Abnormal Uterine Bleeding: The PALM-COEIN Causes Explained
Abnormal uterine bleeding is any bleeding from the uterus that is irregular in timing, too heavy, too long or occurs between periods, in a woman who is not pregnant. Doctors use the FIGO PALM-COEIN system to sort its causes into structural ones (polyps, adenomyosis, fibroids, cancer) and non-structural ones such as hormonal and clotting problems.
Adenomyosis with Deep Endometriosis: Treatment Explained
Quick answer: When adenomyosis and deep endometriosis occur together, treatment starts with accurate mapping by expert ultrasound or MRI. Hormonal suppression controls symptoms in many women. Surgery to excise deep nodules is considered for persistent pain, organ involvement or fertility reasons, and is planned with the uterus, ovaries and future pregnancy in mind. Hysterectomy alone does not remove deep endometriosis.
High-Risk Pregnancy Care near Jakkur with Dr. Divya Venugopalan
For high-risk pregnancy care near Jakkur, Dr. Divya Venugopalan, an obstetrician with 14+ years’ experience, consults nearby in North Bengaluru at Sahakar Nagar and Thanisandra. She provides closer antenatal monitoring for conditions such as high blood pressure, diabetes, thyroid disease, twins, IVF pregnancies or age over 35, and plans a safe delivery with you.
Antagonist vs Agonist IVF Protocol: Which Is Right for You?
Both antagonist and agonist IVF protocols stop you ovulating too early so eggs can be collected. The antagonist protocol is shorter, needs fewer injections and has a lower risk of ovarian hyperstimulation, so guidelines prefer it for most women. The long agonist protocol is still useful in selected cases, and live birth rates are broadly similar.
Failed IVF: Next Steps After an Unsuccessful Cycle
After a failed IVF cycle, the next steps are to rest and recover, then have a structured review with your doctor: how your ovaries responded, egg and embryo quality, the transfer, and the uterus. Most failures are due to embryo chromosomal problems, but a review can reveal changes that improve the next attempt.