gynaecologist frequently asked question

Frequently Asked Questions - Getwell Medical Center

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Gynaecologist

FREQUENTLY ASKED QUESTIONS V13.1

Answered by

Dr. Sarita Kapoor, M.B.B.S., M.S. (Obstetric & Gynaecologist), F.N.U.H. (Singapore), A.F.A.A.G.L. (US)

Getwell Medical Center, Burdubai, Dubai, UAE.

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1. Question:

I'm TTC from july08 & got the chemical pregnancy in oct08, but before that miscarriage I had 28 days cycle with ovulation on day 14 or 15 but after miscarriage i have my cycle of 31 days with ovulation on day 20 or 21. my dr said I have thin endomitrium and for that she suggested me to take Duphaston10mg 1*1 but I forgot to ask her from which cd to cd i have to take duphaston and now she is on vacation. Can u pls guide me if this medicine is ok or if u feel any other prob in my cycle. so plz let me know.

Answered:

MY DEAR , IF YOU HAVE UNDERGONE FOLLICUKAR STUDY AND FOUND THE ENDOMETRIUM TO BE THIN THEN YOUR OVULATION IS STILL INADEQUATE AS GOOD ENDOMET. IS NEED FOR PROPER IMPLANTATION AND HEALTHY OVULATION. YOU OUGHT TO FIND OUT OTHER FACTORS AFFECTING OVULATION KILE IRT. GO FOR OTHER REGIMES OF OVULATION INDUCTION. NEVERTHELESS NO HARM IN TAKING DUPHASTON FOR LUTEAL SUPPORT. GOD BLESS YOU

2. Question:

My copper T has gone in deeper than usual. The doctors r saying the threads r not to be seen. They say they need to perform a surgery to get it out. Is there an alternative? can I exercise like yoga ,jump or skip to bring it lower? please advice.

Answered:

MY DEAR , IF YOUR COPPER T IS EMBEDDED IN TE UTERINE CAVITY OR UTERINE WALL,IT IS BETTER TO GOR HSTEROSCOPY AND THEN TRY TO GET IT REMOVED.TRY TO GET IT REMOVED DURING THE PERIODS-HYSTEROSCOPICALLY GUIDED REMOVAL OF IUCD. THANKS

3. Question:

Hello Dr. here is preethy i am married for 1 and half years and i am 25 and my husband is 30 years. we r plannin for a baby for 6 months . but i am


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diagonised pcod and so i am takin metformin 1000 mg twice a day.. also my testestorone levels r elevated now so to reduce that i am now takin crimpson 35 .doctor in india has suggested me to go for ovulation induction and follicular study to check wid my ovulation after 2 cycles of krimpson 35.i need to know wher can i do dis in dubai and can i be able to get these medications for ovulation induction in dubai...since i am plannin to take ovulation induction from next month after havin been taken 2 cycles of krimpson 35.

Answer:

DEAR DARLING, YES, YOU CAN VERY WELL DO IN DUBAI, AND WE HAVE ALL THE FACILITIES IN DUBAI. YOU HAVE TO UNDERGO ULTRASOUND STUDY AND DO THE FOLLICULAR STUDY. ALL DRUGS ARE AVAILABLE AND ANY HELP YOU NEED PLEASE LET ME NOW. KEEP IN TOUCH AND GOD BLESS YOU

4. Question:

Hello doc. what do u mean by hysteroscopically removing the IUCD? does it require anesthesia or an operating theater?can this be done in Dubai and will the insurance cover it? I am planning to get my tubectomy performed in India in July, can this be done the same time? please explain

Answer:

YES YOU ARE RIGHT . IT IS DONE UNDER ANAESTHEISA AND IT IS OK FOR YOU TO WAIT TILL JULY AND DO BOTH THE PROCEDURES AT THE SAME TIME. IF U WISH TO, U CAN GET IN TOUCH WITH ME PRIOR TO GOING TO INDIA , SO THAT I CAN ADVICE YOU WHERE TO GO IN YOUR CITY.

5. Question:

I have both PCOS and Thyriod. I am 35 going on 36, I am taking 100mg Eltroxin for thyriod. However they put me on metformin 500mg for PCOS if i dont take it i dont get my periods for 2 months. they say prolonged use of metformin gives u memory loss. I have been using it for 4yrs. please advice.is it better to take medicine as i have already 2 kids or just miss my period which is better.


