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   d and c and tubal pregnancy Question i found out i was preganant and a few days later began to bleed lightly with no cramping i called the dr's and he wasnt in so i was told to go to the er they did sonogram and said it was too early to tell anything i was sent home i havd a appt that monday with the dr and was still bleeding i was sent to have my hcg levels and they were around 900 two day later the same but they onle went up to like 1100 few days later another sonogram was done i was told there is nothing in there but debris and was told to have a dnc on the 26th we had the dnc everything was ok for a week the i began to bleed more than the first time and i began haveing cramping BAD the i began passing clots some ery large dr said that the bleeding and the passing of clots were ok becasue maybe there was more tissue in there that i needed to pass but he said since im having pain he wanted to do laprascopy to see if he could find anything he did he said there was a tubal pregnancy and he again did another dnc now i want to know was that twins or was he wrong by doing the dnc in the first place more inportantly what are my chances of conceiving again and having a healthy pregnancy i have read and the more dnc's u have the less likely you will have a sucsesful pregnancy and the same for haveing a tubal pregnancy looks like my chances are so low Answer dal030206 1 343 8/24/07 5:35 pm   HOW LONG Question I'm 23 years old and I just had a miscarriage at 20 weeks on the 24th of August   I was having a little boy   His name was Ethan Karon Mcleggan   This was by far the devastating thing I have ever been through in my life   This was my first baby and I am so hurt   I can't stop thinking about him   I know that it is still early but I want to know how long should I wait before I start trying to get pregnant again Answer sadmommy1303 1 508 8/26/07 2:40 pm   month after miscarriage Question On July 23 I was 5 and a half weeks pregnant and had a miscarriage   It's four and a half weeks later and I havent had my period yet   I had cramping 3 days last week and have been cramping the past 4 days then today my breasts have been itching like crazy I'm irritable and feel like I'm going nuts   I took a HPT today which was negative   I dont understand why my breasts are itching or why I'm having cramps without my period starting   I plan to take another test in a few days if I'm still not bleeding   Could I be pregnant and its not showing up on a HPT yet or is this just a horrible case of PMS Answer JenRN2005 1 434 8/25/07 11:48 pm   miscarriage Question I miscarried on 7/23 i was 6 weeks now it's been four and a half weeks since the mc and I took a pregnacy test on 8/21 and it was positive but then i started bleeding on 8/23 but  it isnt a normal period i'll bleed for half a day and then nothing then some brown blood then nothing the rest of the day my question is could I be pregnant since i'm not having a normal period and tested pos two days before this started or did i just test pos because of leftover hcg from before the miscarriage Answer sheshe41 1 358 8/25/07 12:52 am   just wondering... Question Hi there I was grateful to become pregnant after only two months of trying only to suffer an early miscarriage this week I am in my mid twenties my husband is 15 years my senior I am currently on my fifth day of bleeding from the miscarriage having begun to bleedlast Tuesday Sadly I am going to be away from my husband on what will be the 13th 14th 15th and 16th and 17th day of this new cycle Will we miss our chance to conceive this month HELP Signed Antsy sad and a bit scared in NYC Answer startieri 1 346 8/26/07 1:46 am   when to test Question I had  a misses miscarriage at 14 weeks they said the baby stopped growing at 10 weeks   They did a d&c    How many weeks after a d&c should you wait to take  HPT if you havn't got your period Answer Amy 1 353 8/25/07 8:35 pm   menstration after miscarriage Question I miscarried on july 14th of this year I was about 5 weeks I still have yet to have a period since then Is it possible that i am pregnant again or does it take that long to start menstrating again Answer momofone 1 413 8/24/07 10:48 pm   Pregnant after miscarriage Question I am 46 years old and on July 13th I found out that I was pregnant   I was shock because a month before I visited a fertility clinic and they discourage me for trying any fertility treatment   Sadly after a visit to the emergency