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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I am facing fertility challenges. I have another IVF trail. When will my menses return?
Query: Hi doctor, I am a 28-year-old-lady, trying to conceive for the last two years. Laboratory workup shows normal hormonal levels and HMA 24. Denoting good ovarian reserve. A 3D vaginal ultrasound shows a 1.181 inches chocolate cyst in the right ovary. Hysterosalpingogram shows mild to moderate left hyd... Read Full »
Dr. Dattaprasad Balasaheb Inamdar
Answer: Hi, Glad to hear from you. I am here to answer all your questions. Let your doctor decide regarding Zoladex (Goserelin) protocol depending on laparoscopy findings and the success of endometriosis clearance. If it is cleared well, two doses of Zoladex followed by in-vitro fertilization (IVF) would su... Read Full »
Query: Hi doctor, We are planning for a second attempt at IVF treatment. I had a myomectomy, left salpingectomy (left fallopian was removed) with ovarian drilling eight years ago. I had a scan and a blood test required for new IVF. The scan discovered fluid on the left ovary. She initially thought this co... Read Full »
Answer: Hi, Welcome to Icliniq.com. I understand your concern. As you have not sent me the sonography scan reports, I will answer you from give information. The fluid that is seen on the left side of your pelvis is most probably due to an infection either in your uterus or in the ovary. So it is advised to... 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 (Human Immunodeficiency Virus) positive man and my wife is HIV negative. I take my ART (Antiretroviral Treatment) medicine regularly. We want a healthy child without infecting my... Read Full »
Answer: Hi, Welcome to icliniq.com. You have three options. IVF (In Vitro fertilization) sperm washing, using post-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 ne... Read Full »
When can I conceive after a laparoscopic myomectomy?
Query: Hello doctor, I am undergoing a laparoscopic myomectomy for three intramural fibroids of size 2.6 cm each, after two weeks. It is present in the anterior wall of the retroverted uterus. The doctor has not given any Lupron injection before surgery. My fibroids are not causing any symptoms. I had six... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understood your concern. The following are the answers to your questions: 1. No, anesthesia will not be very risky for you if you do not have major fibrosis due to COVID (coronavirus disease). 2. The risk of death in laparoscopic myomectomy is ver... Read Full »
I have had 2 miscarriages and have a low AMH level. Please help.
Query: Hello doctor, I had two miscarriages one year apart, five years ago. Initially, there was natural implantation but I had a miscarriage in the eighth week of my pregnancy. And, the second time I had an ectopic pregnancy. My AMH is 3.8 and my husband is suffering from low sperm motility due to varico... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concern. An AMH (anti-mullerian hormone) level of 1.05 ng/mL is considered as low. You have an AMH level of 3.8 ng/mL , which is actually sufficient. The low sperm motility of your husband is due to the varicocele. IVF (in ... Read Full »
Where will I get a C-section if I have a scar on my navel?
Query: Hello doctor,I have a 7-inch vertical laparotomy scar from my navel to my pubic bone following previous PID surgery. I have had a recent laparoscopy which identified loops of bowel adhesions along the full length of the scar. I have no symptoms and my doctors both advised me to leave things as they ... Read Full »
Answer: Hello,Welcome to icliniq.com.Thank you for your query.I understand your concern. Pelvic infection severe one can increase adhesions inside and sometimes it is difficult to revert things back. Your age is already 43 years and doctors already give a positive sign to have IVF which is also a blessing. ... Read Full »
I have Teratozoospermia. Should I consider ICI or IVF options?
Query: Hello doctor, I have been trying for pregnancy for the past six months. Recently I took my SA analysis and attached the report here. Observation shows teratozoospermia. Could you please let me know if I should try for pregnancy or opt for other options like ICI or IVF? Read Full »
Answer: Hello, Welcome to icliniq.com. I thoroughly read your query and understand your concern. The report (attachments are hidden to protect the patient's identity) shows you have asthenosphere-teratozoospermia and not just teratozoospermia. The counts are fine, and ejaculation is adequate, which indicate... Read Full »
I have a history of two miscarriages. Please help.
Query: Hello doctor,I am a 40-year-old female. I need advice on whether to proceed with trying natural conception or IVF. My husband had varicocele repair surgery 8 years back. I had 2 miscarriages in the past. Kindly help. Read Full »
Answer: Hello, We welcome you to icliniq family. I appreciate the confidence you place in me for your healthcare consultation. The chances of pregnancy with natural methods are not satisfactory in your case. Re-perform a semen analysis after using antibiotic. As the age of your husband is 51 and you are 40,... Read Full »
I have a small womb with tube issues. Can I get pregnant?
Query: Hello doctor, My boyfriend and I have been trying to have a baby for four years. We visited a physician who started blood investigations, such as the HSG test for me and a sperm test for my boyfriend. I found out I was pregnant three days after inserting the dye in my tubes for the HSG. I carried my... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query, and it would be better If you send me all your investigation and blood reports, if any. The findings about the tubes on your HSG (hysterosalpingography) are unclear, but I feel you had conceived before and had one stillbirth, which means the tubes ... Read Full »
Are Gonal-F and Menopur 150 IU good for IVF?
Query: Hello doctor, I have two children already, and thankfully both conceived easily. My older son has a chromosomal anomaly. Although we are not sure that this was a hereditary problem, we wanted to do IVF with genetic testing to grow our family further, as it would be tough for us to have two children... Read Full »
Answer: Hello,Welcome to icliniq.com.Thanks for writing. I have gone through your history in detail, and I fully understand your concerns. It is better to go for IVF (in-vitro fertilization) with your whole history as it has a higher chance of healthy pregnancy. Kindly give some breaks and go for another cy... Read Full »