ISHITA GANGULY MD,DNB FELLOW REPRODUCTIVE MEDICINE, Bangalore Dr. Patil’s Fertility and Endoscopy Clinic , Bangalore PREMATURE OVARIAN FAILURE Definition: Premature ovarian failure (POF) describes a syndrome consisting of amenorrhea, sex steroid deficiency and elevated/menopausal levels of gonadotropins in a woman aged more than two standard deviations below the mean estimated for the reference population.[1] However, […]

 DIAGNOSIS EARLY PREGNANCY COMPLICATIONS 3 CONDITIONS IMPORTANT 1)ABORTION 2)ECTOPIC PREGNANCY 3)PREGNANCY OF UNKNOWN LOCATION     1)Clinical judgement 2)USG(TVS) 3)B-HCG estimation USG errors common when hcg level<1500 miu/ml In busy practice error of TVS is 1%. HCG estimation -single value not diagnostic of pregnancy viabiity & pregnancy location. PREMATURE SURVEILLANCE All diagnostic test false positive […]

SEPTATE UTERUS Type of congenital uterine anomaly classified as type v Mullerian Duct Anomaly. Commonest  Uterine Anomaly constituting 55% of uterine anomaly & most common cause of reproductive loss. COMPLICATIONS 90% Miscarriage Septate uterus is associated with worst outcome of Mullerian duct anomaly. No difficulty in conceiving but frequently ends in abortion or premature birth. […]

IUI/AIH INDICATION Ejaculatory Failure Anatomica(hypospadias) Neurological(spinal cord inury) Retrograde Ejaculation(Multiple Sclerosis) Psychological(Impotence) CERVICAL FACTOR cervical mucous hostility poor cervical factor MILD MALE SUBFERTILITY Oligozoospermia/Asthenozoospermia/Teratozoospermia UNEXPLAINED INFERTIITY Endometriosis Immunological factor Ovuatory dysfunction with COH HIV discordant couples INDICATION OF AID/Insemination of donor sperm Gross male subfertiity -Obstructive Azoospermia -Non obstructive AZoospermia Severe Oligo/Astheno/Teratozoospermmia Failed fertilization with […]

which myoma is to be removed.?many a times my patients come with very small fibroids and ask if it needs to be removed.there r 2 indications for surgeryy.1 site of myoma-submucosal fiibroid i.e one located near inner surface or endometrium,it causes excessive bleeding so anaemia ,,and immplantation failure i.e a pregnancy fails to grow as […]

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