Friday, September 03, 2010

What precautions should I take after the embryo transfer ?


One of the commonest questions patients ask me is - " Doctor, what are the dos and don'ts after the embryo transfer ? " They are very worried about the risk of failure, and are petrified that they may end up doing something which will cause their embryos to "fall out" of the uterus. Many will often spend the entire 2 week wait obsessing about their diet and physical activity.

Some will even put themselves on voluntary house arrest. Even worse, their relatives will often force them to sleep in bed for 14 days after the transfer. And to add insult to injury, many IVF doctors will also "advise" this !

Why do we still continue to perpetuate this myth ? I think it's partly doctors who are responsible For one thing, many doctors do not bother to educate their patients that physical activity will not affect embryo implantation. Others have a hidden agenda. Some want to hold on to their patients and by claiming that bed rest is essential after the IVF treatment, they can dissuade their patients from going to Bombay for their treatment ! Other doctors use this as a subtle way of " blaming the victim " if the cycle fails. ( " Your IVF cycle failed because you did not rest" is the hidden subtext !)

The reality is that bed rest does not help to improve pregnancy rates after IVF. Many studies have proven this conclusively. As I remind patients, the human body has been designed with enough sense, that embryos do not fall out if your cough or sneeze ! The truth is that human reproduction is inefficient and we cannot control the outcome. Whether the embryo implants or not is a biological process which the patient cannot influence in any way !

Am I taking an excessively casual approach ? No, I am just taking a realistic approach ! The problem is that when patients do not get pregnant, they often end up blaming themselves - and a common regret is - I did not rest enough. And even if they are smart enough not to do so, there are enough "friends and well-wishers" who will do this for them ! " What , you did not rest ? Your doctor must be crazy giving you such bad advise ! When my sister did her IVF in Delhi, her doctor made her rest for 9 months and now she has a beautiful 2 year old daughter" !

Once the embryos have been transferred into the uterus, they are safe and cannot "fall out " . This is simple commonsense ! IVF embryos , once they have reached the uterus, do not "remember" that they have spent 3 days in an IVF incubator - they are just like all other "in vivo" embryos which are formed after intercourse in the bedroom. Whether the embryo spends 3 days in your fallopian tube or in a test tube makes no difference to the outcome !

You need to have enough maturity to understand that the final outcome is not in your hands. It's important that you not blame yourself in case you do not get pregnant - doing this just makes a bad situation worse ! Trust your gut instinct and your commonsense - your body has enough wisdom to guide you as to what is fine and what is not. My advise is simple - Don't do anything which you may regret later !

Curtailing physical activity during the 2ww is a huge challenge for women who already have a baby and are doing IVF to complete their family. They feel torn between their desire to pick up their toddler and their fear that this "strain" may expel the embryo !

A word of advise to spouses. You are very likely to be overprotective during this time. You will want her to "rest" and "take things easy". You will tell her not to go to work, or to be very careful as to what she drinks or eats. While I am sure your wife will enjoy this pampering, please do not go over the top. She is smart enough to figure out what to do - after all, she is the one who has the most at stake, and is unlikely to do anything which will jeopardise her chances of getting pregnant ! Try to protect her from the well-meaning advise of busy-bodies, who are often very poorly informed !

Actually, this bed rest can be harmful; and we do our best to encourage our patients to go back to work after the embryo transfer ! Keeping yourself gainfully occupied is your best bet. Sitting at home when you are well can be very demoralising.

It can be very hard to deal with the uncertainty and anxiety of the 2 week wait ! The emotional stress is enormous - and lying in bed all day just exacerbates this a thousand fold ! Patients on bed rest tend to brood all day long about the outcome. Every minor twinge and ache is magnified, and your mind plays games with you during the 2 week wait - and commonsense suggests this stress cannot be good for you ! Moreover, when you are on bed rest, you are a burden to the rest of the family, and this adds to your guilt ! And if the cycle fails, then you end up blaming yourself ( I got up to pee after the embryo transfer, and this caused my embryos to get dislodged !)

You cannot influence the outcome - all you can do is gracefully let nature take its own course !

Please remember the Serenity Prayer
God grant me the serenity to accept the things I cannot change;
the courage to change the things I can;
and the wisdom to know the difference.


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180 comments:

  1. Anonymous11:12 PM

    a very helpful article.. I have told this to many people in my family thousand times including my wife. But somehow people tends to believe things that scare them more often than things that are true. I hope coming this from Dr. Malpani will help many people

    ReplyDelete
    Replies
    1. Anonymous8:49 PM

      Dr Malpani,i am Dr Debarati Jha frm kolkata.this is my 3rd ivf done today becoz of endonetriosis.last time preg was pos -monochorionic twins.but prom occurd at 22 wks.my endom was 10.6mm wth zone 3 blood flow.as i am a doc i had to ho hosp but was doin light work.do u think i shud take complete bedrest this time and what r my chances of getting pregnant this time.hope to get ur ans at d earliest

      Delete
  2. Anonymous8:13 PM

    I liked the serenity prayer! Thanks for your article, very informative.

    ReplyDelete
  3. Anonymous11:32 AM

    Thank you very much Dr Malpani. I've had an egg retrieval yesterday. Not only your article but also the serenity prayer has helped me see the real picture. Thank you once again.

    ReplyDelete
  4. Sir even if some one doesn't take bed rest then what are the things one should avoid after ET?? I mean any specific precautions need to be taken after ET?

    ReplyDelete
  5. Anonymous5:51 PM

    I think this was beautiful and very informative. I have my IVF planned in aug, and with each passing day my trust in Dr Malpani is growing.

    ReplyDelete
  6. Anonymous8:59 PM

    Very informative and simple article. It seemed like Dr. Malpani knew all my questions.
    I loved the prayer in the end.

    ReplyDelete
  7. Anonymous3:34 PM

    Sir, I really don't know u like the other here who see you as an authority. However, u made what people in my country refers to as "too much sense". I am Nigerian and I had my ET some days ago in my country, I was at work the next day and I just believe that God has made it very successful. I found ur advice easy to understand and very educating as well as helpful. I only wish dat more people will read until they get to this article and act on it. Thankyou, and God bless you for this truth.

    ReplyDelete
  8. Anonymous11:22 PM

    Thank you for the info. I really needed it this particular period of time. I had my FET transfer yesterday and I was not sure if I did something wrong last month that made the fresh transfer failed. Your article really helped me not to blame my self for the past and pray for God to help me that things would work for me this time....
    Just as another one asked, should we avoid doing specific things during this VERY LONG 2WW

    Thanks again

    ReplyDelete
  9. Anonymous6:47 PM

    The article is very helpful
    Thank you

    ReplyDelete
  10. varsha1:35 PM

    hello...... ur article is quiet informative nd revels the truth.. but unfortunately i am from the family where even i wish to have normal routine, my family will never let me do so. I am going to have ET by tommorrow.... I am going to save the prayer in my cell.

