High Blood Pressure in Pregnancy, Preeclampsia

PS- Published with kind permission from the patient. She was referred to us by our Colleague from Chandannagar, as she required delivery at NICU Set Up. Young lady had Hypertension (high Blood Pressure- BP) diagnosed before pregnancy (“Chronic Hypertension”) but she was not taking medicines properly. She did not visit the Gynaecologist before pregnancy. She visited the Gynaecologist at 16 week of pregnancy for the first time. The doctor did all the tests (blood, urine, Ultrasound) that are needed in a pregnant woman with high BP and started medicines to lower BP. The diagnosis of Preeclampsia (PE) was made. Initially […]

Pcos, Sperm Motility, Growth Restricted Baby

They came to us in December 2017 with Inability to conceive. The woman had PCOS. The man had mild problems in Sperm Motility. All other reports were normal. The woman had Hypothyroidism, which was well controlled with Medicine. They agreed to try Ovulation Induction (medicines to help the eggs grow) for 2-3 months. We performed TVS Follicular Scan to see if eggs were growing after taking the medicines. Fortunately they conceived after 1st month of taking the medicine. Pregnancy was largely uncomplicated. All the reports were normal, like Combined Test, Anomaly scan etc. As she was at risk of FGR […]

Pcos, Ovulation Induction, Amniocentesis, Pregnancy

They came to us in May 2017 for the first time with difficulty in conceiving. All the reports were normal except that the lady had irregular cycles for PCOS, because of which she did not have “OVULATION” (eggs were not growing and getting ruptured). Additionally, she was suffering from hypothyroidism, for which L Thyroxine supplementation was started. She was also overweight. So we advised Weight Reduction. Finally they agreed to have “OVULATION INDUCTION” (OI) with oral tablet Letrozole. In the first month, we monitored her with TVS Follicular scan to confirm if Letrozole was able to start Ovulation. When it […]

Secondary Infertility Success

The problem in conceiving the second time- this problem is called “SECONDARY INFERTILITY”.  This lady 33-year-old came from Singur, West Bengal. They have a baby boy born 8 years ago and he is doing well. That time, the lady conceived naturally without any treatment. They tried for pregnancy for the last 4 years but in vain. We performed investigations like Semen analysis of the husband, Tube check by SSG (Sonosalpingography) and hormonal tests and found all were normal, except that she has PCOS (Polycystic Ovary Syndrome). She is having irregular periods and is also overweight. We advised folic acid and […]

Low Amh: Ivf Not Always Needed

Low AMH does not mean you cannot get pregnant. What is AMH? AMH (Anti Mullerian Hormone) is a hormone secreted by the ovaries. AMH indicates the “ovarian reserve”. It is checked by a blood test. This blood can be checked at any time. What is Ovarian Reserve? “Ovarian reserve” means the number of eggs inside the ovaries of a woman at a particular time. In women, the eggs are produced in the ovaries before the women is born. After birth, no new eggs are produced. On the contrary, in each month, a number of eggs are destroyed. From […]

PCOS: Can Conceive With Correct Treatment

In women with PCOS, there are sufficient number of eggs inside the ovaries. The only problem is that the eggs cannot grow and are released (“Ovulation“). Therefore, if the Fallopian Tubes and the Sperms are normal, the treatment of PCOS Infertility is “Ovulation Induction (OI)”– the treatment to stimulate the eggs to grow and ovulate. Before ovulation induction, the main advice is weight control. If weight is optimum, the response of the ovaries by the medicines increases. Sometimes, some medicines (Metformin, Inositol) can be added..The first line of medicines used for OI are orally taken medicines like Clomiphene Citrate […]

Pcos Conceived by Injections Without Laparoscopy or Ivf

PCOS Conceived by Injections without Laparoscopy or IVF. The first line of treatment in PCOS (Polycystic Ovary Syndrome) is weight control. Medicines like Metformin or Inositol can be added, if needed. The second step is OVULATION INDUCTION (OI)- giving MEDICINES, ORALLY (Clomiphene or Letrozole) so that the eggs grow and get released (“Ovulation”). But while taking medicines, its important to see if the medicines are able to induce ovulation, by TVS Follicular Study. Of course, the sperms and the tubes must be alright before planning OI. The third step has two options– Injections and Laparoscopy.  But when to go […]

Pcos Is Not the Disease of “Cysts”

PCOS (Polycystic Ovary Syndrome) is not the disease of the “Cysts”. What appear as “cysts”, are actually the follicles (the sacs containing the eggs inside) which have not grown larger.  In a woman, there are follicles in the ovaries. In one month only one can enlarge and rupture, releasing the eggs (“Ovulation“). However, in PCOS, thus ovulation cannot happen properly.  Therefore, there is no actual “Cysts”. Ovarian Cyst is a different disease, which is actually a type of tumour, that can be treated by surgery. In PCOS, there is no such tumour. So, we cannot take out the “Cysts” and cure […]