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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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Patient Review Highlights
I found the answers provided by the Dr. Kaushal Samir Kadam to be very helpful. This medicine I was taken long time ago. Now m taking folinal plus. Last 3months. My period is not regular date some time it was coming 10days late also
I found the answers provided by the Dr. Kaushal Samir Kadam to be prompt. Yes my thyroid is under control....i dont hav it....the dr. Asked me to take 25 mg pills..so that i concieve..
Dr. Kaushal Samir Kadam provides answers that are very helpful. I did ultrasound 3-4 times to check about size of ovary and when the egg is released and i didn't do qny harmonal test.
Dr. Kaushal Samir Kadam provides answers that are well-reasoned. Okay mam , thanks for saying! I will be active here after! Thanks!
Pls help me for get pregnant.. My age is 28 my husband age is 32 he already done his test.. He is totally normal..
I found the answers provided by the Dr. Kaushal Samir Kadam to be practical. Nice comment
Dr. Kaushal Samir Kadam provides answers that are caring. Caring
My wife is unable to conceive, we got married four years back, all reports of me n my wife are normal, doctors predict its PCOD Earlier, but later she give up treatment giving reason that she is in able to detect problem with conceive, both of us analysed thyroid, oviduct, cervix, semen analysis, ova size, all reports are normal, even 3 times IUI is fail in last 6 months.
Hi, I had my c section on November 30 2016. My baby happened to aspirate meconium and was very sick. Still she is sick. Since my husband is already 32 years old I wish to have another baby as soon as possible. Can you please tell me the minimum time I can try to conceive again. I had GDM in my last pregnancy. So I would also like to know how to avoid it in next pregnancy. I am 5.5 ft and 73 kg, suggest me ways to reduce it for healthy pregnancy.
I was on krimson 35 from november. Doctor prescribed me to start from 5th day of the cycle. But did not remember if I have started from 4th or 5th. Pill pack ended timely and bleeding occurred in the 7 day break. I again started dec pill pack from the 5th day of period (may be the gap was 8 days. My dec pill pack ended on 24th dec (usually take the pill from 9-11 pm at night. Never missed any pill. On 25th dec partner rubbed his unprotected genitals on my butt (no intercourse, no ejaculation, he went to toilet before the act). Bleeding occurred from 28th dec-2nd January. Again started jan pill pack from 5th day. This time the gap was 7 days. And I took the pill on same time each day. Pill pack ended on 21st jan and bleeding occurred from 25th January to 29th january. My feb pack got over on 18th February and period started from 22nd feb to 27th feb Every time bleeding was light on the first day and got heavier on third day and from fourth day night it becomes lesser and it comes regularly on 4th day of stopping pill. My march pill got over on 18th march. And today is 22nd till now no periods. No sex activity after 25th dec. Is their any chance of pregnancy since I had certain confusion with November pill regarding the pill free interval. Since no ejaculation or intercourse, will it be able for sperms in precum to make you conceive? Is their any chance of conceiving? M I safe.
I am suffering with pcos and have symptoms such as hair growth in puberty organs and delayed periods. I am recently married. Will this have any impact in my married life or pregnancy?
Hello Dr. Am suffering from hypothyroid and am taking thyronorm 25 in addition to that my prolactin level is also high and doctor advised me cabgolin 0.25 tablet. Is it safe to take this tablet during my periods? And tell me the possibilities of conceiving please. Thank you.
I am trying to conceive, my cycles are regular 28 days, trying for 3 months but no success. What all I should do to get pregnant?
Hi. I'm Padma. 24 years old. Trying to conceive for a year. This cycle I took Clomid with NAC. On cycle day 13, the follicle was upto 16x19 mm. Took HCG injection. On cycle day 16 it ruptured. LMP Feb 16, 2017. Cycle length 31. This month periods due date is between 16 March and 18 March. Every month I notice white discharge before periods. This month I felt difference in it. Noticed thick milky white cream like discharge. Is it early pregnancy sign? Or I'll get my periods? Is there any chance of pregnancy even after heavy discharge? Please help me.
I am newly married and I do not want to have kids now so Is it harmful to use condom every time I have sex with my wife?
