Sanchari Pal

30/04/2026

So many patients keep on trying naturally and are not able to conceive with such a picture in the abdomen.
The patient was referred with anterior abdominal wall adhesions.
On putting a laparoscope, we found such flimsy adhesions throughout the abdomen: TYPICAL of abdominal Koch's.
As a surgeon, it is very important to know when to NOT operate. So we did a little adhesiolysis, took a peritoneal biopsy (she had no previous H/o TB) and informed the attendants.

Ge***al and abdominal Koch's is notoriously difficult to treat. In a country like India, unfortunately, an infectious disease like TB is still the cause of much morbidity and mortality. The awareness is low and the diagnosis is even lower. In such cases, best to be completely transparent with your patients wrt the findings.

Consultation: 8017405355

[Tuberculosis, abdominal Koch's, abdominal TB, infertility, chronic infertility, trying to conceive, laparoscopy, adhesions, ge***al TB, minimally invasive gynecology, TB]

❤️💞❤️

29/04/2026

Came across this speculum examination today in the OT and thought I should be sharing.

It has been quite some time since I saw such BAD vaginal candidiasis. Young recently married female, with severe vaginal itching and curdy white vaginal discharge and very painful s*xual in*******se.
Women, PLEASE don't ignore such symptoms. Please don't self medicate and keep on using vaginal washes. Please go to a Gynaec and get yourself checked. Such bad infections need extensive antifungal treatments.
Go get your discharge checked today!

[vaginal candidiasis, candida infection, vaginal discharge, fungal infection, s*xual health, STI,vaginosis, BV, vaginal itching]

Consultation: 8017405355

*xualhealth

24/04/2026

LONG video alert but HEAR ME OUT:

Gender selective fertility planning is something that I'm very vocally and passionately against.
PLEASE don't ask your doctors to transfer gender selective embryos. It's illegal in India.

Guys, it is 2026. The doctor treating you is a lady. Get over it!

[gender selection, pre natak s*x determination, pre implantation genetic testing, euploid embryo, misogyny, patriarchy, misogyny in healthcare, s*xism, fertility doctor, ttc, embryo transfer, IVF]

Consultation: 8017405355

*xism

20/04/2026

I had promised you guys that I'll try to show a live embryo transfer.
So, today's pateint consented and I recorded the procedure in bits and pieces. It's a little challenging since it is THE MOST important step during any IVF cycle. Embryo transfers can literally make or break life.

Keeping fingers crossed for a positive response in this lady!

[embryo transfer, frozen embryo transfer, IVF, fertility, ttc, trying to conceive, fertility doctor, fertility journey, pregnancy, fertility treatment]

Consultation: 8017405355

❤️💞❤️

16/04/2026

A very common complaint that patients come to me with is first trimester spotting or bleeding vaginally.
This is one of the commonest presentations of the same which is known as a subchorionic bleed, wherein there is a blood clot formation just under the developing fetus and gestational sac. Such cases warrant close monitoring, and caution.
70% of these pregnancies go on to be uneventful pregnancies and deliver healthy babies but it is extremely anxiety inducing for the mother and her family.
However, bed rest has NO ROLE in preventing or treating such bleeding. Strenuous activity is preferably avoided and that's it.
Happy pregnancy, mommies!

Consultation: 8017405355

[pregnancy scan, ultrasound, TVS, first trimester, first trimester bleeding, subchorionic bleed, fetal heart, baby heartbeat, miscarriage, abortion, threatened abortion]

❤️💞❤️

15/04/2026

Busy OT days are the best!
8 OPUs in 2 hours, no time to sit still and the Type A personality in me just thrives in this chaos!
Excellent oocytes in most patients and the best part? All women went home within 60 minutes of their procedure timing!
IVF when done with precision and in a quality controlled environment does not warrant major lifestyle disruptions. It's 2026, go attend that client presentation in the second half!
Hopimg to make good embryos in each of these beautiful women, fingers crossed!

Consultation: 8017405355

14/04/2026

Once a caesarean is not always a caesarean.

If your previous caesarean was due to purely due to non-recurrent reasons like fetal distress, me Ono I’m stinking, non-progress of labour (just a few examples), you can most definitely ask your ObGyn about “trial-of-labour-after-caesarean” (TOLAC). She is going to assess your pelvis, assess the baby’s parameters and then take an informed call.
Happy birthing,mommie-to-be!

[caesarean section, normal delivery, vaginal birth, vaginal birth after caesarean, trial of labour, third trimester, mommie-to-be, birthing, childbirth, labour and delivery, pregnancy and childbirth]

Consultation: 8017405355

08/04/2026

O**m pickup or oocyte retrieval is one of the commonest procedure for a fertility specialist.
It is of paramount important in an IVF cycle as well as those looking to freeze their oocytes.

A short demonstration of the procedure which is my everyday morning routine!
The procedure is simple, painless and the patient is usually discharged 2-3 hours post the procedure.

Consultation: 8017405355

[o**m pickup, oocyte retrieval, egg freezing, IVF, ttc, infertility, ultrasound, ultrasound guided procedure, ICSI]

**mpickup

07/04/2026

06/04/2026

What to make of these words?

Euploid, aneuploid, mosaic, high mosaic, low mosaic?

A short insight into the world of preimplantation genetic testing. Take informed decisions and form informed decisions.

[pigt, IVF, IVF failures, infertility, ttc, fertility doctor, obgyn, frozen embryo transfer, aneuploid embryo, recurrent implantation failure, genetic testing]

Consultation: 8017405355

❤️💞❤️

03/04/2026

Perfect embryos. Perfect endometrial thickness. But persistent UPT negatives?

Just because your embryo is looking good does not mean the content will always be good.
Aneuploid embryos have a lower chance of implantation and even if they do implant, there is a 90% increase in miscarriage rates.
Be one step ahead. Discuss PIGT with your doctor today!

Consultation: 8017405355

[PIGT, IVF, trying to conceive, miscarriage, recurrent implantation failure, multiple IVF failures, blastocyst, genetic testing, medical genetics, aneuploidies, euploid embryo, blastocyst, Day 5 embryo, fertility, endometrial thickness]

02/04/2026

A very good morning today after lots and lots of fertility struggle for this couple.

She has conceived with twins!
Low AMH and 3 IVF failures later (one of which was with us), she has finally conceived with twins this time.
We can see the two beautiful gestational sacs each with their own yolk sacs with good colour flow around each of the gestational sacs.

Hoping and praying that there is a good heartbeat in both the sacs when I next scan her. Will update you guys!
Happy pregnancy to every mother and best wishes to everyone who is !

May April be your lucky month!

Consultation: 8017405355

Twin pregnancy, IVF pregnancy, early pregnancy, first trimester, transvaginal scan, twin mother, twin babies, embryo transfer, trying to conceive, gestational sac, yolk sac, twins, pregnancy, mother, mommy-to-be