tag:blogger.com,1999:blog-10528990.post8778677243323078603..comments2024-03-28T16:16:27.941+05:30Comments on The IVF Specialist's Blog for IVF patients: How to improve a poor uterine liningDr Aniruddha Malpanihttp://www.blogger.com/profile/05693466221743076739noreply@blogger.comBlogger48125tag:blogger.com,1999:blog-10528990.post-3051014038589266972018-05-13T23:40:53.835+05:302018-05-13T23:40:53.835+05:30I had sent u an email attaching my reports In it a...I had sent u an email attaching my reports In it at drmalpani@drmalpani.com....kindly give your valuable advice.... I had to take decision of hysteroscopy soon. .. Please guide me doctor.... Please check my mail that I had send youAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-10528990.post-66962120647920377442018-05-12T22:29:07.096+05:302018-05-12T22:29:07.096+05:30This comment has been removed by the author.Anonymoushttps://www.blogger.com/profile/17721778288166493407noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-79367192142397849032018-05-12T09:41:54.704+05:302018-05-12T09:41:54.704+05:30Not a good idea
Your next step is a hysteroscopy ...Not a good idea<br /><br />Your next step is a hysteroscopy ( www.drmalpani.com/knowledge-center/articles/hysteroscopy) to check the uterine cavity <br /><br />Do you have photos of your embryos ?Dr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-59567414736739190902018-05-12T09:41:07.971+05:302018-05-12T09:41:07.971+05:30Dear Priyanka,
Your uterine lining is thin becaus...Dear Priyanka,<br /><br />Your uterine lining is thin because you are not ovulating ( because of your PCOD)<br /><br />You can read more about how we treat PCOD at <br />http://www.drmalpani.com/knowledge-center/the-infertile-woman/how-to-manage-your-pcod<br /><br />Do a complete workup before starting treatment haphazardly.<br /><br />You need to do ALL the following simple medical tests:<br /><br />semen analysis for your husband ( to check his sperm count and motility).<br />Read more at http://www.drmalpani.com/knowledge-center/resources/book/chapter4b<br /><br />blood tests for you for the following reproductive hormones - FSH ( follicle-stimulating hormone),LH ( luteinising hormone),PRL ( prolactin) , AMH ( antiMullerian hormone) and TSH ( thyroid stimulating hormone) on Day 3 of your cycle, ( to check the quality of your eggs). Do this from a reliable lab such as SRL ( www.srl.in). Day 1 = Day the period starts.<br /><br />HSG ( hysterosalpingogram, X-ray of the uterus and tubes, www.drmalpani.com/hsg.htm) on Day 8 of your cycle ( to confirm<br />your fallopian tubes are open); <br /><br />The vaginal ultrasound scan on Day 10-11 should check for the following. a. ovarian volume b. antral follicle count c. uterus morphology d. endometrial thickness and texture<br /><br />Please send me ALL the detailed test results and medical reports . You can scan them in as a single doc or pdf file and email them to me.<br /><br />Please send me all the results together, rather than piecemeal, so I can interpret them intelligently<br /><br /><br />Taking treatment at a world-class clinic will maximise your chances of success and give you peace of mind you did your best !<br /><br />You can talk to some of our patients by email at http://www.drmalpani.com/success-stories.htm<br /><br />We look forward to helping you to have a baby !<br /><br />Regards,<br /><br />Dr Aniruddha Malpani, MD<br />Malpani Infertility Clinic, Jamuna Sagar, SBS Road, Colaba<br />Mumbai 400 005. India<br /><br />Clinic Mobile: 9867441589 <br /><br />Tel: 91-22-22151065, 22151066, 2218 3270, 65527073<br /><br />Helping you to build your family !