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   early pregnancy symptoms Question A friend of mine is experiencing fatigue nausea and says her boobs are extra sensitive I keep telling her these are early signs of pregnancy and that she should get a pregnancy test Can you confirm these symptoms as early signs of pregnancy for me Lize B 0 484 5/29/07 9:40 am   Multiple positive OPKs. Question I am concerned because my cycles are getting longer and longer I use OPKs and for this cycle and the last I am having multiple OPK's in a row The last cycle I got positives on CD 13 15 I stopped testing Then I ovulated on CD 24 This month I've had them on CD 12 14 and I'm going to continue to test Why would someone get multiple OPK's in a row way before they are actually going to ovulate Answer mandy02 3 673 4/27/07 2:27 am missed period Question I HAVE BEEN TRYING TO GET PREGNANT SINCE AUGUST OF LAST YEAR AFTER 2 BACK TO BACK MISCARRIAGES THIS MONTH I WAS SUPPOSE TO START MY PERIOD ON THE 19TH OR 20TH NOTHING HAS HAPPEN YET AND I HAVE TAKING A PREGNANCY TEST THAT WAS NEG I AM NEVER LATE ON MY PERIOD COULD I HAVE JUST TAKEN THE TEST TOO SOON OR COULD IT BE SOME THING ELSE Answer kitty 3 635 5/23/07 5:03 pm   EWCM after ovulation ..part2. Question Hi there I got your answer on the ewcm after ovulation I asked if this is again ewcm and if it means that I ovulated twice in one month I did have a positive OPK the first time I can identify what ewcm looks like I actually touched it to see if it stretched and it did It was clear and stretchy Just to remind you I Had an hsg done this month and I had a cold and been drinking a lot of water You mentioned that you should only get ewcm once in your cycle at the time of ovulation so I am wondering then what this means I have looked in other sites and I found a thread that says that estrogen rises twice in your cycle and it is normal to have ewcm after ovulation is this true Answer hope 1 470 5/24/07 3:38 pm   exercise Question Is exercising on a stairmaster while tring to concieve ok Answer Kassie 1 467 5/24/07 2:51 pm   Not sure if it was implantation bleeding or something else Question My other half and i have been trying to have a baby since our miscarriage that happen in September 2006 But a few days ago i started to bleed and i thought it was my period But it was just spotting then it was gone I have tryed two tests and both negative Is it too early to tell When do tests work Answer Gimpyu 1 494 5/24/07 2:46 am   progesturone cream Question how do you know if you have a progesturone deficiany i have regular cycles and ovulate regualrly throughout the year I also bleed for 7 days and have had moderate endometrosis I have been taking progesturone cream for the past 2 months and my periods have decrease to 3 to 4 days is this good Answer anxiouslywaiting 1 444 5/24/07 1:57 am   Frozen Embryo Transfer after miscarriage Question Hello Is there any research on who long one should wait to do a frozen embryo transfer after a miscarriage I was 4 weeks along after an IVF cycle when I miscarried It was my first miscarriage Otherwise I am in excellent health Thank you again Ann Answer ann 1 449 5/23/07 9:50 pm   Ovulation Question I had a miscarriage 5/13 and was only about 2 3 weeks along (only knew I was pregnant for about 3 days) and it was pretty natural Very very little pain and only a couple days of blood Since the miscarriage I have become obsessed with figuring out my fertility and my body 's cycle Though I didn 't chart I always had cervial mucus and pain with ovulation and I never questioned it I had a pretty regular period too about 28 31 days each time But now that I 'm awaiting my first cycle since the miscarriage I 'm wondering if I have a problem with ovulation If I always knew I was ovulating before does a miscarriage interfere with your ability to ovulate after Also Because I wasn 't far along my doctor suggested we wait one cycle before ttc agian but I really want to start as soon I know that I 'm ovulating Any risks Answer linzp6 1 444 5/23/07 9:36 pm   Pregesterone Cream Question My husband and I have just started ttc and I 've read a lot on all natural progeterone creams Is there any real evidence that it helps And are there any reasons why it 's not safe AT ALL to use it Answer linzp6 1 499 5/22/07 6:06 pm   EWCM after ovulation? Question Hello I had an hsg done this month on cd17 I had a positive OPK followed by two negatives in the following days on cd18 I had ewcm so I think I ovulated then Right now I am on cd24 or approx 6dpo and I had some ewcm yesterday at night Does this mean I am ovulating again Or could it mean that this cycle is anovulatory I am recovering from a cold have been drinking lots of water could that have made my ewcm thank you in advance ) Answer hope 1 507 5/22/07 3:07 pm   BBT Question Can I have a drop in BBT in the luteal phase ( 4 DPO ) on 3 dpo my BBT was 97 9 and at 4 DPO it dropped to 97 7 is this normal Answer arc 1 442 5/22/07 3:04 pm   cycles after chem. pg Question Hello I have 2 kids (my younger one is 10m/o) and have since had 2 chemical pregnancy (one was confirmed through both a pg test & a beta HCG test) another just through a home