a laproscopy   (Or is this not needed since they now know what the problem is)   Any feedback you can give me about curing cervical stenosis recurrance and possible procedures I might need I wold really really apprecitate it Thans again for everything P S Oh on a separate note I called the accupuncturist you refered me to who referred me to someone in the East Bay who referred me to two low cost clinics in the East Bay one is for 'students' and the other uses a 'community' room to keep prices down   It hadn't helped with the gyn pain yet but it DID help with numbness in my foot and arm due to a pinched nerve/bulging disks in my neck   Neat     Answer gebbeth 1 302 9/3/07 7:28 am   Turns out I had cervical stenosis... how often will this/can this recurr? Question Hi Vicoria I wanted to give you an update had a Laproscopy yesterday because they susptected endometriosis due to cyclical pain   Guess what   Turns out I DID have cervical stonis one of the things I was concerned about/might have  been because I had a leep several years ago   The weird thing all the ultrasounds and blood in my uturus didn't show up in the ultrasound fertility doc Who kindly did the sugery on her VACTATION (yes and she is with Kaiser ) siad she didn't see it on the ultrasound because it was a weird angle   And she said she 'fixed' it This is great   This explains why I was not geting a period unability to get pregnant AND the unbearable cyclical pain I am concerned about recurrance   How often does fixing cervical stenosis result in recurrance   Is it common   I hope not   I am a little concerned because they gave me a pad for the bleeding and the bleeding is already stopping today She did such a good job she said it could take 2 weeks to recover but day 2 I only have some pain at incision sites and a few places (under my ribs) where gas is stuck Should I be concerned about recurrance as I am or am I needlessly worried   If I do have a recurrance can it be dealt with local anesthesia or do I need to be put completely under again Anyway thanks again for all your advice   As always I always appreciate your repsonse P S Oh btw the accupuncturist you referred me to referred me to one in the east bay who referred me to two low cost good places to get accupuncture a 'community'accupuncturist and a school   I went to one session and although it didn't help yet with my pelvic pain it helped with numbenss I have from pinched nerves in my neck   Amazing   Thank you for the suggestions   Answer gebbeth 1 303 9/2/07 2:59 am   getting pregnant after miscarriage Question If you get pregnant before you have your first period do you have a greater risk for anther miscarriage or complications with hte baby Answer Angie 1 341 9/2/07 1:23 am   need answers Question i am 38 weeks pregnant and i have not thined yet or lost my mucas plug yet and my cervix is still closed does this mean that they are goin to induce me so i can have my baby Answer newmomtobe07 1 298 9/1/07 9:39 pm   period after miscarriage Question I had a missed miscarriag at 14 weeks they said the baby stopped growing at 10 weeks they did D&C on 7/31/07 I bleed for about 2 weeks   I had unprotected sex the next 2 weeks   Now I started spotting on 7/29/07   It has been on and off and very light   it is brown mostly is this my period starting up or could it be inplant spotting Answer Amy 1 333 9/1/07 5:51 pm   Unable to Concieve after Recent Miscarriage Question I miscarriage this last February and had a D&C done My OBGYN told me to wait 2 3 before trying to concieve again So I did After having this be my 13 pregnancy loss my doctor and I decided to do some infertily testing We came to find out that I had endometrium polyps and on June 6 I had another D&C and a polyectomy done I have not gotten pregnant since What are my chances of concieving soon When I found out last Jan that I was pregnant I was ecstatic for it took 3 years for me try to concieve  After the loss I am affraid that it will take years for me try to concieve again  I am 7 months away from turning 28 and would love to become a mother before I am 30 My OB and I did alot of infertility testing and my doctord said that there is not much more for us to test for What can I do to hurry the process of me becoming pregnant again  Please  Please help me   Answer hoping4amiracle 1 401 8/28/07 10:27 pm   missed miscarriage...d&c or naturally? Question I just found out Monday I lost by baby at 7 weeks I was 9w5d I'm trying to make the decision as to whether or not to have a D&C or see if it happens naturally My question is how long should I wait for it to happen naturally   I feel like I'd like to at least try to have it happen on its own because I'm feeling like none of this is happening like it's not real in a way I feel like I need proof as crazy as that sounds But I also don't want to wait a long period of time because I don't believe that would be the most emotionally healthy thing for me either   Any advice would be greatly appreciated Thanks Answer ERR 1 388 8/30/07 1:37 am   HPT Results Question I'm 32 years old   I had my second MC on July 11th (at 9 weeks) and according to the ER did not require a D&C; bleeding commenced the following day    It continued for about a week and then ceased   I am now on day 51 since the miscarriage and haven't had any bleeding since then   I know that most medical professionals will tell you that it may take that long to start a normal cycle again and not to worry   The HPTs that I've taken have both shown negative results; however with my previous pregnancy I didn't have a positive HPT until day 59 of that cycle (all the other HPTs had shown negative results)   Is this normal   My general practitioner isn't concerned and won't become concerned until another MC   Should I be visiting with an OBGYN instead   Answer kitcat0129 1 393 8/31/07 7:24 pm   Prometrium Question Question Vickie  I had some bleeding again this morning and so I was extremely scared I went in for an ultrasound and actually got to see my little peanut The heart was beating strong too I spoke to another doctor in my practice and she is having my progesterone level checked so she sent me for a blood test today and put me on 200mg of Prometrium   Can you tell me what you know about this drug And is it true that once you hear a heartbeat your odds of miscarrying go down The doctor said that everything seemed fine and that the prometrium would keep my uterine lining from shedding She also added that if this was an abnormal pregnancy