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'Octomom' Suleman's doctor said her health necessitated aggressive fertility treatments

October 21, 2010 | 10:54 am

Kamrava A Beverly Hills fertility doctor said Thursday that octuplets mother Nadya Suleman appeared to be suffering “premature menopause” before she became pregnant, which necessitated more aggressive treatments.

Dr. Michael Kamrava, who assisted Suleman in conceiving octuplets and six previous children, said when he treated Suleman, 35, of La Habra with hormones to stimulate her ovaries in 2007, her levels remained extremely low.

“Usually you see this kind of pattern in a pre-menopausal woman," he said. "At her young age — she was 31 — this was very alarming."

Kamrava said that after he told Suleman about his concerns, she became alarmed.

“She was very worried about it. She said ‘I’m worried I’m going through premature menopause,’" he said. "She was also worried because she said she wanted to have more children.”

Kamrava could have his medical license revoked if it is determined he was grossly negligent in his treatment of Suleman and two other female patients: a 48-year-old who suffered complications after she became pregnant with quadruplets and a 42 year-old diagnosed with advanced ovarian cancer after receiving fertility treatments.

Kamrava testified Thursday at a hearing on the accusation before Administrative Law Judge Daniel Juarez in downtown Los Angeles.

When he first took the stand Wednesday, Kamrava admitted he helped Suleman pursue aggressive fertility treatments but said she had agreed to fetal reduction. The second of two doctors testified on Kamrava’s behalf Thursday.

Dr. Parviz Daniels, a general surgeon at Cedars-Sinai Medical Center, said he had worked at the hospital with Kamrava for years and “never heard anything negative” about him.

The sole witness for the state, Dr. Victor Y. Fujimoto, director of UC San Francisco's In Vitro Fertilization Program, testified Monday and Tuesday that Kamrava repeatedly failed to screen Suleman for mental health issues and to limit the number of embryos she had implanted or frozen.

He said Suleman's medical records show Kamrava used 16 of Suleman's eggs to create 14 embryos and implanted a dozen of them on July 19, 2008. The babies were born nine weeks premature and remain the world's longest-living group of octuplets.

Suleman and the other two patients are not expected to testify, lawyers said.

-- Molly Hennessy-Fiske at the Junipero Serra state building downtown

Photo: Dr. Michael Kamrava. Credit: Mark Boster / Los Angeles Times