<br /><br />You can add a google review for us at https://plus.google.com/102706636605134081909/about<br /><br />My Facebook page is at https://www.facebook.com/aniruddha.malpani<br /><br />You can follow me on twitter at https://twitter.com/drmalpani<br /><br />Watch our infertility cartoon film at http://www.ivfindia.com<br /><br />Read our book, How to Have a Baby - A Guide for the Infertile Couple,<br />online at www.DrMalpani.com !<br /><br />Read my blog about improving the doctor-patient <br />relationship at http://blog.drmalpani.com <br /><br />Dr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-73519025832399077732018-05-11T23:29:13.586+05:302018-05-11T23:29:13.586+05:30Hello Dr
I am going through my first Ivf....I had ...Hello Dr<br />I am going through my first Ivf....I had only 2 embryos of Day 3 which was frezzed Bcoz my ET was 5.8 during egg retrieval.. From then on I was taking progynova 2 mg twice a day and oestrogel 2 times a day plus folic acid-1 and ecosprin -1 for 28 days... My ultrasound report on day 14th (ET - 4.8) with fluid....on day 21st(ET-6.1) with fluid ...on day 28th (ET - 6.3) with fluid and blood flow was-(mild vascularity in zone 2)...As thickness was low and blood flow inappropriate,i was recommended to take meprate for 5days twice and had a period... ....Dese process goes on for 3 months in a row but the results are same... .Now my doctor advised me to implant the embryo as there is no improvement in ET. ...<br />What will you suggest me.... Kindly reply... <br />I had all the negative issues - low ET, blood flow in zone II only(minimal), embryos of Day 3,fluid in endometrial cavity<br />Eagerly waiting for your reply<br />Note: 1) I am a hypo hypo patient <br /> 2)Doctor will take out the fluid during implantation processAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-10528990.post-447882573511941582017-08-02T13:17:18.747+05:302017-08-02T13:17:18.747+05:30Hi Doctor,
I have PCOD. I have gone through folli...Hi Doctor,<br /><br />I have PCOD. I have gone through follicular study and found that my endometric layer reaches upto 6mm on 15thday of my cycle. My doctor suggested to take duphaston 10mg per day from 16th day of my cycle for 12days. Also she suggested miprogen 2tablets per day from 16th day of my cycle for 12days. My estrodial levels are normal as per the reports. Can you please suggest how can i proceed now. I think may be my fallopian tubes are blocked but i dont have any history of TB or miscarriages. I got married on 26th Feb 2016. Till date there is no chances of pregnancy :( please helpPriyanka Tummalahttps://www.blogger.com/profile/01773313341147877145noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-73845780899927988062017-07-21T23:52:31.853+05:302017-07-21T23:52:31.853+05:30This is hard to explain
Do you get a withdrawal b...This is hard to explain<br /><br />Do you get a withdrawal bleed after taking estrogens and progesterone for 21 days ?Dr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-31978090949746914712017-07-21T23:51:05.172+05:302017-07-21T23:51:05.172+05:30Your next step is a hysteroscopy ( www.drmalpani.c...Your next step is a hysteroscopy ( www.drmalpani.com/knowledge-center/articles/hysteroscopy) to check the uterine cavity and remove the intrauterine adhesions. Once the cavity is normal, we can then do IVF.Dr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-44521513040946949492017-07-21T23:50:45.662+05:302017-07-21T23:50:45.662+05:30How big was your follicle on the scan ? The lining...How big was your follicle on the scan ? The lining will improve as the follicle growsDr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-85320496776651287372017-07-21T23:50:15.227+05:302017-07-21T23:50:15.227+05:30Was a D&C done after the miscarriage ?
