Recently Answered Questions
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Can I get advice in week 5 scan of IVF pregnancy ?
Query: Hello doctor, I need advice on the week five ultrasound for IVF pregnancy. hCG has been doubling appropriately. Read Full »
Answer: Hello, Welcome to icliniq.com. The scan (attachment removed to protect patient identity) shows a single intrauterine gestational sac of about four to five weeks. However, the sac is a bit irregular. It could indicate early failure. A follow-up with transvaginal ultrasound is recommended at one-wee... Read Full »
Does hydrosalpinx recur after a bilateral tube disconnection?
Query: Hello doctor, I am 36 years old. I had a bilateral hydrosalpinx (HSG) mainly due to endometriosis. I do not have any pain symptoms, and I had a bilateral tubal disconnection to maintain the blood supply to the ovaries. After this, I had IVF but failed. I had HSG again, and I do not know if there was... Read Full »
Answer: Hello, Welcome to icliniq.com. I find lots of misunderstandings in the history. From the report (attachment removed to protect the patient's identity) you have sent, I can say that your uterus is normal and thereby there will be no problems in undergoing IVF (in vitro fertilization). Once the tub... Read Full »
What can be done for canceled IVF due to empty egg syndrome?
Query: Hello doctor, I am 40 years old. I have no medical history except TSH a bit high around 7, on Thyronorm 25 mcg. My AMH is 0.7, hormones are all normal, HSG test shows patent tubes and husband sperm normal except little high liquefaction time around 335 minutes. Got IVF cycle agonist technique done b... Read Full »
Answer: Hello, Welcome to icliniq.com. Your AMH (anti-mullerian hormone) levels are very low indicating poor ovarian reserve and a TSH (thyroid stimulating hormone) of 7 at 25 mcg Thyroxine is still high. It should be less than 4 ideally to support folliculogenesis and ovulation. As IVF (in-vitro fertili... Read Full »
Can we opt for IUI or ICSI to conceive?
Query: Hi doctor, My wife and myself have been married for one year and seven months. We started regular coitus about eight months ago for at least two to three times per week. Her cycle occurs every month, but ranges between 26 to 29 days. We are unable to conceive. Her hormonal profile and pelvic US are ... Read Full »
Answer: Hi, Welcome to icliniq.com. Having gone through the reports (attachment removed to protect patient identity), I feel you and your wife have a good chance of conception with IUI (intrauterine insemination). However, I would like to suggest you get your wife's tubes tested by means of a hystero... 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 »
Answer: Hello, Welcome to icliniq.com. 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, she keeps ovulating or expelling these eggs every month. The healthiest ones are chosen first, as... Read Full »
How many times can a person undergo IVF in total?
Query: Hello doctor, How many IVF can one person undergo in total? We have attempted three ICSI with negative results. Each time, the embryo failed to develop more than four days, once developed only up to morula stage on day five. My wife is 30 years old with AMH 4.5 with type-2 diabetes. Next, what can w... Read Full »
Answer: Hello, Welcome to icliniq.com. How are you doing today? There is no limit to the number of times you can do ICSI (intracytoplasmic sperm injection). But if I may advise, why not try to correct the underlying cause for the failure of a healthy embryo growth? An AMH of 4 or more means she has plenty... Read Full »
Can contraceptive pills thicken ovary walls?
Query: Hi doctor, My 36 year old wife was just diagnosed with a retroverted uterus, adenomyosis, and polycystic ovaries, which are causing her severe pain. The first gynecologist told her to go on contraceptive pills for two months to rest the uterus and identify the pain, but she said that her ovaries a... Read Full »
Answer: Hi, Welcome to icliniq.com. No, contraceptive pills cannot cause ovarian thickening. Your wife's age is 36, at which ovarian egg reserve is reduced. But, it can be determined only by doing serum AMH (anti-Mullerian hormone) and day-2 scan. If she has polycystic ovaries, then it cannot be less. You m... Read Full »
What does CA-125 level 638 indicate?
Query: Hi doctor, I am a 34 year old female, and I am suffering from severe pain and heavy bleeding every month, during my periods. I need to take painkillers to feel fine, and sometimes, it does not work. My recent medical report shows that I have endometriosis and cysts on both of my ovaries. But, I am s... Read Full »
Dr. Sanjay Kumar Bhattacharyya
Answer: Hello, Welcome to icliniq.com. There are few conditions where CA-125 (cancer antigen 125) remains elevated. Some of them are cancerous and some of them benign. Endometriosis is a benign condition, where CA-125 remains high. So, that is the reason for your high CA-125. IVF (in vitro fertiliz... Read Full »
Can a higher level of FSH indicate early menopause at the age of 30 years?
Query: Hi doctor, My 30 year old sister recently tested her FSH levels, and the test result showed that she is going through early menopause. So, the doctor gave her Progyluton. Please give us your opinion. Read Full »
Answer: Hi, Welcome to icliniq.com. How are you doing? The following history will be helpful to give a proper opinion: What is her FSH (follicle stimulating hormone) level? Is she trying to conceive? Is she having any menopausal symptoms? Progyluton is just the combination of estrogen and prog... Read Full »
My HSG report says I have bilateral hydrosalpinx. Will this cause trouble for conceiving?
Query: Hi doctor, My HSG report says bilateral hydrosalpinx noted with a free peritoneal spill on the left side. What does this mean? Can I conceive normally? If yes, then how? I have hypothyroidism, which is under control. I take Eltroxin 100 mcg and 75 mcg on alternate days. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. How are you doing? I have seen your report (attachment removed to protect patient identity). In HSG (hysterosalpingogram), only the right tube looks dilated showing no spill of dye. But the left tube is tortuous and shows the spill of dye very well. Let me explain, the t... Read Full »