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美国生殖专家与病人的问答

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 楼主| 发表于 2011-6-2 00:37:39 | 显示全部楼层

回 218楼(安然入睡) 的帖子

从这个结果也看不出来呀。你这里的NK标准范围很宽,40%还算合格呀。可是对怀孕来说,更重要的是看NKa分析,就是NK活性。CD19不应对着床有影响吧,我现在已经不是关注免疫了,你去问问lucky,她开了个免疫贴。
8 s4 G! Z: ]4 X
- ^) }( x$ f3 I; q" R* r你如果免疫问题不严重,或情况不明,建议不要用免疫球蛋白,用脂肪乳剂吧,又便宜又安全。
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 楼主| 发表于 2011-6-16 18:42:24 | 显示全部楼层

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宫缩很多人都有,我也有过,可能是移植后激素太高的原因吧。子宫肌瘤我也有一个,小小的,怀孕前没看见,怀孕到8周才看见,2.5cm,但是清宫2个月后再看,又缩到1cm了。# O5 o0 s) `% Y! ~6 a, ~1 z
8 d; b3 `0 A; R2 k3 V/ {. Q: Q$ o2 A
是不是免疫问题,要做过检查才能确认。
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 楼主| 发表于 2011-6-23 19:23:39 | 显示全部楼层

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阳光,我不是医生,但是你只促排过一次,就有两次移植着床。你应该再做一次试管,如果还是不成功,那就去查查免疫吧。一次促排不成功,有可能这批卵子都不好,下一次可能就成了。一个人每月的卵子质量不一样,不可能都好的。
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 楼主| 发表于 2011-6-25 09:00:08 | 显示全部楼层
要听医生的,不能自己保,会出危险的。
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5 `1 i% g. S* n4 F这样的数值没有保的价值,就怕是molar pregnancy,是会癌变的。
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 楼主| 发表于 2011-7-30 06:31:57 | 显示全部楼层
听猪妈的吧,她对这些比我在行。要打免疫球蛋白,不能找生殖医生,要找免疫医生,生殖医生没有这样治疗过病人,当然不会愿意给你打这个针。
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 楼主| 发表于 2011-10-22 15:03:08 | 显示全部楼层

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英国和免疫有关的专家有这些1 L% y: A$ J5 @4 i. s
# y2 c% v8 t% P/ m  t
Dr. Masoud Afnan
3 Y/ r" R9 u" W3 P& UThe Priory Hospital
: S7 G. u- T  Y9 }( R) x0 LPriory Road, Edgbaston
7 g- Y: i* X7 _Birmingham * [9 C* ^# R# a; X
West Midlands, UK - ]1 W9 `% K6 k1 }7 t8 O
Post code:B5 7UG 1 {  H+ ]# @' A% w0 X
Telephone:01214402323 , T- x8 c1 ?  Y. C
Email: MASOUD.AFNAN@bwhct.nhs.uk 1 O. c8 C3 ~9 m0 x6 n( J' D
Patient comments: “Will work with Dr Beer directly. Will write prescriptions for Dr Beer’s UK patients and order IVIG infusions.”5 I2 s$ c" v7 n