    ReplyDelete
  11. Anonymous12:25 PM

    Thanks alot hope it works
    It is all in our God hands :)

    ReplyDelete
  12. Anonymous1:36 AM

    Hiya dr, i just had icsi transfer today and I'm resting up I was a bit worried about going to work tomorrow, but now I'm more calm about it. And I'll remember to use my common sence as my job is worki g with those that carnt help them selves, so lots of hoisting lifting ect. But I'll stay well away from all than and just do light dutys. Your prayer was lovely and insightfull, I'll keep it with me always x

    ReplyDelete
  13. Anonymous2:05 AM

    Very informative article if true.

    ReplyDelete
  14. Anonymous9:46 PM

    thank god, my doctor advised me not to go for bed rest....anyway,thanks for this article.

    ReplyDelete
  15. Anonymous11:45 PM

    I found this really balanced and useful. Thanks for being the voice of common sense!

    ReplyDelete
  16. Anonymous6:05 PM

    Dr. M I just had my FET done yesturday and the only thing I am stressing about is that I took ibuprofen 800mg 1x at 11 pm the night before. My transfer was at 9:45am. My RE didnt mention not to take it but when he said after not to take ibuprofen only Tylenol for cramps I said oh no I took some last night. He and the other doctor looked at each other and then were like I'm sure it's out of your system. But it looks like it stays in your system 24 hrs and can mess with implantation and early miscarriage.
    Thanks

    ReplyDelete
  17. No, that is NOT true. Think about this for a minute. Women have sex during their fertile time, without even knowing they are ovulating. Many take Ibuprofen before and after ovulation, and \ does not have any effect on their fertility at all.

    Please stop beating up on yourself !

    Best of luck - send me a box of chocolates once you get pregnant !

    ReplyDelete
  18. Hello dr.
    I did my fet 3 days before and i wanted to know
    what precaution should i take for succes of my ivf

    ReplyDelete
  19. There are no special precautions you need to take. Implantation is a natural biological process !

    Do you have photos of your embryos ?

    Best of luck !

    ReplyDelete
    Replies
    1. Anonymous12:04 PM

      Dear doctor
      I had my 5 day transfer 3 days ago and I feel no symptoms, I had mild ohss which seems to have settled. Does this mean I can't be pregnant? Ps. I have also been sneezing, coughing and laughing since transfer have I affected implantation?

      Delete
  20. Dr M Saha1:44 PM

    Sir, I hav two questios:
    1. If vaginal progesteron 8% gel is a very good option why it is not being prescribed by most practioners?
    (It is a traumatising experience to take the injectable progesterone. cant bear them!!!)

    2. what is the role of Prednisolone after embryo transfer because I have been told to take it.

    ReplyDelete
  21. We stopped using injectible progesterone 20 years ago !

    Prednisolone is a steroid and some doctors believe it helps embryo implantation ( by suppressing the immune system)

    ReplyDelete
    Replies
    1. Anonymous5:57 AM

      Do you use Prednisolone for ANA positive patients? Does it make a difference? Is it safe?

      Delete
  22. Anonymous4:34 AM

    DOC. your article is very helpful to me, only that i didnt read anything about drinking tea because my pregnant sister Doctor prohibit her of drinking tea while me my Doctor tell me only coffee,liquor,drugs,sex after embryo transfer. I'm a surrogate mother Doc. Thanks.

    ReplyDelete
  23. Anonymous10:28 PM

    Dear Doctor,
    is air travel safe after embyo transfer?

    ReplyDelete
  24. Anonymous10:31 PM

    Dear Doc!
    I got bleeding on 12 th day post ET.(it was the day due for my period) my UPT is Also Neg. so it means implantation didnt occur?

    Is it advisable to go for FET in the coming cycle itself?

    ReplyDelete
  25. A negative UPT is not a good sign :(
    However, you should do a blood test for HCG as well - this is much more reliable.

    Yes, you can do a FET in the next cycle if you have bounced back

    Do you have photos of your embryos ?

    ReplyDelete
  26. Anonymous3:39 PM

    Dr.your advice is a good one and it has helped me a lot had my et 6 days ago.A mum in this forum was saying her doctor told her not to take coffee is it true?

    ReplyDelete
  27. Anonymous11:19 PM

    Hello doctor...i m confused. .can unstoppable laugh wch gives stomach pain be harmful after ET..

    ReplyDelete
  28. No, not at all ! Your embryos are safe in your uterus. Nothing you do can harm them , so please do not worry about this. Nature has designed the body very intelligently

    Please do not let your mind play games with you !


    ReplyDelete
  29. Anonymous7:09 AM

    Dr pls help,after my normal menses on the days that i am susposed to be ovulating ,i start supporting. This have been going on since october 2012, i did pap smear test,my Dr said the result was ok. I did hormonal profile,and all they could see was that i am not ovulating. Pls what do you think is wrong wit me. I want to conceive.

    ReplyDelete
  30. This is called anovulation. Read more at www.drmalpani.com/anovulation.htm.

    This maybe because you have PCOD ( polycystic ovarian disease).
    You can read more about this at www.drmalpani.com/pcod.htm.

    You need the following medical tests.
    1. blood tests for you for the following reproductive hormones - FSH ( follicle-stimulating hormone),LH ( luteinising hormone),PRL ( prolactin) , AMH ( anti-Mullerian hormone) and TSH ( thyroid stimulating hormone)
    ( to check the quality of your eggs). Do this from a reliable lab such as SRL ( www.srl.in);
    2. a vaginal ultrasound scan which should check for the following.

    a. ovarian volume
    b. antral follicle count
    c. uterus morphology
    d. endometrial thickness and texture

    Please send me the detailed test results and medical reports . You can scan them in as a single Word file and email them to me.

    Once we know what the problem is, then we can treat it !

    Your chances of conceiving with the right treatment are excellent,
    because you are young.
    We look forward to helping you to have a baby !

    Regards,

    Dr Aniruddha Malpani, MD
    Malpani Infertility Clinic, Jamuna Sagar, SBS Road, Colaba
    Bombay 400 005. India
    Tel: 91-22-22151065, 22151066, 2218 3270
    FAX ( India) 91-22-22150223. Our US FAX is 1-775-249-6041
    Helping couples build families !
    PS Read our book, How to Have a Baby - A Guide for the Infertile Couple, online at www.DrMalpani.com !

    ReplyDelete
  31. Anonymous4:24 PM

    hi doc..i want to know that squat toilets are safe or not after embryo transfer???

    ReplyDelete
  32. Squat ( Indian ) toilets are safe - the embryos cannot " fall out" of the uterus !

    Dr Malpani

    ReplyDelete
  33. Anonymous5:28 PM

    Thank you so much Dr Malpani, I am in Melbourne Australia, I have been worrying as I've had ET two days ago. Your advice is the best I have found, very kind, very wise. Thank you, Emily

    ReplyDelete
  34. Anonymous4:30 PM

    Dear Dr. Malpani,

    I had an blastocyst ET today. Can i do a fast day after tomorrow with only water and no food?

    Also is it safe to use wifi internet during this time?

    ReplyDelete
  35. Yes, it's safe to fast - and it's safe to use a laptop and wifi internet and a mobile as well !

