Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 38 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai 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 Surrogacy
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
Management of Postnatal Care
Adiana System Treatment
Submit a review for Dr. Sm SanjanwalaYour feedback matters!
I am 27 weeks pregnant. I had a little white discharge today. Is this normal please suggest what should I do.
On the 8 th day my right follicle size s 10*0.9, 0.9*0.9, 0.9*0.9, 0.9*0.7. Is. Ther possible fr pregnancy ET is 7mm.
I need some information. I have connection with married women. While doing sex. I used condom in between it was cut. She don't have any medical issue. There is any problem for me, I am feeling fear. Please help me out regarding this issue.
I want to make my lady pregnant. How to have sex to make her pregnant I mean give me some tips regarding it.
Living with a renal transplant constantly exposes you to the risk of organ rejection. Although it might sound scary, it usually happens because the medication needs to be tuned according to the requirements of your body. A change in medication usually solves the problem of a possible rejection, and a rejection becomes less likely if it doesn't happen within a year of the transplant. Some obvious signs of rejection are a pain on the region of transplant, fever, change in weight or low urine discharge.
The causes behind a renal rejection vary on the basis of the type of rejection that takes place. Here are three different types of renal rejection and their causes:
- Hyperacute Rejection - Hyperacute rejection occurs within 24 hours of the transplant. It can have an immediate effect and occurs as the existing antibodies act against the grafted material, causing irreversible destruction. The immune system may recognize it as a foreign body and destroy it. Hyperacute rejection is common for patients who have received multiple blood transfusions or have suffered from transplant rejection earlier. The tissue must be removed immediately before it becomes fatal for the recipient. This type of rejection can generally be avoided if the doctors type or match both the receiver and the organ donor. The organ is less likely to be rejected if there are similar antigens between donor and receiver.
- Acute Rejection - Acute rejection generally occurs after the first week of transplantation. Acute rejection is common in most recipients. Since a perfect match of antigens is rare to find, except in the case of identical twins, some amount acute rejection occurs in the case of all recipients. It can cause complications like bleeding and inflammation. The risk of acute rejection is highest in the first three months of the transplant.
- Chronic Rejection - Chronic rejection occurs months later after the transplantation. This happens over time when the immune system of the body reacts against the transplanted tissue and slowly damages the organ. In such a case, the kidneys can suffer from scarring or fibrosis and damaged blood vessels.
The hormone human chorionic gonadotropin(better known as hCG) is produced during pregnancy.
It is made by cells formed in the placenta, which nourishes the egg after it has been fertilized and becomes attached to the uterine wall.
Levels can first be detected by a blood test about 11 days after conception and about 12-14 days after conception by a urine test.
Typically, the hCG levels will double every 72 hours. The level will reach its peak in the first 8-11 weeks of pregnancy and then will decline and level off for the remainder of the pregnancy.
Key Things To Remember About HCG Levels -
- As you get further along in pregnancy and the hCG level gets higher, the time it takes to double can increase to about every 96 hours.
- Caution must be used in making too much of hCG numbers. A normal pregnancy may have low hCG levels and result in a perfectly healthy baby. The results from an ultrasound after 5 -6 weeks gestation are much more accurate than using hCG numbers.
- An hCG level of less than 5mIU/ml is considered negative for pregnancy, and anything above 25mIU/ml is considered positive for pregnancy.
- The hCG hormone is measured in milli-international units per milliliter (mIU/ml).
- A transvaginal ultrasound should be able to show at least a gestational sac once the hCG levels have reached between 2,000mIU/ml. Because levels can differentiate so much and conception dating can be wrong, a diagnosis should not be made by ultrasound findings until the hCG level has reached at least 2,000.
- A single hCG reading is not enough information for most diagnoses. When there is a question regarding the health of the pregnancy, multiple testings of hCG done a couple of days apart give a more accurate assessment of the situation.
- The hCG levels should not be used to date a pregnancy, since these numbers can vary so widely.
- There are two common types of hCG tests. A qualitativehCG test detects if hCG is present in the blood. A quantitative hCG test (or beta hCG) measures the amount of hCG actually present in the blood.
- Guideline To HCG Levels During Pregnancy
hCG levels in weeks from LMP (gestational age):
- 3 weeks LMP: 5-50 mIU/ml
- 4 weeks LMP: 5-426 mIU/ml
- 5 weeks LMP: 18-7,340 mIU/ml
- 6 weeks LMP: 1,080-56,500 mIU/ml
- 7-8 weeks LMP: 7, 650-229,000 mIU/ml
- 9-12 weeks LMP: 25,700-288,000 mIU/ml
- 13-16 weeks LMP: 13,300-254,000 mIU/ml
- 17-24 weeks LMP: 4,060-165,400 mIU/ml
- 25-40 weeks LMP: 3,640-117,000 mIU/ml
* These numbers are just a guideline, every woman's level of hCG can rise differently. It is not necessarily the level that matters, but rather the change in the level.
What Can A Low HCG Level Mean?
A low hCG level can mean any number of things and should be rechecked within 48-72 hours to see how the level is changing.
A low hCG level can indicate:
- Miscalculation of pregnancy dating
- Possible miscarriage or blighted ovum
- Ectopic pregnancy
What Can A High HCG Level Mean?
A high level of hCG can also mean a number of things and should be rechecked within 48-72 hours to evaluate changes in the level.
A high hCG level can indicate:
- Miscalculation of pregnancy dating
- Molar pregnancy
- Multiple pregnancy