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Ovarian Follicle and Its Role in Fertility
The female reproductive system undergoes cyclical and structural changes throughout the menstrual cycle driven by the production of hormones by the ovary. As ovarian follicular development begins while the female fetus is in-utero, its proper understanding of the Ovarian reserve plays a critical role in estimating the ovarian reserve in a woman with infertility and counseling her regarding the line of treatment for subfertility. Diminishing ovarian follicles in the uterus is a common phenomenon in women during their mid to late thirties or even earlier, reflecting the lesser number of follicles and diminishing oocyte quality. Therefore, healthcare providers must assess ovarian follicular reserve resulting in voluntary or involuntary delayed childbearing and decide on the potential benefit of assisted reproductive technology (ART), including in-vitro fertilization and controlled ovarian hyperstimulation.
What Is Ovarian Follicle?
Ovarian follicles are small spheroid cellular aggregation sets found inside a woman’s ovaries. Filled with fluid that secretes hormones, these sacs influence different menstrual cycle stages. Women have approximately 200,000 to 300,000 follicles at the time of puberty, and each of them has the potential to release an egg cell (ovum) at ovulation for fertilization. Once every menstrual cycle with around 450-500 are ovulated during a woman’s reproductive lifetime, these eggs are developed.
The size and status of the follicles help assess fertility and fertility treatment. A pelvic ultrasound scan of your womb and ovaries, as well as an Anti-Mullerian Hormone blood test, can assess the size and number of follicles present on your ovaries, called an Antral Follicle Count. The follicle is the cell involved in the embryo obtained after fertilization. It is a functional anatomical structure that forms part of the ovary. The egg is the cell that matures in a tiny part of the inner wall of a follicle in each ovarian cycle under normal conditions. The follicles that don’t release a mature egg disintegrate through a process called atresia. About 99% of ovarian follicles can disintegrate at any stage of follicular development but never become mature enough to release an egg.
Furthermore, the follicle contains other cell types that produce estrogen required to develop egg maturation. Whether or not eggs are released can be determined in the first weeks of the life of the female embryo in each cycle from the first menstruation. Higher quality eggs are selected first as they become poorer with successive cycles; hence older women have more difficulty getting pregnant and have a higher rate of miscarriages.
What Are the Different Types of Ovarian Follicles?
Human ovaries generally produce a single dominant follicle that must complete all the steps in folliculogenesis on time to result in single ovulation. However, only a few among the multiple follicles in the ovary become dominant. This demonstrates the fundamental principle that folliculogenesis in mammals is a highly selective process. Here is a classification of follicles that can help understand follicular development.
1. Primordial Follicle
An ovarian follicle undergoes several distinct phases before its ovum is released. Primordial follicles form in the fetal ovary in the first five months of development. They migrate into the developing gonad early in embryogenesis and form oogonia that proliferate by mitosis. Upon reaching sexual maturity, some of these Primordial follicles enlarge and mature to form primary oocytes to complete the first meiotic division to make gametes under the influence of follicle-stimulating hormone. The oocytes synthesize a coat called the ‘zona pellucida’ and cortical granules. They also obtain ribosomes, yolk, glycogen, lipid, and mRNA that will be used later on after fertilization to direct the early development of the embryo. Ova are formed post a second mitotic division. The oocyte in primordial follicles is surrounded by a single layer of flattened ovarian follicular epithelial cells called granulosa cells. It gets arrested in the last stage of prophase, known as dictyotene.
2. Primary Follicle
Primordial follicles get stimulated to become primary follicles at the beginning of each menstrual cycle. The oocyte enlarges, and the follicular cells are separated by the zona pellucida, a thin band of glycoproteins. Proteins on a sperm's surface bind to specific glycoproteins in the zona pellucida. A follicle with two layers of follicular cells is called a primary follicle. These cells grow into a stratified epithelium known as the zona granulosa proliferate to form many layers surrounding the oocyte. This is followed by the enlargement of a thick glycoprotein layer known as zona pellucida at the late primary follicle stage. Then, the stroma around the follicle develops to form a capsule-like 'theca.' One out of all maturing follicles completes the maturation process each month. The remaining follicles degenerate into atretic follicles.
3. Secondary Follicle
The primary follicle builds into a secondary follicle. The secondary follicles resemble the primary follicles but are larger and have more follicular cells. Small accumulations of fluid, called follicular fluid, happen in the intracellular spaces. These gradually merge to form an antrum rich in hyaluronan and proteoglycans. The surrounding granulosa cells are called the cumulus oophorus. The surrounding theca can be differentiated into the Theca Interna and Theca Externa. The androgens in Theca Interna are converted into estrogen by the granulosa cells.