3 o6 E' g2 ]0 I# {3 S) wDr. Paul Armstrong 1 n  T! m; i3 c  |3 A# [: X
Dr Paul Armstrong
5 B5 O0 U" l; i8 e- e. SThe Portland Hospital+ _! q$ U0 Q# K0 ~8 P
205-209 Great Portland street
' P3 S: o6 g# Z& h1 R% s, {; k: JLondon W1W 5AH England
9 }8 t% u7 ]8 E) E/ F* I& k8 o0207-580-4400 (Speak to Paulette his secretary) ! _9 l; X5 C' P' A" A* g! M1 h1 b0 p
0207-390-8156 (Speak to Milly his secretary)
+ f1 P6 _/ I6 g& K% m7 {1 Z( dEmail: drpaul.armstrong@btconnect.com5 Q& D+ F  f, [, |% o2 y, I6 P# j3 F
- OR -
1 g; j; o/ l) @- m; U+ LRoyal London Hospital
# q/ z$ U+ W+ y+ @- h( ]Whitechapel London E1 1BB England& e" p: S* {6 C- S
ph  0207-377-7000 ex 25792 Y5 N1 C- P) a7 g8 t+ H% S& W
Ph (Speak to Anne, his secretary) 171-377-7000 ext. 2579
& o$ y" N: |4 I9 VURL: www.drpaularmstrong.co.uk
$ Q  ?, V. }) b# J2 c7 S2 yPatient comments: “Does both LIT and IVIG. LIT is done subcutaneously and intravenously. He states it is more effective and works faster this way when I asked him. He also wanted me to do the LIT just the once 3 weeks before ET, so no
$ ?! k4 z; \$ C7 U3 a2 Mretesting.” “Does not do donor LIT. He only meets patients on Fridays and does LIT treatments on Tuesdays. Dr Armstrong does advocate IV LIT along with subQ.”
& u$ T) {" z0 E; ~/ `Also: “As of January 2009, apparently he will prescribe Intralipids”
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$ Q- e% O; l+ C( O+ L4 t/ {  sDr Eapen3 W! Z: U9 c9 p: h' J2 A* K
Midland Fertilty Clinic, Aldridge
! V+ K+ d6 I4 [  N# _UK
! g: a/ M, D6 `) z7 D2 t9 B9 e7 s  iComments: “Dr Eapen, lovely man. Uses corticosteroids to modulate the immune system”
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. y* o3 w" q0 h( P" A, A7 q8 I; @' R; f" S- m% c7 [
Dr Amin Gorgy
$ _& q2 @# T% N2 t/ v9 yThe Fertility & Gynaecology Academy8 \; r& l4 t! D9 G& B7 X/ y
57a Wimpole Street
" w& Z4 g. j# J* L2 m1 I4 T+ }London W1G 8YP8 }" T0 l4 ^$ u8 P  V
U.K.
- ]) H7 |9 W4 P9 ~Tel: +44 (0) 20 7224 1880. ^5 n$ B4 L) Z# o4 T  o& Q
URL: http://www.fertility-academy.co.uk/
6 P. T7 K  U5 ^) J# U5 L8 OPatient comments: “He used to be a director at the London Fertility
  I/ u  x, p: cCentre and then at ARGC and has now set up his own
8 Q: I, h6 i6 [2 Rclinic. I rang up and had a consultation (£100) with him and2 f' C8 p5 I  Y# J8 c
he has agreed to prescribe all my immune meds. (ie
: W' y+ D' N( f# u7 esteroids, IVIG, gestone etc) and administer the IVIG
" ?$ a7 U. U4 A; z: m# Zat his clinic. He was recommended by% _* S  X- l2 K& ?8 D8 j
both Dr. Beer (who he worked with at the ARGC) and one
9 P! D4 `( ?! ?, o( G. Aof the doctors at the LFC.” 0 u$ y/ \/ K$ z& j8 v% U

