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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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Hi sir my wife is pregnant she has third trimester 30 weeks can give antioxidant &multivitamin, multi mineral, green tea extract with omega three fatty acid (brand-uvtal) can noteneous 2 month.
Hi we are newly married couple. We did sex last night. When I was fully erect inside her vagina i m feeling little pain and the same way she also feeling pain if I stop for few seconds pain is going from both of them and after completing the girl has a small bleeding from her Virginia little. She do not have pain when she was bleeding. Is there any problem? Y she is bleeding without any pain.
Dear Dr. I'm married woman about 35 years old my problem is that I'm not discharge early I don't feel any thing when we do intercourse I have so much tension in my in-laws so that's why I take sleeping pills my husband don't understand me. please help me.
I have had purplish lips for a very long time and I have tried many different remedies (none of which have worked) I recently read that lip color is a sign of health issues and purplish lips could mean low oxygen levels and heart or respiratory problems. I was wondering if this can be cured. And if so, how? I am currently on Ayurvedic medication (for white discharge. The white discharge has caused loss of weight, high body heat, poor digestion etc)
I have pcod. Most of the time I have low bp. And hemoglobin is also not upto the mark. I feel weak all the time. I need a good diet chart except medicines.
Itching is there on both the vaginal sides. It has become reddish now.& it pains alot. After applying vaseline got relief for 1 day again after 1day itching persist. Please help me. Thanx.
I have come off the pill after been on it for 5 years been on several kinds. I have been off now for 3/4 months, my periods are funny I was due on on a monday didnt come on till the friday only lasted 3 days then this month due on on monday didnt come on for 2 weeks, thought I was pregnant as was having all symptoms, sore boobs bach ache belly cramps which are also signs of period. Confused im not in a rush to get pregnant but iv come off the pill to fall pregnant? How come iv been having unprotected sex, no pill? Is they a problem because people say if your having periods it means your ovulating again?
Hello doctor, I am 27 years old married. From last 2-3 months I got a less bleeding during periods. Generally my period duration was 4 days.(first 3 days was normal nd 4th day less bleeding). But now first 2 days is normal nd on 3,4 day very less bleeding. please help.
My friends age 30 married life 4 years she suffered poor egg released .amh hormone level 0.19 .fertility centers drs advice will go for ivf. What is solution of amh level hormone increase. Past I'll ness irregular periods. 3 months pregnant abortion.
She got married before six months. She got period on June 5, but this month it went 3 days than expected date for period. How can I confirm whether she is conceived or not. Any basic pregnancy test can be conducted from home r do we need to check with gynecologist.
I am newly married and do not want baby for a year kindly let me know if any contraceptive medicine is there in regular basis.
IVF (In vitro fertilization)
In Vitro Fertilisation means Fertilisation “ in- glass that is fertilization outside the human body . It was initially developed for fertility in females who had blocked or unfunctional fallopian tubes. At present IVF is recommended to patients who are unable to conceive due to several other causes also.
We try to provide you with the utmost services :
Your initial consultation : It is an initial visit in which you open up with your doctor and know your doctor and the doctor knows you. A detailed history is taken of the couple.
Pretreatment preparation and planning management : This will include a detailed blood workup which will include your hormonal assays , a uterine assessment, semen analysis and other tests if required. We review the whole history and all the tests and then only a definitive management is planned for you.
Start of oral contraceptive pills : You will be put on oral contraceptive pills for a short span of two to four weeks if your cycle needs to be synchronized with that of an egg donor or surrogate . These help the ovaries to be cyst free and help in planning of your cycle.
Ovarian induction : The IVF cycle begins with ovarian stimulation with injectable hormones on a daily basis and serial ultrasound monitoring. A baseline ultrasound is done before starting the stimulation to assess egg production. The hormone levels will also be monitored . Once the follicles reach the optimal size , you are prepared for egg retrieval.
Visits : Prior to egg retrieval three to five visits are done in that IVF cycle.
Egg Maturation : An injection is given 34-36 hrs prior to egg retrieval.
Egg retrieval : It is a procedure done transvaginally under ultrasound guidance under short general anesthesia . You need to be six hrs. fasting prior to the procedure.A long thin needle is passed through the vagina in the ovary and the follicular fluid is aspirated .The follicular fluid is collected in test tubes under strict temperature control and immediately given to the embryologist in the embryology lab. The embryologist searches for the eggs .The eggs are rinsed counted and placed in an incubator . After few hrs , they are fertilized with the sperm either through IVF or through ICSI.
An anesthesiologist is there to give you pain relief and comfort during the procedure. Chances of injury during egg retrieval is extremely rare .Structures near the ovary such as bladder,bowel or blood vessels could possibly be damaged and may require further surgery. Minimal bleeding from ovaries might occur but the risk of transfusion is extremely rare. Infection during this procedure is also extremely rare. You will be discharged four hrs. after the procedure.
Embryo Assessment : During IVF embryos are assessed for 2-5 days in a temperature controlled incubator. The embryos are assessed and the day of transfer is determined between day 2-day 5 . We call you to update you about the embryos.
Embryo Transfer : Embryo is transferred back in the uterine cavity between day 2-day5 when it becomes multi celled /blastocyst . This requires no anesthesia and the female is happy to see her embryos being implanted in the cavity . We discuss the number of embryos and made and the number to be transferred so that you have the highest probability of success keeping in mind the risk of multiple birth associated with it. For embryo transfer you need to come on a full bladder and the procedure is done via an embryo catheter transferred vaginally under ultrasound guidance.
Pregnancy test : We schedule a pregnancy test 10-15 days after the transfer . If the first test is positive we repeat beta hcg repetitively every 48-72 hrs. and an obstetrical ultrasound is planned two weeks following the pregnancy test when we look for the no. of embryos and fetal cardiac activity.