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Dr. Pranay Ghosh - Gynaecologist, Delhi

Dr. Pranay Ghosh

87 (28 ratings)
MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.M...

Gynaecologist, Delhi

12 Years Experience  ·  700 at clinic  ·  ₹300 online
Dr. Pranay Ghosh 87% (28 ratings) MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal... Gynaecologist, Delhi
12 Years Experience  ·  700 at clinic  ·  ₹300 online
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Hello and Good Afternoon,<br/><br/>My name is Dr. Pranay Ghosh and I am the director and infertil...

 

Hello and Good Afternoon,

My name is Dr. Pranay Ghosh and I am the director and infertility consultant and chief neurologist at Elixir Fertility Centre.

Today I will be talking about male factor infertility which is a relatively common but frequently neglected diagnosis. Usually when the couple comes in for the infertility assessment it is assumed that the problem lies with the female partner, but about 30% of cases the problem is solely due to the male factor and in about 50 to 20% cases the male partner is contributory. The problem of male infertility may be certain by a basic test as semen analysis and problem may be as severe as absence of sperm in the ejaculates, something that is known as azoospermia. And this is a potentially devastating diagnosis. However, in the majority of such cases it is now possible to have one’s own biological children with the availability of the new or assisted reproduction techniques. Foremost along with the detailed semen analysis, it is important to get a complete history and do a physical examination. A detail semen analysis implies that even in the presence of very few sperms in the ejaculate the diagnosis of a azoospermia should not be made because this is something that happens when the semen analysis is carried out by routine laboratories. A semen analysis is done to look into three variables. The count for the concentration, mobility of the sperm that is appearance of the sperm. This last perimeter that is the morphology of an overload and over reported. If the semen analysis comes out to be abnormal, the first thing that has to be done is repeat the semen analysis with a proper gap or absence of 2 to 7 days because there is a lot of fluctuation and variation in the semen parameters. If the repeat semen analysis comes out to be abnormal again, then advance sperm function test like sperm DNA fragmentation need to be carried out. In severe, in very severe cases of male infertility, just the semen analysis and sperm DNA fragmentation will not sufficient and by chromosome micro delusions studies need to be carried out to conform genetic normalcy. Once we have diagnosed that the male factor does exist and the male partner does suffer from deficient parameter, the good news is that now there are athlete treatment options available to rectify this and ones we are, we are usually able to pin point the cause of the male infertility which may be as uncommon fugnative abnormalities of hormonal imbalances, previous chemo radiations, previous surgery in pelvic area, substance abuse, certain medications or environmental toxins or maybe cannot be pinpointed due to idiopathic reasons. My male factor in infertility may be benefited by anti-oxidant supplementation and Intrauterine insemination/ IUI. However sever cases require intracytoplasmic sperm injection where cycle of IDF is carried out and after a pickup the fertilization is carried out by directly injecting one sperm inside the egg in a labotory. In cases of azoospermia, that is the absence of sperm in the ejaculate, the optional surgically obtaining the sperm from either the tester or the epidictic exists and this is usually done under anesthesia and the sperm that is obtained by surgical sperm retrieval is used to carried out exceed. For supportive treatment and tales, lifestyle modifications, quitting alcohol, giving up smoking, avoiding tight fitting under garments, hot baths and saunas. A very few, small fraction of the patients that knows the male factor infertility may be diagnosed with a condition called vericoseed, essentially dilation or distinction of the veins that trigger the testes, and this is a condition which may be benefitted by surgically correction. The options are many for the patients diagnosed with the male factor infertility and in the right hands; with the right expertise the results are excellent and gratifying.

Thank you.

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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Pranay Ghosh

Dr. Pranay Ghosh is one of the most renowned gynecologists in Delhi. He is a Fertility Specialist and Consultant who has received training in the embryology and clinical facets of fertility care from IVF centres like NURTURE (in Nottingham, UK), Centre for Reproductive Medicine (Germany), NUH CREST (Singapore) and Reproductive Biology Centre MAMC (Delhi). He conducted an embryo biopsy for his Masters dissertation.

Dr. Pranay Ghosh has been successfully practising for 13 years. He is an MBBS and MS in Obstetrics and Gynaecology (Maulana Azad Medical College, New Delhi). He has also received a Diploma in Minimal Access Surgery (WALSH), Fellowship in Minimal Access Surgery (World Laparoscopy Hospital, Gurgaon), Specialist training in Reproductive Medicine (National University Hospital, Singapore) and M.Med. Sci in Assisted Reproduction Technology (University of Nottingham, UK).

