Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 30 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. RavindarYour feedback matters!
Mere ko janna kya ak felopiyan tube se baby hone m time lagta h kyuki mere an tube abhi 7 month pehle blast ho gayi hi to usko nikalna pada ab ab hum baby k liye tayari kar rahe h but ho ni raha.
Hi I am 32 years old and wife 26 years we will plan to baby but not success from 7 month we started treatment of infertility but not success me and my wife's all report are normal and my wife's crempie is very thin it is any problem please. Suggest me what can we do.
I was three weeks pregnant had taken medical abortion 1 mifepristone 200 mg and 4 misoprostol 200 mcg I started bleeding on the same day after taking the pills. I was bleeding for 14 days then period stop for 2 days then again it started bleeding heavily from last 4 days and its smelling very bad is it normal in medical abortion or something serious please advice.
Dear sir, My question is if pregnant lady can't eat properly because she always get vomit sence what we do can you please tell me the answer sir.
Hi. I had sex before 4 days of M C. I was taken ipill after sex within 24 hrs. But my period date is 17 oct .still I am not getting my period. Please suggest me what to do.
The time we hve sex while intercoursing her vagina pain so I am not able to intercourse.Please tell.
Frozen Embryo Transfer
Any excess healthy embryos from the IVF process can be frozen, in case more than one treatment cycle is needed. Freezing embryos, also known as cryopreservation, takes place for some 60% of all patients having IVF treatment “ and frozen embryo transfers accounts for around 50% of all IVF births in our program.
Why do we freeze embryos?
Embryo freezing provides more opportunities for a pregnancy from each IVF stimulated cycle. For example, if a number of normal embryos are obtained in an IVF cycle, we might suggest transferring one or two of them and freezing the other four or five. This would generally allow further embryo transfers in later cycles without the need to undergo a full stimulated IVF cycle if pregnancy did not occur in the first cycle. If a baby is conceived in the stimulated IVF cycle then the frozen embryos can be used subsequently to try for another pregnancy without the need for further hormone stimulation
Embryo freezing gives more opportunities for a pregnancy for each hormone stimulation cycle and egg collection.
During a typical IVF cycle, we’ll be able to create more than one embryo, however there are serious risks associated with multiple pregnancies, so generally we won’t transfer more than one embryo at a time.
For example, if we manage to obtain two or three normal embryos (this does not always happen) we’ll usually recommend transferring one, and freezing the others. If you do not become pregnant in that first cycle, we can transfer another embryo.
This is called a Frozen Embryo Transfer (FET), and means you won’t have to undergo another cycle of hormone stimulation and egg collection.
Storing frozen embryos
When you go through an IVF treatment cycle any excess embryos will be stored where they will be kept frozen in cryostorage until you decide to either use, donate or discard them.
How does embryo freezing work?
Embryos can be frozen from Day 2 (four cell stage) to Day 5 (Blastocyst). They are placed in thin plastic straws, sealed at both ends, and labelled with your name and identification number.
They then go into a freezing machine, where the temperature rapidly drops to -150° Celsius. The straws are then placed in goblets, and put into tanks filled with liquid nitrogen, which keeps the temperature at -196° Celsius.
Success rates with frozen embryos
many of our births, over many years, have come from the transfer of frozen and thawed embryos. On average the success rate is about 30%, but this mainly depends on the age of the woman’s eggs when the embryos are frozen.
So, if you were to freeze your embryos in your first IVF cycle at the age of 38, and then use them when you’re 42, your fertility chance will be relative to that of a 38-year-old woman rather than a 42-year-old.
What to do with any remaining embryos?
Once you feel that your family is complete, and you have no further personal use for your frozen embryos, you may decide to donate them to another couple who are unable to conceive with their own embryos. Your specialist can discuss all your options with you
Freezing embryos for fertility preservation
If you or your partner is undergoing fertility treatment for a serious illness or cancer you might consider freezing embryos for future pregnancy attempts.
Are you in the last trimester of pregnancy and experiencing symptoms such as abdominal pain, vaginal bleeding, uterine tenderness and back pain? This might be an indication of a condition called placental abruption. This is a serious, but rare pregnancy complication in women. The placenta is the structure, which develops in the uterus for nourishing the growing baby. When the placenta peels away from the inner uterine wall before delivery, placental abruption occurs. The condition can deprive the growing baby of oxygen.
