Dr. Kalyani Chavan

If you happen to have sex on regular basis and don't want the risk of even accidental pregnancy, condoms are not reliable mode of contraception. I- pill is an emergency contraceptive and must be used judiciously. Its better to resort to more efficient modes of contraception like OCPills (if you want to delay 1st pregnancy, or intrauterine contraceptive devices like multiload or Copper T (if you want spacing between two pregnancies. Hormonal injections like DMPA and implants are other equally reliable options. As far as torn condom is concerned, chances of pregnancy depend on the fertile period. If your wife is in fertile period you may opt for I-Pill, but don't make it a habit as I-pill can hv serious side effects.

Level 2 ultrasound or Anomaly scan as it is called, is done for detailed anatomy of foetal structures to rule out any structural abnormalities. The best time to do it is 18-20 weeks. Any number of ultrasound can be done, at any time of pregnancy, its totally safe.

If you are eating well, there isn't actually any need for vitamin supplements. All you need throughout pregnancy is Folic acid, Iron, Calcium and Protein supplements, nothing more. Keep urself well hydrated, proper eating, sleeping and bowel bladder habits. All will be well.

If you had a Day 5 blastocyst transfer and its been 9 days now, and if are too anxious to know, you can go for a Serum Beta HCG levels to check for pregnancy, but it would be better to wait till day 14 to confirm pregnancy beyond doubt. Don't rely on any symptoms though. All the best.

If you don't want even an accidental pregnancy, use any Low Dose Oral Contraceptive Pill on regular basis. U can use these pills till you don't want pregnancy. Pills are the best mode of reliable contraception to delay 1st pregnancy. Intrauterine contraceptive devices like Copper-T or Multiload are the best for spacing between two pregnancies. Calender method is not reliable at all. Usually ovulation occurs on 14/15 day of menses in a female who has regular menses of 28-30 days, but it can occur anytime between 11-18 day. So better to avoid sex on these days. But, you can never be sure about ovulation. There have been many cases of erratic ovulation outside this fertile period and of accidental pregnancies.

Sometimes there can be occasional pain during pregnancy for no explainable reason. It could be due to long standing, lifting heavy weights, rough traveling, uncomfortable postures, sexual intercourse, etc. It can also be due to stomach upset, constipation, urinary infection. Get a sonography done to check for Cervical length, if its less than 3 cm, that could also be the reason and might require Os tightening.

HSG (hysterosalpingography) is an X -Ray procedure to look for fallopian tube patency and uterine cavity shape, size and abnormalities, if any. This procedure is to be done on Day 9 of menses. It is completely based on patient's cooperation as it is to be done without anaesthesia. The radio opaque dye is pushed in the uterus through the cervix and it fills the tube and spills out in the peritoneal cavity. This process is little painful, but it can be done in hardly 10 mins from start to end if patient cooperates. The pain subsides with painkillers if required ,within few minutes.

Hi, Its hardly been 2 weeks of a major surgery for you now. Your body needs sufficient rest to recover from the stress of surgery. You may engage in oral sex if comfortable. Its better to abstain from vaginal sex for 2-3 months of surgery. As far as next pregnancy is concerned, 1 tube is enough. You may try for next conception after 3-6 months if you are not in too much hurry.

Take complete bed rest, healthy diet rich in protein, absolutely no traveling, no lifting weights, no sex. Take medicines as instructed without fail. Pregnancy test can come positive as early as 8th-9th day after blastocyst transfer, but its better to wait till 14 days post transfer to confirm by doing Serum Beta HCG levels. All the best.

Fruits and vegetables like pomegranate, tomato, beet root, spinach; ragi flour, jaggery, etc are rich in Iron to help build up haemoglobin. But get a blood test of hemoglobin to ascertain the levels for grade, severity, type and cause of anemia (low hemoglobin) and further treatment can be based on that.

Gentle occasional sex in a position comfortable to the female partner is ok if there are not pregnancy complications, still it is advisable to avoid sex, unnecessary traveling and lifting heavy weights till 12 weeks.

No chance of getting pregnant if no vaginal penetration by penis. As far as HIV is concerned, get your friend checked for HIV first. If negative, no chance of HIV.

Irregular period does not mean that ur girlfriend cannot get pregnant. If u don't want to have accidental pregnancy , use protection in future. As far as her current situation, if she has got her normal periods, that means she is not pregnant.

It's normal to have some variations in ur duration and amount of bleeding . But scanty bleeding in a sexually active female of reproductive age group might indicate pregnancy. Confirm accordingly.

Normal rate of weight gain is about half kilo per week. Take iron, calcium and protein supplements regularly. If all your blood tests are normal, do a repeat sonography and check for interval growth of foetus. Always check weight from the same weighing machine.

If your ovarian reserve is very less, ( as indicated by antral follicle count on sonographyand AMH levels) its better to go ahead with IVF and not waste time and whatever 1-2 follicles available. Else u might lose ur chance of own ovum retrieval and may have to go for donor egg. Hypothyroidism if controlled on 75 mcg is not a very big issue, but ovarian reserve is.

Calender method is not a foolproof method of contraception.Ovulation can sometimes be erratic, its better to use a better method of contraception like OC pills , or Depot injections or IUDs

Wait for another week, repeat pregnancy test, if negative, consider urself non pregnant, then you may either wait for spontaneous onset of menses or take pills for withdrawal bleeding.

Nausea, vomiting and loss of appetite is common in 1st trimester. The 1st thing that goes in ur stomach after waking up should not be any kind of liquid, no water, tea, milk or juice. Instead have 2 dry biscuits or rusks, then within 30mins, have a proper breakfast, then u can have fluids. Make sure to have about 3-3.5 L of fluids throughout the day, have 3 proper meals and snacks or fruits every 3 hrs. Along with this, you might need medicines to stop vomiting ,if any.

If the diagnostic laparoscopy is normal, you may plan to get pregnant immediately. If it shows any abnormality, that needs to be treated first.