    Dr Malpani

    ReplyDelete
  36. Anonymous5:11 PM

    Thank you for your quick response.. you are an angel

    ReplyDelete
  37. Anonymous7:31 PM

    Yes, you are an angel :)

    ReplyDelete
  38. Anonymous6:50 AM

    Hi Dr, I had a day 3 ET on Monday and did acupuncture before& after and again on Thursday ( day 6). The acupuncturist was using heat packs to keep me warm during treatment. Is this safe? He insisted that it was an important part of the treatment as it helped to increase blood flow to the uterus & this is the main aim of acupuncture after transfer but I was worried that it may overheat the embryo. He also used gentle massage on my stomach and more vigorous on my lower back & again said it was safe for the embryo but I have been worried about it ever since and have many sharp twinges in my abdomen, some just from sitting up. Thanks for your help.
    Tracey (Australia).

    ReplyDelete
  39. Thanks a lot Sir ....you solved all queries

    ReplyDelete
  40. Anonymous4:54 PM

    Hi dr i had my ivf 3 days ago and i felt orgasm on the third day can that harm ? And during my firs two hours i sneezed 2 times also can that harm?? Thank you one more question does travellin in a car during the first 14 days can affect the result?

    ReplyDelete
  41. Your embryos are safe in your uterus. Nothing you do can harm them , so please do not worry about this.

    Please do not let your mind play games with you ?

    Read more at http://drmalpani.com/care-after-embryo-transfer.htm



    ReplyDelete
  42. Anonymous11:43 AM

    Thank you very much dr u relieved me as i was terrified and thank u very much for ur fast reply and thank you for ur helpfull article <3 :)

    ReplyDelete
  43. Hello sir
    my wife is normal but i have vas absent
    I had done my ivf treatment with tesa

    I had done my et on 2nd day with 3 embryo
    1 is 4 cell
    2 and 3 is 2 cell
    So sir i want to know that it is a normal level of embryo on 2nd day?
    My wife age is 24 yrs how many chansses to get result in positive

    ReplyDelete
  44. Day 2 embryos should have 4-cells.
    You can see what embryos should look like at www.drmalpani.com/embryos.htm

    Why did they do a TESA ? PESA has a higher success rate for patients with an absent vas ! Read more at www.drmalpani.com/pesa.htm

    Can you send me more details about your TESA-ICSI cycle ? What were the meds which were used for
    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 ?

    Can you please send me the printed treatment summary from your IVF clinic ?

    ReplyDelete
  45. Anonymous11:17 PM

    Hi, doc..after 24 hours of embryo transfer I went to poo..but I am having constipation and I did it in squating mode.is it harmful for the embryos? I still have irritation in my lower abdomen.

    ReplyDelete
  46. Anonymous7:32 PM

    today is my 10th day after day 2 embryo transfer but am coming to work normal but i dont exercise at all.I av being feelin too much heavy at d bottom of my stomach and its my 2nd ivf ,the first one fail due to my thin endometrium and on this second ivf on the day of the egg transfer my doc told me d endometrium is 7.5 en am femoston 4 tablest daily and cyclogest to insert is it possible for me to do home preg test coz i av little cramps

    ReplyDelete
  47. Anonymous7:33 PM

    today is my 10th day after day 2 embryo transfer but am coming to work normal but i dont exercise at all.I av being feelin too much heavy at d bottom of my stomach and its my 2nd ivf ,the first one fail due to my thin endometrium and on this second ivf on the day of the egg transfer my doc told me d endometrium is 7.5 en am femoston 4 tablest daily and cyclogest to insert is it possible for me to do home preg test coz i av little cramps

    ReplyDelete
  48. It's too early to do a pregnancy test

    Read more at www.drmalpani.com/hcg.htm

    ReplyDelete
  49. Anonymous4:14 PM

    MY WIFE 31YR AGE HAD ET IN KSA 3 DAYS AGO WITH GRADE 1 EMBRYO AND 3 TRANSFER.SHE IS FEELING PAIN RT LOWER ABDOMEN FROM SECOND DAY OF ET.SHE IS DOING LIGHT WORK AT HOME ONLY.WHAT YOU SUGGEST ABOUT OUR CASE.THANKS

    ReplyDelete
    Replies
    1. Your embryos are safe in your uterus. Nothing you do can harm them , so please do not worry about this.

      Please do not let your mind play games with you ?

      Read more at http://drmalpani.com/care-after-embryo-transfer.htm

      Can you send me more details about your IVF cycle ? What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ? DO YOU HAVE PHOTOS OF YOUR EMBRYOS ? You can see what embryos should look like at http://www.drmalpani.com/embryos.htm
      Can you please send me the printed treatment summary from your IVF clinic ?

      We look forward to helping you to have a baby !

      Delete
  50. Implantation is a biological process and you cannot influence this.

    Can you send me more details about your IVF cycles ? What were the meds which were used for
    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 ?
    How many embryos were transferred ?
    What was the embryo quality ? DO YOU HAVE PHOTOS OF YOUR EMBRYOS ? You can see what embryos should look like at http://www.drmalpani.com/embryos.htm
    Can you please send me the printed treatment summary from your IVF clinic ?

    ReplyDelete
  51. Anonymous10:43 AM

    Dear Dr. I had ET 3 days around 8 days ago with 8 cell grace 1. Now still waiting I have worry a little bit. Can I do urine test on 2 more days

    ReplyDelete
  52. Too early to do a urine test for 2 reasons.

    1. Even if you are pregnant, the urine test may not be positive, because the HCG levels in the urine are often very low at this time. This is called a false negative, and can depress you.

    2. Even if you are not pregnant, the urine test may be positive, because of the HCG present in your body as a result of the HCG trigger shot given before egg collection. This is called a false positive, and can create false hope.

    Please be patient - I know this waiting can be hard !

    Read more at www.drmalpani.com/hcg.htm

    ReplyDelete
  53. Anonymous10:02 PM

    sir ,my wife went through ivf 2 days ago....today is day 2.we live on second floor & she had to go down to receive a courier & then had to climb up. will there be any problem for the transferred embryos. plz kindly help.

    ReplyDelete
  54. Anonymous6:04 PM

    sir: doctor suggest us ICSI . They retrived 4 egg , 3 fertilise and 3 embryo of grade 1 was transfer doctor said that the grade of transfer is also 1 .I have no more knowledge about this pls help me that there are how many chances of get pregnancy.

    ReplyDelete
  55. worriedone1:12 PM

    Hi.. tried placing this somewhere else on this site as well but didnt happen. My question was that i had to get up immediately after my embryo transfer as my bladder was too full although i laid down for half an hour after that. do i need to worry considering i have had two ectopics before. been worried sick about this?

    ReplyDelete
  56. Anonymous1:13 PM

    Dear Doctor,I am from uk,I had my 3 day ET yesterday and felt orgasm early hours this morning I am worried please can you help.thanks

    ReplyDelete
  57. Great and useful information comes out through this post.

    ReplyDelete
  58. Anonymous1:18 AM

    Hi Dr, i am pregnant with IVF and i am 10wks today. I had two embryo transfer and my Dr said only one implanted.I started spotting 2days ago (brown and a little red on the tissue when i wipe), the Dr said also that it may be the one that did not implant that is coming out gradually but i should not worry. Dr, i am scared and i hope all is well. I did a urine test and it showed two lines that means i am still pregnant.Dr what is your opinion? Thank you.