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Answer:

SINCE YOU HAVE THYROID AND PCOD , IF YOU ARE OVERWEIGHT TRY TO LOOSE WEIGHT. YOUR P[COD WILL BE SORTED OUT. OTHERWISE METFORMIN IS SAFEST CHOICE FOR YOU. LEAVING PERIODS FOR 2 TO 3 MONTHS IS NOT ADVISABLE. SO MY DEAR IT IS ADVISABLE TO GET PERIODS EACH MONTH. REDUCING YOUR BODY MASS INDEX BY LOOSING WEIGHT IS IS A GOOD OPTION.

6. Question:

Hi Doctor I am 27 yr old.I had my abortion last year in the month of may,08.i have recently moved to dubai i did not had an irregularity periods problem before but for last two months i m having irregular periods nad my cycle is now for 20-21 days.that means twice a month m getting .Periods lasts for 4-5 days.Normally 1n 2nd day is with heavy flow with clotting then it becomes nornal.Now i want to conceive .pls suggest.

Answer:

SINCE YOUR CYCLES ARE GETTING SHORTAND YOU HAVE HEAVY FLOW IT IS JUSTIFIED FOR YOUR UNDERGO THE FERTILITY STUDIES-HORMONAL PROFILE AND TO DO PELVIC ULTRASOUND SCAN,AND GET YOUR OVULATION CHECKED,.IF ANY PROBLEM,GET IT RECTIFIED AND IF NEEDED UNDERGO OVULATION INDUCTION ACCORDINGLY. THANKS AND REGARDS. DR. SARITA

7. Question:

Dear doctor, I am in my 4th week of pregnancy. My health condition is normal. Let me know on the following 2 points - Is it safe to scan at early stage of pregnancy - Is it safe to travel to India during this time

Answer:

IT IS SAFE TO SCAN. DONT GET WORRIED. IST SCAN AT 5TH WEEK THAT IS 1 WEEK AFTER DELAYED PERIOD TO SEE THE SCAN IN THE UTERUS AND 2ND SCAN 2 WEEKS AFTER THAT TO CHECK FETAL HEART BEAT TO GET AN


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IDEA ABOUT FETAL WELL BEING. AVOID TRAVELLING UPTO 12 WEEK OF PREGNANCY IF POSSIBILE.

8. Question:

1.What s PCT done for? 2.my height s 150cms, and my weight s 72kgs , its too excessive . can u plz tell me what r d foods that i must consume and what should i avoid, to increase ovary production and also to reduce weight? please advise.

Answer:

PCT IS POSTCOITAL TEST DONE AS A PART OF INFERTILITY AND INVESTIGATIONS TO FIND THE NUMBER OF ALIVE SPERMS IN VAGINA AFTER THE SEXUAL INTERCOARSE. YOUR BODY MASS INDEX IS HIGH ANS IS ADVISABLE TO AVOID FATS AND FAST FOODS. DO EXERCISE AND REDUCE YOUR WEIGHTAND TAKE MORE OF SALADS AND GREEN VEGETABLES. AVOID OILS IN YOUR FOOD. THANKS

9. Question:

Hello doc, i was a PCOD patient before delivery and i was taking glucophage and duphaston and i lost around 8-9 kgs and i got pregnant without any medication. After 5 months of delivery i am still overweight around 11kgs from my pre-pregnancy weight . As i am breast feeding now so i have not got my periods as of yet. But i m worried as to my PCOD stauts. will i still need to get duphaston or glucophage or will my periods get regular on its own. Thanks doctor. Manisha.

Answer:

DEAR MANISHA, YOUR PERIODS MAY BE DELAYED DUE TO LACTATION AND FEEDING OR COULD BE DUE TO PCOD. PLEASE TRY EXERCISE PROGRAM AND LOOD WEIGHT. TAKE DUPHASTONE 1 TAB TWICE A DAY FOR 5 DAYS. AND THEN WAIT FOR 1 WEEK. AFTER FEEDIG STOPS YOU CAN START GLUCOPHAGE IF YOUR PERIODS DONT SETTLE.


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10. Question:

hi doctor, how r u? my name is meena, i live in islamabad. U r my favourite doctor, i watch u in nks regularly. I want to share my problem with u. Dr. I face intense pain before my menstural cycle starts, almost 10 days before expected date, and i also face painful mensturation. My age is 23, hope u will guide me in the best direction. please tell me can i take any medicine to releive this pain with the name of medicine or some other effective remedy without any sideeffects? hope u will reply me, Takecare of urself, and also people around you. Bye

Answer:

DEAR DARLIG MEENA, I WOULD SUGGEST YOU TO GO IN FOR A PELVIC ULTRASOUND . IF YOU ARE NOT MARRIED THEN DO ABDOMINAL U/S WITH FULL BLADDER TO RULE OUT THE POSSIBILTY OF PELVIC ENDOMETRIOSIS , IN SOME PATIENTS OF PCOD ALSO PAINFUL PERIODS ARE THERE. TRY WITH ORAL CONTRACEPTVES FOR ONE CYCLE AND SEE STARTING DAY1 OF CYCLE FOR 21 DAYS AND THEN LETME KNOW

11. Question:

Dear Doctor, I am 28 yrs. 2006 - 1st missed abortion in 2 months Didn't try for baby till 2008 Jan. PCOD + LH bit high - mild throid From Jan 2008, ovlution tablet - didn't conceive IUI - twice - didn't conceive. No blockage in tubes. Can't ovluate naturally Advised for Pelviscopy or IVF. Kindly, suggest me what would be my next step.