Dr. Pranay Ghosh is dedicated to rendering Services like the treatment of Menstrual Problems, Contraceptive Advice, HPV Vaccination, Gynaecology Laparoscopy procedures, treatment of Female Sexual Problems, treatment of Menopause related issues, treatment of Mirena (or Hormonal Iud) and Pap Smear Procedure. He is available at the Elixir Fertility Centre at Vardhaman Royal Plaza, LSC Gujranwala Town of New Delhi. Patients can visit him from Monday to Saturday, 9 AM to 4 PM.

Info

Education
MBBS - Maulana Azad Medical College, New Delhi, - 2006
MS - Obstetrics and Gynaecology - Maulana Azad Medical College, New Delhi, - 2010
Diploma in Minimal Access Surgery - World Association of Laparoscopic Surgeons (WALS), - 2010
...more
M.Med.Sci (ART) - University of Nottingham, United Kingdom, - 2012
Specialist Training in Reproductive Medicine - National University Hospital, Singapore, - 2013
Fellowship in Minimal Access Surgery - World Laparoscopy Hospital, Gurgaon, NCR, New Delhi, - 2014
Languages spoken
English
Hindi
Professional Memberships
World Association of Laparoscopic Surgeons (WALS)
Indian Fertility Society (IFS)
Federation of Obstetric and Gynaecological Societies of India (FOGSI)
...more
Association of Obstetricians & Gynaecologists of Delhi (AOGD)
Association of Clinical Embryologists
International Society on Mild Approaches to Assisted Reproduction

Location

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Elixir Fertility Centre

5, Vardhaman Royal Plaza, LSC Gujranwala Town 1 Block BDelhi Get Directions
  4.4  (137 ratings)
700 at clinic
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"Very helpful" 7 reviews "knowledgeable" 2 reviews "Practical" 1 review "Caring" 1 review "Sensible" 1 review "Professional" 1 review "Saved my life" 1 review "Prompt" 1 review "Well-reasoned" 1 review "Helped me impr..." 1 review

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Male Infertility

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Play video

 

Hello and Good Afternoon,

My name is Dr. Pranay Ghosh and I am the director and infertility consultant and chief neurologist at Elixir Fertility Centre.

Today I will be talking about male factor infertility which is a relatively common but frequently neglected diagnosis. Usually when the couple comes in for the infertility assessment it is assumed that the problem lies with the female partner, but about 30% of cases the problem is solely due to the male factor and in about 50 to 20% cases the male partner is contributory. The problem of male infertility may be certain by a basic test as semen analysis and problem may be as severe as absence of sperm in the ejaculates, something that is known as azoospermia. And this is a potentially devastating diagnosis. However, in the majority of such cases it is now possible to have one’s own biological children with the availability of the new or assisted reproduction techniques. Foremost along with the detailed semen analysis, it is important to get a complete history and do a physical examination. A detail semen analysis implies that even in the presence of very few sperms in the ejaculate the diagnosis of a azoospermia should not be made because this is something that happens when the semen analysis is carried out by routine laboratories. A semen analysis is done to look into three variables. The count for the concentration, mobility of the sperm that is appearance of the sperm. This last perimeter that is the morphology of an overload and over reported. If the semen analysis comes out to be abnormal, the first thing that has to be done is repeat the semen analysis with a proper gap or absence of 2 to 7 days because there is a lot of fluctuation and variation in the semen parameters. If the repeat semen analysis comes out to be abnormal again, then advance sperm function test like sperm DNA fragmentation need to be carried out. In severe, in very severe cases of male infertility, just the semen analysis and sperm DNA fragmentation will not sufficient and by chromosome micro delusions studies need to be carried out to conform genetic normalcy. Once we have diagnosed that the male factor does exist and the male partner does suffer from deficient parameter, the good news is that now there are athlete treatment options available to rectify this and ones we are, we are usually able to pin point the cause of the male infertility which may be as uncommon fugnative abnormalities of hormonal imbalances, previous chemo radiations, previous surgery in pelvic area, substance abuse, certain medications or environmental toxins or maybe cannot be pinpointed due to idiopathic reasons. My male factor in infertility may be benefited by anti-oxidant supplementation and Intrauterine insemination/ IUI. However sever cases require intracytoplasmic sperm injection where cycle of IDF is carried out and after a pickup the fertilization is carried out by directly injecting one sperm inside the egg in a labotory. In cases of azoospermia, that is the absence of sperm in the ejaculate, the optional surgically obtaining the sperm from either the tester or the epidictic exists and this is usually done under anesthesia and the sperm that is obtained by surgical sperm retrieval is used to carried out exceed. For supportive treatment and tales, lifestyle modifications, quitting alcohol, giving up smoking, avoiding tight fitting under garments, hot baths and saunas. A very few, small fraction of the patients that knows the male factor infertility may be diagnosed with a condition called vericoseed, essentially dilation or distinction of the veins that trigger the testes, and this is a condition which may be benefitted by surgically correction. The options are many for the patients diagnosed with the male factor infertility and in the right hands; with the right expertise the results are excellent and gratifying.