    ReplyDelete
  59. Anonymous5:43 AM

    thank you for your blog.

    I will using a puregon injection this time after 10 days I will be scheduled for embryo transfer. I am happy that I can still work after embryo transfer.. I did rest during my first ivf but it was not successful. I worried because I do lots of moving in my work as I am in catering department delivering food to the patients..pushing the trolley to the wards.. is it safe to work after embry transfer.. from lucky woman

    ReplyDelete
  60. Anonymous2:49 PM

    Thanks. doctor. This is quite encouraging. I had my transfer done on Thursday . It was a day 6 day embryo after icsi and assisted hatching.
    I feel headaches all morning up till now. With cold feet and hands. But otherwise I am fine. Also a bit concerned what I should eat. Best diet for now.

    ReplyDelete
  61. Anonymous3:17 PM

    Hello dr. I just had my embryo transfer early today .is it really big No to eat sweets after?

    ReplyDelete
  62. Hi Doc, I have thyroid (on 50 mcg Thyronorm), PCOD, Endometriosis and Rt. Fallopian tube is blocked. I underwent Laproscopy in Jan'13. I just came to know that my first ICSI cycle has not been successful. Though I had 9 eggs and 3 gud embryos transferred, it was not successful. I am shattered by the news, as this was our only hope. Could you pls guide us .. Thanks

    ReplyDelete
  63. Dear Swetha,

    Even a perfect ICSI cycle has a success rate of only 46% . You need to be patient - human reproduction is not very efficient

    Can you send me more details about your ICSI cycle ? What were the meds which were used for
    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 ?
    How many embryos were transferred ?
    What was the embryo quality ? DO YOU HAVE PHOTOS OF YOUR EMBRYOS ? You can see what embryos should look like at http://www.drmalpani.com/embryos.htm
    Can you please send me the printed treatment summary from your IVF clinic ?

    ReplyDelete
  64. Anonymous8:22 PM

    Dear Dr Malpani
    I just had embryo transfer done this afternoon. I still have aches from the eggs retrieval 2 days ago. I had a difficult time passing motion and used quite a lot of strength to push. Now I suddenly noticed a small blood clot under my belly button...I'm not sure if it was there since afternoon or now around 830pm. what could it be please? there is no pain .. I am worried. ..

    ReplyDelete
  65. Anonymous2:49 AM

    Thanks Doc for your write up is very educative I had three fail treatment two in my home country Nigeria while the third one was in New Delhi after which I had a lasprocopy surgery to take off uterine fibroid . Had to use egg donor during my third treatment . My question now is are we suppose to stay off certain food to increase our chances of getting pregnant

    ReplyDelete
  66. The laparoscopic surgery to remove the fibroid was a bad idea.

    Intramural fibroids ( in the wall of the uterus) do not need to be removed as they do not affect embryo implantation.
    You can read more about this at http://www.drmalpani.com/fibroids-and-infertility.htm.

    Only submucous fibroids ( which are in the uterine cavity) need to be removed. These can be best removed with an
    operative hysteroscopy ( www.drmalpani.com/hysteroscopy.htm) to normalise the uterine cavity.

    Can you send me more details about your last IVF cycle ?
    How many embryos were transferred ?
    What was the embryo quality ? DO YOU HAVE PHOTOS OF YOUR EMBRYOS ? You can see what embryos should look like at http://www.drmalpani.com/embryos.htm
    Can you please send me the printed treatment summary from your IVF clinic ?

    ReplyDelete
  67. Anonymous6:04 PM


    The prayer really helps. I'm on my 2ww and next Fri is the most awaited result. Thanks for cheering me up.

    ReplyDelete
  68. Anonymous6:03 PM

    hello doc, recently i have done IVF i got positive in home pergency test card but, after 10 days my doctor asked me to come for scan.
    SCAN RESULT is
    Thick endometrium 10mm
    No free fluid
    couldnt see the embryo.

    next day again checked for home pregency test it came negative result. My doctor asked me to repeat the Ivf process after 3 to 6 months. can you help me to understand why this is happend. what is the problem Doctor?

    ReplyDelete
  69. A home pregnancy test is not reliable. You should have done a blood test to check your HCG levels. Read more at www.drmalpani.com/hcg.htm

    Can you send me more details about your IVF cycle ? What were the meds which were used for
    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 ?
    How many embryos were transferred ?
    What was the embryo quality ? DO YOU HAVE PHOTOS OF YOUR EMBRYOS ? You can see what embryos should look like at http://www.drmalpani.com/embryos.htm
    Can you please send me the printed treatment summary from your IVF clinic ?

    ReplyDelete
  70. Anonymous7:11 AM

    Hi Doctor,

    I had my 3rd ET on 18th of this month. Today is my 6th day. I had 2 failed ET before this one. This time I had 2 embryo transfer. One is 8 cells and another is 4 cells. After the ET I caught cold and dry cough and I'm having to cough too much which giving me quite bad pressure on my body.And also I'm having dry cough syrup. Is it gonna effect to my embryo in my uterus not to be pregnant.

    Normally how soon you can feel any symptom for pregnancy after ET. I was told to do the test after 2weeks but I don't really feel any symptom. Really disappointed and dad about that. I know it's early to say but still just worried because of the 1st two failed. Anything I can do to make it work. please help.

    ReplyDelete
  71. Can you send me more details about your IVF cycles ? What were the meds which were used for
    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 ?
    How many embryos were transferred ?
    What was the embryo quality ? DO YOU HAVE PHOTOS OF YOUR EMBRYOS ? You can see what embryos should look like at http://www.drmalpani.com/embryos.htm
    Can you please send me the printed treatment summary from your IVF clinic ?

    ReplyDelete
  72. Hi, I am 31 year and have went through the 1st cycle of IVF as diagnosis says bilateral endometriotic ovarian cysts left and right with bilateral tubal adhesion & pelvic adhesion. So my last month i went through IVF cycle but the beta hcg was 27.3. Doc suggest to stop all medicine and wait to get my period. May be she will plan next month. kindly sugg

    ReplyDelete
  73. Dear Shimpa,

    I need more information to be able to provide you with intelligent advise.

    Can you send me more details about your IVF cycle ? What were the meds which were used for
    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 ?
    How many embryos were transferred ?
    What was the embryo quality ? DO YOU HAVE PHOTOS OF YOUR EMBRYOS ? You can see what embryos should look like at http://www.drmalpani.com/embryos.htm
    Can you please send me the printed treatment summary from your IVF clinic ?

    ReplyDelete
  74. Anonymous10:27 PM

    What effect if any does smoking cigarettes have on implantation of the embryo after the transfer? Is it less likely for the embryo to attach if you are a smoker?

    ReplyDelete
  75. Anonymous1:50 PM

    Hello Dr Malpani,
    If we are traveling from the U.K for IVF at what stage would the IVF cycle start, ie - first day for natural period ?

    ReplyDelete
    Replies
    1. Yes, IVF treatment starts from Day 1 of your cycle.

      Treatment takes about 20 days. Should I send you the treatment plan ?

      I need more information to be able to provide you with intelligent advice.

      Could you please send me your medical details by filling in the form at http://www.drmalpani.com/free-second-opinion so I can guide you sensibly ?

