Invitro Fertilization

In vitro fertilization is a method of fertilization wherein a woman's egg and a man's sperm are retrieved and manually mixed in a petri dish for fertilization and form an embryo implanted into the uterus. The eggs and sperm can be of their own or can be of the donor. If the woman's uterus has difficulties receiving the embryo, surrogacy can be considered. The emotional aspect of the partners plays a significant role more than physical or financial. Often two embryos are implanted considering the risks. Fertility issues in either of the partners, increased age, problems in the reproductive system like fibroids, endometriosis, etc., are reasons to do in vitro fertilization.

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I have been trying to conceive, during my follicle test, the doctor said there are more chances for a follicle cyst. Kindly help

Query: Hello, I have been trying to get pregnant. Follicle checking has been done on the 10th day and three follicles were detected 19 cm, 14 mm, 13 mm, and endometrium development of 5.3 mm. On the 12th day 24.5 mm, 20 mm, 14.5 mm, and endometrium development of 6.2 mm remark triple line respectively. Th...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to Kindly answer the following questions: 1. How long have you been trying for conception? Kindly attach the investigations, treatment, and medications records. 2. Have you been on Folic Acid 0.4 mg daily? 3. Do you have a history of recurrent miscarriage or any chro...  Read Full »

Karyotype of the abortus shows triplody. Will it affect baby's physical and mental health?

Query: Hello doctor, I am 38 years old and my wife is 36 years old. We are married for the last two years and trying for a baby for the last one year almost. By our gynecologist advise we underwent an IUI cycle which resulted in missed abortion at seven weeks due to no growth of fetus after five weeks. ...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to 1. As far as the subserous nature of the fibroid is concerned which is around 7cm x 6 cm, it per se is not going to have an effect or cause hindrance in conception but it is likely that it can cause problems during the pregnancy and in the late third trimester due to ...  Read Full »

Are IVF and ICSI needed to get pregnant with PCOS?

Query: Hi doctor, I am a 32 year old female, and I weigh 57 kg. I am work in a bank, which keeps me out of home from 9 AM to 7 PM. I was diagnosed with PCOS, and I have a 1.5 mm intramural fibroid on the posterior wall of the uterus since two years. I am taking Glyciphage SR 500 since then, and it has kep...  Read Full »

Dr. Sathawane Aparna Mulchand

Answer: Hi, Welcome to It is not necessary to go for IVF (in vitro fertilization). IVF has more success rate than IUI (intrauterine insemination) during infertility. I suggest trying IUI few more times, but chances of success are less. So, you have to take the decision. Nowadays with advance...  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 curre...  Read Full »

Dr. Geetha Priyadarsini Kamminana

Answer: Hello, Welcome to 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 follow...  Read Full »

Is it possible to be fertile with astheno-teratozoospermia?

Query: Hi doctor, I am a 28-years-old male with a height of 173 cm and a weight of 84.5 kgs. I am trying for a baby for the past nine months. I recently did sperm analysis, and the impression is astheno-teratozoospermia. Can you please confirm for me if I can become a father naturally or not? The test rep...  Read Full »

Dr. Reetika

Answer: Hello, Welcome to I fully understand your concern and will surely help you. I have gone through the report shared by you. Many things affect the fertility aspects of a couple. Firstly stay safe from COVID-19 and the related stress. Your report is good for the sperm count, but motilit...  Read Full »

Is my ovarian cyst benign or malignant?

Query: Hi doctor, I have consulted three doctors. I have done MRI to investigate the cyst. A 3.5-centimeter cyst was found during IVF cycle treatment. The doctors were unable to identify the type of cyst whether it is a benign or malignant one. Everyone says that it looks suspicious. I have attached the r...  Read Full »

Dr. Lorena Zijaj

Answer: Hi, Welcome to I have gone through the reports (attachment removed to protect patient identity). Please mention from when you have started your IVF (in-vitro fertilization) cycle. The procedure has raised the risk of cysts especially causing ovarian hyperstimulation. Please mention wh...  Read Full »

I have PCOS. Will IVF help me get pregnant?

Query: Hi doctor, I am 27 years old. I have PCOS and have been trying to conceive for four months. My gynecologist put me on 500 mg of Metformin thrice a day and 10 day cycle of Medroxyprogesterone at the beginning of each month to force ovulation. The medication is working exactly as it should. I get my p...  Read Full »

Dr. Megha Tuli

Answer: Hi, Welcome to I can understand your situation. Please, do not be so hard on her. I am sure it is not that she is not interested in diagnosing or treating you. However, you can wait for some more time before straight away jumping for IVF (in vitro fertilization). Patients with (p...  Read Full »

Despite ovulation induction, I did not get pregnant. What to do now?

Query: Hello doctor, I am 24 years old. My height is 5'1" and my weight is 61 kg. I am a bit overweight. I have pcod problem. I got married 2 years back and I cannot get pregnant. I had Clomid and hCG injections twice. Both were failed. But, doctor said that my egg growth is good. I have attached my hormon...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to The hormone reports (attachment removed to protect patient identity) submitted are normal and the ultrasound seems fine. But, as there is no detail about the sizes of follicles reached during both cycles of ovulation induction it is difficult to make a comment here. Ho...  Read Full »

What are the treatment options for an intramural fibroid?

Query: Hi doctor, We are trying for IVF to conceive. We have frozen our embryos and have planned for embryo transfer this month, that is on the 14th day of my wife's menstrual cycle. In the scan, everything looks normal, the endometrial thickness was 9.7 mm and had good blood flow. Today when we went for ...  Read Full »

Dr. Purushottam Sah

Answer: Hi,Welcome to have reviewed both the reports (attachment removed to protect patient identity).The fibroid is small, and it can be controlled by medicines. To reduce the size, apart from medicines, other procedures like radiological embolization or hysteroscopic removal are also availa...  Read Full »

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