  Q" ^8 h1 l  C% HMore patient comments: “Yes he is nice, although a little on the quiet side at first and it takes a while to get to know him.Costs- well the Chicago tests are £780 for a comprehensive panel (about the going rate for these tests) a consultation is £100 and a folllow up £70, standard IVF is £2000 + drugs and blood tests. The drugs are expensive, but you can't get away from that, Mr Gorgy will give you a prescription and I shopped around for the best price I could. There is not usually much of a waiting list. Yes, Mr Gorgy is knowledge about immune issues and certainly has got me further than anyone else so far.  One of the best things about being treated about Mr Gorgy is that compared to drs at other clinics I  have found him very accessible, you can speak to him on the phone (although sometimes you might have to chase!)”2 R! r/ s" c; D0 N
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/ K& Q+ o6 s$ i4 f" \2 Q7 y2 M“As of December 2008, apparently Dr Gorgy will prescribe Intralipids”
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6 p7 Y/ i) C. I/ \  ]( ?Mr. Taranissi (IVF doctor)' j5 g0 M  c" S' h8 Y  N& b- K
Assisted Reproduction and Gynaecology Centre (ARGC)  D! [9 J! j- Z) `( I" a% X/ S
13 Upper Wimpole Street, ! a: O% B* Y) \) P1 s; f
London, W1G 6LP; H$ i. [% J- u6 g3 a/ k
ARGC, London, UK
1 r; O3 h2 ^5 T, c1 e5 W2 {5 rNew patient information line Tel: 0207 935 3959
' M5 h  g9 t" r0 O1 |7 w1 X# cTel: 020 7486 1230
+ _# _9 P& l$ E& \7 t+ }Fax: 020 7486 1232 8 d2 [+ ~9 ^( K1 o
Email: info@argc.co.uk 3 l- O3 X6 m5 t0 E
Website: www.argc.co.uk
. Q, W# V- o- n" L3 K( R; UPatient comments: “Taranissi used to collaborate closely with Dr Beer when Dr Beer was in London. Uses IVIG, Enbrel and Humira. Taranissi will also verify good stim response before  moving ahead with preconception IVIG, so he often starts IVIG later
. W- C, @2 b7 _ in a cycle than Dr Beer does Unlike Dr Beer, Taranissi uses IVIG after ET instead of before ET to assure that the eggs quality is good beforehand.”
$ K, R9 l, K5 `) {4 W# S3 I5 E% D5 L% z& _
Dr George Ndukwe (IVF doctor); p8 c" y) d! h& {* r) i
CARE at The Park Hospital
. N7 H7 K8 A; OSherwood Lodge Drive
, q  }, k) T, X2 l( z2 K! `; I) EArnold
  A3 {* j" n! [* f) XNottingham NG5 8RX
; Y+ I5 T# {1 v* zTel: +44(0)115 9671670
0 W  S: t  ^# n  ]# f7 gFax: +44(0)115 9673542' n+ f3 s9 v1 U
Email: George.Ndukwe@care-ivf.com
$ A2 H  ^1 Y3 h4 j- oEllie ellie.boulton@care-ivf.com (Dr Ndukwe’s assistant. She responds more promptly to emails)
5 a0 n. Q  ?  [2 t; H% I7 KWebsite: http://www.carefertilityweb.co.uk/
# D- R# |  e' GDiscussion board: http://194.72.47.117/cgi-bin/ubbcgi/ultimatebb.cgi?ubb=forum;f=119 _- y5 o! E. V7 b* v/ t4 O
Patient comments: “Uses IVIG and Humira. Ask to speak to Liz Carmichael who deals with all Dr. Beer patients. Only works with patients locally. Will not work with long distance patients.” “As of January 2009, apparently will prescribe Intralipids”* f7 m" p9 s+ ]

7 @& x% t6 [3 YMr Adel Shaker (IVF doctor)
/ x& ?) p9 L( ]( b7 }# r, \Consultant Gynaecologist – Medical Director
+ W$ c: d5 o0 W, j* I: @3 h- o) ]" pCARE Fertility7 G0 a" s  K+ o- K; w
24-26 Glen Road: z: u2 P0 ~, ]9 @/ A/ Y2 z9 F5 b
Sheffield S7 1RA
6 y/ f7 v. D' S7 i# cTel: +44(0)114 258 9716) ~9 A  m$ A+ l- \% X
Fax: +44(0)114 255 4853. s0 H! I) ^3 @9 B' R+ X4 F4 h" q
General Enquiries: sheffield@carefertility.com. K# T: u9 G) U' H* o( b
URL: http://www.carefertility.com/loc ... age-care-fertility/9 u' g. S- x. R1 H, @! Y2 t0 w
Comments from website Feb 4, 2010: “We are now running the Reproductive Immunology (RI) programme. RI helps couples who have previously had recurrent IVF/ICSI treatment failures or recurrent miscarriages linked to abnormality in the woman's immune system, achieve a live birth. For an appointment please call us on 0114 258 9716.”+ s- h7 C: h8 p4 W

