Ask a Question Before submitting a question for our FAQ, you may wish to review the information provided on this WebSite. Frequently you can find the answer to your question in our FAQ or one of the online articles. This form will generate an automatic response when you click the submit button. This opportunity to submit a question should be for general questions only and not to request specific treatment recommendations. It is not intended to replace consultation with a physician. If you would like to arrange a visit to Georgia Reproductive Specialists clinic or arrange a formal record review, please request more information below or call our office at 404-843-2229. Please complete the information at the bottom of this page, enter your correct e-mail address and submit your question. To better respond to your request for information, I would like to know a little about you.(None of this goes anywhere, it's just my natural curiosity.) If you are not asking a question related to infertility, please skip those questions that do not apply. Are you Male or Female? Your approximate age: How long have you been trying to conceive? (Enter "0" if you are not trying.) How many times have you been pregnant? (include miscarriages, ectopics & terminations) How many times have you delivered a liveborn baby? How many pregnancies has your partner fathered? Please describe your previous pregnancies. Enter the year they occurred.(Year) How many weeks did you carry the pregnancy(Duration)? Did you deliver (DEL), have a cesarean (CS), miscarriage (SPAB) ectopic pregnancy (ECT) or terminate the pregnancy(TAB)? Enter the appropriate outcome. Did you have fertility problems(Infertility)? Enter Y/N. And, did your present partner father that pregnancy(Present) Enter Y/N. Year Duration(wks) (DEL CS SPAB ECT TAB) Infertility Present male Where do you live? (City State Country) Where did you hear about this WWW Site? I would like to see your WWW Site include more information on: Reproductive Medicine Problems (To choose more than one item, hold down Control while selecting or deselecting individual items.) Endometriosis Pelvic adhesions Previous ectopic pregnancy Absent/blocked fallopian tube(s) Absent/irregular periods Abnormal semen analysis Recurrent pregnancy loss Premature menopause Abnormal postcoital test Fibroid tumors PMS Breast discharge Abnormal FSH, TSH, Prolactin or progesterone levels Immune abnormalities Fertility Treatments you have tried include (please check all that apply): Clomid, Serophene, clomiphene How many cycles? 0 1 to 3 4 to 6 7 to 12 More than 12 Pergonal, Metrodin or Humegon How many cycles? 0 1 to 2 3 to 4 5 to 6 More than 6 Intrauterine insemination. How many cycles? (Total all cycles, without ovulation induction, clomiphene and pergonal/metrodin cycles). 0 1 to 3 4 to 6 7 to 12 More than 12 IVF, GIFT, ZIFT. How many cycles? 0 1 to 2 3 to 4 5 to 6 More than 6 Donor sperm Donor Egg Laparoscopic surgery Type your question in the Email response box (150 words or less). The information provided in return is not intended as a substitute for medical advice of physicians. The reader should regularly consult a physician in matters relating to your health and particularly with respect to any symptoms that may require diagnosis or medical attention. What is YOUR First & Last Name (This field is required.) Street Address Daytime phone number with area code (U.S. only) Email address (This field is required for a response. Please check for accuracy) You are now ready to submit your question. (Only once per question please or your computer might explode!.) Submit this form. Return to the IVF Homepage This page, and all contents, are Copyright © 2003 by IVF.com, Atlanta, GA, USA.