Answer:

PLEASE TRY TO CHANGE THE REGIME FO THE OVULATION INDUCTION. IF YOUR LH IS NHIGH TRY BETTER REGIMES FOR INDUCTION OF OVULATION AS CONVENTIONAL METHOD MAY NOT HELP TRY METFORMIN AND DRUGS FOR OVULATION, OTHERWISE GO FOR DOWN REGULATION AND THEN INDUCTION OF OVULATION.


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12. Question:

doctor, today s my 29th day,and my regular cycle s on 28-30 day cycle.i am having pain in my breasts and thighs and back.white disharge was coming till the 25th day.i did my PCT test,my doctor said,its very good,and after taking scan she also said my uterus s also perfect.having such pain, is it possible that ill be pregnant?i am consuming trilagavit(vit-B1,B6,B12)why does this pain occur,does this symptom show d fact that am not pregnant?i am very panic!!Is it advisable to take OLFEN-50 for this pain?how to improve my chances of pregnancy at the earliest possible.wanna be mom soon.

Answer:

IF YOU ARE PLANNING PREGNANCY THEY CAN BE DECEPTIVE SYMPTOMS BOTH FOR PREGNANCY. DONT TAKE OLFEN. JUST WAIT AND WATCH, OTHERWISE GO FOR BETAHCG AND FIND OUT EARLY PREGNANCY. YOU CAN JUST TAKE PANADIOL

13. Question:

hi. I am Azee. I am 32yrs old. I am IVF patient. I have done my ivf 6 months back. I was 6 weeks pregnant. I got tubal pregnancy. Now im going to plan further treatment. What will u suggest?

Answer:

DEAR AZEE, SORRY TO HEAR THAT YOU HAVE IVF - ECTOPIC PREGNANCY. I DONT KNOW THE REASON FOR DOING IVF BUT TRY TO DO ONE HSG OR A LAPAROSCOPY TO SEE THE STAUS OF OTHER TUBE AND IF YOU NEED TO UNDERGO IVF THEN TRY ONCE AGAIN OR OTHER SAFER WAY IS TO THEN LIGATE THE OTHER TUBE AND THEN GO IN FOR IVF (IF NORMAL CONCEPTION IS JUST NOT POSSIBLE). TO PREVENT RECURRENCE OF ERCTOPIC PREGNANCY AS THE LAST. OTHERWISE JUST TRY IVF/ET ONCE AGAIN.


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14. Question:

Hi Dr,I m 30,married for 18 months,first pregnancy ended up in miscarriage after 3 months,on D&C diag of endometrial tuberculosis,AFB not detected.took ATT for 9 months with contraception.now trying to conceive for 4 months,regular cycles,no other physical problem.in need of ur expert opinion...should wait for some more time or what next?plz help.

Answer:

DEAR DARLING, SINCE IT IS ONLY 4 MONTHS FOR YOU TRYING YOU CAN WAIT FOR A WHILE, BUT YOU CAN UNDERGO THE FOLLICULAR TUDY. GET YOUR HUSBANDS SEMEN ANALYSIS IF NOT DONE. THEN GET YOUR HSG DONE TO SEE THE STAUS OF YOUR TUBES --POST D& C.. THEN YOU CAN GO TO OVULATION INDUCTION AND FURTHER FOLLOW UP.

15. Question:

Dear Doctor, I have delivered a baby through normal delivery 7 months back and ever since the delivery I have been having infection in the vagina. They identified it as streptococci infection but despite taking 7-8 course of antibiotics its still persistent. Please advise what should I do.

Answer:

DEAR DARLING. NOW PLEASE WAIT USE BETADINE VAGINAL DOUCHE DAILY AND REPEAT HVS AFTER 3 -4 WEEKS.