room for kidney stone which I though it was a eutopic pregnancy I was told that my baby was ok   A week after I went for my first check up with the obgy and I was told that my baby was not growing I have a blood test which showed that my hcg levels were doubling but not fast enough the problem was that I missed a period before getting pregnant In any event on August 6 I was told that my pregnancy was not viable beause they could not hear the heart beat of the baby I terminated the pregnancy and today I was told that my hcg levels are down to 10   I am very irregular on my period   Can you tell me what it should be a fair time to a) expect a period or b) try to get pregnant again Answer kaimos 1 419 8/24/07 7:30 pm   ovulation Question I had one healthy pregnancy and had to supplement w/ 4cc of progestrone 2x week until 8 months I just I miscarried at 6 weeks on 8/13 my doc was not surprised due to low HGC levels and low progestrone levels I have been keeping track of my cycle using the Creighten Method is it possible to ovulate at the end of a miscarriage I began bleeding on 8/13 until 8/19 I had every sign of ovulation on 8/21 8/23 (mucas) Also the day I began bleeding there were no dectable levels of hgc in my system and by 8/14 when I had bloodwork done everything was back to pre pregnancy levels is this normal   I did have positive preg test by blood work on 8/2 so I know for sure I was pregnant I can't get into my doc until the end of September so I was just curious Answer Sable 1 352 8/24/07 4:01 pm   conceiving after m/c Question At age 19 I m/c at 4 weeks pregnant (no complications) Now 31 and m/c at 5 1/2 weeks preganant no complications no d/c should I be concerned about being able to carry a baby full term   When is it safe to TTC again   Does trying before one full cycle increase risk of m/c again Answer Vickie 1 434 8/24/07 1:13 pm   Miscarriage Question I took clomid in April   I got pregnant   My first ultra sound showed a fibroid the size was 3 cm   I lost my baby boy at 16 weeks (8 8 07)   No known reason for this loss   He was perfect for his age    I also lost a baby at 8 weeks Sept  2006   I am 38 years old   I had two boys with no problems in 2002 and 2004   Could the clomid have caused the fibroid   Could the other miscarriage have caused it    (no D and C that time some tissue was rotten that had not come out caused me to get real sick 3 weeks after the m/c It came out and I was fine   I got  pregnant again 8 months later    Any insight on my situation would be appreciated   I went into labor my water broke and I had the baby at home for my second loss   It was such a shock to lose him because we thought we were safe because we made it to week 16   He had a strong heartbeat and looked great at 12 weeks   The Dr said he felt the fibroid did not cause the m/c Answer Amy 1 344 8/24/07 12:37 pm   pregnancy after delivery Question I delivered nine days ago at 21 weeks of pregnancy (i wasnt far enough for them to save the baby) Since those nine days i have had unprotected sex three times(even while i was still having some light bleeding from the delivery ) My question is what are the chances i could be pregnant again so soon after delivering just a week ago Answer hbic 1 365 8/23/07 3:47 pm   Chances of another miscarriage Question Dear expert  It's me again but thats because the hospital never gave me answers I had an acute miscarriage and a n emergency d&C done after they left my baby in my body for 5 whole days before they said I needed to see a doctor to schedule a d&C my husband I plan to try to concieve in OCT ( 3 months from the d&C) and I am on b c till then but I am so afraid will this happen again Can i prevent it Should I keep taking pre natels Thanks with thanks broken hearted Answer Brown06 1 345 8/24/07 6:52 am   Miscarriage and trying to concieve again Question I miscarried my 2nd pregnancy on the 21st of July I started with a light spotting on Saturday and then headed to the ER the next day since the bleeding worsened There they did not see anything on the unltrasound and my hormone levels were at 100 (I was in my 6th week so it should have been 50 000 or so I was told) I'm guessing because of the low hormone the baby was probably gone before anything had happened We've been trying for almost a year to have another child (I have a two year old and with that pregnancy I had no spotting or morning sickness just high glucose levels because of my diabetes besides that and a bigger baby no complications) And