The field of gynecology is a crucial aspect of women’s healthcare, encompassing a wide range of conditions and disorders that affect the female reproductive system. Dr. Veena Agrawal, a renowned gynecologist, has dedicated her career to unraveling the intricacies of gynecological health. Her latest book, “Gynecology Decoded: Understanding and Managing Common Disorders,” is a comprehensive guide that offers valuable insights into the various disorders and conditions that women may encounter during their lives. In this article, we will explore some of the key highlights from Dr. Agrawal’s book, shedding light on the importance of understanding and managing these common disorders.
Understanding the Female Reproductive System
Dr. Agrawal begins her book by elucidating the complex and beautifully intricate female reproductive system. To understand and manage gynecological disorders effectively, it is essential to comprehend the various components and their functions. Dr. Agrawal delves into the anatomy, hormonal regulation, and menstrual cycle, providing readers with a solid foundation to navigate the world of gynecology.
Common Gynecological Disorders
Gynecological disorders are diverse, affecting women at various stages of their lives. Dr. Agrawal identifies and explains many common disorders, such as:
Menstrual Irregularities: Menstrual irregularities, including heavy bleeding, missed periods, and painful cramps, are discussed comprehensively. Dr. Agrawal explores the underlying causes and possible treatments, emphasizing the importance of early intervention.
Polycystic Ovary Syndrome (PCOS): PCOS is a prevalent endocrine disorder that affects many women. Dr. Agrawal outlines the symptoms, diagnosis, and management strategies for this condition, focusing on lifestyle modifications and medical interventions.
Endometriosis: Endometriosis is a painful disorder where tissue similar to the uterine lining grows outside the uterus. The book explores various treatment options, including surgical and non-surgical approaches, to alleviate the suffering caused by this condition.
Pelvic Inflammatory Disease (PID): PID is an infection of the female reproductive organs. Dr. Agrawal highlights the importance of prompt diagnosis and treatment to prevent complications like infertility and chronic pain.
Cervical Cancer: Cervical cancer is a serious concern for women worldwide. Dr. Agrawal emphasizes the role of routine screenings and vaccinations against HPV (Human Papillomavirus) in preventing this disease.
Management and Treatment Options
One of the strengths of Dr. Agrawal’s book is her ability to simplify complex medical information, making it accessible to a broader audience. She provides valuable insights into the management and treatment of these common gynecological disorders. From lifestyle modifications and preventive measures to surgical interventions and pharmaceutical treatments, the book serves as a practical guide for both patients and healthcare professionals.
Preventive Healthcare and Empowerment
Dr. Agrawal’s book goes beyond simply explaining the disorders; it encourages women to take charge of their reproductive health. She stresses the importance of regular check-ups, screenings, and early intervention. Empowering women with knowledge allows them to make informed decisions about their health and well-being.
“Gynecology Decoded: Understanding and Managing Common Disorders” by Dr. Veena Agrawal is a valuable resource for women of all ages and medical professionals alike. Dr. Agrawal’s extensive knowledge, compassionate approach, and ability to demystify complex medical concepts make this book an essential addition to any woman’s library. By understanding the common gynecological disorders that affect women and their management, individuals can take proactive steps towards a healthier, more informed, and empowered future. Dr. Agrawal’s book serves as a beacon of hope and knowledge in the field of women’s healthcare, advocating for a brighter, healthier future for women around the world.
Endometriosis, a complex and often debilitating gynecological condition, has been on the rise in recent years, affecting millions of women worldwide. It is a disorder in which the tissue that typically lines the uterus, known as the endometrium, grows outside the uterine cavity, leading to painful symptoms and potential fertility issues. As the prevalence of endometriosis continues to increase, it is crucial for women to understand its diagnosis and the range of treatment options available. In this article, Dr. Veena Agrawal, a renowned gynecologist, sheds light on the diagnosis and treatment of endometriosis.
Endometriosis affects approximately 10% of women of reproductive age, making it a significant health concern. The condition primarily involves the presence of endometrial-like tissue in areas outside the uterus, such as the ovaries, fallopian tubes, pelvic peritoneum, and other pelvic organs. During the menstrual cycle, these ectopic tissues respond to hormonal changes, just like the normal endometrium, resulting in inflammation, pain, and potential formation of scar tissue (adhesions).
