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15 Sep 2006

Ovulation pain?
Hi Dr. I am writing to see if what I am expeirencing is ovualtion pain. First of all I have went through 3 IUIs with no luck. The last one I had 5 mature eggs. Anyway I got my period on the 5th of September. Today is day 11 of my cycle. All day I have been experiencing these little pains on my lower left side. They are like little "twinges." They come and they go but I can definately feel them. So what I am wondering is basically what this is? I have had cysts before on my ovaries but that pain was more tender especially when I would press on my abdomen. Also I am taking a month off- so I am not on any fertility meds. Any ideas what is going on?

And lastly I am looking for your advice on my next step. Like I said I have had 3 failed IUIs. Been TTC for 2 years. 1 year with fertility Dr. I have PCOS (w/ no signs/sypmtoms- except ovaries). My husband has great sperm count (143 mill last time 98% mobility). I also have mild endo which was removed in December. Anyway... I have to go in for a "consult" with the Dr. next week to talk about my next step. What would be your advice?

One last thing....in your practice do you the Dr. perform the insemination or does your nurse do it? My Dr. has never done them and some people that I have talked to find this extremely weird!

Thanks
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Expert
Fertility expert
fertility expert

01 Jan 0001

Dear Jill

The pain that you are experiencing may well be related to impending ovulation. Presumably the diagnosis of endometriosis was made by laparoscopy and I assume that the fallopian tubes are healthy and patent. If this is the case, then the next step will be a more aggressive stimulation protocol with a view to IUI. Such a protocol will include the use of injectable stimulation drugs will give a far healthier ovarian response with less adverse effect on the endometrium (lining of the womb). This in turn will ensure a far healthier implantation and hopefully a successful pregnancy.
Ideally IUI's should be done in a fertility centre and the sperm has to be prepared by experienced technicians/embryologists who understand the sperm wash process. However, the actual insemination need not necessarily be done by the doctor but can be done effectively by an experienced nurse. In our centre, most IUI's are done by the doctors themselves.
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