16. Question:

hi doctor, my regular menstrual cycle is 28-30 days. my last period was on 4th july '09, this month i have still not got my periods, did a home pregnancy test on 14th august 10 days past my missed period , the test result is negative , i have still not got my periods. my periods are always regular , am panic to know what may be the reason?i wish i am pregnant.please advise


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Answer:

IF YOUR PREGNANCY TEST IS NEGATIVE THEN DO BHCG BLOOD TEST AND IF THAT IS NEGATIVE THEN EITHER SHOW A DOCTOR OR TAKE TABLET DUPHASTONONE ONE TABLET TWICE A DAY FOR FIVE DAYS. WITHIN A WEEK OF STOPPING THE MEDICINE YOU WILL GET THE PERIODS AND THEN CONSULT FOR FURTHER MANAGEMANT

17. Question:

Dear doctor, I am 25 years old. Got married last year. Trying for a kid now. For the last 2 months , my periods were regular. But this time, it started on 28th july, and doesnt seem to stop. And the flow is not heavy. its jus few drops every day.pls help. is this something that can be treated?

Answer:

IF YOU DO NOT GET PROPER PERIODS PLEASE FIRST DO A PREGNANCY TEST OR A BLOOD BHCG FOR PREGNANCY. AT TIMES PREGNANCY PRESENTS IN THIS FORM. IF POSITIVE SEE A DOCTOR TO RULE OUT ECTOPIC OR HEALTHY PREGANANCY. IF NEGATIVE SEE A DOCTOR TO REGULATE OUT YOUR PERIODS OR WAIT FOR FEW DAYS IF NEGATIVE

18. Question:

Hi ma'am..my daughter s 13 yr old and has irregular periods sometimes...like they are 20/25 days over due and when she does have them its just spotting .......wat can i do to cure this cuz its taknig its toll on her

Answer:

THERE MAY BE IRREGULAR PERIODS DURING THE EARLY YEARS OF MENARCHE. THE PERIODS MAY BE DELAYED OR EARLY AS IT TAKES TIME FOR THE CYCLES TO REGULATE. ONLY BE CAREFUL THAT YOUR DAUGHTER MAY NOT GAIN WEIGHT AND GIVE HER YEAR OR SO TO SETLLE DOWN.


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19. Question:

hello, Dr.Sarita hope your doing well. my name is samaira and i am 27 yrs old i have been married from last 6 yrs. i had a normal visit at welcare hospital as we were trying to conceive but my doctor aftr checking me internally advised me to do a hymen surgery as my hymen is very thick and not torned. is it safe to do so?? also if i dont do hymen surgery can i be pregnant.please looking foward to see ur reply. thank you

Answer:

THERE IS NO HARM IN DOING HYMEN SURGERY IF YOU HAVE BEEN TOLD IT HAS NOT BEEN RUPTURED YET. BUT ALTERNATIVELY THERE ARE DILATORS -VAGINAL WHICH YOU CAN TRY AT HOME SO AS TO AVOID SURGERY, PRIOR TO THE SURGERY. IT HELPS MANY A COUPLES.

20. Question:

Hi dr, i am an ivf patient,i had done my ivf proceedure from India last month and came back to dubia,after 2 weeks did beta-hcg but it was negative,does climate change affect the sucess rate of pregnancy especially IVF ,i am planning to have the ivf proceedure next mont again,does climate factor effect pregnanacy success rate

Answer:

NO, CLIMATE DOES NOT AFFECT MUCH. THE PROCEDURE IS MORE IMPORTANT. REST MAY BE OF SOME USE AFTER THE PROCEDURE .

21. Question:

Dear Dr. am 30 yrs old and taking tablet (Siphene) to conceive.wil it help me to become pregnent? (have problem in egg growth)

Answer:

SINCE YOU ARE ON TABLET SEPHINE WHICH IS CLOMIPHENE CITRATE . IT HELPS IN THE INDUCTION OF OVULATION AND GO FOR THE FOLLICULAR


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STUDY. IF YOU ARE OVULATING WELL TRY ON THOSE DAYS. IF NOT OVULATIONG GO ON FURTHER STEPS OF TREATMENT.

22. Question:

hello.im azee.frm pakistan.i hve done ivf 8 months back.but after 6 weeks i got miscarriage.now i hve 3 frozen embryos.in which only one is in better condition.plz tell me the chance of pregnancy in frozen embryos.

Answer:

MY DEAR AZEE, IF YOU ARE NOT GETTING PREGNANT YOURSELF, AND YOU HAVE 3 FROZEN EMBRYOS THERE IS NO HARM IN GOING IN FOR FET AS YOU DO NOT HAVE MUCH OF AN OPTION. FET ALSO HAS GOOD SUCCESS RATES.