Diagnosis of Endometriosis:
Diagnosing endometriosis can be challenging due to its varying symptoms and the potential overlap with other gynecological conditions. Dr. Veena Agrawal emphasizes the importance of a comprehensive evaluation to achieve an accurate diagnosis. The following are common diagnostic approaches:
Symptom Assessment: Patients experiencing chronic pelvic pain, painful periods (dysmenorrhea), pain during intercourse (dyspareunia), and abnormal menstrual bleeding should seek medical attention promptly.
Physical Examination: A thorough pelvic examination is necessary to identify any masses, tender areas, or abnormalities that might indicate endometriosis.
Imaging Studies: Ultrasonography, magnetic resonance imaging (MRI), or transvaginal ultrasound can provide visual clues to the presence of endometriotic lesions.
Laparoscopy: The gold standard for diagnosing endometriosis is laparoscopy, a minimally invasive surgical procedure. During laparoscopy, a small camera is inserted through a tiny incision in the abdomen to visualize and biopsy any suspected endometriotic tissue.
Treatment Options for Endometriosis:
Endometriosis management involves a multidimensional approach aimed at relieving symptoms, preserving fertility, and improving the quality of life. Dr. Veena Agrawal outlines several treatment options tailored to each patient’s specific needs:
Pain Management: Over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can help alleviate mild to moderate pain associated with endometriosis.
Hormonal Therapy: Hormonal treatments, including birth control pills, progestins, and gonadotropin-releasing hormone (GnRH) agonists, aim to suppress hormone fluctuations, reducing endometrial tissue growth and relieving symptoms.
Surgery: Laparoscopic surgery can be both diagnostic and therapeutic. In more severe cases, excision or ablation of endometriotic lesions and adhesions can provide significant relief.
Assisted Reproductive Technologies (ART): For women experiencing infertility due to endometriosis, ART, such as in vitro fertilization (IVF), may be recommended to improve their chances of conception.
Lifestyle Modifications: Adopting a healthy lifestyle that includes regular exercise, a balanced diet, and stress management can aid in symptom management.
As the incidence of endometriosis continues to rise, it is vital for women to be aware of its symptoms, diagnosis, and treatment options. Dr. Veena Agrawal stresses the importance of seeking medical attention promptly if any concerning symptoms arise. With early diagnosis and proper management, women living with endometriosis can experience improved quality of life and enhanced reproductive outcomes. Through ongoing research and increased awareness, we can address the rise of endometriosis and strive for better outcomes and support for those affected by this challenging condition.
Introduction: Bacterial vaginosis (BV) is a common vaginal infection that occurs when the balance of bacteria in the vagina is disrupted, leading to an overgrowth of harmful bacteria. It can cause discomfort and affect a woman’s quality of life. In this article, we will explore the causes, symptoms, and treatment options for bacterial vaginosis, providing valuable insights into this condition. Dr. Veena Agrawal, a respected gynecologist, shares her expertise to help you understand and manage bacterial vaginosis effectively.
Causes of Bacterial Vaginosis: Dr. Agrawal explains that the exact cause of bacterial vaginosis is still not fully understood. However, certain factors can contribute to its development:
Imbalance of Vaginal Bacteria: The vagina naturally contains a mix of beneficial bacteria (Lactobacillus) and potentially harmful bacteria. When there is a disruption in the balance, the harmful bacteria can multiply and cause bacterial vaginosis.
Sexual Activity: Although bacterial vaginosis is not classified as a sexually transmitted infection (STI), having multiple sexual partners or engaging in unprotected sex can increase the risk of developing this condition.
Douching: Regular douching can disturb the natural balance of vaginal bacteria, making the vagina more susceptible to bacterial overgrowth.
Hormonal Changes: Fluctuations in hormonal levels, such as during pregnancy or menopause, can disrupt the vaginal environment and increase the likelihood of bacterial vaginosis.
Symptoms of Bacterial Vaginosis: Dr. Agrawal highlights the following common symptoms of bacterial vaginosis:
Abnormal Vaginal Discharge: The most prevalent symptom is a thin, grayish-white or greenish vaginal discharge with a distinct fishy odor. The odor may become more noticeable after sexual intercourse.
Vaginal Itching and Irritation: Some women may experience itching and irritation in the vaginal area, which can cause discomfort.
Burning Sensation during Urination: Bacterial vaginosis can cause a burning sensation or pain while urinating.
No Symptoms: It is important to note that some women with bacterial vaginosis may not experience any noticeable symptoms, making regular gynecological check-ups crucial for early detection.
Treatment Options for Bacterial Vaginosis: Dr. Agrawal emphasizes that bacterial vaginosis should be promptly treated, even if you do not have symptoms. The following treatment options may be recommended:
Antibiotics: The most common treatment for bacterial vaginosis involves prescribed oral antibiotics or vaginal creams/gels containing antibiotics. These medications help restore the balance of bacteria in the vagina.
