Karyotyping is the test done to examine all the chromosomes under the microscope. It is used to identify any genetic or chromosomal disorders in a fetus. The test can be performed on amniotic fluid, blood, bone marrow, or placenta.
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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 »
Answer: Hello, Welcome to icliniq.com. 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 »
Other than ultrasound, how can Down's syndrome be diagnosed?
Query: Hi doctor, I am 26 weeks pregnant. Yesterday, I went for an ultrasound scan named targeted imaging for fetal anomalies. Other than hypoplasia of nasal bone, everything is normal. I need an expert opinion regarding advanced tests of ultrasound or amniocentesis, karyotyping or any ultrasound scan to ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity) in toto. At 26 weeks period of gestation, the overall growth of the fetus is fine. But the concern here is hypoplastic nasal bone seen in the second trimester TIFFA (targeted imaging for ... Read Full »
Please explain molecular karyotyping report taken after miscarriage.
Query: Hello doctor, I had a miscarriage and vacuum Aspirin procedure a month back. The miscarriage was mostly due to low FHR as evident in the report (bradycardia at 6W3D). I had spotting around 10th week and doctor reported it as a missed abortion. I also had high TSH around 6.7 and was on 25 mg Thyronor... Read Full »
Answer: Hi, Welcome to icliniq.com. How are you doing? I am very sorry for your loss and do understand the mental stress which you are presently suffering. But let me start on a positive note that you are fine and will surely have a healthy pregnancy. Do not worry about your age and do not feel you are ag... Read Full »
My sister's report shows 46, XY chromosome. What does this mean?
Query: Hi doctor, My sister is 18 years old, and she has never had periods. Recently, we did a test which said, 46, XY (20), 20 cells were counted, all cells showed 46 chromosomes. Small chromosomal anomalies and small clonal population may not be detected using the standard methods employed. Could you pl... Read Full »
Answer: Hi, Welcome to icliniq.com. How are you doing? This is a tough condition to explain, but let me try. 46 chromosomes mean the total number of chromosomes is normal. For a normal female, the sex chromosome should be "XX". "XY" means male. So, your sibling who is looking as or phenotypically female ... Read Full »
Is breech position a big concern?
Query: Hi doctor, My wife is 29 weeks pregnant. Today we had one ultrasound scan and the report is as follows. Single live fetus in breech presentation and 2v umbilical cord. Is this a big problem? Will it cause any problem to my baby during or after birth? Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. The breech position is not a concern at the moment as it might change till 34 weeks in all and can become cephalic. Your wife's ultrasound report does not show any good sign for the baby's development and a single umbilical artery (2 vessel umbilical cord) is an... Read Full »
Query: Hello doctor,I am a 23-year-old female and 19 weeks pregnant. The ultrasonography reports are - a bilateral 5 mm choroid plexus cyst and a small echogenic intracardiac focus in the left ventricle. What does this mean? Please help. I take vitamin C tablets daily and had a double marker test during my... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I reviewed the report (attachment removed to protect patient's identity). In this situation, I suggest you go for an amniocentesis to confirm the fetal karyotype and rule out trisomy of 21 or Down's syndrome. The echogenic... Read Full »
Can you please interpret the results of my double marker test?
Query: Hi doctor, I want to know about the double marker test results. I am uploading the reports. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the reports (attachment removed to protect patient identity) and understand your concern. The result is in the high-risk zone, and the next test would be a quadruple test done after two weeks to check for risk of aneuploidies. For more information consult a... Read Full »
Kindly provide an opinion on my NT scan and double marker test.
Query: Hi doctor, I am 12 weeks 3 days pregnant. I got my NT scan and double marker blood test results. NT value 1.7 mm at CRL of 52.6 mm, free beta hCG 1.29 MOM, PAPP-A 0.37 MOM, trisomy 21+NT risk 1:513, trisomy 21 1:214 and trisomy 13/18+NT. What is your opinion? Read Full »
Answer: Hello, Welcome to icliniq.com. The NT value (nuchal translucency) is normal as it is less than 2.5 mm, but the overall trisomy 21 risks being 1:214 and together risk 1:513. This ideally calls for a quadruple test after one week. If the cut-off bar in the graph is over the cut-off line, then it calls... Read Full »
What does HSV IgG positive mean?
Query: Hi doctor, As my wife had a failed premature delivery, we both had given for chromosome test. The result showed positive for HSV IgG, rubella IgG and CMV IgG. We are very much bothered. Please tell us the reason for this. Does it mean that we are infected with that virus before? Please clarify. Read Full »
Dr. Radhakrishnan Nair Bhaskaran
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your karyotyping were normal and it gives the meaning of no chromosomal abnormalities (attachment removed to protect patient identity). Coming to IgG positive test, when you contract a viral infection or after vaccination, the antibody produced ... Read Full »
After a natural vaginal miscarriage, when is it safe to have sex?
Query: Hi doctor, My wife had a miscarriage at 22 weeks. It was our first baby. Evacuation was normal delivery. After how long can we have sex? She has completed her two periods. Please guide. Read Full »
Answer: Hello, Welcome to icliniq.com. After a natural vaginal miscarriage, the uterus generally takes around three months to return back to its pre-pregnant state. However, the bleeding usually stops in a week. So, it is advised that pregnancy should not be planned any time before a gap of next th... Read Full »