      You can read about more about how we take care of our patients at http://www.drmalpani.com/ivf-treatment-at-malpani-ivf-clinic.htm

      You can talk to some of our patients by email at http://www.drmalpani.com/success-stories.htm

      We look forward to helping you to have a baby !

      Delete
  76. Anonymous4:04 AM

    Thank you dr. l will have my ET for next two days and no one of dr. in my clinik das not tell what to do or not to do after ET.

    ReplyDelete
  77. Dear doctor, yesterday I did my FET around 2pm at Kolkata since I am not from this place I have to travel back home by flight for 1hr and by road for 4hrs...will that effect my FET bcos I am leaving in 3 days after FET...and one more thing is that after doing my FET I passed urine heavily because I've been drinking water and i have been holding it since the past 3hrs...will that effect my FET? Thanking you ... GraceMuanzova

    ReplyDelete
    Replies
    1. Dear Grace,

      Your embryos are safe in your uterus, like a pearl in an oyster. Nothing you do can harm them , so please do not worry about this.

      Please lead a normal life

      I know the 2ww takes a long time, but please do not let your mind play games with you !

      Read more at http://drmalpani.com/care-after-embryo-transfer.htm


      Delete
    2. Thank u so much doctor...tomorrow is my HCG... my feelings and hopes are very positive... God is so good...

      Delete
  78. Anonymous7:26 PM

    Thanks so much you are very helpful i had my embryo transfer yesterday for the second time the first time we fail and of course i blame my self, thinking that maybe i don't rest enough, thanks again

    ReplyDelete
  79. Anonymous9:43 PM

    Really appreciate the doctor advice. .keep it up .me too on 2ww.

    ReplyDelete
  80. Anonymous6:05 PM

    Hii dr,

    I really appreciate your advice and your article was quite informative and help me alot to calm down.
    today is 6 day of my ET, one embryo was transferred which was morula but what is worrying me that am having pains like what i use to have before periods so is it normal? secondly i work i took a week rest and will be going on job from tomorrow, i live on first floor so climbing stairs is safe after ET ? Please reply bez these pains are a big cause of depression and tension for me. Thanks

    ReplyDelete
    Replies
    1. These pains can also be because of PMS, so please do not worry about them

      You don't need rest after the ET. It's safe to do to work !

      Do you have photos of your embryo ?

      Delete
    2. Anonymous9:55 PM

      Thank you so much.

      Delete
  81. Anonymous8:00 AM

    Thanks a lot Doctor, your words are so eencouraging to me. May God continue to use you to help us

    ReplyDelete
  82. Hi Dr
    Firstly thank You for the article, especially the serenity prayer.it was really soothing. I really wish I had read this a bit earlier then could have avoided a lot of tensions.
    But now I'm slightly worried. As u have predicted Dr I have been made to take complete bed rest with many do's &don'ts. I really hope my over relaxing won't create any problem for me. Plz give me a reply dr.
    Lini Prasad

    ReplyDelete
    Replies
    1. No - neither exertion or relaxation will affect embryo implantation, so please don't worry about this

      Can you send me more details about your IVF cycle ? What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ? DO YOU HAVE PHOTOS OF YOUR EMBRYOS ? You can see what embryos should look like at http://www.drmalpani.com/embryos.htm
      Can you please send me the printed treatment summary from your IVF clinic ?

      Delete
  83. Anonymous7:59 PM

    Hi dr i m on 3 day et 2 8 cell a grade 1 6 cell i ate pineapple core i read on net thay helps implantaion now 6 dpo nosymp plza dvice

    ReplyDelete
  84. Anonymous12:22 PM

    Hello dr ive been treated for stage 4 endometriosis in the month of aug from then 3 doses of luprid for an interval of 28 days. My normal flow of periods started in dec bt there were no folicals n one simple cyst on rt overi. My next cycle I had two follical 21 mm on right n 17mm on left . my husband's counts r 10 mml. I ve gone through IUI . I wan to knw wat r the chances of conceiving after my endometriosis surgery n with my husband's count. Planning for IVF for nxt cycle wat is advisable.

    ReplyDelete
  85. Anonymous3:40 PM

    Dear Doctor,
    is air travel safe after embyo transfer?

    ReplyDelete
  86. Anonymous7:38 PM

    Hi dr I initially started taking low dose aspirin for increase in implantation but stopped about a week ago I am due for emb transfer tomorrow will the stop in aspirin affect implant also does artificial sweetener and tea affect it? Many thanks

    ReplyDelete
    Replies
    1. WE cannot influence the implantation process which is an in utero natural biological process

      Best of luck !

      Delete
  87. I had seven embryos retrieved out of which one was of grade a and 3 were of grade b and rest were of grade c my Frozen BET is scheduled for tomorrow should I take stairs as our we live at third floor. My AMH was 1.44 and FSH and lh were within range do we stand some chance and if so what are our chances kindly give some insight going by yr experience.
    ank you so much.

    ReplyDelete
    Replies
    1. Poor quality embryos have a lesser chance of implanting

      How many cells are your embryos ?

      Do you have photos of them ?

      You can see what embryos should look like at www.drmalpani.com/knowledge-center/ivf/embryos


      Delete
  88. Anonymous8:42 PM

    Hello Dr Malpani

    I am going through the process of FET. Dr is giving me medicines to make a thick lining, and she told me to transer my FET on Day 20.

    So my question is that, is day 20 too late for FET .

    ReplyDelete
    Replies
    1. The day of the transfer depends upon the uterine lining - not the calendar day of your cycle

      Do you have photos of your embryos ?

      You can see what embryos should look like at www.drmalpani.com/knowledge-center/ivf/embryos



      Best of luck !

      Delete
  89. Dr. I have to do 40 km travelling one side by car for reaching my office. Is it OK to go as I feel the speed breakers and bad road might give small jerks.
    Although my husband is quite careful but you cant avoid small jerks.

    Pls advice

    ReplyDelete
  90. Anonymous7:17 PM

    After 14 days tested for hcg positive, had morning sickness for two 2 days, live in country of bad roads of pot holes (you might not understand how it looks like) traveled for 300km, the morning sickness stopped and no movement in the low abdomen. Is the baby still on the drugs. What could be the problem?
    Pls advice.

    ReplyDelete
  91. Anonymous7:10 AM

    My age 28 .. I have pcod prob .. I try 2 iui not help for me.. Dr advised go to laparoscopy after doing iui but this time not successful.. I hve endometrium thin... so I m going ivf are icsi dr plz me.. ivf possible for me are not...

    ReplyDelete
    Replies
    1. You can read more about how we improve a thin uterine lining at http://www.drmalpani.com/knowledge-center/articles/thin-endometrial-lining

      You can read more about how we treat PCOD at
      http://www.drmalpani.com/knowledge-center/the-infertile-woman/how-to-manage-your-pcod

      Do a complete workup before starting treatment haphazardly.

      You need to do ALL the following simple medical tests:

      semen analysis for your husband ( to check his sperm count and motility).
      Read more at http://www.drmalpani.com/knowledge-center/resources/book/chapter4b

      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.