Thank you.

3562 people found this helpful

Heavy Menstrual Bleeding - 9 Causes Behind It

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Heavy Menstrual Bleeding - 9 Causes Behind It

Heavy menstrual bleeding, technically called menorrhagia, is one of the most common types of abnormal bleeding from the uterus. Menstrual bleeding is said to be heavy if there is so much blood that a tampon or pad remains soaked for several hours. 

Here are all the possible causes of heavy menstrual bleeding:

1. Hormonal imbalance
Estrogen and progesterone levels are the primary control mechanism for periods. If the ovaries have a problem in functioning, hormonal imbalances may occur. Heavy menstrual bleeding is most common in females who are at the start of menopause. Puberty menorrhagia can occur in adolescents who are experiencing their first menstrual period. 

2. Fibroids
These most commonly occur around the age when women can get pregnant. Uterine fibroids are non-cancerous growths on the uterus.

3. Ectopic pregnancy
An ectopic pregnancy is when a fertilized egg stays in the fallopian tube but does not reach the uterus.

4. Blood thinners
These are medicines which are usually anticoagulant or anti-platelet drugs.

5. Problems with IUD
A non-hormonal intrauterine device is a T-shaped device used for birth control which is inserted into the uterus.

6. Adenomyosis
This is a condition in which the muscular wall of the uterus also gets the lining of the uterus intermingled with it. However, this condition is rare and only happens in middle aged women with several children.

7. PID
PID stands for pelvic inflammatory disease and refers to any infection within the organs of the reproductive system.

8. Cancer
Uterine, ovarian and cervical cancer are just some of the cancers which may cause heavy menstrual bleeding.

9. Other diseases
Liver, kidney and thyroid diseases are all included. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4652 people found this helpful

4 Do's Of Working During Pregnancy

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
4 Do's Of Working During Pregnancy

Pregnancy is one of the most wonderful, but exhausting times of a woman's life. There are a quite a few precautions you need to take and quite a few factors you need to consider before doing anything. Take for example working during pregnancy. Working while you're pregnant can be challenging, but if you keep these do's and don'ts in mind, it can become an easy task.

Do: Take Adequate Rest

The first few weeks of pregnancy can take a toll on your body. If your sleep schedule is off, you need to fix it and sleep for the usual 8-9 hours a day. If you undertake a lot of physically strenuous work or even if have a desk job, you need to take a break as it can get very taxing for you. To avoid work-related exhaustion and stress, take frequent breaks to give your body the rest it requires.  Speak to a doctor or trainer for simple stretches that will help you alleviate stress on your joints and keep you muscles relaxed.

Do: Be Smart About Your Work

Jobs that require heavy lifting must be avoided at all costs as they can give rise to severe complications during pregnancy. When you're pregnant you should also avoid work that regularly exposes you to radiation, harmful chemicals, lead and X-rays. Ask your supervisor to shift the sort of work you are doing as often it's illegal to continue working in conditions that actively harm your pregnancy.

Do: Take Multivitamins and Necessary Supplements

Work often doesn't leave you with enough time to take good care of yourself. You may end up skipping meals due to a hectic work schedule, which can lead to vitamin and mineral deficiencies. To keep the worst effects of this kind of a lifestyle at bay, make sure to take your multivitamins and supplements religiously and regularly.

Do: Be Super Hygienic

It is extremely important to maintain high standards of personal hygiene and sanitation during your pregnancy. This becomes even more important if you work in an environment that exposes you to infectious diseases, raw meats and children. Keep a hand sanitizer with you at all times, and make sure you don't ingest anything that has come into contact with contagions.

Don't: Go For Long Stretches Without Eating

Keeping your stomach empty during pregnancy can have a lot of unwanted effects ranging from bloating, acidity and gas to nausea and vomiting. Have a light breakfast and keep snacking on small portions of nutritious food throughout the day. Also, ensure that you maintain optimum fluid intake. The regular 8-10 glasses of water a day is an absolute must.

Don't: Be stressed

Stress during pregnancy can have damaging effects on your and your baby's health, severely affecting the physical and mental development of your unborn child. Avoid taking on extra work for the duration of your pregnancy. Lighten your workload as much as you can and make sure to take meditation and baby-safe yoga classes to keep your stress in check.

