Dr Brotish Mitra

11/04/2023

abdominal hysterectomy in a case of adenomyotic uterus with fibroid with ovarian SOL

25/11/2021

30/05/2021

Oocytes under microscope following retrieval in a case of PCOS with b/l tubal blockage
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22/02/2021

38 yrs old , P 0+2 with anterior and posterior wall fibroids in uterus with serum AMH 1.8 and husband having asthenoteratozoopsermia ...attended opd for infertility treatment ...controlled ovarian hyperstimulation done with short protocol with gnrh antagonist ... embryo retrieved..awaiting frozen transfer in the next menstrual cycle !!!

26/08/2020

Blog2::Serum AMH as marker of ovarian reserve in infertility::

AMH/antimullerian hormone is a glycoprotein exclusively produced by granulosa cells of preantral and small antral follicles of ovary,as the size of the follicular pool diminishes with age,AMH production diminishes and becomes undetectable at menopause.
Advantages over other ovarian reserve markers:
1.little intra/inter cycle variability and hence can be measured on anyday of the cycle
2.earliest marker to show decline
3.thoroughly correlates with antral follicles count(AFC)
4.Age related population nomograms are available for AMH and this provides an opportunity to counsel young women with low AMH regarding prioritizing conception or for oocyte cryopreservation
5.only reliable marker in assessing residual ovarian reserve in young cancer survivors who have received gonadotoxic therapy previously.

24/08/2020

Blog 1::DMPA induced menstrual irregularities ...how to mng ?
Stop inj and convert to ocp ?

Intermenstrual bleeds r common during 1st few injections, best managed by counselling and tranexamic acids........amenorrhea sets in usually after regular doses of dmpa........prolonged amenorrhea after discontinuation is again managed conservatively ...since me**es will return after a lag phase....in case intermenstrual bleeds continue even after 3- 4 doses of dmpa...its can be replaced with a more frequently administered method depending upon what was the primary goal....contraception or cycle regulation.