23. Question:

Hello doc; I want to know is vaccination is necessery to mother in pregnancy if she had not vaccinatd bfore? And when it will b fine and good for baby's health(means before pregnancy or in pregnancy)

Answer:

WHICH VACCINATION YOU ARE ASKING ABOUT. ONE TETANUS VACCINE IS GIVEN AT MONTHLY INTERVAL-2 DOSES AT 18 WEEKS AND 22 WEEKS PREGNANCY

24. Question:

Dear Docter, I have a problem or fear with having sex..Also recently Ihave started feeling that i have lost all interest in sex. It has been 7 years of my marriage and stil I am unable to get pregnant plus I have polycystic ovary hat shuld I do..

Answer:

IT IS BETTER TO GET PCOD TREATED. SOME HORMONES MAY DECREASE YOUR DESIRE. TRY TO RECTIFY PCOD AND WITH OVULATION HAPPENING REGULARILY OTHER PROBLEMS MAY GET SLOWED.


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25. Question:

hi,i want to know tht is it possible to get pregnant while taking progyluton?

Answer:

YES , AT TIMES IT IS POSSIBLE AS IT DOES NOT SUPRESS THE OVULATION

26. Question:

I am 30 years old. I am PCOS. I have conceived my second child now and I am 8 weeks pregnant. I am not comfortable with my present dr. I would like to consult with you. Would I be able to get an appointment as I heard the you are very busy? Thanks

Answer:

YES, YOU ARE MOST WELCOME. PLEASE CALL 04 3595935 OR CALL ME ON 0506570141

27. Question:

Hello Dr. IM sumaiya from srilanka... i m married for the past2 yrs and im 25yrs old... i had pcos and my dr in qatar gave me metformin and it didnt regulate ma periods... and again she prescribed one month of pregnyl and another month of puregeon bt ma follicies were only 14mm, after that she prescribed clomid 50mg (3 tablets per day from period day 2-5) .it helped me get ma periods regular but tried for 3 months bt no conceiving... dr will iui be successful for me or is iui the same proceedure treatment i have taken.. i did a tube testing in qatar and it was perfect bt will y tubes be damaged due to clomid i have consumed//,,, can i go 4 iui and how successful it will be for ppl of my age

Answer:

DEAR SUMAIYA, IF YOU ARE OVULATING WELL WITH CLOMID PLUS METFORMIN AND YOUR HUSBANDS COUNT IS NORMAL,THEN IT IS PREFEREABLETO DO INSULIN RESISTACE TEST FIRST AND ADD PIAGLITAZONE IF IRT IS STILL HIGH.


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THEN CLOMID PLUS METAFORMIN PLUS PIOGLITAZONE MAY WORK BETTER. IF NOT CHEQ HUSBANDS COUNT. ULTIMATELY YOU MAY GO FOR IUI.

28. Question:

dr i m uzma i ask u question earlier me and my husband did all test i told u result serum tsh.....3.98 serum prolactin...9.46 prolactin ....12.5 lh...10.86 fsh....5.01 my husband test result total count.80millions activity motality.45% sluggish motality.30% now tell me dr what i do?still i have periods problem. when i took a medicine duphaston then periods come otherwise not i wait for 2.3 moth every periods but its not come.i did pregnancy test it still negitive plz teel me early

Answer:

PLEASE CHEQ YOUR TUBES , YOUR INSULIN RESISTANCE TEST AND START TABLET METFORMIN. ALSO CHEQ YOUR HUSBAND COUNT AND SPERM MOTILITY AND THEN GO FOR IUI IF NEEDED

29. Question:

hello dr i m uzma i m from pakistan dr i got married last year i want a baby but i have not conceive i do all my test all r clear i wnt to dr.she told me that i have a problem of polysectic overy i have a problem of periods .dr ask me a treatment of injections i did.1st i take gonadotrophin injection hmg massone i take a tablet aromek took injection ivf m but no result now tell me what i do plz

Answer:

YOUR RESULTS SHOW THAT FSH:LH RATIO PROBLEM AND YOU HAVE PCOD. PLEASE GO IN FOR OVULATION INDUCTION WITH CLOMIPHENE CITRATE AND METAFORMIN AND THEN GO FOR FOLLICULAR STUDY AND FURTHER TREATMENT


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30. Question:

hi,dr im trying to concieve from last 17 months in this duration my dr taken my all blood tests like, lh,fsh, prolactine, progestron on day 21, testostrone, papsmear, palvic u/s.all results are perfect but i have minor pco with regular mensis and regular ovulation. my husband have lowsperm motile only 25% so my dr suggest me for IUI i want to know that what u suggest and if u have the facility of IUI in ur clinic so how much it will be cost i cant afford so much expensive clinics.plzz reply me asap. thanks

Answer:

DEAR, GO FOR THE INVESTIGATIONS FOR YOUR HUSBAND FIRTS. RULE OUT HIS VARICOCOELE AND HIS HORMONAL TESTS. IF TREATABLE TREAT IT AND THEN GO IN FOR IUI. YOU CAN SEE ME BY CALLING 04-3595935

31. Question:

Dear Dr.my daughter is 5 mnths old. After she was born, i m facing severe hair fall. pls. help. can u suggest some good medicine to stop hairfall.