As long as you take these simple precautions, you can continue to work throughout your pregnancy. So, remember to follow these guidelines to ensure a safe and healthy experience for both you and your growing baby. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4532 people found this helpful

Ectopic Pregnancy - 4 Causes Behind It

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Ectopic Pregnancy - 4 Causes Behind It

In a normal pregnancy, the egg that the ovaries release enters the fallopian tube. If a sperm fertilises it, the fertilised egg attaches itself inside the uterus. However, sometimes the fertilised egg can attach itself outside the uterus. This condition is called ectopic pregnancy.

Ectopic pregnancy can be detected in the first few weeks of the pregnancy itself. If your doctor does discover ectopic pregnancy, you would need immediate medical attention. Ectopic pregnancies can be sad and scary. The survival rate of the baby is extremely low, and you may need some time to get over your loss. Fortunately, one ectopic pregnancy doesn't mean you can never conceive again. Many women who lost their first baby to ectopic pregnancy have been able to have a healthy and normal pregnancy the second time around.

The causes of ectopic pregnancy include:

  1. An inflammation or infection of the fallopian tube can lead it to become entirely or partially blocked.
  2. Scar tissue from a surgery or an infection of the fallopian tube may also hinder the movement of the fertilised egg.
  3. Surgery in the tubes or pelvic areas in the past might cause adhesions.
  4. Birth defects or abnormal growths can cause anomalies in the shape of the tube.

These causes are usually followed by certain risk factors, such as:

  • Age (The age group of 35-44 especially)
  • An ectopic pregnancy in the past
  • Previous abdominal or pelvic surgery
  • Pelvic inflammatory disease
  • Several prompted abortions
  • Conceiving with an intrauterine device in place
  • Smoking
  • Endometriosis (growth of uterus lining tissues outside the uterus).
  • Fertility treatments.

The signs and symptoms of ectopic pregnancy include:

  1. Minimal vaginal bleeding
  2. Vomiting and nausea with pain
  3. Pain in the lower abdomen
  4. Sharp cramps in the abdomen
  5. Localised pain (Pain concentrated on one side of your body)
  6. Pain in your neck, rectum or shoulder
  7. Rupture of the fallopian tubes can cause fainting due to the bleeding and pain

The treatment of ectopic pregnancy can be any one of the following:

  1. If the pregnancy has not progressed too far, methotrexate will be administered. This absorbs the pregnancy tissue and can save the fallopian tubes.
  2. The tubes may be removed if they have ruptured or stretched, and have started bleeding.
  3. Laparoscopic surgery (operations performed by making minor incisions) may be performed to remove or repair the tubes and recover the ectopic pregnancy. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4456 people found this helpful

Recurrent Miscarriages - 7 Major Causes

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Recurrent Miscarriages - 7 Major Causes

Recurrent miscarriage is a condition when there has been three or more successive pregnancy losses. It is different from infertility as, infertility is the inability to conceive. For many cases, the cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable.It may not always be possible to identify a cause for recurrent miscarriage in a couple, even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:

  1. Chromosomal Abnormalities: Incompatible chromosomes can result into pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting into chromosomal abnormality. Such conditions lead to miscarriages.
  2. Uterine Abnormalities or Incompetent Cervixes: Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.
  3. Immunologic Disorders: Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are those, which attack self tissues, such as embryos and prevent them from building up. This leads to recurrent miscarriage.
  4. Untreated Thyroid Problems: Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.
  5. Polycystic Ovary Syndrome: Women with polycystic ovary syndrome tend to have high levels of male hormones which, result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.
  6. Bacterial Infections: There may be presence of a number of microorganisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract, which can prevent development of embryo, thus leading to miscarriages.
  7. Lifestyle: Smoking and drinking are harmful lifestyle habits, which may increase the chance of miscarriage to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4536 people found this helpful

I hv pcod and the egg size is not increase it become 11 Dr. says that it happened because of hormone imbalance in that situation what can I do.

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
I hv pcod and the egg size is not increase it become 11 Dr. says that it happened because of hormone imbalance in tha...
Dear lybrate-user. Provided that your weight is appropriate for your height (I.e. BMI is normal) and you have regular cycles, if your egg cycle is not increasing beyond 11 mm, in the next cycle you need to have additional injectable drugs (called gonadotropins) to hep in follicle development. Kindly get a baseline day 2/3 FSH and LH investigation as a baseline as well. Regards.
4 people found this helpful
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Pregnancy - 7 Ways Your Body Changes!

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Pregnancy - 7 Ways Your Body Changes!

