Anti-mullerian Hormone

Anti-mullerian hormone (AMH), otherwise called Mullerian-inhibiting hormone (MIH), is a hormone made by the cells that surround each egg in the ovaries. AMH production slows down as the follicles grow, and it stops when the follicle is 8 mm in size.

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My wife has blocked tubes. Please suggest the recommended hormonal tests prior to ICSI?

Query: Hello doctor, At the time of marriage, my age is 34 and my wife's age is 29. She is having hypothyroidism. Her thyroid level was high. So, we were regulating with medication. Then she gets some stomach pain. Doctor diagnosed her with gallbladder stone. We did laparoscopic cholecystectomy. After one...  Read Full »


Dr. Jyoti Gupta

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. The decision to go for IVF (in-vitro fertilization) or ICSI (intracytoplasmic sperm injection) as per your history seems to be the right decision. As I can see in history, the age of your wife is now 30 plus. Ovarian reserve becomes an important analysis in the age ab...  Read Full »

Is paleo diet recommended for PCOD?

Query: Hi doctor, Today I am in the 48th day of my cycle. I have PCOS. Still I did not get my periods. I took HPT on 45th day. It was negative. Tomorrow I am planning to take blood test. Currently I am taking Glycomet 500 mg. Is there any chance for positive blood test? Is HPT accurate? Suppose if I get my...  Read Full »


Dr. Dattaprasad Balasaheb Inamdar

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Chance for pregnancy depends on status of ovulation. If ovulation has occurred, normally there is 25-30% chance of pregnancy. HPT (home pregnancy test) is fairly about 99% accurate in predicting pregnancy if done in 14 days after ovulation. If done before th...  Read Full »

How long do I have to wait to get pregnant, after a missed abortion?

Query: Hi doctor, I am trying to conceive from past six years. A year back I had a laparoscopy for tube bend. My reports show the length of the uterus is 82 mm. Gravid uterus reveals one gestational sac with an embryo, CRL is 10 mm, which corresponds to the gestational age of seven weeks and six days i...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Sorry about the loss, but let me assure you one thing, you will surely get pregnant again. It is not just to console you, but if you got pregnant before, irrespective of the result, you will get pregnant again. Let me explain what and why is missed abortion. A healthy ...  Read Full »

I am in my 30s and I have PCOS and a high prolactin level. Can I get pregnant?

Query: Hello doctor, I am a 31-year-old female. I have PCOS, high prolactin level, my TSH is 4.26 for which I am taking medicine and for prolactin and my AMH is 17. I got pregnant with twins when I was taking 100 mg of Clomid but there was no heartbeat by week 10. I had a few miscarriages two years ago a...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. I do not see any reason for you to worry or panic. I feel you will not only conceive but also have a healthy baby soon. Let me explain it why I feel so one by one. Nowadays, ladies think of having a baby after the age of 30s. Of course, the age above 35 years is ...  Read Full »

I started taking prenatal vitamins to conceive. Can it mess up my hormones?

Query: Hi doctor, I am trying to conceive from the age of 31, and I just turned 37. When I started keeping track of my menstrual cycle, it was a 37 days cycle, but now from few months, it is a 30 days cycle. Around that time, I began taking prenatal vitamins, Myo-inositol, and CoQ10, to help my old eggs....  Read Full »


Dr. Sweta Singh

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. First of all be calm. After the age of 35, it is harder to conceive, but it is quite possible, and you may or may not need a little help. You do not need any other supplement apart from 5 mg of Folic acid daily. And you need to do few hormonal tests on the second day of...  Read Full »

If Norethisterone is taken continuously for years, will it affect menopause?

Query: Hi doctor, I am a 57 year old female, and I have been taking Norethisterone for years. When I stop taking the tablet, my period comes, and I immediately start taking the pills again. I take them because I am terrified of bleeding. My doctors say that I have to come off them, and I am terrified of wh...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. How are you doing? I really do not see any reason for you to worry. I feel you are taking those pills unnecessarily. By 50 to 54 years, all ladies enter their menopause. This is a time when all follicles in the ovaries are exhausted and the hormone supply to the inner ...  Read Full »

Can tubal blockage cause infertility?

Query: Hi doctor, I am 33 years old. For the past six months I am suffering from primary infertility, PCOS and diagnostic laparoscopy tubal block at right isthmus. Also, laboratory tests like Mantoux (positive), HBsAg (positive), ANA (positive) and LFT raised tests are done. The IUI done twice and my curr...  Read Full »


Dr. Geetha Priyadarsini Kamminana

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Tubal blockage or fallopian tube obstruction is a major cause of female infertility. Blocked fallopian tubes will not let a sperm and ovum to unite thus interfering with fertilization. The primary and the very first step for pregnancy is the formation of zygote follo...  Read Full »

I had ovulatory dysfunction. Can you suggest a way for me to start a family?

Query: Hello doctor, I have had ovulatory dysfunction for about seven years. About a year ago, my husband and I decided to try starting for a family. Not seeing any success, we visited a fertility doctor about two weeks ago, she prescribed hormone blood tests. My test results are estradiol serum: 13 pg/ml...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. How are you doing? Let me get a few facts straight in relation to the hormones and ovulation, thereby pregnancy. 28 years is a very good age to get pregnant. Your weight is within the normal range. So, anovulatory possibilities are low. Prolactin and Luteinising hormo...  Read Full »

What does my low AMH level indicate?

Query: Hi doctor, Last month on day 2 My TSH level was 4,9304 uIU/mL, free T4 was 102 ng/dL and prolactin was 30.63 ng/mL. My last six months menstrual cycle length were 34 days, 28 days, 28 days, 28 days, 36 days and 19 days respectively. My cycle statistics are as follows. Average cycle length 29 days, ...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. You are suffering from hyperprolactinemia and borderline subclinical hypothyroidism. Both of which can cause delay in ovulation and hence irregularity in cycles. Ideally, menses between 23 to 35 days are considered normal as per definition. In your case, the concer...  Read Full »

I am 42. Can I conceive twins without any risks?

Query: Hi doctor,I am a 42 year old woman. Can I still conceive? Also, can I conceive twins without any risks?  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. How are you doing? As per your history, the only risk factor is your age. Let me explain, if I may. Every lady is born with a fixed number of eggs in her ovaries. As her age advances, every month she keeps ovulating out or expelling these eggs. The healthiest ones are ...  Read Full »

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