There are several factors, which increase the risk of placental abruption. They are as follows:
- High blood pressure: High blood pressure, be it chronic or because of pregnancy, increases the risk of placental abruption.
- Abdominal trauma: Certain trauma caused to the abdomen such as a fall or a blow to the abdomen increases your risk of having the condition.
- Substance abuse: Women who smoke and use drugs such as cocaine during pregnancy are more likely to have placental abruption.
- Premature rupture of the membranes: The growing baby is supported and surrounded by a fluid-filled membrane or the amniotic sac. When the sac leaks or breaks before labor, there are high chances of placental abruption.
- Blood clotting disorders: Any health condition which impairs blood clotting may increase the chance of placental abruption.
- Multiple pregnancy: For women who are carrying more than one baby, the delivery of the first baby may lead to changes in the uterus. This may cause placental abruption before the next baby is delivered.
- Maternal age: Placental abruption is more common or likely to occur among women who are above the age of 40.
It is not possible to reattach a placenta, which gets separated from the wall of the uterus. The treatment options for placental abruption depend on several circumstances. They are as follows:
- The baby is not close to full term: If the abruption is mild, your baby has a normal heart rate, and it is too early for him to be born, you might need to be hospitalized for monitoring. If the bleeding ends and the baby is in a stable condition, you might be able to go home and rest. In some cases, medicines are given to the baby for making his lungs mature.
- The baby is close to full term: If your baby is near full term, and the placental abruption is less, a closely monitored vaginal delivery is undertaken. In case of a progressive abruption, an immediate delivery might be required via C section.
It is recommended for you to consult a doctor on experiencing any symptom of placental abruption. This will help you in protecting your baby from any harm.
My wife's period date is 26, today after 10 days she did not get period nor pregnancy, we try to chek it by prega news but it's saw negative, what should I have to do?
Hello mam am name is vinkey.I am 32years old girl.i have been getting not regular periods .I got my after 2 month and 3month. I hope it normally and i am not full bleeding yet.so plz can help me .dr
Hello mam I had an intercourse on 27th od december. I.e 7th day of my period. And took unwanted 72 widen 2 hours. I got little bleeding in urine after 7 to 8 days of sex. Its more then a month today. My period date was 21. Its got delayed. Can I know whats the issue?
Leukorrhea is a very common problem among women. It refers to a thin or thick, whitish or yellowish vaginal discharge that may occur in between menstruation cycles or during pregnancy and usually lasts from a few days to weeks.
In most cases, it is nothing to be alarmed about and is considered normal as long as it does not cause irritation, discomfort, odor and itching.
Leokorrhea, however, can also be caused by hormonal changes, particularly due to an increase in estrogen.
A vaginal infection or std, too, may cause leukorrhea, especially if the discharge is yellow or green and accompanied by foul odor.
Other factors that contribute to abnormal discharge are unhygienic conditions such as a tampon left too long in the vagina, and conditions like anemia and diabetes. At times, injury or trauma to the vagina can also trigger leukorrhea.
As already mentioned, leukorrhea in most cases is not a cause for concern. However, if you have a lot of discomfort, consult a doctor.
There are many over-the-counter as well as prescribed medicines to treat leukorrhea. You can also deal with this problem with the help of some simple home remedies.
If you are pregnant, consult your doctor before trying any home remedy for leukorrhea.
I'm 43 male on 7th of July 2016 I did sex with a call girl I used all protection like two condoms no lip kiss no nipple sucking but when I was removing condom there was a cut (lower side ) in same finger that I use to remove condom. i'm not sure that fluid (pre discharge ) had touched the cut or not is 50-50. But very next day almost after 12 hours I felt sore there itching or burning. I waited for 4-5 days then I went to a Doctor He asked me for some tests .on after 10 day to explore 1.hiv1-2 and p24 combo test---non reactive 2.vdrl--non reactive 3-hepatitis-b--non reactive 4.hsv-1or hsv-2---hsv2 is in the range but hsv -1 was high its >30 When the refer range is. <0.09 . My Dr. Give me the acivir 400 mg three times a day for 10 days and agumantin 625 for 4 days for sore there. Now after 10 day symptoms are some thing low but not complete gone I'm not feeling well. Now on 28 the day after explore I do HIV 1 2 and p24 combo test again that is non reactive . But I feel muscles pain or joint pain burning or itching and mouth sores why is this Sir test like HIV-1-2 combo is conclusive or not on 28 the day And why I'm feeling symptoms like this is this HIV symptoms please help me ,
I am 34 years old, I have completed 2.5 years of marriage after three of month of marriage my wife was pregnant but it is miscarriage with in two month. We have tried many times but still my wife is not getting pregnant. We both meet to doctor suggest that my sperm count is 2billion/ml. So please suggest me to overcome this problem.
