Ivf

IVF (in vitro fertilization) is a type of assisted reproductive technology, which is used to treat infertility. During IVF, mature eggs and sperm are retrieved, and fertilization takes place in a petri dish in a lab. IVF is indicated if the fallopian tube is blocked or damaged, endometriosis, uterine fibroid, low sperm count and motility, and genetic disorders.

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AMH value is 1.1 ng/ml. Can I go for IVF/ICSI cycle?

Query: Hello doctor, I am 38 years old and got married 12 years ago. Underwent 3 fresh IVF cycles and 3 FET cycles during the last four years. Underwent tubal pregnancy four years back. For the past two years with medium endometriosis. My present AMH value is 1.1 ng/ml. A blood test was taken last week. S...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. How are you doing? Definitely, IVF would be the best option. Let me start by mentioning the risk factors, one is your age, AMH is lower limit and endometriosis. As you cross 35 years, most of the good eggs get exhausted. So it is very good to keep getting lots of egg ...  Read Full »

Can you suggest any alternative medicine for tubal blockage and infertility?

Query: Hi doctor, We have been trying to have a baby, but I have a block in my fallopian tube. As a result, eggs cannot reach the uterus from my ovary. And my endometrium is too thick or too thin at times, so my doctor is also confused. My AMH level is 0.9 ng/mL. I had an abortion four years back and w...  Read Full »


Dr. Alka

Ayurveda Specialist

Answer: Hello, Welcome to icliniq.com. I have read your query very carefully. You did not mention your previous reports, your age, weight, and other medical histories. Are you taking thyroid medicine continuously? What is your husband's health status? As infertility is a complicated procedure and a lot of f...  Read Full »

What is Lonopin injection used for?

Query: Hello doctor, My wife is 3 months 3 days pregnant through IVF. Currently, she was prescribed to have the medication, which I have attached for your reference. Even after 3 months, they are forcing her to take Lonopin injection, which is very irritating, painful and give side effects like nausea. We ...  Read Full »


Dr. Jyoti Gupta

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. If she has a history of recurrent miscarriages or recurrent fetal deaths or repeated IVF failures, then Lonopin seems essential till at least 5 months. If not, then still I would say it is a prophylaxis to help avoid problems of miscarriage due to unknown immunological fa...  Read Full »

Is it possible to get IVF done in a patient with endometriosis?

Query: Hello doctor, Husband is 39 and wife is 38. Married for the past 11 years. Late pregnancy planning. Open myomectomy, right ovarian cystectomy, and adhesiolysis were done three years back. Conceived normally two years back with low AMH 1.34. CS a year back. Congenital heart disease - aortic stenosis...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. Keeping your history in mind, it is suggested that possible endometriosis or PID which can be the cause of raised CA125 should be ruled out with a diagnostic laparoscopy and peritoneal lavage for culture and possible malignant cells (if any, ovarian). This is mandato...  Read Full »

I have fibroids in my uterine wall. Could this be corrected by removing them?

Query: Hello doctor, I am 36 years old with 5'8" in height and weight 143 lbs. Started my period when I was 13. My husband and I want to start trying to conceive. We had some tests done to know where we stand since I am not young, and I had a hysteroscopic myomectomy three years ago. Back then my doctor to...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq .com. 36 years is not old. Of course, pregnancy chances are higher before 35yrs, but ladies do get pregnant after that too. Fibroids distorting the uterine cavity or tube needs to be removed, also those which are near the implantation site of the embryo, they can cause th...  Read Full »

I am HIV positive. How can I have a HIV negative baby?

Query: Hello doctor, We are a serodiscordant couple and we want our child. Please suggest to us what has to be done. I am an HIV positive man and my wife is HIV negative. I take my ART medicine regularly. We want a healthy child without infecting my wife and my child. Is it possible with natural process o...  Read Full »


Dr. Kiran Anaparthi

Family Physician, HIV AIDS Specialist

Answer: Hi, Welcome to icliniq.com. You have three options. IVF, sperm washing, using pre-exposure prophylaxis. First two are safe but very costly considering technique and your status. Last option is cheap but is a little bit risky and need compliance from your wife. Your wife needs to use medicine regul...  Read Full »

How to increase sperm count?

Query: Hi doctor, My sperm count is low; it has dropped from 18 million to 3 million within a period of five months time. I have been diagnosed with bilateral varicocele. I have consulted three urologists. The first doctor advised me to go for ART (artificial reproductive technology) second one prescribed...  Read Full »


Dr. Gopinath

Urologist

Answer: Hi, Welcome to icliniq.com. After going through your report (attachment removed to protect patient identity), I am aware that you are suffering from severe oligozoospermia (oligospermia). After four days of abstinence, please repeat the semen analysis. Even after repeating the tests, if the sperm...  Read Full »

Can poor quality eggs produce grade A embryos after IVF procedure?

Query: Hello doctor, My wife is 33 years old. We had six IVF failures. Recently, she had undergone a third pick up cycle. Nine eggs were retrieved, out of which eight eggs were mature, five were fertilized and three embryos reach day 3 stage with two embryos grade A (eight cells) and one embryo grade B (s...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. How are you doing today? I would like to put forth a few facts of IVF or embryology. 1. Your wife is in the perfect age for pregnancy. 19 to 35 years is the best age. 2. Her body weight is normal, so a hormonal imbalance is ruled out. 3. She has given nine eggs, whic...  Read Full »

I took Gestone one day earlier after frozen embryo transfer. Is it normal?

Query: Hi doctor, My frozen embryo day five transfer was on 16th at 1 PM, which was my day six of Gestone 100 injection. Post FET, I was advised to take Gestone injection on 19th, 22th, 25th, 28th of this month. The due date for blood test being 27th. By mistake, I took the injection today which is 18th, ...  Read Full »


Dr. Shruti Kainth Kaushal

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. From your query, it is understood that you have gone through the IVF cycle and Progesterone injection are just to maintain the pregnancy. So it does not matter much if you have taken one day before the scheduled dose. Now, subsequently, you take these weekly, meaning, a...  Read Full »

Fourth ultrasound after IVF has no signs of fetal pole.

Query: Hello doctor, I have a question about my pregnancy and my IVF transfer. I had an ultrasound five days back with my IVF doctor. They are calculating my pregnancy at seven weeks. I had a five-day embryo transfer last month and found out that I am pregnant. However, after my fourth ultrasound yesterday...  Read Full »


Dr. Uzma Arqam

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. It seems it was anembryonic pregnancy means the sac was formed but without a fetal pole. Sac is not growing inside to have a fetal pole and gradually towards further stages of pregnancy even after hormonal support. It is a bit depressing but if you want to wait for some...  Read Full »

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