this has been a tragic loss for me and my husband I have been dealing with depression which I have suffered since I was in my teens but I feel that I can and really wish to try again The question is that I have not had a period yet since I miscarried a month ago I have a "natural" miscarriage without d&c and what not knowing my cycles I should have had a period by now since the doctor told me as soon as the hormone levels are back to "pre pregnancy" ovulation should occur within the normal time frame What I am wondering is when is the "normal" time frame for ovulation after a miscarriage Does "day 1" start when you first see blood due to a miscarriage or the day when all the hormones are back to pre pregnancy The whole bleeding lasted exactly 1 week and then I went back to the doctor and he told me the pregnancy test was negative and the pregnancy has been completely terminated I am just confused on what is normal and what is not since there are conflicting answers on the internet I know that every woman and every pregnancy if different but would just like to know when a "normal" miscarriage occurs when does the "day 1" of the cycle start   I wish to be pregnant very soon again since I've wanted this baby and been trying for a year now If you can explain to me the hormone levels and what your body does after the miscarriage it will be greatly appreciated Thank you Answer Josiee 1 494 8/23/07 10:37 pm   No fetal heartbeat Question I am 27 and am 7 9 wks pregnant with twins Found out three days ago that there is no heartbeat for either baby I'm devistated I only have 1 tube due to prior ectopics It took me three years after my last ectopic to get pregnant with this one What are my chances of ever having a baby and a normal pregnancy go full term How long will it take for me to get pregnant again :question: Answer hoping4amiracle 1 693 2/23/07 4:47 pm   how many weeks Question How many weeks do you have to be before a hpt will show positive Answer patchamo 1 405 8/23/07 11:24 pm   birthcontrol after m/c Question i found out i was pregnant at 5 weeks then had a m/c my question is how soon can i get on birthcontrol how long should i wait or ask for it is it hard getting pregnant after miscarriage then d&c Answer babyjpooh2001 2 392 8/22/07 4:25 pm   Miscarriage Question For the past week I have been having sharp pains on my lower right side   I went to the doc on 8/20 had a pelvic exam and blood work done hgc level was an 8   I had an ultrasound on 8/21 everyrthing looked normal   More bloodwork on 8/22 hgc level at 11   Woke up on 8/23 with bright bleeding and mild cramping   I have another ultrasound scheduled for 8/24 and more blood work   I have miscarriage in the back of my mind but am trying to stay positive still   Any advise Answer Jenn T 1 411 8/23/07 7:43 pm   coagulation problems and m/c Question We have had 1 healthy daughter and 6 early m/c 3 years ago we had a complete w/u and found out that I have a balanced chromosome translocation that causes increased chance of m/c I was recently reviewing my medical records and noticed that I also had an elevated PTT (47s) and a low platelet count (120k) Could these coagulation changes also be responsible for causing m/c Answer Susan 1 385 8/18/07 11:55 am   Herbs Question Hello I am having problems trying to post a question   Hope this question get to you   I've been on fertility blend and now I want to switch back to the herbs my acupuncturist gave me   How long do I have to wait to start taking the other herbs Answer tararob26 1 348 8/23/07 1:44 pm   What Are My Chances Of Having Twins Again? Question Twins do run in my mother's side of the family and I am currently pregnant for the first time with fraternal girls My question is that after the girls reach about 3 or 4 my husband and I would love to try for a third child BUT my biggest fear is that we may end up with twins again Do I have a higher chance of having twins again because they run in my family and because my first pregnancy was with twins Answer Mama2Twins 1 354 8/22/07 2:56 pm   Miscarriage at 11 weeks Question Miscarriage at 11 weeks began with spotting on 7/18   Broke water and passed tissue on 7/24 Bled for about 2 weeks and 2 days   Had a few days off and began what seems like a period on 8/11   Today is 8/22 and things are tapering off but should I check with physician   Is it normal to have a period SO soon after miscarriage or is this something else Answer nbenedict 1 394 8/22/07 1:49 pm   Herbs Question Hello Victoria