Frequently Asked Questions
Q: What documents should I take when visiting a gynecologist for fertility issues or any other gynecological problems ?
A: Please carry all your previous medical documents, including records of consultations and treatments received from other doctors. Bring details of any concurrent medical conditions, as well as any past blood test reports. If you have undergone IVF treatments earlier, include information about the drugs used, their dosages, the number of eggs retrieved, the number of embryos transferred, and the outcome. It is also important to inform your doctor about any previous surgeries and any drug allergies you may have.
Q: When should I schedule my first pregnancy check-up with a gynecologist ?
A: It's best to visit your gynecologist as soon as you miss your period and get a positive result on a pregnancy test.
Q: When is the first ultrasound done and what does it show ?
A: The first scan is typically done between 6 to 7 weeks. It helps confirm the baby’s heartbeat, check if the pregnancy is in the uterus (not the fallopian tubes), and determine if it's a single or twin pregnancy.
Q: How many scans are usually done during pregnancy ?
A: Typically, five scans are performed: Early Pregnancy Scan (6–7 weeks), NT Scan (12–13 weeks), Anomaly Scan (19–20 weeks), Growth Scan 1 (32 weeks), Growth Scan 2 (36–37 weeks). More scans may be required in high-risk pregnancies.
Q: Can a pregnancy test be positive in other conditions besides a normal pregnancy ?
A: Yes. Positive results can also occur in cases like tubal (ectopic) pregnancy, ovarian pregnancy, molar pregnancy, choriocarcinoma, abdominal pregnancy, or scar ectopic pregnancy.
Q: How are these conditions differentiated ?
A: Through serial Beta-hCG blood tests and a transvaginal ultrasound.
Q: What is the Double Marker Test and when is it done ?
A: It’s a blood test done at 12–13 weeks along with the NT scan to screen for chromosomal abnormalities in the fetus.
Q: What other tests help detect genetic problems in the baby ?
A: Tests include NIPT (Non-Invasive Prenatal Testing), Amniocentesis, and Chorionic Villus Sampling (CVS).
Q: When should I see a doctor for fertility evaluation ?
A: If you're under 30 and haven’t conceived after a year of trying, or over 30 and trying for 6 months, it’s time to consult a gynecologist.
Q: On which day of my cycle should I visit for fertility testing ?
A: Visit on Day 2 or 3 of your period for a basal scan and hormonal tests. Tube evaluation (via Sonosalpingogram or HSG) is typically done between Days 5 to 9.
Q: What is a Basal Scan ?
A: A scan done on Day 2 or 3 of your cycle to assess the uterus (fibroids, polyps, lining, anomalies), ovaries (follicle count, cysts), and fallopian tubes (e.g., hydrosalpinx).
Q: Is semen analysis necessary before fertility treatment ?
A: Yes, it is. Around 30–40% of infertility cases involve male factors.
Q: Does Dr. Vani perform IUI, IVF, and Donor IVF ?
A: Yes. Dr. Vani has trained under Dr. Firuza Parikh in Mumbai and worked at Dr. Kamini Rao’s hospital. She consults at Motherhood Hospital, which has a full IVF unit.
Q: Is hysteroscopy required before IVF ?
A: Not always. But if ultrasound shows polyps, fibroids, or a uterine septum, hysteroscopy is recommended to correct these before IVF.
Q: Which is better for treating endometrioma: laparoscopy or open surgery ?
A: Laparoscopy is the gold standard — it provides better visualization, smaller incisions, and quicker recovery.
Q: What’s the difference between PCOD and PCOS ?
A: PCOD is Polycystic Ovarian Disease, and PCOS is Polycystic Ovarian Syndrome. In PCOD, there are multiple small cysts in the ovary that produce male hormones, leading to irregular periods, infertility, acne, and facial hair. In PCOS, along with PCOD, there is insulin resistance and other metabolic issues. Hence, patients with PCOS are at a higher risk of developing diabetes, hypertension, and breast and uterine cancers.
Q: Who should receive the cervical cancer vaccine ?
A: Anyone aged 9 to 45 can get vaccinated — including boys. Ages 9–14: 2 doses (0 and 6 months), Ages 15–45: 3 doses (0, 1–2, and 6 months). It’s most effective when taken before the start of sexual activity.
Q: Can I conceive after a tubectomy ?
A: Yes. You can conceive either via IVF or through a tubal recanalization procedure.
Q: Can I conceive after premature menopause ?
A: Yes, using IVF with donor eggs.
Q: What are the risks of pregnancy after 35 ?
A: There’s a higher risk of chromosomal issues in the baby, as well as gestational diabetes, hypertension, increased likelihood of cesarean delivery, and low birth weight.
Q: Can menstrual or gynecological problems affect my lifestyle ?
A: Yes. Issues like irregular or prolonged periods, fibroids, polyps, ovarian cysts, endometriosis, adenomyosis, postmenopausal bleeding, PID, uterine prolapse, and more can impact quality of life. Dr. Vani offers permanent and minimally invasive solutions tailored to each condition.