4. Graffian Follicle
The secondary follicle develops into a Graffian follicle that appears between the first meiotic division and completion of ovulation. The oocyte has become a secondary oocyte and starts its second meiotic division. The follicular fluid fills a single space, called the antrum, surrounded by the follicular cells called the membrana granulosa. The granulosa cells surrounding the oocyte project into the antrum and are known as the cumulus oophorus. The secondary oocyte is now surrounded by the zona pellucida and a layer of cells known as the corona radiata. After the ovum is expelled from the Graafian follicle, it enters the fallopian tube and into the oviduct. Next, the oocyte begins its second meiotic division, as far as metaphase II, but only if the ovum is fertilized.
5. Corpus Leteum
After ovulation, the remaining cells of the Granulosa and Theca Interna form the corpus luteum. Its center contains the remains of the blood clot formed after ovulation. Granulosa cells enlarge, become vesicular, and are called Glanulosa lutein cells. These become folded, and the space between the folds is filled with Theca Interna cells surrounding the clot, whereas theca lutein cells are on their own, lying outside. The zona granulosa cells produce progesterone and a small amount of cholesterol. The corpus luteum also secretes estrogen and relaxin. The corpus luteum degenerates into corpus Albicans in case pregnancy doesn’t happen. The levels of estrogen and progesterone fall, allowing the release of FSH and LH. If pregnancy does occur, then the syncytiotrophoblasts of the placenta release human chorionic gonadotrophin, and the corpus luteum persists. Out of 20 primordial follicles that start developing in each cycle, only one makes it.
6. Corpus Albicans
In the absence of fertilization, the cells of the corpus luteum remain active for around two weeks until the LH levels fall and the corpus luteum involutes to form the corpus Albicans. The secretory cells of the corpus luteum get phagocytosed by macrophages and are replaced by fibrous material. The corpus Albicans looks pale and continues to shrink until it forms a small scar on the side of the ovary.
7. Atretic Follicle
Although several primordial follicles are triggered to continue development on each menstrual cycle, only one follicle completes development to release an ovum. At any stage of development, the other follicles can degenerate through a process called atresia. During atresia, granulosa cells undergo apoptosis and are replaced by fibrous material. The oocyte degenerates, and the basement that separates the oocyte from granulosa cells thickens to become the glassy membrane.
How Many Eggs Are in a Follicle?
In a normal menstrual cycle, one follicle grows to contain one egg. The follicle gets bigger and ruptures at ovulation to release the egg. This happens around 14 days after the beginning of your menstrual cycle.
How Many Follicles Is Normal?
A woman can have an adequate or normal ovarian reserve which can count between 6-10, depending on the number of antral follicles. The ovarian reserve is considered low if the follicles count is less than 6 and high if the number is more than 12. It is more likely that women with low ovarian reserve do not respond to treatment, and women with high ovarian reserve exaggeratedly respond to treatment. In both cases, the treatment cycle becomes unsuccessful than in the instance of a normal follicular count.
What Is Antral Follicle Count?
The antral follicle test is a transvaginal ultrasound that measures the number of antral follicles present in the ovary. A doctor or a technician conducts the test using a probe, which is inserted into the woman's vagina to examine and count the number of antral follicles on the ovaries. Follicles in ovary ultrasound can be seen despite measuring between 2 to 9 millimeters in diameter. The number of antral follicles can ascertain the number of eggs and the number of follicles that are too small to see and remain in the ovaries. Although this test is usually conducted on the third day of your menstrual cycle, in reality, it can be done at any time.
What Is the Usual Count of Antral Follicles?
Older women have fewer antral follicles than younger women. Women between mid-20s and early 30s have around 12 to 30 antral follicles. Those between 35 and 40 have between 8 to 15, and those between 41 and 46 have anywhere between 4 to 10 antral follicles. Women with lesser than five antral follicles may need fertility treatments, like in vitro fertilization (IVF) with the aid of donor eggs to conceive.
What Is Dominant Follicle in Ovary?
Only one mature ovarian follicle or Dominant Follicle from the antral follicles is selected to “ovulate in a natural cycle.” This follicle can be differentiated from others in size and rapid growth. As part of a biological process, the other follicles disappear or die. The dominant follicle has an average diameter of 22 mm to 24 mm before ovulation occurs and can indicate whether ovulation will happen with ease.