Hi .im 37 weeks 5 days pregnant. Today Dr. ne report me mention kay P/A -UT-term relaxed Cephalic NE FHS+FM+ Dr. please tellme reports nrml hai kay?&nrml delivery ka chance hai kay? Mujhe koi pain feel nahi hora so Dr. suggest me kay karne se pain start ho ga normal delivery k liye please gve me rply as soon as possible Thanks.
Miscarriage is the early loss of foetus within 20 weeks of pregnancy. It is also known as ‘spontaneous abortion’. According to research, about 8-20% of the pregnancies end in miscarriage. Out of the total number of miscarriages, 80% of them end within 12 weeks of pregnancy.
Types of Miscarriages and their Symptoms
- Threatened Miscarriage – As the term suggests, in this condition the process of miscarriage might have begun. This is the initial stage of the process. In threatened miscarriage, there is slight bleeding accompanied by cramps and pain in the lower back, which is usually mild. The cervix (the lower part of the uterus) remains closed.
- Inevitable and Incomplete Miscarriage – In these conditions, there is bleeding along with an open cervix. When there is dilatation and thinning of the cervix, miscarriage is inevitable. In incomplete miscarriage, part of the tissue comes out and a part remains inside the uterus. In inevitable and incomplete abortions, the bleeding and cramps are more severe.
- Complete Miscarriage – Complete miscarriage is when the embryo has completely emptied from the uterus. The pain and bleeding reduce once the foetus is expelled. This can be confirmed through ultrasound.
- Missed Miscarriage – In Missed miscarriage, there is no sign of the life of the embryo and there is no expulsion of the embryo. It can be detected from the absence of heartbeat of the embryo found on ultrasound.
- Recurrent Miscarriage – It happens when there are two or three miscarriages one after the other. It affects about 1% of the pregnancies.
- Increased maternal age i.e., women above 35 years.
- Excess or insufficient chromosome in embryo.
- Placenta is the organ which links mother and the baby for blood supply. Problem in the development of placenta can cause miscarriage.
- Excessive smoking and drinking during pregnancy.
- Obese women have higher risk of miscarriage.
- Long-term health conditions like high blood sugar, high blood pressure, liver disease etc.
- Infections like rubella, malaria etc.
- Weakened cervix, which is the result of previous injury or surgery, can also result in miscarriage.
What are the symptoms of a miscarriage?
- Bleeding or spotting can be one of the symptoms of miscarriage. It should be kept in mind that not all pregnant women who suffer from spotting or bleeding, end in miscarriage.
- Lower backache starts before or right after bleeding, which can be persistent or you could have cramps which may be mild or sharp and can feel like more of pelvic pressure.
- Missed miscarriages are detected through ultrasound when the doctor finds that there is no heartbeat of the embryo or when the uterus is not growing.
What are the treatment options in miscarriage?
- Medical – In most of the cases, there are no specific drugs to stop a miscarriage from occurring. In some cases, certain hormonal preparations help. There is no point in prescribing medicines for prevention of miscarriage if there is heavy bleeding.
- Surgery – Dilatation and evacuation (D&E) is a simple operation which is done under general/local anaesthesia. In this operation, the cervical canal is dilated and contents present in the uterus are evacuated. There is no cutting involved as it happens through the vagina. The process needs only five to ten minutes, but the patient has to stay in the hospital for about 3-4 hours.
This process is opted when:
- There is heavy bleeding.
- The patient suffers from missed miscarriage.
What can you do to prevent miscarriage?
Nothing much can be done to prevent miscarriage in most of the cases. However, following supportive measures may help:
- There should not be overexertion during pregnancy. Moderate amount of physical activity is permissible.
- One should have a well-balanced diet. Studies have shown that a diet loaded with fruits and veggies helps in overall well-being during pregnancy. One should limit the consumption of caffeine.
- Avoid smoking, alcohol and certain drugs to prevent miscarriage.
- Avoid stress and anxiety.
In case you have a concern or query you can always consult an expert & get answers to your questions!