Answer:

PLEASE CHECK YOUR TSH LEVEL AND ALSO HGB, CBC , ESR. OTHERWISE TAKE TAB PERFECTAL I BD. IT SHALL SETTLE DOWN WITH ONSET OF PERIODS.

32. Question:

hi this amna from dubai plz tell me location of your clinic Dr Saritaplz give anser of this question

Answer:

THANKS . IT IS GETWELL MEDICAL. BUR DUBAI . NEXT TO CITY BANK AND HABIB BANK . TEL NO 043595935


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33. Question:

Namastae Dr. After DNC for a miscarriage, scanning is showing immature follicles and hence no egg release. Oral ovulation therapy has not helped. Should i go for Gonadotropin injection? How much will it cost in Dubai?

Answer:

YES , I THINK U HAVE TO GO FOR GONADOTROPHINS BUT U HAVR TO BE UNDER CLOSE SUPERVISION 2 PREVENT HYPERSTIMULATION.GO ON CONTROLLED OVARIAN STIMULATION. 1ST TRY 2 GO ON ORAL OVULATION INDUCTION TABS ALONG WITH GONADOTROPHIONS. LOVE

34. Question:

Dr. Kapoor, I have been married since 3 years - conceived in the 1st month, miscarried in 6th week, conceived again after 8 months (this time triplets without any fertility drugs), miscarried in 8th week. We did not try again for a year but now since Nov. 2008 we have not been able to conceive. Let me inform you that year 2009 was a very stressful time for my husband. Anyway, my ultrasound for pelvis (done from Allied) came out clear. I have regular periods, however, only last month did it start 3 days late. What should we do now? Can you recommend any other tests? Thank you so very much.

Answer:

U NEED 2 UNDERGO INFERTILTY HORMONAL PROFILE. GO 4 HSG WHICH IS YOUR TUBE TEST. DO IRS TEST. THEN U UNDERGO OVULTION INDUCTION.AND FOLLOW YOUR CYCLES. HUSBAND NEEDS TO DO SEMEMN ANALYSIS. U SHOULD TRY TO CONCEIVE UNDER MEDICAL GUIDANCE. U WILL NEED MEDICAL SUPPORT DURING PREGNANACY.

35. Question:

Hello Doctor, I am 28 years old having a 2 year old baby. Now i have Pcos and treated for the past 2 months for it. I am regularly excercising and taking Diane 35 and Glucophage.now my period is regular bt i feel tiredness sometimes in the morning and weight loss. My weight before treatment was


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only 54kg. Now i am worried about my weight loss and tiredness. Why is it bdoctor?can i stop this medicine? Pls. help me

Answer:

KINDLY GET YOUR THYROID PROFILE AND IRT. IN CASE THEY ARE ABNORMAL GET THEM TREATED. IF NOT U MAY NEED TO PUT AN EXTRA EFFORT AND DO WORKOUTS AND DIET CONTROL TO LOOSE WEIGHT.

36. Question:

Hello Dr. I am married for 7yrs and would like to know that do you perform IVF with blastocyst transfer.I want to get it done.

Answer:

WE DO NOT DO IVF AT OUR CENTER BUT WE CAN HELP U OUT BUY ORGANISING IT.

37. Question:

hello doctor, i am from india,27 years old trying for baby since 2 and half years, underwent 2 IUI with no success.my third IUI is planned for monday but my concern is on my day of trigger that is my day 11 my e2 levels are only 75 for 2 mature follicles and Lh level is 26.1.my 1st IUI had low e2 levels which was of no success. please can u tell me is it Ok to go for IUI with low e2 levels. pls reply asap as i have to go in for IUI in next 36 hrs

Answer:

THE E2 LEVELS ARE VERY LOW. THIS EFFECTS THE QUALITY OF THE FOLLICLES WHICH LOOK TO BE COMPROMISED. U NEED TO UNDERGO OTHER REGIMES 4 OVULATION INDUCTION. KINDLY CHEQ YOUR IRT. THEN U CAN GO FOR STIMULATION AND OVARIAN INDUCTION.