What Are Empty Follicle Syndrome?
An empty follicle syndrome is produced in very rare cases. It would not be egg retrieval after ovarian stimulation in IVF treatment in patients with adequate growth follicles and estradiol levels. An error in HCG administration, abnormal response to treatment, or impaired follicular mellowing can be the possible reasons for estimating or establishing their possible occurrence. This has been observed more frequently in women with a history of primary infertility and good follicle count. Despite being a rare event (<7%), its incidence increases with age. This, however, doesn’t imply that a patient has an exact fertility problem, and most may have a normal follicular mellowing and an adequate number of eggs.
Can You Get Pregnant With Single Mature Follicle?
A woman can get pregnant naturally with a single mature follicle as long as it releases an egg down the fallopian tube to meet the sperm. But if a woman is undergoing fertility treatment, it depends on the type of therapy and her age. For women using intrauterine insemination (IUI) and those aged below 40, one or two mature follicles are preferred. More follicles may not significantly increase the chances of getting pregnant, but it does raise your chance of having twins or multiples for women who happen to conceive. However, women over 40 using IUI may consider using ovulation-stimulating treatments for stimulating more mature follicles. It has been found that those women above 40 and up to four mature follicles tripled their odds of pregnancy without significantly raising their chances of multiples. Regardless of age, women undergoing IVF can be suggested to use fertility medications that produce more mature follicles. Hormone injections with follicle-stimulating hormone (FSH), luteinizing hormone (LH), or both are administered a couple of weeks beforehand to stimulate the ovaries. An ultrasound-guided needle is used during the IVF egg retrieval procedure to reach the ovaries and collect at least 10 or more eggs per cycle.
How Many Immature Follicles Show Polycystic Ovary Syndrome?
Women with PCOS have more antral follicles than women without PCOS. A woman with PCOS can have more than 30 antral follicles total. They produce above-average levels of the hormone testosterone, which obstructs ovulation. As the follicles struggle to release eggs, they fail to undergo ovulation. Women with PCOS can still get pregnant, but it can get delayed. Medications, such as metformin that contains ovulation-inducing drug Clomid or letrozole or IVF, can induce pregnancy. Losing weight, boosting vitamin D levels, and reducing stress may also help solve the problem. Although ovarian follicles can serve as an indicator of fertility, other factors like age, weight, health history, and even genetics can indicate the chances of pregnancy. An antral follicle count test can determine the chances of pregnancy at a certain point in time but not the entire duration of the reproductive cycle.
A diagnosis of follicle size and low ovarian reserves can be a matter of stress for most women. IVF with an egg donor is a possible path that not all couples agree or can take up. While ovarian follicle counts are an important indicator of fertility, one number doesn’t define you or can certainly predict the future of your fertility. Don’t be afraid to seek a second opinion on further fertility testing and diagnosis results if you’re unsure.
Also Read:
Premature Ovarian Failure(POF)
Is Ovary Size Important for Pregnancy?
Is It Possible to Get Pregnant With One Ovary? Read more
Rashmi has added a new answer
Guardian of 0 children
17 hours ago
Q. Can I check baby heartbeat in 9th week of pregancy?
Rashmi
Mom of a 9 yr 8 m old girl
16 hours ago
A. See that can only be monitored with a proper ultrasound or a machine which can check the heartbeat of the child otherwise there is no third way to figure it out further if you need to know more you can get a sonography done with your gynaecologist to have better clarity
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Teaching Toddlers to Scribble Their Name
Children learning to write their name will not just help them feel confident but they will also become better at coordination and concentration. This activity can be done in many ways, and just needs you and your toddler's time and attention.
The time between 3-4 years is wonderful for both the parents and the toddler. As a parent, it's overwhelming to watch your toddler during this phase talking nineteen to a dozen, singing nursery rhymes, showering innocent love and sometimes even asking such intelligent questions that they leave you amazed. At this stage, one of the many activities that the toddler enjoys doing is scribbling, coloring or even writing. This becomes a perfect time, then, to teach your tot how to write his name.
Tips for Teaching Your Child to Write his Name
1. Gauge Your Child's Inclination:
Some toddlers at the age of two or three years show an inclination towards holding a pencil or a crayon. It becomes relatively easier to bring around such toddlers to learn alphabets or write their name. For those kids who don't show much enthusiasm, coming up with fun ways for toddlers to write their names should help. Encourage him to draw to strengthen his hand muscles. You can even use playdough to make alphabets too.