my body would abort it but that it would take longer with prometrium I was just hoping you could give me some insight into some of this You've helped me so much Oh and by the way my ultrasound shows that I'm only 6 weeks and 1 day and therefore my due date is April 24th Wish me luck Suzanne Answer suzanne32 1 353 9/1/07 12:29 am   OPKs Question Not sure if my question went through yesterday but I was wondering if it is ok to have more than one positive day while using OPK   I just got a positive result on Friday and then it continued on Sat Sun Mon Tues and now seems to be tapering off   I also read that you can test twice a day so on Mon I tested in the morning and got a positive and then tested later in the afternoon again and it was negative   Any thoughts Answer Pea 1 339 8/29/07 1:04 pm   Period after a miscarriage Question I had a miscarriage on July 28th so when should I be expecting my period   If been spotting off and on since August 27th could this be my period   I have no cramps either   Your imput would be much appreciated M Answer Missy 1 367 8/29/07 9:17 pm   Period after a miscarriage Question I had a miscarriage on July 28th so how long after should I be expecting my period  I started spotting of and on since August 27th  with no cramping  Is this my period or what Answer Missy 1 333 8/29/07 9:15 pm   Pregnancy after a miscarriage Question Thank you for answering my question I really appreciate it I've never been through anything like this   I had a D&C so am I suppose to count the date I had the D&C 08/10/07 as the first date of my last period if I was trying to find out what date I ovulated And can you ovulate without having your first period after a D&C Before I got pregnant my last period was 06/01/07 Does your HCG levels being 0 determine when your going to start your first period Answer michelle 1 401 8/29/07 6:41 pm   pregnancy after a mc Question hello im 25 and ive been pregnant 3 times but i only have one child my first pregnancy was very sucessful however the other 2  were'nt the mc happened the same way with i was about 13 or 14 weeks along in and out of the hospital for minor bleeding the docotor said the baby wasnt fully attached to the wall but inform me that sucessfull preganacies have began this way not to worry the baby is ok i even heard the babies heart beating i then i just began to have contractions with severe bledding both times i made it to the hospital and both times i went to the bathroom and lost the baby my last mc was march 18 2007 and we've been tryin but nothin what should we do or not do                                                                                                                                                         thank you                                                                                                                                          losing hope Answer kashstro 1 351 8/29/07 1:04 pm   Two mc and attempting to get pregnate Question 6 months ago I got pregnate and had a mc at 6 wks This month I found out I was pregnate and had my second mc at 5 wks What can I do to become pregnate and dont have another mc Answer imelda 1 296 8/29/07 4:24 am   Two mc and attempting to get pregnate Question 6 months ago I got pregnate and had a mc at 6 wks This month I found out I was pregnate and had my second mc at 5 wks What can I do to become pregnate and dont have another mc Answer imelda 1 317 8/29/07 4:24 am   One blocked Tube and I am 43 yrs Old Question I have two children The youngest is 12 yrs old I have been trying to conceive for about 10 months now I have a blocked left tube that was confirmed with a Hystero The tube cannot be repaired I produce several follicles on the good side with and without the help of meds I have had 2 IUI's but I still don't have any luck Every month I have extremely heavy menses to the point that I almost need to transfuse I really want to have another child and I am trying everything to conceive I am almost to the point of having an IVF but I understand that is not guaranteed at my age I was told that I have a ledd then 5 chance to conceive thru IVF I am starting to get discouraged Can you offer me any assistance suggestions advice prayer or anything Thank you so much Answer VWPeachez 1 328 8/28/07 10:35 pm   pregnant again? Question hi i just had a miscarrage about a month ago but recently i did have intercourse and now it is showing that i am pregnant again   i did take a pregnancy test and it showed positive i also had a ultrasound done and the doctor said i was two weeks pregnant can this be Answer pregnant mom 1 323 8/29/07 3:46 am   D&C Question I was 25 weeks when I lost my twin boys I had to go through labor and delivery 6 weeks later I took a pregnancy test and it came back positive After an ultra sound it was determined that I had placenta inside of my uterus still I now have to have a D&C I am scared because I want to have another baby and I am not sure of when we can start trying Thank you for your help Answer kdysert21 1 305 8/29/07 12:26 am   M/C at six weeks,Pregnant again Question I had a miscarriage at six weeks on 7/5 I had bleeding for more than two weeks and then it stopped  Me and my husband  had unprotected sex on 7/29   Three days after that I started having severe headache and thought my periods were coming but I had very less bleeding and all of it was brown Was I ovulating because now I have symptoms similar to when I was pregnant mild cramps dizziness tiredness and cravings Could I be pregnant Answer Manasi 2 694 8/11/07 12:12 pm   Pregnancy After Miscarriage Question Hello   I had a miscarriage on July 7th when I was about 11 weeks This was my first pregnancy and I was and still am completely devastated I had a period on August 13 that lasted about two days and was not as heavy as normal and some cramping Even before then I was having some sort of cramping and a feeling of swelling in my lower abdomen Now I have bloating fatigue headaches light cramping all the same symptoms as with my first pregnancy Could this be a sign that something is wrong Please let me know I would appreciate this with all my heart Thanks Answer 1 343 8/30/07 6:49 pm   Pregnancy After Miscarriage Question Hello Again I forgot to mention with my previous question about a miscarriage on the 7th of July that yesterday i seemed to have been ovulating it was something similar but yellowish and it was only yesterday Answer 1 304 8/30/07 6:56 pm

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