      HSG ( hysterosalpingogram, X-ray of the uterus and tubes, www.drmalpani.com/hsg.htm) on Day 8 of your cycle ( to confirm
      your fallopian tubes are open);

      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

      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.

      Please send me all the results together, rather than piecemeal, so I can interpret them intelligently


      Taking treatment at a world-class clinic will maximise your chances of success and give you peace of mind you did your best !

      You can talk to some of our patients by email at http://www.drmalpani.com/success-stories.htm

      We look forward to helping you to have a baby !

      Regards,

      Dr Aniruddha Malpani, MD
      Malpani Infertility Clinic, Jamuna Sagar, SBS Road, Colaba
      Mumbai 400 005. India

      Clinic Mobile: 9867441589

      Tel: 91-22-22151065, 22151066, 2218 3270, 65527073

      Helping you to build your family !

      You can add a google review for us at https://plus.google.com/102706636605134081909/about

      My Facebook page is at https://www.facebook.com/aniruddha.malpani

      You can follow me on twitter at https://twitter.com/drmalpani

      Watch our infertility cartoon film at http://www.ivfindia.com

      Read our book, How to Have a Baby - A Guide for the Infertile Couple,
      online at www.DrMalpani.com !

      Read my blog about improving the doctor-patient
      relationship at http://blog.drmalpani.com

      Delete
  92. Anonymous12:16 PM

    Hello Doctor. I had my 3day ET this Wednesday. I have been home generally since and not much activity but not even bed rest. Today I have to step out and be at a work event making me be in the car for an hour each way and another hour at the event. I was wondering if all of that is permitable (keeping In mind the implantation days) I wud not like to make any compromise at this stage of the ivf. Please advise. Many Thanks!

    ReplyDelete
  93. Anonymous10:29 AM

    Hi
    I got my ET done a week back, but I keep experiencing pain on and off... Please guide?
    When is it advisable to perform sex or cuddling after ET.

    ReplyDelete
  94. Anonymous2:07 AM

    Medication and regular ultrasound for 3 months or more is required after embryo transfer

    ReplyDelete
  95. Hi doc. I m having a severe cough...i had my 2 embryos and 1 blstocyat transfer on 10/10/15....so m really worried about my implantation...is my cough going to become an obstacle to implant???

    ReplyDelete
  96. Hi doc. I m having a severe cough...i had my 2 embryos and 1 blstocyat transfer on 10/10/15....so m really worried about my implantation...is my cough going to become an obstacle to implant???

    ReplyDelete
  97. No

    Coughing will not cause your embryos to fall out of your uterus
    Your embryos are safe in your uterus. Nothing you do can harm them , so please do not worry about this.

    Please do not let your mind play games with you

    Read more at http://www.drmalpani.com/knowledge-center/articles/care-after-embryo-transfer



    ReplyDelete
  98. Anonymous12:25 PM

    Hi there, I did a d3 ET today. I went to my acupuncturist a few hours afterward, she placed heat lamps over my feet and abdomen and left me for at least 30mins. When she returned I was extremely hot. I was unaware that I shouldn't be exposed to heat. Could this have harmed my 2 embryos?

    ReplyDelete
    Replies
    1. No

      Your embryos are safe in your uterus, like a pearl in an oyster. Nothing you do can harm them , so please do not worry about this.

      Please do not let your mind play games with you

      Read more at http://www.drmalpani.com/knowledge-center/articles/care-after-embryo-transfer

      We look forward to helping you to have a baby !

      Delete
  99. Hi doctor,
    I just have et in 17 des and today 19 des, I just occasionally take royal jelly supllement 500mg. My abdominal pain directly lost and i am worry that this supplement harm my embryo... plss help

    ReplyDelete
  100. Anonymous6:29 PM

    Dear doctor,
    I have et 2 days with single embryo only.
    I have cramp after opu and still continue until today.
    I occasionally take royal jelly today and i really regret that.... i am afraid I will harm my embryo, since that embryo is the only one...

    Please help

    ReplyDelete
    Replies
    1. Nothing you can do can harm your embryo

      Your embryo is safe in your uterus, like a pearl in an oyster. Nothing you do can harm them , so please do not worry about this.

      Please do not let your mind play games with you

      Read more at http://www.drmalpani.com/knowledge-center/articles/care-after-embryo-transfer

      We look forward to helping you to have a baby !

      Delete
  101. Hi Dr,

    Greetings for the Day !!

    Have done IVF and it is my third month, irrespective of the health condition doctors are mandating all the patince to stay there for a minimum duration of 5 months is it necessary. Also as a common practice they do stitching for all the patience who had sucessfull IVF after 3 months. Is stitching mandatory also do we need to have any special injection via trips after stitching this is also common to all patience, hence they are mandating us to stay for a minimum duration of 5 months. Kindly suggest

    ReplyDelete
    Replies
    1. No, this is very poor quality advice. An IVF pregnancy is exactly like a normal pregnancy and does not need stitching or any extra care

      Please go back home !

      Dr Malpani

      Delete
  102. Dear Doctor,

    Please respond to the above query which will help me to take a call.

    ReplyDelete
  103. Thanks a lot for your valuable suggestion.......

    ReplyDelete
  104. Anonymous4:44 AM

    Hi doc,how long should be rest after embryo transfer?i'm 40 this yr

    ReplyDelete
    Replies
    1. There's no need to rest at all. Your embryos are safe in your uterus, like a pearl in an oyster ! Nothing you do can harm them , so please do not worry about this.

      Please do not let your mind play games with you

      Read more at http://www.drmalpani.com/knowledge-center/articles/care-after-embryo-transfer

      We look forward to helping you to have a baby !

      Delete
  105. This comment has been removed by the author.

    ReplyDelete
    Replies
    1. Yes, a low Day 3 E2 level confirms she is downregulated

      Can you send me more details about your earlier OD IVF cycles ?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      Delete
  106. Hi Dr
    5th day i got my et done with 3 blastocy embroy i have little pain when i sit i feel as if embroyes are grown an feel its positive sigb can you suggest what is
    this .after 3 days my blood test

    ReplyDelete
  107. Your mind plays all kinds of games during the 2 ww ! Only the beta HCG blood test will tell you if the cycle was successful or not

    Best of luck !

    ReplyDelete
  108. Anonymous12:41 PM

    Hello Dr Malpani...i need ur help...i had done my 2nd cycle of transfer on 29th jan 2016 of 6th day 2 blastocyst.1was hatching and other was other was expanded blastocyst.before transferi was having cramping n pain in uterus...and after tansfer it was normal for 2 days only than after i had lots of pain in uterus for 2 days n now only my legs are paining like will have my periods .im not able to understand wht will happen n worring a lot.plz hlp dr plz.my bhcg test is on 12th feb

    ReplyDelete
    Replies
    1. What was your beta HCG result ? Best of luck !

      Delete
  109. Anonymous8:37 PM

    Hi dr. I find your blog and article very useful and its good that u too share positive messages. Just a quick question. I had et and had two beta hcg now both positive. Last count was 980. I am a bit worried whether to continue the job I'm doing at the moment as its 45 mins of travel each way. Kindly advise. Thanks for assistance.

    ReplyDelete
    Replies
    1. It's safe to travel during pregnancy. Please enjoy your pregnancy - you are not a patient !