pregnancy test (I suspect I could have had another one in between these two but I decided not to test and my period was 1 week late) I also suspect that I might have a prolapsed uterus (I will be seeing my OB/GYN for this in a week) Since my last chemical pregnancy I have not gotten my period (a beta HCG a week after the positive home test confirmed that I 'm not pregnant <2) At this point I am starting to worry about 1) why do I still not have my period 2) will I be able to be/stay pregnant again Any help would be appreciated Thanks Anna Answer anna1999 2 491 5/18/07 1:48 pm   had a miscarriage and trying now to conceive Question Dear doctor I am aged 26 and my husband is 30 age and now it is 2 years three months after our marriage (on Jan 2005) Now in Qatar On the first year we didn t try for a baby After we tried nearly for 8 months and there was no result So when we went to kerala we saw a infertility doctor (October 2006) Then the doctor gave me melmet 500 mg twice daily (as my LSH:FSH ratio was not good) and when my husband semen count was checked there was less count and active sperms were less And said that there was a problem of varicocele Anyway he treated with medicines Adyzoa and UBIPHENE (for sperms improvement) we came back to Qatar and just made a follicle study only for one month in november 2006(the result was all ok) and had the medicines and on Jan 07 got pregnant After I continued melmet and had folic aid Then at this time (our vacation for 45 days) we went to kerala I was 6 weeks pregnant We went to see the same doctor and scanned and said that there was a growth difference of 5 days and heart beat was there and told that we will do a scan and see after 3 weeks And when we checked my TSH it was more 7 76 And was having Electroxyin 2 days a week After three weeks when we went he said the foetus heart beat is no more and said that it was a missed aborton By that time I was 10 weeks(showing only 7weeks growth) So did an DNC (operation) on March 13th In this time the TSH came low 3 36 Prolaction is normal After we came back to Qatar on March 31st 2007 and consulted a gynea(she is a keralite) And said to wait for three months and when the third periods start we can do scanning And said first to make an ultrasound (on 5th day) and after we can do all blood tests Now doctor 2 months is over and got my periods correctly after 28 days Now 2nd period was on May 10th 07 Doctor could you advice us what all we should do What might be the reason for that missed abortion Can I conceive again Should we try only after all test are made Can a gynecologist be able to help us We are worried about all these The main thing we don t know in this country which doctor would be able to solve our problem Is her advice correct I am having melmet and electroxyin folic acid My husband is taking the medicine carnitor and ubhiphene The result of semen test made on March 2007 Description of tests Patients value Normal value Abstinence Days 1 day Collection h 3 15 pm Examination 3 45 pm Motility 35 > 50 (a) (b) Concentration 30 milion/ml > 20 M/ml ANALYSIS OF SPERMATOZOA a rapid linear 25 b slow linear 10 c Non progressive 30 d Immotile 35 ANALYSIS OF SEMINAL FLUID Appearance Normal Grey opalescent Liquefaction time 30 min <60 minutes (R T) Consistency Thin Low viscosity Volume 2 ml > 2ml P H 7 7 7 2 7 8 Fructose present Present Agglutination Nil Nil WBC (x 10 M/ml) 3 6 hpf <1 x 10 M/ml DIAGNOSIS Asthenozoospermia Hypo osmotic swelling No of spermatozoa 100 100 No of sperms with curling 0 No of sperms with curling 34 Actual of sperms with 34 Result of sperms reacted with 34 SPERM VIABILITY TEST No of sperms evaluated 100 100 No of stained spermatozoa 40 No of unstained 60 of unstained spermatozoa 60 Result of unstained spermatozoa 60 >60 Normal of stained spermatozoa 40 reference value of un stained spermatozoa 60 > 60 normal] ; > 50 59 equivalent < 50 abnormal Answer susan 1 528 5/22/07 6:28 am   POSITIVE Question Ms Victoria It is as the ANgels in Hevean are song ing the Hallelujah CHorus right now I took two ClearBlue Easy Digital Pregnancy tests and the both said "Pregnant " it is the happiest thing but what I am in fear of is that what if it is wrong and it is a chemical pregnancy and Im not really I am not due to start until Saturday but I guess I need to hear it from you that it is ok for me to finally celebrate this long awaited baby Answer punkin 1 515 5/21/07 7:26 pm   ovulation Question can ovulation take place on day 10 of a 29 day cycle I had a m/c 6 weeks back Will that cause my cycle to change I usually have a 29 day cycle and I ovulate on day 14 This month I had EWCM on cycle day 10 a drop in BBT and a high soft cervix Does this mean I ovulated early this cycle Answer arc 1 474 5/21/07 12:33 pm   trying to conceive Question hello my husband and i are trying to get pregant i had a miscarriage in febuary i was just wondering if there is anything i can do to increase our chances of getting pregant thank you for help it is greatly appericated Answer frog31683 1 450 5/21/07 7:55 am   exercise Question It 's a new month I am on my cycle and I want to start exercising Walking weights and exercise machines at the Family