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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Is it safe to reduce Gestone injection after the fetal heartbeat is heard?

Query: Hi doctor, I am six weeks and three days pregnant with the help of IVF, and it is frozen embryo transfer on day 20. My doctor suggested reducing Gestone injection frequency from daily to alternate days when heartbeats were checked after the sixth-week scan. And to continue oral Duphaston and vaginal...  Read Full »


Dr. Manwani Saloni Dilip

Answer: Hi,Welcome to icliniq.com.I understand your concern. Once the fetal heartbeat is seen, it is safe to reduce the progesterone injections, as now the placenta will start producing its progesterone. You still have oral and vaginal progesterone to support it, but excess progesterone can cause nausea and...  Read Full »

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 »


Dr. Chitrangada

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 »

I had ovulatory dysfunction. Can you suggest a way for me to start a family?

Query: Hi doctor, I have had ovulatory dysfunction for about seven years. About a year ago, my husband and I decided to try starting a family. Not seeing any success, we visited a fertility doctor about two weeks ago, and she prescribed hormone blood tests. My test results are estradiol serum: 13 pg/ml, pr...  Read Full »


Dr. Balakrishnan. R

Answer: Hi, Welcome to icliniq.com. I understand your concern. Let me get a few facts straight in relation to the hormones and ovulation, thereby, pregnancy. Twenty-eight years is a very good age to get pregnant. Your weight is within the normal range. So, anovulatory possibilities are low. Prolactin and...  Read Full »

Scan shows endometrial polyp and post wall intramural fibroid. Please advice.

Query: Hi doctor, I am 37 years old female, anxious to conceive, with premature ovarian failure, and had my left ovary removed (for torsion). Recently, a scan found an endometrial polyp and post-wall intramural fibroid (4.9 cm) pushing the endometrium anteriorly. I request an opinion about the need for lap...  Read Full »


Dr. Uzma Arqam

Answer: Hi, Welcome to icliniq.com. It would be nice to have a complete menstrual, medical, drug, and gynecology history of yours. In cases of infertility and recurrent miscarriages, myomectomy is considered a last resort treatment, either hysteroscopic resection or myomectomy. In the case of endometrium ...  Read Full »

How can I mange pain in uvula and soft palate due to laryngeal mask?

Query: Hello doctor, I had laryngeal mask during IVF egg collection, and when I woke up, I could not bear the pain in the uvula and soft palate. Now its day four and I am crying. I had an embryo transfer, but I cannot take antibiotics now as it hurts and burns during swallowing. I am worried that my immune...  Read Full »


Dr. Shyam Kalyan. N

Answer: Hello, Welcome to icliniq.com. I saw the picture (attachment removed to protect patient identity). The tonsils, uvula, soft palate and posterior pharyngeal wall look congested. To relieve the pain you may take Paracetamol 650 mg 1 tablet SOS. If you cannot take that you can chew Lidocam (Benzo...  Read Full »

I am a 34-year-old female with fewer eggs. What is the best IVF option with gender selection?

Query: Hello doctor, I have three daughters and want to do IVF (gender selection for the next baby). But I am a poor responder and my age is 34. This cycle, I took Gonal-F 300 but had only three follicles; my antral count was eight in total. What is the option in my case? Please help.  Read Full »


Dr. Balakrishnan. R

Answer: Hello, Welcome to icliniq.com. I understand your concern. Being a poor responder only means that you give a lesser number of eggs. But your age is not so high, so whatever few eggs you get will be healthy enough to give healthy embryos and healthy babies. Having a male baby mainly depends on the ...  Read Full »

An ultrasound after IVF has no signs of a fetal pole. Why?

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

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 »

I am 25 and my partner is 72. Can I get pregnant?

Query: Hello doctor, I am 25 years old female and my AMH level is 1.12 and my partner is 72 years old. Can I get pregnant?  Read Full »


Dr. Tara Devi

Answer: Hello, Welcome to icliniq.com. You are young and your AMH (anti-Mullerian hormone) is borderline, not very low. So, you can become pregnant. Check if your thyroid and prolactin are normal. Check for tubal patency. If everything is normal, you can try IUI (intrauterine insemination). If your husba...  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 »

Can ovarian stimulation for IVF be started on the fifth day of menstruation?

Query: Hello doctor, I would like to know if the ovarian stimulation for IVF can be started on the fifth day of menstruation or if it is too late. My doctor said I should start the medication for ovarian stimulation on the fifth day of the menstruation because of her schedule, but normally I used to start ...  Read Full »


Dr. Balakrishnan. R

Answer: Hello, Welcome to icliniq.com. You can start the ovulation induction within the first five days of periods. The principle behind this is that the FSH (follicle-stimulating hormone) starts to rise from the second day of the period, and by the fifth day, the follicles to be recruited t...  Read Full »

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