Probiotics: Probiotics, such as Lactobacillus supplements, can be beneficial in promoting the growth of healthy bacteria in the vagina. They may be used alongside antibiotic treatment to help maintain a healthy vaginal environment.
Lifestyle Changes: Dr. Agrawal suggests certain lifestyle modifications to reduce the risk of recurrent bacterial vaginosis. These include avoiding douching, using unscented products in the genital area, wearing breathable cotton underwear, and practicing safe sexual habits.
Partner Treatment: It is important to inform your sexual partner about your bacterial vaginosis diagnosis so that they can also seek appropriate treatment. This helps prevent reinfection and promotes a healthy sexual relationship.
Conclusion: Bacterial vaginosis is a common vaginal infection that can cause discomfort and disrupt a woman’s daily life. Understanding the causes, recognizing the symptoms, and seeking timely treatment are crucial in managing this condition effectively. Dr. Veena Agrawal, a gynecologist, has provided valuable insights into bacterial vaginosis, shedding light on its causes and treatment options. Remember, maintaining good vaginal hygiene, practicing safe sex, and seeking regular gynecological check-ups are key to promoting vaginal health and preventing bacterial vaginosis.
LifeCare Women’s Health is a premier gynecological and obstetrics center located at AHRI, dedicated to providing exceptional healthcare services to women of all ages. At LifeCare Women’s Health, we are committed to providing comprehensive care for all your healthcare needs, including gynecological exams, pregnancy care, menopause management, and more.
Leading our team of healthcare professionals is Dr. Veena Agrawal, a board-certified obstetrician-gynecologist with over a decade of experience in the field. Dr. Veena Agrawal is dedicated to providing the highest level of care to her patients and is committed to ensuring that every woman who visits LifeCare Women’s Health feels comfortable and supported throughout their healthcare journey.
At LifeCare Women’s Health, we understand that every woman’s healthcare needs are unique, and we tailor our services to meet those individual needs. Our comprehensive gynecological services include annual exams, pap smears, HPV testing, and screening for sexually transmitted infections. We also provide contraceptive counseling and can help you choose the best method of birth control that meets your individual needs.
If you’re expecting a baby, our obstetrical services provide the support and care you need throughout your pregnancy journey. From prenatal care and ultrasounds to labor and delivery, we are committed to ensuring a safe and healthy delivery for both you and your baby. We also offer postpartum care and support for breastfeeding mothers.
In addition to our gynecological and obstetrical services, we offer menopause management services to help women navigate the physical and emotional changes that come with this stage of life. We provide hormonal and non-hormonal treatment options to help alleviate symptoms and improve your overall quality of life.
At LifeCare Women’s Health, we understand that healthcare can be intimidating, especially when it comes to women’s health. That’s why we strive to create a welcoming and comfortable environment for every patient who visits us. We take the time to listen to your concerns and answer any questions you may have, so you feel empowered and informed about your healthcare choices.
In conclusion, LifeCare Women’s Health is committed to providing exceptional care to women of all ages. With Dr. Veena Agrawal at the helm of our team of healthcare professionals, we are dedicated to ensuring that every woman who visits us receives the highest level of care and support. Whether you’re in need of gynecological care, obstetrical services, or menopause management, we are here for you every step of the way. Contact us today to schedule an appointment and experience the difference that LifeCare Women’s Health can make in your healthcare journey.
Pregnancy is a wonderful journey, but it can also bring about a number of physical changes and challenges. One of the best ways to stay healthy and manage these changes is through exercise. In this article, we’ll discuss safe and effective exercise during pregnancy, with expert advice from Dr. Sonali Agrawal, an experienced obstetrician and gynecologist.
Benefits of Exercise During Pregnancy Exercise has numerous benefits for pregnant women, including:
Reducing the risk of gestational diabetes and preeclampsia
Improving mood and reducing stress and anxiety
Easing back pain and other pregnancy-related discomforts
Preparing the body for labor and delivery
Improving sleep quality
Tips for Safe and Effective Exercise During Pregnancy Dr. Agrawal recommends the following tips for safe and effective exercise during pregnancy:
Consult your doctor: Always consult your doctor before starting any exercise program, especially during pregnancy. Your doctor can advise you on which exercises are safe for you and your baby.
Stay hydrated: Drink plenty of water before, during, and after exercise to stay hydrated.
