Conception And Pregnancy

Conception is the process where sperm moves up through the vagina and uterus and fertilizes an egg in the fallopian tube. The time from conception to childbirth is called pregnancy. Pregnancy usually lasts for 40 weeks.

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Can periods be induced if they are late, and urine pregnancy test is negative?

Query: Hello doctor, I induced my period last month due to its delay after confirming no pregnancy. This month as well period is delayed by a week, but the urine pregnancy test says negative. Should I induce periods every month? I am trying to get pregnant after taking treatment for hypothyroidism. I have...  Read Full »


Dr. Jimesh H. Mavani

Answer: Hi, Welcome to icliniq.com. If HSG (hysterosalpingography) is normal and you have irregular periods. Then have to try a different dose of medicines to induce ovulation and do an ovulation study. And if required, then injection for healing ovulation can be done. Intercourses after ovulation for fiv...  Read Full »

Is fluoroscopy for back pain advisable at 22 weeks of pregnancy?

Query: Hi doctor, I am 22 weeks pregnant. For my severe lumbar injury, shall I get a procedure done under fluoroscopy? Would I be able to see the baby in the fluoroscopy? Please help.  Read Full »


Dr. Jimesh H. Mavani

Answer: Hi, Welcome to icliniq.com. Fluoroscopy is not advisable while you are pregnant and it is not recommended at all. Do take local treatment for a backache and take more rest. If constipation is there, then take proper treatment for it. This will all help in decreasing pain. If it is not avoidable, t...  Read Full »

Is pregnancy possible with adenomyosis?

Query: Hello doctor, I am 29 years old. Last year, I was diagnosed with adenomyosis after an ultrasound. Previously, I had undergone ovarian polyp removal. My gynecologist has told me that there is no problem with me to get pregnant. However, everything I read online says differently. We plan to start t...  Read Full »


Dr. Jimesh H. Mavani

Answer: Hi, Welcome to icliniq.com. Firstly, let me tell you that sonography is not always suggestive of adenomyosis. It cannot diagnose it. For diagnosis, you have to send biopsy of the uterus. In adenomyosis there is pain before, during and after menses. There is also focal and diffuse type of adenomy...  Read Full »

I am five weeks pregnant, and the embryo was not seen on the scan. Why?

Query: Hello doctor, I am 29 years old. My last period was about two months back, and I had the bleeding for three days. I found out that I was pregnant about four weeks back. I had an ultrasound scan vaginally two days back, and the doctor did not find a fetus. She just found that I was five weeks and o...  Read Full »


Dr. Jimesh H. Mavani

Answer: Hi, Welcome to icliniq.com. If she found that you are five plus one weeks pregnant, then that means she has found the gestational sac with some fetal tissue but no cardiac activity. I have to see the sonography report to comment on it. Usually, around four to five weeks, the fetal poles can be ...  Read Full »

Can I conceive if I tried during fertile or ovulation days?

Query: Hello doctor, I am trying to have a baby but nothing is working out. When is the right time to conceive, either during fertile days or ovulation? I tried during fertile days, but nothing happened. Please explain. My cycle is 31 to 34 days.  Read Full »


Dr. Jimesh H. Mavani

Answer: Hi, Welcome to icliniq.com. If your cycle is 31 to 34 days long, then 13th to 24th day of your cycle is fertile period. You should have sex in the above period for at least on alternate days and this will increase the chance of having a pregnancy. Even if everything is normal then also, you do ...  Read Full »

Can a woman with Hepatitis B get pregnant?

Query: Hi doctor,Can a HBsAg positive person get pregnant and carry a baby? What is your opinion?  Read Full »


Dr. Jimesh H. Mavani

Answer: Hi, Welcome to icliniq.com. Yes, definitely a HBsAg - hepatitis B surface antigen positive patient can get pregnant and have a normal baby. There is around 20% to 30% chance of vertical transmission to the baby. But, under observed pregnancy and immunoglobulin injection within 24 hours of birth alon...  Read Full »

Why Letrozole treatment not working to get pregnant for the second time?

Query: Hi doctor, I am 31 years old. I am trying to conceive for two years and did four Comid cycles, ovulation happened but no conception. Then did Letrozole cycle, and got pregnant. But was later diagnosed with molar pregnancy and had D and C. Then took a break for six months, again did two Clomid cyc...  Read Full »


Dr. Jimesh H. Mavani

Answer: Hi, Welcome to icliniq.com. As you have taken many treatments but pregnancy is not happening. Actually I need to see all the investigations before coming to a conclusion. But with your history, I can say that you can do hysterosalpingography, to see the tubes are good or not. If not satisfactory ...  Read Full »

What does my double marker blood test indicate?

Query: Hi doctor, I am 12 weeks 5 days pregnant. I got my NT scan and double marker blood test results. NT value 1.1 mm, free b-hCG 1.52 MOM, PAPP-A 0.37 MOM, trisomy 21+NT risk 1:1132, trisomy 21 1:169, trisomy 13/18+NT. In urine culture, there is no significant growth observed after 48 hours. I am curre...  Read Full »


Dr. Jimesh H. Mavani

Answer: Hello, Welcome to icliniq.com. I have seen the report completely (attachment removed to protect patient identity). Your report is normal and there is no need to worry. If you want a detailed explanation about the report, then here you go. There are some genetic syndromes, which are happening worl...  Read Full »

The scan report showed fetal left kidney obscured. Is there any problem for my baby?

Query: Hi doctor, Today I took my 36th week scan. In that they mentioned mild fullness of fetal right pelvis noted 5 mm. Fetal left kidney obscured. And, they suggested to do a scan for the baby after delivery. Is there any problem for baby? Please clarify it.  Read Full »


Dr. Jimesh H. Mavani

Answer: Hi, Welcome to icliniq.com. I have to see the report and scan copies first and then I can comment better on that. There can be a fullness of renal pelvis and it can be normal. As far as another kidney is concerned, they have written as you said obscured. That mean they cannot find in that scan. Ther...  Read Full »

Can I continue my pregnancy with a high TSH level?

Query: Hello doctor, Recently, I got conceived. My latest thyroid profile report showed the T3 and T4 to be normal and the TSH levels were abnormal at 22.96. We have heard that this TSH value affects the brain development of the newborn and also the newborn will not be mentally good. This is bothering us a...  Read Full »


Dr. Jimesh H. Mavani

Answer: Hi, Welcome to icliniq.com. Yes, you are right. Hypothyroidism can affect the fetal brain development, especially in early pregnancy. Thyroid hormone is normally very important for many functions of the body. It helps in the early development of the fetus. The brain is one of the parts of early...  Read Full »

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