Y I am 41 Do you think it is OK for me to start this even though I am trying to get pregnant Can it hurt my ovulation or chances of getting pregnant I am not going to run but I do want to go to some aerobic classes and work out at the Y I am not over weight I am 5 ƌ " and weigh 140 142 lbs I just need to get into shape Answer aadi 1 434 5/20/07 9:10 pm   Ovulation Question Is it possible to ovulate while you are still menstrating Can you get pregnant Answer sadmom 1 467 5/19/07 6:52 pm   whats wrong with me Question Dear Dr I had a baby 11 years ago that died at 2 wks old He was born early I have not gotten pregnant sence then My periods are regular but are very pain full When I was younger I had a s t d could that have made me sterial I have been hearing a lot about pco desease please help me thank you Answer angela 1 555 5/19/07 5:16 pm   egg white cervical mucus Question I came across the term 'several patches of Egg White Cervical Mucus ' What does that mean Answer arc 1 536 5/18/07 7:33 pm   Question Question Is it possible to have a normal period cramps nausea and feeling tired and be pregnant Answer veke 1 449 5/18/07 7:14 pm   cervical mucus Question Thanks a ton for the quick response is it possible to have fertile mucus one day and sort of sticky creamy mucus the next day very early in the cycle Answer arc 1 500 5/17/07 1:47 pm   Miscarriage after IVF Question Hello I became pregnant after my first IVF transfer on May 10 2007 but miscarried shortly thereafter at approximately 4 weeks gestation My initial HCG wass 39 on May 15 56 on May 17 and dropped to 44 on May 19 I am eager to try again with a frozen embryo transfer but am curious if my body is ready I had very minimal spotting and mild cramps May 12 16 Also when could I expect my mentrual cycle to begin again Thank you kindly Ann Answer ann 2 452 5/21/07 9:01 pm   Possiablilty Question Hi everyone I am at 3 DPO and I am having sore bb 's mainly on the sides and am I severly fatigued like falling asleep at work and I have got to where the last couple of nights I have woken up at 5:30a m and last night at 2:30 a m The smell of french fries made me sick to my tummy are these good strong signs or no Any opoin will be much appreciated Answer punkin 2 497 5/15/07 8:25 pm   Is this a normal period Question Hi My husband and I are ttc We have been trying for about a year now I am 32 years old I was on birth control 6 years prior to ttc My periods of course on the pill were normal Last May we got pregnant after the first try I miscarried in August at 12 weeks We waited the recommended 3 months to try again Ever since then right before when my period is supposed to start I spot very lightly a brown pinkish color for 3 4 days and then boom my period comes on heavy the 4th or 5th day and then light for 2 days and then gone My periods were never like this before And ever since my miscarriage they have been like this each time I did have a positive pregnancy test in Feb and then period started at 5 weeks I spotted for a couple of days no period took the preg test was positive and then started to spot at 5 weeks I spotted for a couple of days and then my period was heavy like my periods have been My OBGYN said it was an implantation problem for that miscarriage My miscarriage in August found no reason for it They did do a few blood tests like PCOS and thyroid and everything came back normal Do you think my hormones are off a little Do you think I could possibly be having an implantation problem each time I am planning to by an ovulation kit this weekend because I am not sure if I am getting my ovulation correct because I don 't know when to start counting when I begin to spot or when the period comes on heavy Sorry this is long Thanks for your help Answer Jen 1 478 5/16/07 10:11 pm   cervical mucus Question when is the earliest that a woman can ovulate I am on CD 9 and had Stretchy white CM How many days will I have egg white CM Answer arc 1 462 5/16/07 5:36 pm   Good acupuncturist/herbalist resources in East Bay (Walnut Creek) San Francisco bay Area? Question thank you again so much You are wonderful thank you for answering all of our questions I was wondering if there are any good resources (including any boards/services etc ) that might help me find or look for a good acupuncturist/herbalist in the east San francisco bay Area (Concord/Walnut Creek) Hours and cost would be a concern but of course first concern is being able to find resources to find a reputable good one Answer gebbeth 1 439 5/16/07 4:23 pm   CM after an hsg Question Hello I had an hsg done last week my tubes are open and my uterus looks fine My question is that if after the exam your cervical mucus changes I used to have creamy cm before ovulation and now I just had wet cm and I found yesterday some ewcm but not as much as I always do thank you Answer hope 1 400 5/16/07 3:06 pm   becoming pregnant after mc 2-23-07 Question I have had periods since the mc as a matter of fact my last one was 4 3 07 to 4 7 07 but I havent started this month and its already 5 14 07 Is it true that you are more fertile after a mc Answer motherof2 2 504 5/14/07 9:58 pm

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