38. Question:

Doctor,Iam 34 years old suffering from hypothyroid and premature ovarian failure. Thyroid is normal, but my (TPO) was 160.2 and (anti Tg)is >500 Last month ET was done with donors egg in india, but result was negative. I cried


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and i dont know what was happening. Doctor told me ivf failure due to anti TPO and antiTg. I want to take treatment in your clinic. Is ivf treatment with donors egg is available,if available how much cost for the entire treatment.

Answer:

NO ,THIS SORT OF TREATMENT IS NOT AVAILABLE HERE

39. Question:

I'm 31 years old and trying to concieve. I have been married for 5 yrs. For the first 3 yrs, I was sufferring from vaginismus and was scared of penentration. I also suffer from PCOS. I have been having irregular periods. I went to a gynaec a year back and he put me on diane 35 for 3 months and Glycophage. After which i started getting my periods regularily. I desperatley want to have a baby and have been trying for the past year but have been unsucessful. Please advise what should i do

Answer:

U NEED TO GET YOUR VAGINUSMUS TREATED WITH EITHER VAGINAL DILATORS OR HYMENCTOMY. THEN GO FOR FURTHER OVULATION.AND TIMED SI OR IUI AFTER INVESTIGATION OF WHOLE INFERTILITY PROFILE.

40. Question:

Dear Dr. Kapoor, I'm 30 years old female residing in Dubai. My Hubby is 32 years. We have been planning for a baby. I had irregular periods for which I took hormone balance treatment and also treatment for Cystic Endometrial hyperplasia. Now my periods are normal. But follow up hysteroscopy is not done because of insurance rejection. Ultrasound is o.k. My hubby has very low sperm count and also motility is poor. Even after the Varicocele surgery no improvement. Can You please suggest me the solution? How about ICSI?

Answer:

IF THE SPERM COUNT IS SO LOW BETTER TO GO FOR ICSI


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41. Question:

hi mam, my periods date is every 28th my periods are regular.last week i went to a doc on 25th for gastric problem he told that he cant give any medicine without checking pregnency test so i took a blood test on the same day it was negative but its 2nd know still i havent recieved my periods i am confused will i be pregnent is it so that i have to repeat the test again if so after how many days i can do it can u plz guide

Answer:

YOU CAN REPEAT THE PT AND IF IT IS POSITIVE SEE A GYNAEC AND IF IT IS NEGATIVE WAIT FOR 4 DAYS AND THEN CONSULT A GYNAEC TO FIND REASON OF DELAYING PERIODS IF YOU ARE PLANNING PREGNANCY THEN IT IS BETTER TO BE GUIDED BY A GYNAECOLOGIST.

42. Question:

Dear Dr i have ttc for 2 years and last month find out that i have one block fallopian tube on right side...and rest of the things are fine now what should be my next step for treatment looking forward for your advice.Thank You

Answer:

DEAR DO HSG AND SEE THE STAUS OF OTHER TUBE IF FINE GO FOR FOLLICULAR STUDY AND TRY TO CONCEIVE OTHRWISE DO LAPAROSCOPY AND SEE FOR ANY ADHESIONS AND GET THEM REMOVED AND GO FOR IUI AND FURTHER INFERTILITY TT.

43. Question:

dear doctor ,this is maria fromriyadh.im 32 years old momof 7 yearsold son. i have pco along with retroverted uterus.should i go for ivf or iuf ?how much it cost ? pls guide me. thanks

Answer:

DEAR FIRST TRY TO LOOSE WT GO FOR IRT IF HIGH GO ON METFORMIN AND


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INDUCTION OF OVULATION AND IUI IF NEEDED DO IVF IF NITHING WORKS OUT RETROVERTED UTERUS IS NOT REASON OF INFERTILITY

44. Question:

Dear Doctor, Please advise me if IUI procedure is done by you and in which hospital and how much it would cost. Really appreciate your answer. Thank you, E.K.

Answer:

THIS VARIES BETTER TO COME AND DISCUSS

45. Question:

Dear Dr. My LMP was 14 May 2010. My Bhcg have gone upto 1200 on 29 may and then started decreasing to 800 on 7 June and again gone upto 1400 on 10 June. IUGS is not seen. The U/s showed hazzyness. What should be the future course of action? Plz guide me Dr.

Answer:

KINDLY LET ME KNOW YOUR LMP GO FOR A DETAILED TVS AND RULE OUT ECTOPIC PREGNANCY OR BIOCHEMICAL PREG INJ METHOTREXATE SHALL BE ONE OF THE ANSWERS IN CASE OF ECTOPIC PREG TO PREVENT SURGERY REPEAT BHCG AND TVS REGULARLY UNTIL YOUR BHCG DROPS AND YOU START GOOD BLEEDING RPT BHCG TILL IT COMES TO LESS THAN ONE.