I am wo...Was a D&C done after the miscarriage ?<br />I am worried she may have developed intrauterine adhesions after your D&C . This is called Asherman syndrome<br /><br />Read more at http://www.drmalpani.com/knowledge-center/articles/asherman<br /><br />Take the following<br /><br />Tab Lynoral ( ethinyl estradiol) , 0.05 mg , 1 tab daily with dinner, from Day 1 – Day 25.<br />Vaginal ultrasound scan on Day 12 to check your endometrial thickness and texture.<br />Email me this report.<br />Then take Tab Deviry ( medroxyprogesterone acetate) , 10 mg, twice a day from Day 16-25.<br /><br />If the uterine lining remains thin, this suggests she has endometrial atrophy<br />Dr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-69617430609825930122017-07-21T22:59:30.103+05:302017-07-21T22:59:30.103+05:30Hi dr..I am suffering with primary ammermonea.My a...Hi dr..I am suffering with primary ammermonea.My age is 24..stil i never get my menstruation..Doctors are telling everything is fine..only problem with endometrium thickness..hormones,ovaries,uterus was normal.I don't have thyroid.I am done with hysteroscopy to check T.B for endometrium.that also normal.Please can you suggest where i will get nice treatment for to increase endometrium thickness.I want to get my periods.I want to give birth to children.At any cost Iam ready to pay..Please help me out..Swapnahttps://www.blogger.com/profile/07860536813076265937noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-70662044579616457372017-02-25T01:13:31.343+05:302017-02-25T01:13:31.343+05:30Dear Dr. I have been having endometrial fluid rete...Dear Dr. I have been having endometrial fluid retention for over a year now. This was caused by a doctor who tried to pull out fibroids through my cervix and ended up not removing any fibroid but when and scrapped my endometrial walls without telling me. It is giving me issues conceiving and I have had a failed IVF. <br />Please what do I do.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-10528990.post-6092505301201827752017-01-21T06:52:38.321+05:302017-01-21T06:52:38.321+05:3042y.o. G2P1 (1011), with a 7y.o son. Trying to get...42y.o. G2P1 (1011), with a 7y.o son. Trying to get pregnant another this time. Had one cycle of Clomid last cycle which did not work. Started Letrozole twice daily for 5 days beginning day 2. Day 8 TVS showed thin lining at 0.5. How much Progynova and for how long would you suggest to achieve adequate lining thickness? Trying to conceive the natural way. Thank you so much.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-10528990.post-39777885469488769202016-11-21T12:24:48.133+05:302016-11-21T12:24:48.133+05:30Hello Sir,My wife is suffering from Thin Endometri...Hello Sir,My wife is suffering from Thin Endometrium problem. Doctors which we have consulted and have tried everything but there has been no solution so far. My wife had a miscarriage few years back and doctor suspect that the miscarriage could have been due to thin endometrium. Doctor has now suggested for surrogacy.<br />Will you be able to help with the thin endometrium problem ?amol waglehttps://www.blogger.com/profile/02981252815967452937noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-19568817323447753792016-10-18T11:14:05.910+05:302016-10-18T11:14:05.910+05:30You might have a uterine polyp. Your next step is ...You might have a uterine polyp. Your next step is a hysteroscopy ( www.drmalpani.com/knowledge-center/articles/hysteroscopy) to check the uterine cavity <br /><br />Dr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-43908960193624835132016-10-17T17:05:39.159+05:302016-10-17T17:05:39.159+05:30How about too thick lining. My lowest lining was 1...How about too thick lining. My lowest lining was 10-12 mm after period with estrogen meds prior it gets to 20-22mm before IVF transfer. I feel the lining is too thick and how do you thin it down. Even after taking progesteron it only gets down to 10 mm after period.Martina Collinshttps://www.blogger.com/profile/06933370078400847229noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-67905155855440011932016-10-12T12:41:10.976+05:302016-10-12T12:41:10.976+05:30Hi Doctor,
Age 36.Corrective surgery hysteroscopy...Hi Doctor,<br /><br />Age 36.Corrective surgery hysteroscopy done in US for thick adhesions 3 months back. After which HSG was done , it was found little more adhesions on the right top corner of uterus to be removed but otherwise was able to restore 80% normal uterine cavity. My endometrium lining in this cycle was CD13 6.1mm . Now , I would like to know if I could try IVF or wait for a second hysteroscopy to completely remove adhesions?? I m little worried about the cavity.Pls guideAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-10528990.post-36969657628636992652016-08-08T13:47:14.827+05:302016-08-08T13:47:14.827+05:30The stem cell stuff is a scam
There are lots of w...The stem cell stuff is a scam<br /><br />There are lots of ways to improve a thin lining. One option is to increase the estrogen dose<br /><br />The other is to try a natural cycle<br /><br />Best of luck !Dr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-37038233174436000772016-08-08T13:11:58.788+05:302016-08-08T13:11:58.788+05:30The doctor has recommended about the new technolog...The doctor has recommended about the new technology on the stem cell and the other alternative is Surrogacy. which is a very big deal for us in terms of finance. Considering the lining from the last 2 cycles, what will be your recommendation doctor. My AMH level is 0.67, this reduces the possibility for the next cycle too. I dont know what steps to take. Please advise. <br />Kanchanhttps://www.blogger.com/profile/13878620704621034227noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-34601791890841888752016-08-08T13:02:50.492+05:302016-08-08T13:02:50.492+05:30Please do NOT transfer if the lining is so poor
Please do NOT transfer if the lining is so poor<br />Dr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-43507191454291627232016-08-08T12:35:21.291+05:302016-08-08T12:35:21.291+05:30Hello Doctor:
Greetings!
