Ask the Infertility Expert - Free medical Advice for infertile couples from Dr Malpani, Malpani Infertility Clinic: Expert on Male and Female Infertility

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Free Second Opinion -- Ask the Infertility Expert

Dr Malpani would be happy to provide a second opinion on your problem. This is a free service I provide as a labour of love ( I believe in karma, and feel that by helping you, I am helping myself ! )

You can read what users of this service feel about it here.

Please fill in the following details . This should take about 15 minutes. This is basic medical information which every infertile couple must know . While you don't have to fill in all the information, please remember that the more the detail you provide and the better the question you ask, the better my answer will be ! If you don't understand any of the terms, please read How to Have a Baby.

If you cannot fill out this form, this means you need to become better informed about your problem - please review your medical records and talk to your doctor ! Keeping a printout of the completed form will also help you talk to your present doctor and get a second opinion from a new doctor.

This form comes to me and I answer all my email personally, so you can rest reassured that your privacy and confidentiality are strictly maintained. It normally takes me about 2 days to reply to your queries.

Date
Name of Wife
Name of Husband
Email Address	Please ensure that this is a valid email address ( for example, abc@xyz.com) - you will not be able to read my reply if you make a mistake ! Please also make sure you can receive emails at this address - don't use a company email id which often blocks emails from unknown senders.
Where do you live ?
How long have you been married ?
How long have you been trying to get pregnant ?
How long have you been trying to get pregnant with a doctor's help ?
Was it a General Gynecologist or an Infertility Specialist ?
Why do you think you are not getting pregnant (what is your diagnosis?) ?

FEMALE HISTORY

Age Birthdate ( eg 20 June 1971) Height ( ft ) Weight ( kg)
Menstrual periods occur every days.
Are they regular ?
For how many days do you bleed ?
Have you been told you have endometriosis ?
Have you ever had pelvic inflammatory disease (PID) ?
What pelvic surgeries have you had ? Which year ?
What were the findings ?
Number of pregnancies with this partner. Which year ? What was the outcome ?
Number of pregnancies with a previous partner. Which year ? What was the outcome ?
Number of miscarriages (abortions). Which year ? How many weeks pregnant were you ?
Number of tubal ( ectopic) pregnancies. Which year ? What was the outcome ?
Number of live births. Which year ?
Medical problems and current medications of female partner:

MALE HISTORY

Age Birthdate( eg 20 June 1971)
Number of pregnancies with a previous partner. Which year ?
Do you have problems with erection or ejaculation ?
Sperm count: million per ml.	Motility %
Male medical problems and current medications. If you have an abnormal semen analysis report , please enter the details here. Provide as much detail as you can, including the dates of the reports.	Please enter your details of your semen analysis report here.

MEDICAL TESTS

Have you had:
Test	Yes / No	Date	Result
Hysterosalpingogram ( X-ray of the uterus and tubes)	Yes No
Laparoscopy ( telescope placed through the belly button to see inside your abdomen)	Yes No
Hysteroscopy ( telescope placed into the uterus through the vagina to see the inside of the uterus)	Yes No
Hormonal blood tests.	Yes No		Please enter the values of your blood test reports below.
FSH	Yes No
LH	Yes No
Prolactin	Yes No
TSH	Yes No
Other	Yes No

MEDICAL TREATMENT

		How Many	Date	Any Success
Ultrasound monitoring
	Yes No
Clomiphene stimulation with intercourse
	Yes No
Clomiphene stimulation with insemination (IUI)
	Yes No
HMG stimulation with intercourse
	Yes No
(IUI) without any stimulation
	Yes No
Injectable HMG stimulation with insemination (IUI)
	Yes No
In vitro fertilization (IVF)
	Yes No
ICSI
	Yes No

Give details of IVF / ICSI results, if applicable.

Stimulation protocol used	Follicles grown	Embryos formed	Embryos transferred	Embryos frozen

Are there other pertinent test results, procedures or problems that have been identified?

My question (try to keep this as specific as possible , please !) to Dr Malpani is:

Address:Dr Malpani, Malpani Infertility Clinic,
Jamuna Sagar, Shahid Bhagat Singh Road,
Colaba, Bombay 400 005.
Tel: 91-22-22151065, 91-22-22151066
Fax: 91-22-2215 0223
Email: info@drmalpani.com
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