Garima Sachdeva

Scopus Publications

Fresh transfer of an average quality slow growing day-3 embryo versus frozen transfer in a poor responder: a clinical management dilemma
Garima Sachdeva, R Suchindra, Arveen Vohra, and R Devi
GN1 Sistemas e Publicacoes Ltd.



A non-classical presentation of scar endometriosis during pregnancy: Case report and review of literature
Garima Sachdeva, PS Divyashree, and Shailaja N
GN1 Sistemas e Publicacoes Ltd.
Scar endometriosis is an uncommon condition in which endometrial tissue grows in a previous surgery wound site. The triad of scar endometriosis includes the history of caesarean section or any other gynecological surgery, cyclical waxing, and waning pain accompanied by the patient's menstrual cycle and a tumor inside/near the scar site. Here, we present a case report in which the patient presented with endometriosis at the previous caesarean section scar site. She had classical clinical and imaging characteristics for scar endometriosis. However, histopathology was not diagnostic for the same. The pathogenesis, presentation, diagnosis, and management are discussed briefly. The diagnosis of scar endometriosis is based on clinical presentation and imaging. Fibrosis on histopathology is an important component of endometriosis that cannot be overlooked.


Management of peri-ovarian hematoma following oocyte retrieval in a pooling cycle IVF: Case report
Garima Sachdeva, Devi R, Kamini A Rao, and Madhuri Vidyashankar P
GN1 Sistemas e Publicacoes Ltd.
Here we report a case of peri-ovarian hematoma following ovum pick-up in a patient in a pooling cycle IVF (in vitro fertilization). We have attempted to discuss the possible mechanisms for the development of hematoma in such patients, the common clinical presentation, monitoring, and management of these cases. The decision to operate or to manage conservatively forms an important aspect of managing such patients. This case report can help to keep the clinicians alert while managing this subgroup of patients.


Reversible unilateral abducens nerve palsy in a patient with scrub typhus-a clinical diagnostic dilemma
Rahul Choudhary, Gaurav Katoch, Garima Sachdeva, and Sweta Kushwah
Nepal Journals Online (JOL)
Scrub typhus is an acute febrile rickettsial disease caused by Orientia tsutsugamushi. It infects endothelial cells and causes vasculitis, the predominant clinico-pathological feature of the disease. This results in disseminated inflammatory perivascular lesions leading to damage to the blood vessels affecting multiple end organs. Abducens nerve palsy is a known but extremely rare and reversible complication of scrub typhus. We present a case of scrub typhus with sixth cranial nerve involvement which responded to treatment with doxycycline.


Comparison of clinical, metabolic, hormonal, and ultrasound parameters among the clomiphene citrate-resistant and clomiphene citrate-sensitive polycystic ovary syndrome women
Shalini Gainder, Garima Sachdeva, Vanita Suri, Naresh Sachdeva, and Seema Chopra
Medknow
Objective: The objective of the study is to compare the clinical, metabolic, hormonal, and ultrasound parameters among the clomiphene citrate (CC)-sensitive and CC-resistant polycystic ovary syndrome (PCOS) women. Materials and Methods: This was a prospective observational study. Setting: The study was conducted at the infertility outpatient department in a government hospital. Sample Size: A total of 164 women with PCOS-related infertility were included. Intervention: Incremental dose of CC from 50 mg/day to 100 mg/day to 150 mg/day over three cycles was given. Response: Ovulation was the outcome. Those who failed to ovulate with 150 mg CC were CC resistant. Results: Of the total 164 PCOS women, 88 (53.7%) were CC resistant and 76 (46.3%) were CC sensitive. Of the 76 PCOS women who ovulated, maximum, i.e., 37 (22.6%) women ovulated with 100 mg CC. The most common diagnostic feature of PCOS in this study was hyperandrogenism (96.3%). CC-resistant PCOS women had significantly higher weight, waist circumference, waist-hip ratio, and body mass index (BMI). Significantly longer menstrual cycles and hyperandrogenism were significantly more common in CC-resistant group. CC-resistant group had a significantly higher ovarian reserve (ovarian volume, antral follicle count, and anti-Müllerian hormone values). Baseline luteinizing hormone (LH) values and LH-follicle stimulating hormone ratio were significantly higher in the CC-resistant group. Conclusion: Clomiphene-resistant PCOS women have significantly higher hyperandrogenism, longer cycles, more deranged metabolic profile, higher BMI, and ovarian reserve. These differences should be kept in mind while deciding the ovulation induction protocol.


Comparison of the different PCOS phenotypes based on clinical metabolic, and hormonal profile, and their response to clomiphene




Obese and non-obese polycystic ovarian syndrome: Comparison of clinical, metabolic, hormonal parameters, and their differential response to clomiphene




Prediction of responsiveness to clomiphene citrate in infertile women with PCOS




Conservative approach in a patient with cervical intraepithelial neoplasia type-3 (CIN 3) in pregnancy: Impact on disease progression and pregnancy outcome
Pradip Kumar Saha, Garima Sachdeva, Rashmi Bagga, Jaswinder Kaur Kalra, and Pranab Dey
JCDR Research and Publications



Evaluation of efficacy of peri-operative administration of hydrocortisone and dexamethasone in prevention of post-operative complications in oral and maxillofacial surgeries
Supriya G. Bhandage, Manjunath S. Kurki, Garima Sachdeva, Nishanth Shetty, Mainak Kundu, and Achla Bharti Yadav
Inspira Network Group



Reliability of intra-oral camera using teledentistry in screening of oral diseases – Pilot study
Kalyana Chakravarthy Pentapati, Preetinanda Mishra, Mehrshad Damania, Siddharth Narayanan, Garima Sachdeva, and Geetanshu Bhalla
Elsevier BV