The size of your belly is not the only thing that changes when you are pregnant. Pregnancy affects every part of a woman's body and visible changes can be noted as the pregnancy progresses. This is partly because of hormonal fluctuations and partly due to the strain of carrying excess weight. Here are some of the changes you can expect to see when you are pregnant. 

  1. Changes in the respiratory system Along with eating for two, you are also breathing for two when pregnant. The increased oxygen consumption leads to increased rate of breathing, shortness of breath and elevated pH levels in the blood. 
  2. Changes in the cardiovascular system: The cardiovascular system is readjusted at the time of pregnancy. This increases the volume of blood in the blood. The expanding uterus puts pressure on veins and arteries thus slowing the circulation of blood. You may also notice an elevated resting heart rate and low blood pressure in the second trimester.
  3. Changes in the gastrointestinal system: The enlarging uterus displaces organs of the digestive system and allows stomach acid to travel back into the esophagus. This leads to acidity and heartburn. Pregnant women also often suffer from constipation.
  4. Changes in the breasts: As pregnancy progresses, your breasts may increase in size and be more sensitive than usual. The nipples will also begin to stick out more than normal. By the third trimester, you may also notice a discharge of early milk or colostrum. 
  5. Changes in the abdomen: By the second trimester, the abdomen will begin to expand. As the ligaments and abdominal wall supporting the uterus are stretched, you may experience an ache on one side or the other. 
  6. Changes in the urinary system: Pregnant women feel the urge to urinate frequently. This is because the expanding uterus puts extra pressure on the bladder, urethra and pelvic floor muscles. This may also lead to temporary urinary incontinence. Pregnancy also increases the load on the kidneys as they need to filter not only your own blood but also that of the growing baby. 
  7. Changes in the skin: As the skin on the body stretches to accommodate the growing uterus, stretch marks are one of the common visible changes. This may also be accompanied by hyperpigmentation of the nipples, face an abdomen, the appearance of spider veins and reddening of palms. 

Other common changes include, swelling of ankles, leg cramps, increased body temperature and changes in hair texture. If you wish to discuss about any specific problem, you can consult a gynaecologist.

4079 people found this helpful

I am suffering from pcod. Dr. prescribed Metformin and normoz tablet. I had a vomit and dysentery when I start to take that tablet. Dr. told side effects will be there upto 10 days. For me it will continues about 15 days. Is this normal or I have to stop this medicine.

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
I am suffering from pcod. Dr. prescribed Metformin and normoz tablet. I had a vomit and dysentery when I start to tak...
Hello Ms. lybrate-user. The gastrointestinal symptoms are most probably due to metformin. If metformin has been started empirically i.e without checking blood glucose levels, it is advisable to review the prescription. Metformin is helpful in PCOS only when associated with increased fasting blood glucose levels. Otherwise, just continue the combination of D-chiroinositol and myoinositol that you are taking. Regards.
1 person found this helpful
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Hello doctor. I got my ivf treatment embroys transfer was done on 2nd feb 2017. On 16 th feb my beta hcg was 1165.0 then after 48 hours it was 3333.0 now I am 6 weeks pregnant. In transvaginal scan doctor saw only G sac and foetal pole but no heartbeat yet. I am so worried what can I do. Plzz help me.

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Hello lybrate-user. Doubling hCG trends initially is a reassuring sign. At present, please continue your medicines (for luteal support) and schedule a repeat scan with your doctor after 1 week. In the meantime, if you have any bleeding/spotting/cramps, kindly contact your IVF specialist immediately. Besides waiting for a week and continuing the medicines, there isn't much we can do at present. All the best for your repeat scan.
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My wife tried ivf last year but it resulted negative .she is 41 n myself 33. 2 years before we tried to get her tubes opened by laparoscopy as she had blocked fallopian tubes but doctor found she had abdominal tb. We don't even know whether tubes were opened or not. Now she feels pain sometimes at her stomach lower right side .Please guide us about pregnancy n about pain. Thanks n regards.

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
My wife tried ivf last year but it resulted negative .she is 41 n myself 33. 2 years before we tried to get her tubes...
Hello Mr. lybrate-user. Blocked fallopian tubes opened by laparoscopy usually functionally are not comparable to perfectly normal tubes, and there is a high chance of ectopic pregnancy in such a situation. In your case, if tuberculosis has been proven on biopsy and laparoscopy findings, antitubercular treatment would have been advised for at least 6 months. For the abdominal pain, kindly get an abdominal and pelvic ultrasound to rule out any pathology. At present, to know the fertility potential of you as a couple, I would advise AMH (anti mullerian hormone) test for your wife and semen analysis for yourself before a further course of action can be decided for you. Regards.
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