How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Norm S. Your Own Question

Dr. Norm S.
Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11096
Experience:  Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
13711182
Type Your OB GYN Question Here...
Dr. Norm S. is online now

I'm concerned that it's taking too long to to return after having

Customer Question

I'm concerned that it's taking too long for fertility to to return after having my mirena removed as it's been 6 weeks and all the ovulation tests I've taken in this time are negative and I've had no menstruation. We're trying to conceive our first baby, I'm 30 and had the mirena for about a year and my periods stopped the day it was inserted. Prior to the mirena I had a copper coil for an around 18 months, this was swapped in favour of the mirena due to very heavy irregular menstruation with a flow time of around 10 days. Prior to the copper coil I had the implant for many years, again with absolutely no menstruation during that time.
My other worry is that I have psoriatic arthritis which was treated for at least 2 years with weekly methotrexate at a dose of 15mg. My last dose of methotrexate was over 12 months ago as I have more recently been using etanercept at a weekly dose of 50mg, my last injection was 9 weeks ago. My psoriasis is doing ok, but my joints are starting to object.
Submitted: 1 year ago.
Category: OB GYN
Expert:  Dr. Norm S. replied 1 year ago.

Your previous irregular periods and now no period in the past 6 weeks suggest that you probably don't ovulate regularly. Fortunately, this is the easiest fertility problem to help.

There are pills called Clomid that you can take each month to help you to ovulate.

I would recommend that you see your doctor for help to both confirm that you're not ovulating and for a prescription for pills to help you to do so.

Neither methotrexate nor etanercept affect fertility as far as we know. Methotrexate can cause birth defects if you got pregnant while taking it, but not afterwards.

Etanercept is a category B medication, meaning that it's safe during pregnancy as far as we know. Best wishes.

Customer: replied 1 year ago.

Is it possible that the copper coil was the cause of the irregular periods? Rather than not ovulating regularly? Is it at all possible that its just taking time to get a cycle and after removing the mirena?

Expert:  Dr. Norm S. replied 1 year ago.

The copper coil can cause periods to be heavy, but won't affect how regular the periods come. That's caused by your ovaries and whether or not you're ovulating.

Usually fertility returns soon after the mirena is removed. If you had regular periods before using the mirena, it might be worthwhile waiting longer to see if the regular periods resumed. In your case, I think you weren't ovulating much before, and you're still not ovulating much. The reason has nothing to do with the mirena. Often we don't know the reason. Some women don't ovulate regularly.

Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11096
Experience: Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
Dr. Norm S. and other OB GYN Specialists are ready to help you
Expert:  Dr. Norm S. replied 1 year ago.
Thank you for your payment and rating.
Customer: replied 2 months ago.

Afternoon,

I appreciate it has been a while but i'm still having issues, regularity hasn't happened yet. I've had hormone profile checked and that's normal, I've also had a TV scan that is normal. i'm really struggling to get an appointment with my GP do you know if it's possible for me to self refer to get clomid treatment privately? or what would my next step should be?

Expert:  Dr. Norm S. replied 2 months ago.

You don't really need a lot of hormonal tests or scans. You just need clomid. You need to see a doctor for it, public or private.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Monika Hearne, M.D.

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5180
    With experience and compassion, I treat my patients like family.
< Previous | Next >
  • http://ww2.justanswer.com/uploads/drhearne/2009-11-8_74742_monika_hearne2.jpg Monika Hearne, M.D.'s Avatar

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5180
    With experience and compassion, I treat my patients like family.
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified OB/GYN

    Satisfied Customers:

    125
    OB/GYN with 20 years of experience.
  • http://ww2.justanswer.com/uploads/DO/doctor norm/2013-8-13_19659_drnorm.64x64.jpg Dr. Norm S.'s Avatar

    Dr. Norm S.

    Board Certified OB/GYN

    Satisfied Customers:

    7904
    Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
  • http://ww2.justanswer.com/uploads/SA/SaulJE/2013-8-20_202642_drsaul.64x64.jpg Dr. Saul's Avatar

    Dr. Saul

    Doctor

    Satisfied Customers:

    1877
    I am a board certified, practicing obstetrician gynecologist with many years of clinical experience.
  • http://ww2.justanswer.com/uploads/RO/rollins/2015-5-30_142734_.64x64.jpg Dr. C.'s Avatar

    Dr. C.

    Board Certified

    Satisfied Customers:

    1335
    30 yrs experience, awarding winning educator
  • http://ww2.justanswer.com/uploads/jbbrowndoc/2009-09-29_180651_headshot.jpg Dr.JBB's Avatar

    Dr.JBB

    Board Certified OB/GYN

    Satisfied Customers:

    1293
    15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence
  • http://ww2.justanswer.com/uploads/RP/Rpjtlawr/2012-9-5_16443_Robportraitadjusted.64x64.jpg Dr. Lawrence's Avatar

    Dr. Lawrence

    OB/GYN

    Satisfied Customers:

    371
    Board Certified OB/GYN and accomplished educator
 
 
 

Related OB GYN Questions