The synthetic form of folate, which is a water-soluble vitamin B9, is called folic acid. Folic acid is essential during pregnancy to prevent neural birth defects. The other benefits of taking folic acid are it prevents cancer and helps reduce homocysteine levels, which is related to the development of heart problems.
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How can I improve embryo quality for IVF?
Query: Hello doctor,I am going to be 35 years old in two months, and I am trying for my second pregnancy. I already have a son who is going to be 10 years old. I have been trying to conceive for the past three years but have been unsuccessful. I have not undergone any major treatments for pregnancy, but I ... Read Full »
Answer: Hello,Welcome to icliniq.com.While age is a major factor that affects the quality of the egg, some studies have shown that supplements containing Folic acid and Inositol can help reduce the drastic drop in egg quality after age 35. Additionally, a diet rich in antioxidants like vitamins C and E woul... Read Full »
I am bleeding heavily after testing positive. why?
Query: Hi doctor, I did a pregnancy test last week, and it was positive. The next day at work I notice pinkish spots when I wipe. The next morning I started heavy bleeding with small clots, but I had no pain. The bleeding only lasted for three days. I need help. I am not sure if I am still pregnant or if I... Read Full »
Answer: Hi, Welcome to icliniq.com. Sorry to hear about that and it sounds like a miscarriage. That day when urine was tested, mostly the second line was not as dark as the first. It means the hormone level was not high enough. Once you have heavy bleeding, it means the inner lining of the uterus has gone... Read Full »
Is it good to take Ovasafe and Duphaston while planning for pregnancy?
Query: Hi doctor, I am 20 years old and got married a year ago. I had a problem with water bubbles formed up in my uterus and causing irregular periods. I used Folvite and Cystelia 35 for three months. Now, the doctor has given the following tablets and informed that I could get pregnant if I use those med... Read Full »
Answer: Hi, Welcome to icliniq.com. These medications are very safe. I suggest you Folic acid supplements, as it has to be taken three months before planning to for pregnancy. You can discontinue Ovasafe and Duphaston till you want to plan for pregnancy. But, you can continue Folic acid supplements. Eve... Read Full »
I want to conceive. What prenatal vitamins can I take?
Query: Hi doctor, I want to ask about the prenatal vitamins that I can take for conception, considering the case of low progesterone level. The laboratory tests performed were progesterone 0.19 ng/ml, testosterone 1.10 ng/ml, LH 17.26 mIU/mL, FSH 21.11 mIU/mL, and prolactin level. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. Preconception vitamin that has been advised universally is Folic acid 0.4 gm per day for normal ladies who wish to conceive and not have any chronic disease like epilepsy (need 0.1 fl oz per day) before conception. You did not mention which day of menstrual cycle you di... Read Full »
I had my annual check-up. Please review my reports.
Query: Hello doctor, I am enclosing my annual checkup reports for review and for necessary medical advice for the same. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). I have found few abnormalities. Deranged HbA1c and blood sugar can be seen in your report. It is in the borderline range and signifies impaired glucose tolerance. Now, you should get ... Read Full »
My 13-year-old son has recurrent fever and body pain. Why?
Query: Hi doctor, My son is 13 years old and his weight is 101 lbs. His WBC is 6000, lymphocyte is around 50% (checked thrice in the last two years), Hb is 11 g% and HbE trait. His overall health is fine, but he is getting recurrent fever attack of around four to five times in a year with severe body pain.... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: HbE trait with 11 g% hemoglobin is good and well maintained. His white blood cell count is normal and lymphocytes are mildly increased. There is nothing to suggest any particular cause. The recurrent infection could be du... Read Full »
Please explain the reason for menstrual cramps 10 days before period.
Query: Hi doctor, I am 28 years old. Eight months ago, I got married. Now, I am trying to conceive. I am getting period like cramps 12 days before period, mainly on the right side of the lower abdomen. Pain ranges from mild to severe. My hormones are normal, but AMH is 7.01 ng/mL. My TVS before and after p... Read Full »
Answer: Hi, Welcome to icliniq.com. I do understand your concern and due respect for that. It is hardly 8 months that you are planning for pregnancy, which is really not very long time that you should think over so much. I suggest you Folic acid tablets, once daily in the morning after food. This tablet w... Read Full »
What could be the reason for pain in lower abdomen and thighs in early stage of pregnancy?
Query: Hello doctor, I am a 23-year-old female. I am 13 days pregnant and currently experiencing a pain that feels like I have been exercising for a long time. The pain is in my thighs and the lower side of my abdomen. I currently take Metformin 2000 mg per day and Folic acid also. Read Full »
Answer: Hello, Welcome to icliniq.com. I hope you did not have any extraordinary activities to cause the pain around the thighs and lower abdomen. The pain we are to worry about is intermittent pains, that come for a few seconds, just like the pain in periods and then disappears, and come back again later... Read Full »
Why are my T3 and T4 levels high if not pregnant?
Query: Hello doctor,I recently had my thyroid test done. I am attaching the reports of the same. The note reads that a physiological rise in total T3 and T4 levels are seen in pregnancy and patients on steroids. Does it mean that I am pregnant? I am worried, as I am unmarried and have never had sex before. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). Your thyroid profile is entirely normal and it is not at all suggestive of pregnancy, so stop worrying about it. This amount of variation is acceptable. The note you read, just says that if som... Read Full »
I have to take Dronis for retained follicle. Can I conceive?
Query: Hello doctor, I am 38 years old. My first IUI failed. Then one month gap. Now, today is the second day of my period. He told a retained follicle is present after scanning and prescribed Dronis 30 daily. When I get my period again, he told to come on the second day of the period for a scan and start ... Read Full »
Answer: Hi, Welcome to icliniq.com. Dronis (Ethinylestradiol) is a contraceptive pill also used to reduce the size of the ovarian cyst. You will not conceive in the month you are taking the pills. But, it is necessary for the cyst to resolve before you can be given medicine for ovulation induction. So you... Read Full »
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