2. When Should a Child be Able to Write their Name:
Some children learn how to write their names by the time they turn 4 years of age while others don't do this until 5 years of age. So, basically, there is no specific age but just a band anywhere between 3-5 years of age. Also, no two children develop at the same rate.
3. Learning to Write Your Name: Activities to Try:
StampingGive your toddler alphabet stamps and paper and teach him to stamp his name.
Magnetic LettersUse a magnetic board and letters. These are easily available in any shop. All you need to do is initially provide only the alphabets that are included in the child's name and ask him to put them in the proper order.
Typing on the computerOpen a word document and set a large colorful font and get going.
Salt PrintingSprinkle a lot of salt on a tray and ask your toddler to use his finger to trace out his name.
Water Painting on the ChalkboardWrite the name of your child on a chalkboard and give him water and brush to trace out his name. As he will do this, the alphabets will disappear making the exercise even more interesting.
Highlighter TracingWrite your toddler's name on a chart paper and provide him with a highlighter to trace it.
Letter BoxesOn a board, make boxes and write each letter of the name in the box. Ask your toddler to copy the same below in blank boxes using a piece of chalk.
Once you know how to teach a toddler to write their names, you can then graduate him to writing other alphabets and letters too. Make sure you make writing look more of a fun thing to do than it being a boring chore.
So how did you teach your child to write his name? Do share your experiences and tips with us! Read more
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Tandoori Chicken Tikka
Presenting the boneless chicken pieces played smart with a spice and curd mixture. Enjoy the rich proteins in chicken while also treating your taste buds. The tantalizing smell of roasted chicken with a hint of citrus flavour makes this tandoori chicken tikka irresistible!
Serves
Preparation Time
Cooking Time
3 People
30 - 35 Minutes
1 Hour
Ingredients
1 Kg boneless chicken
2 tsp chilly powder
1 tbsp lemon juice
Salt to taste
For marination
1 cup curd
1 tsp chilly powder
2 tbsp ginger paste
2 tbsp garlic paste
2 tbsp lemon juice
1 tsp garam masala
2 tbsp mustard oil (or any available edible oil)
Salt to taste
For basting(optional)
1 tbsp butter
1 tsp chaat masala
Method
Step 1
Cut the boneless chicken in small cubes (or small pieces).
Step 2
Mix chilli powder, lemon juice & salt & apply it to chicken cubes. Keep aside for 30 min.
Step 3
Take a muslin cloth, add curd & hang it for 15 min to separate whey.
Step 4
Collect whey in a bowl, add red chilly powder (Kashmiri chilly powder if possible), garam masala, ginger garlic paste, lemon juice, salt & oil. Mix all the ingredients well. Marinade is ready.
Step 5
Marinate onto the chicken pieces & keep in the refrigerator for approx 3 hours.
Step 6
In a non-stick pan, heat 4-5 tbsp oil. Fry the marinated chicken pieces on low flame.
Step 7
Fry chicken on all sides, let it roast well, reddish brown in color. The water will dry up after few minutes & you will feel a well-roasted smell. (occasionally keep basting with butter & chaat masala mixture to keep the chicken cubes moist but crunchy)
Step 8
Garnish with lemon wedges, onion rings & salad. Tastes best when hot.
Nutritional Information
Calories
823 cal
Proteins
106.4 g
Fats
37.9 g
Carbohydrates
6.8 g
Cholesterol
307 mg
Sodium
661 mg
Potassium
1022 mg
Read more
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Encouraging Toddlers to Participate in Conversations
Encouraging toddlers to talk using the ABCD approach can prove to be just the right impetus your child needs to get him talking. Communication will soon bring about many appreciable changes in your child. He'll also be able to do a lot more with his newly acquired skills.
It’s an exciting time in the life of a parent when their toddlers progress from babbling to speaking words, forming sentences and eventually, conversing.The mantra here is to just let kids learn the art of communication first rather than correcting their pronunciation and grammar. At this time, parents can also engage their toddlers in reading, watching selected movies and other such activities to help them get a grasp of language. The ABCD method can work exceedingly well in helping achieve the same.
How to Encourage Your Toddler to Talk with Confidence
A - Articulation
Begin with helping your child articulate words. At this stage, his vocabulary is increasing very fast, presenting a ripe opportunity to teach words. You can use various ways like using a mirror while he tries to form words, or using a tissue over his mouth to teach him phonics like 'P', 'Ph', ‘T’ and other sounds. It’ll be very interesting for him to experience and he will learn in the process. This is one of the best ways to teach toddlers to talk.
