my RE wants to use Medrol? Advice please?

handeeemt

6 Posts
Reply Posted on: Apr 30, 2013 at 11:57am
tried talking to my RE about doing a natural cycle with steroids and intralipids. even though the chances are low i would still like to give it a try since i am getting pregnant just not sustaining them past 8wks. He said he would be ok with that except he uses Medrol (4mg) instead of dexamethasone or prednisone. He also, of course, is not a fan of intralipids and says there is no evidence to back it up and that you need to publish your study proving that it is beneficial even in place of IVIG, which he isn't a fan of either. I don't know what to show him or where to direct him on this subject. another thing is he wants to give me the medrol two days after ovulation because he feels there is no need for steroid treatment before ovulation, because there is no implantation issue at that time. I know you and other facilites begin steroid treatment before ovulation. If i choose to have my RE treat me before i actually cycle later in the year i don't want the timing to be off and possibly lose another because of it. Any advice? Is Medrol (low dose 4mg thru 6wks gestation) comparable to dexamethasone?

He also doesn't want to stimulate me with anything, like femara, since i don't seem to have trouble getting pregnant even though my AMH is 0.16 and FSH 10.8

Dr. Braverman

2026 Posts
RE: my RE wants to use Medrol? Advice please? Posted on: May 4, 2013 at 7:45pm
You should not use treatments of any sort unless you know exactly what you are treating. Im not sure what the thinking is here. I would be happy to help you get a correct workup , identify the issue and prescribe the correct treatment. Many patients come to me where the most significant problem is the treatments they were placed on with no substantial diagnosis.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

handeeemt

6 Posts
Reply RE: my RE wants to use Medrol? Advice please? Posted on: May 6, 2013 at 9:30am
I've had a full workup done. elevated NK cells, mild APA, possible AT III deficient (unsure if acquired or hereditary, i was tested while already on lovenox). AMH 0.16 FSH 10.8 I get pregnant fairly easy ( within 2 cycles) but i know i am running out of time. I can't afford IVF at this point because we're trying to improve our credit rating because the bank won't finance us yet. so i'm looking at August or september for IVF. i just didn't want to waste time meanwhile if i could try treating it in a natural cycle.

I have consulted with you earlier in the year before i had any immune tests done, but i can't make it out there. I am in California. I was told my RE in Vegas that i would need intralipids and steroids to carry to term. My RE in California doesn't believe in the efficacy or safety of intralips or IVIG but is willing to use medrol if that's what i wanted to do. i was told dexamethasone before but he uses medrol, difference? he would start two days after ovulation, i always thought steroids are used before.

Dr. Braverman

2026 Posts
RE: my RE wants to use Medrol? Advice please? Posted on: May 6, 2013 at 9:48am
If you can get to LA my affiliate there can get the complete workup done for you , NK cells as the only workup without an entire immune panel which I know no one does its hard to give you recommendations.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

handeeemt

6 Posts
Reply RE: my RE wants to use Medrol? Advice please? Posted on: May 6, 2013 at 11:33am
who would that be? I did have HLA workup done to but was told there was no match.

Dr. Braverman

2026 Posts
RE: my RE wants to use Medrol? Advice please? Posted on: May 6, 2013 at 11:35am
I really need to see all the testing I need to actually give you such an important recommendation . You can go to Dr. Mettel in Beverly Hills he is our affilate in California if that is easier.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.