I am currently taking fertility blend   How should I be off if I decide to switch to another herbal suppliment   Answer tararob26 1 341 8/22/07 12:21 pm   Herbs Question Hello Victoria I want to switch herbs   I am now taking Fertility Blend   How long do you think I should stop taking fertility blend to switch to other herbs     Answer tararob26 1 294 8/22/07 12:05 pm   I took provera but still no period Question I am 30 no kids and have a history of not having a regular cycle 2 years ago my gyn perscribed provera (10mg for 10 days) so that I would have a period at least every three months I was just about at the three month mark and about to take my rx when I discovered I was pregnant I had a miscarriage at 7 weeks (blighted ovum) My ob perscribed clomid but said I needed to wait for at lease one cycle before I could take it  I have been taking my temperature every day since the miscarriage My temps could not confirm that ovulation took place (very irratic) and I have yet to get my period On day 29 I took a pregnancy  test (came out neg) then took my rx of provera to kick start my cycle I took the ten days and it is now four days past that and still no period Knowing my history and infrequency of menstruation I  am worried I will never get my period I want to start the colmid but I haven't been able to have a period yet Should I get more progesterone Why didn't the progesterone work to start my period it has worked before How long after I take it should I expect my period Answer kbash 2 389 8/20/07 6:40 pm   Egg White Question In Taking Charge of Your Fertility she mentions using eggwhite as a lubricant to aid conception How do you feel about this (Thank you by the way for answering my other question so helpfully ) Answer jlhg 1 433 8/20/07 12:56 pm   How to count dpo Question I was wondering how to figure what day past ovulation you are when using an ovulation predictor kit My LMP was 8/5 my first opk was 8/17 I think that means I probably ovulated about 8/18 What day is actually considered 1 dpo Would that be 8/19 Thanks for your help Answer Susan 1 361 8/23/07 12:54 pm   Pregnancy after miscarriage Question   I got my blood work back today My hcg levels are back under 2 They said they think I started miscarrying before I went to the er on Aug 10th The dr told me no intercourse but I kinda broke the rules and we didn't use protection or anything Today after he explained about me miscarrying he asked me if I had intercourse anytime after I started miscarrying and I said no because I was told not to ( I thought they said that because of the minor bleeding I was having ) But today after my appointment I was talking to a friend and they told me you were more fertile after miscarrying So now my question is could I be pregnant again The past couple of days I have been feeling pregnant again My urine is getting darker again I am peeing more again I had a discharge of a thin clear liquid and I am getting bloated again These were the symptoms I was having before I found out i was pregnant the first time I know yesterday my hcg was less than 2 but I know if I was only a week than it probably wouldn't be registering yet I am suppose to be starting my birth control back sunday but I am not sure if I should Also I am scared that if I am pregnant again I will miscarry again cuz it happened so quick after miscarrying because they say wait for about 3 months What should I do    Well here are the things about the miscarriage My LMP was June 28th I found out I was pregnant Aug 3rd   Aug 10th I went to the er and my hcg were only 56 23 at that point I was approx 6 weeks pregnant   Aug 13 they had dropped to 23 75 and by Aug 20th all they way down to less than 2 So they think my baby never even started growing good since my levels never got real high Answer Bumbleboo86 1 534 8/22/07 3:09 am   SHG Question I am scheduled for an SHG to investigate recurrent miscarriage   I've read that this test is usually done in the weeks before ovulation   My ovulation was delayed this month (I'm using LH detection and basal temping) and I will be likely 5 days past ovulation on the day of my test   Will this interfere with the "results" or finding what they're looking for (uterine abnormalities) Answer betsarama 1 324 8/22/07 5:48 pm   pregnancy Question Hi i had a miscarriage in almost 3 yrs ago and have had no luck yet my husband and I keep trying but no luck any suggestions Answer joni 1 315 8/21/07 9:33 pm

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