I am 32 male. Married since 2 yrs. We were planning for a baby. My semen analysis report states 1 ml quantity and 25 million count. And Doctor suggested me SPERCUS tablets twice a day and Ubiphene25 once a day for 3 months. It's been 3 months now. But unfortunately my wife not conceived yet. My question is can 1 ml quantity is enough for conceive. And are these tablets useful for increasing the quantity of sperm? Can you please guide me how can improve my count and quantity of sperm. And my wife can get pregnant. Thank-you in advance. Have a great day.
I want ask about pregnancy. How I pregnant. We tried for pregnant since four month but we don't. please give some advise about pregnancy.
I tried for conceive in month of Feb ,my period date is 8th of Feb it's regular period ,so I want to ask that I feel changed in my body feel like that I am pregnant but at 8 march again my period start.In Feb I had intimate alternate day but why I don't conceive what's the problem.
Good morning Doctor I have married almost 3 years ago my age is 30 and my wife age is 25, past 1 year we are trying for a baby, but till now there is positive result, if I have tried after her periods for a baby means next month in the same time periods will nt be there, on that time we will go and check but the result will be negative, then after 1 week again the periods starts kindly give me a solution for my problem Thank you.
I want to have child's I want to do IVF but my age is 42 and my husband's age is 53. Please advice is their any problem in that
Donor egg IVF is used by more than 70 percent of infertile women above 45 years to conceive. More than 8,000 babies are born in the US to women of all age groups by this method of Assistive Reproductive Technologies (ART). This kind of fertility treatment will become even more popular, in the days to come, because of advances in the egg-freezing technology.
What are donor eggs
Donor eggs are eggs given by a healthy, fertile woman to an infertile woman for in-vitro fertilisation or IVF.
How does the Donor Egg IVF program work?
Before you start this course of treatment, you must consult a doctor regarding its feasibility and effect on your health. Typically, the process has the following steps;
- After a donor has been identified, the infertile woman (referred to as ‘you’) and the donor are given medication so that the menstrual cycles of both are synchronised. You are also given medication so that your endometrium lining is ready for womb transfer.
- After their donation, the eggs are fertilised using the In Vitro Fertilization technique.
- Since the donor is under 35, not more than three embryos are transferred from her to your womb.
- Embryos are formed after fertilising donor egg with partner sperm.
In some cases, the embryos may be transferred after they have been fertilised. This line of treatment is undertaken to reduce the stress of this treatment on you.
In cases of men, the following procedures are followed;
- Unless the sperm belongs to another man, your partner will be required to give a sample of his sperm to check sperm quality.
- The partner must give another sample on the day the eggs are collected.
- In the next stage, the eggs and sperm are mixed together and in vitro fertilised.
Chances of success in Donor Egg IVF program
The chances of you conceiving through this program are 60-70%. This strike rate is significantly higher than a conventional IVF line of treatment.
How to start with Donor Egg IVF program?
- Finding an egg donor is not that difficult these days. You can find a donor through a fertility clinic, an egg bank, an egg donation agency, a family member or a close family friend. Donors coming from a frozen egg bank are usually screened for health and other reasons. Most donors are in the age group of 21-35 years.
- Make it legal i.e while getting donors is easy, the tricky part is to comply with the various legal issues. Consult your spouse, doctor and your attorney before taking this step.
- Get counselling i.e. you need expert counselling before you conceive because, let us face it, your baby is not your biological offspring. You and your spouse need to be adequately psychologically prepared for this important development in the family.
I am 22 years old I am married I am have no child I like to have pregnant please give helpful advice and balanced diet please reply me.
Hello I am a female 21 years married and 1 and half year back trying to conceive due to irregular periods pcos I could not conceive plzz help me I tried clomid meprate and many antioxidant but my periods r still irregular please help me.
What is recurrent miscarriage?
If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.
Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman’s life from her mental and emotional health to her physical health and social well-being.
If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.
Treatment of Recurrent Pregnancy Loss
Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.
A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.
Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures.
Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.
Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.
Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid
Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased level of Natural Killer Cell Activation (NKa). Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.
Role of IVF
Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.
In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70% – 80% is ultimately achievable.