      Delete
    2. Anonymous8:32 AM

      Thanks for your reply and suggestion, really helpful

      Delete
  110. Anonymous8:14 PM

    Dear doc, Thank you very much for this insightful article. I did my 3-day ET yesterday and went to work this morning. I feel bloated and constipated but besides that I am fine. Hoping for the best. This is our 2ND try.

    ReplyDelete
    Replies
    1. Can you send me more details about your IVF cycles ?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ?
      Can you please send me the printed treatment summary from your IVF clinic ?

      Best of luck !

      Delete
  111. Sir this is Neeta. I had my IVF (ICSI) treatment in the month of Dec-15. But after 15 days report was negative. I was so frustrated. Now again in 12th March, 16 my frozen embryos transfer process carried out. My doctor said in three of embryos one is best, second is good and third is average. So sir please tell chances of pregnancy. what precautions should I take? Please guide me. I have no other problems of BP, thyroid, Sugar etc. Only I m overweight. Please guide me. Waiting for ur reply,

    ReplyDelete
    Replies
    1. I need more information to be able to provide you with intelligent advise.

      Can you send me more details about your IVF cycles ?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ?
      Can you please send me the printed treatment summary from your IVF clinic ?

      We look forward to helping you to have a baby !

      Delete
  112. Anonymous11:54 PM

    Hi Dr.
    I did 5dt on March 21(Monday), I rested 1 day and I went to work on Wednesday and Thursday. The school I teach is a story building and I had to climb like 2 or 3 times daily. Can this affect my chance. Also today since around 3hrs ago, I've been having noisy stomach with little pain, though no bleeding/spotting nor colored discharge just whitish . Thirdly, anytime I insert the progesterone thru vagina, it starts coming down like 15 mins afterwards. Is it normal? Fourtly, I see the whitish discharge as the color of the progesterone, am I right?

    ReplyDelete
    Replies
    1. Your embryos are safe in your uterus, like a pearl in an oyster. Nothing you do can harm them , so please do not worry about this.

      Please do not let your mind play games with you

      Read more at http://www.drmalpani.com/knowledge-center/articles/care-after-embryo-transfer

      Can you send me more details about your IVF cycle?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ?
      Can you please send me the printed treatment summary from your IVF clinic ?

      We look forward to helping you to have a baby !



      Delete
  113. Hi Doctor
    Can I travel by a two wheeler as a pillion rider after my embryo transfer?

    ReplyDelete
    Replies
    1. Yes

      Your embryos are safe in your uterus, like a pearl in an oyster. Nothing you do can harm them , so please do not worry about this.

      Please do not let your mind play games with you

      Read more at http://www.drmalpani.com/knowledge-center/articles/care-after-embryo-transfer

      We look forward to helping you to have a baby !

      Dr Aniruddha Malpani, MD
      Malpani Infertility Clinic, Jamuna Sagar, SBS Road, Colaba
      Mumbai 400 005. India

      Clinic Mobile: 9867441589

      Tel: 91-22-22151065, 22151066, 2218 3270, 65527073

      Helping you to build your family !

      You can add a google review for us at https://plus.google.com/102706636605134081909/about

      My Facebook page is at https://www.facebook.com/aniruddha.malpani

      You can follow me on twitter at https://twitter.com/drmalpani

      Watch our infertility cartoon film at http://www.ivfindia.com

      Read our book, How to Have a Baby - A Guide for the Infertile Couple,
      online at www.DrMalpani.com !

      Read my blog about improving the doctor-patient
      relationship at http://blog.drmalpani.com

      Delete
  114. Today is my ET .so can I walk through steps at home?. Is there any specific healthy food to get more positive results.

    ReplyDelete
  115. Anonymous10:40 PM

    Hello dr. I m doin my ivf/icsi treatment for this cycle. I m bit confuse on how many embryo to transfer like if 2 r good which 1 transfer or better option is to transfer both. What r the riak involve in transferin two embryos. Thanks in advanve

    ReplyDelete
    Replies
    1. I would suggest you transfer 2 blastocysts to maximise your chances of getting pregnant

      You can see what embryos should look like at www.drmalpani.com/knowledge-center/ivf/embryos


      A laser-assisted hatch is done and the embryos transferred on Day 5 ( blastocyst transfer).

      Read more at http://www.drmalpani.com/articles/blastocyst

      Delete
  116. poonam2:21 PM

    Hello doctor, M currently on my 1St ivf cycle.m 27yrs n my amh count is 1.24. I haven't done laproscopy. So what are my chances of conceiving.

    ReplyDelete
    Replies
    1. You do not need a laparoscopy before doing IVF


      Your low AMH level ( www.drmalpani.com/knowledge-center/infertility-testing/amh)
      suggests you have poor ovarian reserve .

      You can read more about this at http://www.drmalpani.com/knowledge-center/the-infertile-woman/oopause

      Can you please test your antral follicle count by doing a vaginal ultrasound scan ? Read more at http://www.drmalpani.com/knowledge-center/articles/afc

      The chances of conceiving will depend upon how many eggs you grow

      Delete
  117. Good even sir
    I m 29 yrs young.I had pcod. No follicles with clomiph and gonadotrophins.laproscopy done, normal uterus and mildly dilated tubes. Ovarian drilling done, followed by 3 failed IUI. Opted for IVF. 26 eggs retrieved, 8 blasts came. Since I developed ohss ET was planned 1 month after with 2 XB blastocyst.my endo thickness was 9mm at the time of transfer.all my blood profiles were normal including E2, P4. I was put on bed rest during the 2ww.went home on the same day of transfer.I was put under metformin,estrodiol, vaginal progesterone and supplements, after with all these my cycle failed. Wat could be d reason sir?? M frustrated a lot.kindly help me to make the second cycle a successful one. Thank you dr

    ReplyDelete
    Replies
    1. I agree this is frustrating !

      I need more information to be able to provide you with intelligent advise.

      Can you send me more details about your IVF cycles ?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ?
      Can you please send me the printed treatment summary from your IVF clinic ?

      Delete
  118. Anonymous4:18 PM

    Hello Dr. Tommorow is my day 3 transfer. Blastocyst was not recommended as got only 5 embryos also report say Remark as egg fragile and granular. What does it mean? Now for success how many embryo to transfer. Require ur precious suggestion.Thanks in advance

    ReplyDelete
  119. Anonymous8:57 AM

    Hello doc. My wife had ET three days back with two compacting embryos out of five that were freezed for two months. Laser assisted hatching was done. Endo is 10mm. Now, on Geston tablet, 2mg estrabet thrice daily, wysolon and ecosprin. Fingers crossed.

    ReplyDelete
    Replies
    1. I need more information to be able to provide you with intelligent advise.

      Can you send me more details about your IVF cycle ?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ?
      Can you please send me the printed treatment summary from your IVF clinic ?

      Best of luck !

      Delete
    2. Anonymous10:05 PM

      Hello dr, today is 8th day after my FET(3 embryos are transferred)today I feel symptoms of getting my periods....severe back pain and leg cramps....is it normal or am I about to get periods

      Delete
    3. It's hard to make out based only on symptoms, sorry

      Delete
  120. Anonymous3:50 PM

    Hello dr
    Yesterday my ivf transfer was done.i want to know that my body temperature is always high than normalbody temperature.can you tell it effects in getting pregenent ?

