Girlzsmom66
Guru
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General Note
34 yo G1P1001 with unexplained infertility, who returns today to restart treatment of her infertility.
She delivered a healthy baby girl 9/4/2015 at term vaginally. She breastfed for 8 months following delivery. She reports that she has had UPIC since
the birth of her daughter without pregnancy. She additionally hd 2 cycles of CC/IUI with her OB/GYN back home in October and November, 2017.
They couple also went to X of her the New Year holiday 2017/18.
They deny any interval changes to their PMH, PSH, Allergies. Menses q25-26d.
Previous tx :
9/14 Femara 2.5/G75 --> 5 follicles 14mm or greater, TMC 25M
10/14 Femara 2.5/GF75 IUI --> 1-2 dominant follicles, TMC 29M
12/14 GF125 --->1-2 dominant follicles, TMC Pregnant with SIUP (see above)
PMH: Migraine
PSH: none
ALL: PCN, Seasonal, cat, dog
O:
AO x 3, NAD
A/P:
34 yo G1P1001 with infertility, partner s/p Vasectomy reversal.
- Discussed that during previous treatments "X" responded with the most follicles after treatment with Femara and injectable gonadotropins, so
would reccomend for her next treatment Femara/Injectable gonadotropins again.
- Discussed with couple that as they recently traveled to "X" would not start treatment until June 2018 (6 months from travel to Zika area). The
couple will call with start of menses in May. Will wait until May/June to update hormonal testing (TSH, AMH and Day 3 labs) and PCTs for the couple.
Consultation completed with Dr. X.
Resident
Attending attestation:
I was present and directly participated throughout the entire visit, agree with the aforementioned. Call with May menses for CD3 labs, AMH, TSH and
PCTs x 2, meanwhile recommend couple use condoms in accordance to CDC recommendations.
Plan femara 2.5mg CD 3-7, F100 CD 5 onward. Couple agreeable. All questions answered to their apparent satisfaction.
General Note
34 yo G1P1001 with unexplained infertility, who returns today to restart treatment of her infertility.
She delivered a healthy baby girl 9/4/2015 at term vaginally. She breastfed for 8 months following delivery. She reports that she has had UPIC since
the birth of her daughter without pregnancy. She additionally hd 2 cycles of CC/IUI with her OB/GYN back home in October and November, 2017.
They couple also went to X of her the New Year holiday 2017/18.
They deny any interval changes to their PMH, PSH, Allergies. Menses q25-26d.
Previous tx :
9/14 Femara 2.5/G75 --> 5 follicles 14mm or greater, TMC 25M
10/14 Femara 2.5/GF75 IUI --> 1-2 dominant follicles, TMC 29M
12/14 GF125 --->1-2 dominant follicles, TMC Pregnant with SIUP (see above)
PMH: Migraine
PSH: none
ALL: PCN, Seasonal, cat, dog
O:
AO x 3, NAD
A/P:
34 yo G1P1001 with infertility, partner s/p Vasectomy reversal.
- Discussed that during previous treatments "X" responded with the most follicles after treatment with Femara and injectable gonadotropins, so
would reccomend for her next treatment Femara/Injectable gonadotropins again.
- Discussed with couple that as they recently traveled to "X" would not start treatment until June 2018 (6 months from travel to Zika area). The
couple will call with start of menses in May. Will wait until May/June to update hormonal testing (TSH, AMH and Day 3 labs) and PCTs for the couple.
Consultation completed with Dr. X.
Resident
Attending attestation:
I was present and directly participated throughout the entire visit, agree with the aforementioned. Call with May menses for CD3 labs, AMH, TSH and
PCTs x 2, meanwhile recommend couple use condoms in accordance to CDC recommendations.
Plan femara 2.5mg CD 3-7, F100 CD 5 onward. Couple agreeable. All questions answered to their apparent satisfaction.
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