In Vitro Fertilization

In vitro fertilization (IVF) helps women conceive a child, and it is a type of assisted reproductive technology (ART). Here, matured eggs are collected from the ovaries, which are then fertilized with sperm in a lab. These fertilized eggs are then implanted in the uterus.

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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 »


Dr. Balakrishnan. R

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 »


Dr. Meeta Airen

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 »


Dr. Balakrishnan. R

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 »


Dr. Balakrishnan. R

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 »

Does COVID-19 infection affect the IVF treatment?

Query: Hi doctor, How long does IVF process take with donor eggs? How long it takes to screen the donor? During this COVID-19 second wave outbreak is it good to start IVF cycle?  Read Full »


Dr. Poonguzhali Liston

Answer: Hi, Welcome to icliniq.com. 1) IVF (in vitro fertilization) is an intensive process both emotionally and physically. Even if you are using donor eggs, you will have to take hormones in medication and injections to prepare your endometrium to receive the implant. The process usually starts from the...  Read Full »

Is there a way to prevent ectopic pregnancy?

Query: Hi doctor, My wife had first ectopic pregnancy before two years and her left tube was ruptured. She had laparoscopic surgery at that time and the bleeding was stopped by laser and the tube was left in ruptured condition. After one year we tried, but did not conceive. After two years of the incident,...  Read Full »


Dr. Dattaprasad Balasaheb Inamdar

Answer: Hi, Welcome to icliniq.com. If tuberculosis have not done irreversible damage to the tube and endometrium (inner lining of the uterus), then pregnancy can happen either naturally or with treatment. A simplest way to check these two things is one mid-cycle ultrasound (around day 13 or 14 of menses) t...  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 »


Dr. Sweta Singh

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 hysterosalping...  Read Full »

How is successful is IVF?

Query: Hi doctor, I am a 30 year old female. Actually, I have hormone problems. I have periods problems and without medicine I will not get periods. My uterus and ovaries were smaller in size. Now, with artificial hormones the size of the uterus has become normal. Can I get IVF? Will it be successful?  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Answer: Hi, Welcome to icliniq.com. As you have stated you had small ovaries and uterus, this needs a better clarification. Was it an ultrasonographic finding? What are the medicines you are on? And finally, are you having a regular cycle now? For an IVF (in vitro fertilization), you need a detailed evaluat...  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 »


Dr. Sameer Kumar

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 »

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