B - Building Vocabulary
You can help expand your child’s vocabulary with simple day-to-day tasks too. Repeating instructions and descriptions can work as activities to help toddlers talk. Being descriptive and repetitive will ensure that your child registers the incident in his mind. For example, if it’s raining you can tell him about rain and repeat 'It's raining' and 'We’ll get wet if we go outside'. This may trigger questions like 'Are we wet?' You should reply to them and expand further such as 'Yes, we are wet because it’s raining.'
C - Comprehension
Even before your toddler starts talking, you should always use complete sentences and instructions while speaking to him. This will contribute in helping your toddler talk when he eventually reaches the age and stage of learning advanced communication skills. Simple instructions like 'Pick up your toy', 'Pass me the red ball' and ‘Put your book on the table’ should be part of the daily routine to build comprehension.
D - Demonstration
Conversation skill exercises for toddlers can include all that they can learn while you demonstrate the actions. Replaying the same tune or song to your toddler, pretend playing with him using a toy phone, exposing him to other children of his age to learn the skill of communication, and singing to him will go a long way improving speech skills in your tot.
As a parent, you can’t help but wait for this phase in your child’s life and as you prepare for him to become a little chatterbox. Having conversations and watching him hone his speech skills is thrilling and rewarding. Plan activities and games to help him. Pretty soon, he’ll be bombarding you with questions that you’ll have to tirelessly answer! Read more
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My Journey of Motherhood - How Motherhood Has Changed Me
First of all happy motherhood to everyone !!!
I was thrilled when I got to know that I am pregnant. I started loving my baby and looked for baby care books. I read articles on healthy diet, breastfeeding and baby care etc., I prayed, wished and hoped to have a healthy baby. I had a natural birth and the day my baby was born; it felt miraculous. The moment I looked at him that moment became so special to me. I had no idea that I can feel like this for anyone in this world.
I wanted to give best to my baby so I exclusively breastfed my baby till 6 months and I am weaning now in addition to breast milk.
The gift of becoming a mother has made me stronger, more compassionate, and selfless in so many ways. I can say motherhood has changed me completely. I was an outgoing person who used to hate sitting at home, and now I don’t crave to go out. There are days when I don’t even get out of the house. I no longer have a sensitive stomach. I have to be ready for whatever my baby throw at me and not get squirmish about it and if I was in the middle of eating, not lose my appetite. Sometimes when changing my baby's diaper, he moves too much and then oops I just got it on my hands or dress. I learned to laugh more and be quick on my feet. These are learning opportunities for me, and I quickly learned what cleaning products works bests for every situation. I have become more giving, patient in every pursuit.
Whatever I do, wherever I go, I have "Johith" in my mind throughout. If I am going out shopping, I look for baby shops, or if it is a holiday, I research whether the place is suitable for my son.
Sometimes I did not get enough sleep. But when I realised that my baby loved me as much as I loved him. He has shown me what unconditional love is. That was pure happiness, and it motivates me to keep going.
Spending time with my baby is priceless. I am happy to watch him grow, and I can’t believe he is already one year old. A single word can not explain how a mother feels for her child. Being a mother, I would say, is the best job in the world. I will push through every hard thing life throws at me because I want to give my son the best life I can. My goal is to raise my son to be a good, kind, strong and successful person.
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her. Read more
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These Feel-Good ‘Kanyadaan’ Pictures Are So Beautiful, They’ll Leave You Happy-Crying!
Single parents are often sidelined on most happy occasions. Despite the social progress we’ve made today, on many fronts, single parents are still considered ‘unauspicious’. They are often made mere spectators – even at their own children’s wedding! Raji, a single mom from Chennai, wasn’t going to let than happen.
Kanyadaan - the ritual that every Indian parent with a daughter dreads yet awaits. Kanyadaan is a part of the wedding rituals performed by the father and is, in a way, a goodbye that genuinely marks his little girl’s coming-of-age. But what happens when there is no father in the picture?
Raji is separated from her husband and lives and works in Australia. She has played both mom and dad for her daughter Sandhya. So, when it came to Kanyadaan or ‘giving away’ her daughter, Raji didn’t back down. While tradition dictates that a mother watch as the father gives the daughter away, Raji decided to break away from it and do her daughter’s Kanyadaan herself. And rightfully so.