46. Question:

dear doctor i am living here in Dubai. i have slightly high level of prolactin (27). i took 2.5 mg brocripton for 3 months but still not conceived. should i take more medicine? and treatment related to fertility is covered under buhaira insurance? im trying since 1.5 years.plz reply as soon as possible i shall be very thankfull to you


www.getwelluae.com

Answer:

DEAR MAY BE YOU HAVE OTHER HORMONAL PROBLEMS INVESTIGATE FURTHER AND GO THROUGH FOLLICULAR STUDY AND GO FOR TT FURTHER

47. Question:

Hi Mam, my wife undergone C-section 5 years back for our second child. After that we are using Condoms for Birth control. Since long she had a problem in mensus. Sometimes they are regular and sometimes they become irregular. For the last ten days she had a problem that mensus took long time than before. She consulted a Gynecalogist and took 'Primolut' 5 mg tablets 3 per day. After finishing the course, again the mensus are started and she again referred to the same doctor and got Antibiotics course for 10days and doctor also gave her a culture test. The reason of asking you is that we wanted to have a second opinion. We may visit Dubai in coming months. Please reply if she is doing the right thing.

Answer:

DEAR SHE SEEMS TO BE HAVING HORMONAL PROBLEM AND NEEDS TO TAKE SOMETHING FOR REGULATING PERIODS AT TIMES ORAL CONTRACEPTIVES ARE USED TO REGULATE PERIODS SHE CAN CONSULT LOCAL GYNAECOLOGIST AND TAKE COURSE OF 3 MONTHS

48. Question:

Dear Kapoor, I am trying to conceive from 8 months and no luck.i have been married for 1.6 yrs and i am 25 yrs old and my hubby is 30yrs. my periods are regular 28 days cycle all these yrs but from past 2 months i am getting my periods 20 days. done with tyroid test and everyting is normal.Semiens test is done for my hubby andits normal. kindly advice


www.getwelluae.com

Answer:

DEAR PLEASE GO FOR FOLLICULAR STUDYAND DO SERUM PROLACTIN AND ON DAY2 DO FSH LH AND SEE IF YOU ARE OVULATING WELLEARLY PERIODS IS ALSO TO BE SEEN TO OTHERWISE CONSULT A GOOD INFERTILITY SPECIALIST GET YOUR IRT DONE YOU WILL GET A REASON SOMEWHERE

49. Question:

hello doctor, I am 33 years old and palnning to have my 2nd child now.I wanted to know is there any way to influence the sex of the baby before concieving as i would like to have a baby boy since i already have a 5 yr old daughter..pls advise

Answer:

NO SURE NATURAL METHODS ARE THERE SURE METHOD IS BY SEX PRESELECTION BY IVF WHICH IS NOT YET ALLOWED EVERYWHERE.

50. Question:

I m fouzia, belong to Pakistan age 36, marriage 8 years and 2 baby girls(LSCS) 1ST baby is deliverd aftr 4 years of marriage in 2006. before this pregnency i sufferd 4 misscarrag(aftr 8 week bleeding was start when after altrasound it was stoped for 6week then dr suggest d&c all 4 time this case)then my dr advised some test ANTI PHOSOHOLIPD(igG)andCARDIOLIPIN ANTIBODIES(IgG) positive HBsAg,AntiHCV(IgM+IgG)NON-REACTIVE.TOXOPLASMOSIS(IgG)_TIVE.ANTI RUBELLA VIRUS(IgG)+TIVE.ANTI CMV(IgG)+TIVE.ANTI HSV IgG(1+2)_TIVE.Anti HCV(IgM+IgG)NONREACTIVE after these test dr advised when u missed periods at 2nd day(confrm +jan 2006) my treatment is start(inj proluton depot(twice a week),lopren(aspren) tablt,duphston tablt(daily)throwout 9month. 2nd time when i conceve in (dec 2007) again she give me same treatment (without any new test). Now I am in UAE and want 3rd baby. What would you suggest I can do?


www.getwelluae.com

Answer:

DEAR FOUZIA PLEASE START TAB JUSPIRIN 81 MG ALONG WITH TAB FOLIC ACID 3 MONTHS PRIOR TO CONCEPTION AND COSIDER INJ PRIMOLUT AND IF NEEDED CLEXANE AFTER GETTING PREGNANT. PLEASE DO INSULIN RESISTANCE TEST PRIOR TO PLANNING PREG TO PREVENT MISCARRIAGE. PLEASE DO PRO CAND S ONCEV YOU ARE PREG ANYWAY GET IN TOUCH.

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