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6 c3 L; t! l" a1 S* H0 r( k0 SDr. Thum M.D.9 n8 d" q  n7 H# a: V. D' W
The Lister Hospital Assisted Conception Unit
9 I4 q6 E. n% w4 pChelsea Bridge Road
& r( }2 G" S4 P/ `- R' l8 x2 Q5 iLondon, SW1W 8RH3 @; r9 Z$ e: t3 U0 y' C
Telephone: ++44 (0) 20 7730 59323 [- e8 i( ~% ~4 Z( u7 p
Fax: ++44 (0)20 7259 9039. Z3 Q* a9 }7 ?% m6 d9 R
URL: http://www.ivf.org.uk// ?7 |/ z; `% g' ?) p( |7 `' J
Patient comments: “The Lister doesn't offer IVIG either ... in fact I think Dr Shehata and the Doc at the Lister (Dr Thum) have actually published some research papers together on NK cells. They've obviously collaborated in some way, and I think they both opt for Prednisolone as treatment rather than IVIG”..” I'm not sure what the Dr will prescribe if any of my other tests come back +ve, but I think he said Heparin. I'll let you know after I get the results”
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3 D2 `" p0 m; h) l9 b5 A  T" KDr Hassan Shehata, MD  (recurrent miscarriage specialist)! f% b& ^9 }/ ]5 R
Harley St Clinic' V" Q" V; i& s( @2 |" l
103-105 Harley Street - Flat 38 {$ c8 l# B9 }7 V. I# J. @9 l
London W1G 6AJ 2292. r$ H* ^: F, A# g3 T: H
Tel/Fax: +44 20 8648 2990 9 @: {  M2 V: X0 A3 z6 w" v
To arrange a private consultation simply call/fax Hilary Glynn 9am-5pm Mon-Fri
" H4 p& ~3 V7 _! O- jE-mail: hilary@miscarriageclinic.co.uk
/ `/ \3 Q/ `" z6 q8 S+ j$ U9 uURL: http://www.miscarriageclinic.co.uk/index.html
2 _0 ]3 Q6 U+ [8 p5 Q+ mPatient comments: "Doesn’t agree with LIT, IVIG but says that Dr Beer is a pioneer and inspired him to devote his time to researching immune problems and miscarriage/infertility. Big believer in prednisone"
; v6 y* R6 `' T. {  M* k' y, H( j  q# L' Z

8 {/ H6 u: R% O; k4 s/ G  U6 k: s5 j9 b. f- ]  x; k0 J% E
Dr. Siobham Quenby 9 d0 s% b4 e6 U* c9 n
Liverpool Woman’s Hospital,
% r$ s4 Q) f" l" ?& SLiverpool, England ; D* B( B& ?. g! ^
Patient comments: “She has been doing a clinical trial looking at NK Cells in the uterus with both natural m/c and IVF failure. I was part of the clinical trial and would love to chat to anyone else who has also been treated by her. Dr Quenby tells me that there are a couple of other IVF ladies that she has seen, but of course she can't disclose anything else.”
4 S" j2 i& Z) w& ^; {5 e8 y4 G, s$ b6 F
- e: O* k6 ?+ X9 W! L0 j2 o* C6 e! C
Dr Trevor Wing
5 [# N1 v6 j: y/ ^The Women's Natural Health Practice& f4 p8 J- u* H+ A( W
The Glasshouse( E8 [- N; p9 k0 a: R
River Lane, Richmond
" m# C# [8 t2 N( \' m1 i, pSurrey, TW10 7AG
5 n6 p& O5 S7 T* ?+ PTel: +44 (0) 845-688-5270
7 u/ x. G9 k5 h6 F! r' T8 x6 H, p Email: enquiries@naturalgynae.com
3 S# B% E0 ]; pURL: http://www.naturalgynae.com/
& q  b! R3 P/ c* U9 rPatient comments: “I am also a patient of Trevor Wing (www.naturalgynae.com) who does the immune test through Beer Centre for his patients. He did the NK Assay, DQ Alpha last week, hopefully the results will be in by the end of this week from Beer Centre. He has already scheduled an endometrial biopsy for me on 1st Dec. before the instruction from Beer Centre. If your own local doctor is willing to help with the blood taking you could pack and Fedex them yourself. Lots of ladies in the UK have done their blood test this way. CARE Nottingham Mandy mentioned has good reputation, threfore, there is a 12-week waiting for a consultation, you also need your own doctor's referral. As Mandy said there are a few choices, it is a personal choice. I choose Trevor Wing to do the immune test for now is because he is only half hour
6 r& V/ U( ?$ D" \. H9 c driving away.”
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 楼主| 发表于 2011-11-3 19:37:52 | 显示全部楼层

回 242楼(xybbdren) 的帖子

去查免疫吧,免疫有问题,内膜也会薄。
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