    ReplyDelete
  121. Anonymous4:43 PM

    Hello Dr ,
    I had my FET transfer 3 days back ,5day Blastocyst .today i have bleeding when I went to urinate.is there anything to fear

    ReplyDelete
    Replies
    1. Bleeding after a transfer is always worrisome !

      I need more information to be able to provide you with intelligent advise.
      Can you send me more details about your IVF cycle ?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ?
      Can you please send me the printed treatment summary from your IVF clinic ?

      Delete
  122. Anonymous8:45 PM

    Hello doctor,
    I am 26 years old we underwent ivf today 3 fresh embryos are transferred.( treatment is done in my native place) .we are planning to travel to Bangalore (300kms)so that I can go for work from Monday .Doctor suggested no harm in travelling .but elder family members are suggesting not to travel .please give me your suggestion .I am really confused .
    Thanks .

    ReplyDelete
    Replies
    1. Your embryos are safe in your uterus, like a pearl in an oyster. Nothing you do can harm them , so please do not worry about this.

      Please do not let your mind play games with you

      Read more at http://www.drmalpani.com/knowledge-center/articles/care-after-embryo-transfer

      Can you send me more details about your IVF cycle ?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ?
      Can you please send me the printed treatment summary from your IVF clinic ?
      We look forward to helping you to have a baby !

      Delete
  123. I have developed urine infection next day of ET is it going to effect result negatively ?

    ReplyDelete
    Replies
    1. No, it should not.
      Can you send me more details about your IVF cycle ?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ?
      Can you please send me the printed treatment summary from your IVF clinic ?

      Delete
  124. This comment has been removed by the author.

    ReplyDelete
    Replies
    1. Yes, it's very normal to worry !

      Your embryos are safe in your uterus, like a pearl in an oyster. Nothing you do can harm them , so please do not worry about this.

      Please do not let your mind play games with you

      Read more at http://www.drmalpani.com/knowledge-center/articles/care-after-embryo-transfer

      Can you send me more details about your IVF cycle ?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      What were the meds which were used for
      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 ?
      How many embryos were transferred ?
      What was the embryo quality ?
      Can you please send me the printed treatment summary from your IVF clinic ?
      We look forward to helping you to have a baby !

      Delete
  125. Doctor how do I send my embryo pic

    ReplyDelete
  126. This comment has been removed by the author.

    ReplyDelete
    Replies
    1. How can they "forget" to preserve your good sperm ? Doesn't sound like a good clinic to me

      Please email me photos of your embryos. You can email them at [email protected]

      Delete
  127. This comment has been removed by the author.

    ReplyDelete
  128. Dear Doctor, your article is much appreciated and very helpful. I would like to request for your expertise and wisdom. I had a 3 day ET this past Monday. Out of 9 they fertilized and implanted 2. I am 37 and my husband is 15 years older than me. My doctor said the fertilized eggs are of good quality and good morphology. However, I just wonder why only 2 were fertilized out of 9. Apart from that, is it harmful to have 1 or 2 roll up cigarettes after ET? thank you for your time

    ReplyDelete
    Replies
    1. I need more information to be able to provide you with intelligent advise.

      Can you send me more details about your IVF cycle ?
      DO YOU HAVE PHOTOS OF YOUR EMBRYOS ?

      You can see what embryos should look like at http://www.drmalpani.com/knowledge-center/ivf/embryos

      What were the meds which were used for
      superovulation ? What was the dose used ? How many follicles did you grow ? What was the E2 ( estradiol) level in the blood ? What was the endometrial thickness ?
      What was the embryo quality ?
      Can you please send me the printed treatment summary from your IVF clinic ?

      Delete
    2. Meds used were: Gonal 250 (2 weeks) and Cetrotide (1 week) and Ovitrelle a day before egg collection. 9 grown and 2 fertilized (good quality). this is the info provided by the ivf centre. I do not know the endo thickness, but the doc told me it was good. same with the estradiol level.
      I much appreciate your response and do not want to take up any of your time. thank you for any enlightments you may have. if not enough info from my side, i apologize and I thank you anyway, sir.

      Delete
    3. Where are the photos of your embryos ?

      This is not correct. You have a legal right to your medical records - every hospital has to provide them by law ! Please make a request for this in writing.

      The only tangible product an IVF clinic can deliver is embryos ! All good clinics provide embryo photos proactively and routinely

      Any clinic which does not provide embryo photos is a poor quality clinic.

      Please find a better clinic if you want to maximise your chances of success - one which does only blastocyst transfers and provides embryo photos routinely to all patients

      Delete
  129. What effect if any does smoking cigarettes have on implantation of the embryo after the transfer? Is it less likely for the embryo to attach if you are a smoker?

    ReplyDelete
    Replies
    1. Yes, smoking reduces IVF pregnancy rates

      Delete
  130. Dear Dr
    I have had a blasto two weeks back and my hcg test came out positive with 2076 as the level. I am really happy however I have this craving for having sex and I am too scared to ask my doctor whether we can maintain relations or not? Could you please assist? I don't want to do anything to jeopardise the pregnancy that I have.

    ReplyDelete
    Replies
    1. Congrats ! Yes, it's safe to have sex - your embryos are safe in your uterus. Its quite common for libido to increase during pregnancy because of the increased pelvic congestion/ blood flow

      Delete
  131. Anonymous1:35 PM

    Hi doctor , I had my 5day transfer yesterday . I'm on fokic and low dose asprin .I also took the core of a whole pinneaple , yet I hear your supposed to eat it slowly. Could I have ruined my embryos ?

    ReplyDelete
  132. Hello doc

    AMH: 2.67
    Age: 36
    2nd Frozen Embryo Transfer
    Day 5 Blastocyst Grade 1
    Quantity: 2

    1st Beta: 13dp5dt: 470.97
    2nd Beta: 15dp5dt: 1080.70
    Have been called for scan after 10 days from 1st beta.
    During beta time i had some morning sickness for 2-3 days but now its 17dp5dt and from past 2 days i have no symptoms at all. No nausea, no cramps nothing. Am scared if this is Anembryonic Preg. Am i getting paranoid? Is no symptom safe and common?

    Our 1st FET resulted in chemical preg. Doc said it can be because quality of embryo was not genetically good. If thats the case does it also mean this preg also will have complications? Since egg collected and transferred was/is from the same lot.

    ReplyDelete
  133. Anonymous2:31 PM

    Dear Dr,

    I had my ET 12 days ago, i gets discharge yellowish ever since the ET was done. Is that normal.

    I had period pain on the day 10,11 and 12 and spot blood but very little quantity together with the discharge. Pls advise.

    ReplyDelete
  134. Hi doctor,

    I had a dish prepared in mustard oil. I checked on the Internet later and it says it's not safe. Could you please guide me? Awaiting your response.

    ReplyDelete
  135. Hello doctor ur all advise.. r very useful for all women going for treatment ..... sir pls suggest is there chance of positive result .. if I am getting brown or red spots and sometime going while going toilet.... pks do advise...

    ReplyDelete