Our traditions and rituals are in place to guide us. But very often, they are taken to be followed to the T. Perhaps, sometimes, we need to be more flexible and accepting, if only to spread happiness and touch more lives.
When Sandhya and Sam got married, the moments captured by photographer Varun Suresh showcase the beautiful emotions that tell the story of a single mother and her pride in giving away her daughter instead of letting traditions dictate her life.
Check them out for yourself:
[caption id="" align="alignnone" width="600"] Source: https://www.varunsuresh.com/blog/2017/2/27/sandhya-and-sams-wedding-at-rinas-venue[/caption]
[caption id="" align="alignnone" width="600"] Source: https://www.varunsuresh.com/blog/2017/2/27/sandhya-and-sams-wedding-at-rinas-venue[/caption]
[caption id="" align="alignnone" width="600"] Source: https://www.varunsuresh.com/blog/2017/2/27/sandhya-and-sams-wedding-at-rinas-venue[/caption]
[caption id="" align="alignnone" width="600"] Source: https://www.varunsuresh.com/blog/2017/2/27/sandhya-and-sams-wedding-at-rinas-venue[/caption]
[caption id="" align="alignnone" width="600"] Source: https://www.varunsuresh.com/blog/2017/2/27/sandhya-and-sams-wedding-at-rinas-venue[/caption]
[caption id="" align="alignnone" width="600"] Source: https://www.varunsuresh.com/blog/2017/2/27/sandhya-and-sams-wedding-at-rinas-venue[/caption]
[caption id="" align="alignnone" width="600"] Source: https://www.varunsuresh.com/blog/2017/2/27/sandhya-and-sams-wedding-at-rinas-venue[/caption]
Even the photographer, Varun Suresh, said, “This wedding definitely got the better of me. The sheer extent of happiness that was shared and celebrated was humbling.”
We couldn’t agree more! Raji is an inspiration for all single parents out there who toil throughout their life to make sure their children are happy. Sometimes, marriages don’t work out, but it is an immense challenge to protect children from the brunt. Raji’s gesture inspires us to embrace happiness and breakaway from restricting traditions – all for the sake of our children.
We wish the newly married couple, Sandhya and Sam, all the best for their future, and we hope they make Raji proud! Read more
Rashmi has added a new answer
Guardian of 0 children
17 hours ago
Q. Hi this is pooja I am 6 weeks 3 days pregnant n m 31 yrs old my doctor prescribed me this interjection called choriotec 5000 once a week for a month .. I have already took two times but now my lil scared so can u pls tell me anyone here is it safe to take more ??? It’s not harmful nah ??? Pls ans dr
Read moreRashmi
Mom of a 9 yr 8 m old girl
17 hours ago
A. Your doctor must have given it to you for a particular reason so I’m just going to advise you to follow what she says yet if you have a doubt or you’re scared about anything then why don’t you just prospect with your Dr as to what what purpose are you taking this and what is meant to be done in case you do not take the injection or you do not want to take
Dr Ghouse has added a new answer
14 hours ago
Q. Mam last perioda mujhe 10 april ko aye the aur aj mene pregnancy test kiya hai to 1 line light ayi h to mujhe kya krna chahiye
Dr Ghouse
Paediatrician
14 hours ago
A. beta HCG test kare ok. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Ghouse has added a new answer
Expecting Mom due in 7 months
13 hours ago
Q. can I eat egg daily?
now I am in 1st trimester
Dr Ghouse
Paediatrician
12 hours ago
A. yes you can eat egg daily even in first trimester. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Vandan H Kumar has added a new answer
Guardian of 0 children
11 hours ago
Q. #asktheexperts
Which are the safe sites to hire japas in New Delhi (EDD July)
Dr Vandan H Kumar
Paediatrician
11 hours ago
A. you can always ask questions related to the health of child and mother in this section and it can bez either related to diet or food or vaccination or any type of medicine goingz on and given by your doctor.
Dr Priyanka Kalra has added a new answer
Guardian of 0 children
15 mins ago
Q. hllo mam I am in 36 week of pregnancy. mostly time i want having sexual intercourse or masturbation. is it safe for my baby mental health
Dr Priyanka Kalra
Obstetrician and Gynaecologist
New Answer
A. no. do ultrasound n necessary tests after consulting a specialist. without proper check up we can't advise or help you.. Avoid shirt cuts when it comes to health if mother n baby. ok.
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