I have poor AMH level, an...Hello Doctor:<br />Greetings!<br />I have poor AMH level, and this is my first IVF. I am just lucky with one embryo which has reached the blastocyst. My lining during the IVF was 3.7 and the doctors recommended me to freeze the embryo which we did. She has put me on Progynova 1-1-2 along with Oestrogel 1-1. She has also tried the Endokine 300 MCG through the uterus. In spite of all this, the lining today is 4.6. She has suggested me for an embryo transfer on saturday, 5 days from today. I am based out out Hyderabad. Please suggest ..regards,<br />KanchanKanchanhttps://www.blogger.com/profile/13878620704621034227noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-52616943148709245852016-07-28T21:42:29.531+05:302016-07-28T21:42:29.531+05:30No, they will not help you.
How was your diagnosi...No, they will not help you. <br />How was your diagnosis of bicornuate uterus made ?<br />Are you sure it is not a septate uterus ?<br /><br />We look forward to helping you to have a baby !Dr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-34985347474351080932016-07-28T18:17:57.069+05:302016-07-28T18:17:57.069+05:30Hello doctor, I have bicournate uterus and had 2 ...Hello doctor, I have bicournate uterus and had 2 miscarriages in past. My doctor has prescribed me the above mentioned medicines, lynoral along with. Deviry. I wanted to know is this medicines helpful in my case. Pls suggest. Thanks, PriyankaAnonymoushttps://www.blogger.com/profile/05244437767864734965noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-23532102288038485382016-06-23T12:23:33.767+05:302016-06-23T12:23:33.767+05:30It's always hard to pinpoint a specific cause ...It's always hard to pinpoint a specific cause for IVF failure, since there are so many variables need to go right for implantation to occur<br /><br />I need more information to be able to provide you with intelligent advise.<br /><br />Can you send me more details about your IVF cycle ? <br />DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?<br /><br />You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos<br /><br />What were the meds which were used for<br />superovulation ? What was the dose used ? How many follicles did you grow ? How many eggs were collected ? What was the E2 ( estradiol) level in the blood ? What was the endometrial thickness ?<br />How many embryos were transferred ?<br />What was the embryo quality ? <br />Can you please send me the printed treatment summary from your IVF clinic ?<br /><br />We look forward to helping you to have a baby !Dr Aniruddha Malpanihttps://www.blogger.com/profile/05693466221743076739noreply@blogger.comtag:blogger.com,1999:blog-10528990.post-70544746525153728242016-06-23T05:25:49.300+05:302016-06-23T05:25:49.300+05:30Hi Doc,
In my last IVF cycle, i had two blastocyst...Hi Doc,<br />In my last IVF cycle, i had two blastocyst transfer.Doctor said apparently the embryo quality was good..moreover my endometrium thickness was 9.4 with good texture.in spite of that the cycle was a failure..what may be the cause of the failure<br />Richahttps://www.blogger.com/profile/03940046014354042545noreply@blogger.com