expert type icon EXPERT

Dr. Kesha Robertson, M.D.

OB-GYN (Obstetrician-Gynecologist)

As a native of Nashville, Tennessee, Dr. Kesha Robertson found her way to the Richmond/Rosenberg area in 2009, when she fell in love after interviewing with Dr. Fagbohun and his friendly staff. Dr. Robertson, ...
Dr. Kesha Robertson, M.D.
  • University of Tennessee Health Sciences Center College of Medicine
  • Accepting new patients

I have PCOD. What are my chances of conceiving?

A lot of factors play into this including weight and age. If you are overweight I suggest lossing at least 5% of your body weight. Adipose tissue increases testosterone which READ MORE
A lot of factors play into this including weight and age. If you are overweight I suggest lossing at least 5% of your body weight. Adipose tissue increases testosterone which can affect pregnancy rates. By lowering the fat content in your body you may help balance your hormones.

Also you may consider supplements containing inositol. Pregnitude is a good one. Your body naturally makes this but this hormone has been shown to support ovulation.

I never say never regarding pregnancy with any woman.

Also remember there are other possible factors. Make sure your tubes are open via HSG etc.... In otherwise you have a diagnosis but let's make sure there
Is nothing else going in
I think you have a fighting change.

I hope this helps

Endometrial ablation?

No likely that pregnancy would occur...but since her fallopian tubes are still open then she should still be aware that anything is possible. Labs can be drawn for menopausal READ MORE
No likely that pregnancy would occur...but since her fallopian tubes are still open then she should still be aware that anything is possible.

Labs can be drawn for menopausal status like an LH, FSH and estradiol level. If labs suggest menopause is unlikely.

Also due to both age and the ablation should fertilization actually occur it would be unlikely to culminate in a full term pregnancy and will more than likely end in spontaneous abortion. Unfortunately, Women in their 50s have more genetically abnormal embryos which naturally don't survive.
Also the ablation which has damaged the uterine lining would make implantation unlikely.

Otherwise this would be a very high risk pregnancy.

Hope this helps.

Herpes or bv?

Please make an appointment with a clinic dor pelvic exam and cultures. It could be either.... if it is extremely painful with ulceration most likely herpes. If you have scratches READ MORE
Please make an appointment with a clinic dor pelvic exam and cultures. It could be either.... if it is extremely painful with ulceration most likely herpes. If you have scratches though in the skin from irritation and scratching from BV and yeast that could also be painful. The beat way to know is to have a provider look at the area and send a culture. If also else fails and if the lesions are gone consider HSV 1 and HSV 2 IGG and IGM blood work. This will let you know if the herpes virus is or has ever been in your system and if thisbis a new(primary or old (recurrent) infection. I hope this helps.
Dr. Robertson

Sexual health?

Please see a clinic if this continues as this could be from an underlying problem... examples include vaginitis, cervical lesions, endometrial polyps, etc If you had pain as well READ MORE
Please see a clinic if this continues as this could be from an underlying problem... examples include vaginitis, cervical lesions, endometrial polyps, etc

If you had pain as well in the vaginal area and you believe it to be from an vaginal laceration try buying lubrication.

Hope this helps

Pregnancy test?

You should initiate prenatal care as soon as possible as your beta hcg level is high enough to identify a pregnancy on ultrasound. This will at least let you know if things are READ MORE
You should initiate prenatal care as soon as possible as your beta hcg level is high enough to identify a pregnancy on ultrasound. This will at least let you know if things are headed in the right direction.
This beta could be ok for where you are depending on the day of you last menstrual period and what your ultrasound shows....or it could be low (or abnormal) if you should be farther along. The range for this value is wide this is why the ultrasound would be important. As providers we should see something in the uterus with a beta hcg of 1500 to 6000 depending on if we are using a transvaginal ultrasound or abdominal probe.
Progesterone levels are funny. Sometime a low Progesterone level in early pregnancy can represent the need for additional hormonal support and an abnormal pregnancy.

With those labs values you would need an ultrasound to get a better understanding of the whole clinical picture.