Avoid high-impact exercises: High-impact exercises, such as running and jumping, can put stress on the joints and increase the risk of injury. Instead, opt for low-impact exercises, such as walking, swimming, and prenatal yoga.
Don’t overdo it: Avoid overexerting yourself and listen to your body. If an exercise feels uncomfortable or painful, stop and rest.
Use proper form: Use proper form and technique during exercise to avoid injury. Consider working with a certified prenatal fitness instructor who can guide you through safe and effective exercises.
Wear comfortable clothing: Wear loose, comfortable clothing and supportive shoes during exercise.
Avoid lying on your back: After the first trimester, avoid exercises that require lying on your back for extended periods, as this can decrease blood flow to the uterus.
In conclusion, exercise during pregnancy can provide numerous benefits for both you and your baby, but it’s important to exercise safely and effectively. By following these tips recommended by Dr. Agrawal, you can stay healthy, manage pregnancy-related discomforts, and prepare your body for labor and delivery. Always consult your doctor before starting any exercise program and listen to your body during exercise. With proper care and attention, exercise can be a safe and enjoyable part of your pregnancy journey.
Gynecology is the branch of medical science that deals with the health maintenance and diseases of women, especially of the reproductive organs. Obstetrics is the branch of medicine deals with the treatment of women during pregnancy, labor, before and after childbirth.
Obstetrics and Gynecology, often abbreviated to Ob/Gyn, is a single entity which deals with the female reproductive organs in gestating and non-gestating situation. Obstetrics was originally a separate branch of medicine, and gynecology comes under the division of surgery.
Obstetrics and Gynecology is the field of medicine dealing with antenatal care and assessment, postpartum care, prenatal diagnosis, bleeding in pregnancy, coagulation disorders in pregnancy, hypertension in pregnancy, medical disorders in pregnancy, infections in pregnancy, psychiatric disorders in pregnancy, fetal growth restriction, multiple pregnancy, fetal medicine, molecular genetics in obstetrics and gynaecology, HIV in obstetrics and gynaecology, infections in gynaecology, pelvic pain, endometriosis, menopause, contraception, therapeutic abortion, recurrent miscarriage, reproductive medicine, infertility: male and female, cervical neoplasia, uterine tumours, ovarian cancer, urogynaecology, obesity, sexual medicine, imaging in obstetrics and gynaecology.
Dr. Veena Agrawal is the senior-most and the best gynecologist in Gwalior with the experience of conducting 4800+ successful surgeries. She possesses expertise in almost all types of treatment related to gynecology and obstetrics. Under the supervision and guidance of Dr. Veena Agrawal, the gynecology wing at AHRI conducts several wellness check-up programs for screening and diagnosis of some chronic diseases such as breast cancer and cervical cancer. She is of opinion that adequate treatment is the right of every patient and money should not become an obstacle in this. It is her initiative that has encouraged the gynecology and obstetrics department at AHRI to design such an economic and patient-friendly treatment structure.
Under the comprehensive supervision of Dr. Veena Agarwal, the AHRI renders the best technological support covering the full range of healthcare services like painless deliveries, minimally invasive surgeries, management of high-risk or late pregnancies, fertility care, reproductive disorders, gynecological urgent surgery and educational and support facilities for all a woman’s requirements.
Dr. Veena Agrawal is the senior-most and the best Gynecologist in Gwalior with the experience of conducting 4800+ successful surgeries. She possesses expertise in almost all types of treatment related to gynecology and obstetrics.
Dr. Veena believes that Women of different age groups have different medical concerns that should be addressed according to the nature of problem. She keeps safety and comforts her patients at the top priority. Besides being the best gynecologist in Gwalior she is an expert in guiding and counseling her patients as well.
Under her mentorship and guidance, department of Gynecology and obstetrics at AHRI Gwalior offers the best women healthcare. It ensures facilities throughout all the phases of existence along with the efficient management of related diseases. The department renders the best technological support covering the full range of healthcare services like painless deliveries, minimally invasive surgeries, management of high-risk or late pregnancies, fertility care, reproductive disorders, gynecological urgent surgery and educational and support facilities for all a woman’s requirements.
Dr. Veena Agrawal serves her patients with utmost compassion and care. She is of opinion that adequate treatment is the right of every patient and money should not become an obstacle in this. It is her initiative that has encouraged the gynecology and obstetrics department at AHRI to design such an economic and patient-friendly treatment structure.
Under the supervision and guidance of Dr. Veena Agrawal the gynecology wing at AHRI conducts several wellness check-up programs for screening and diagnosis of some chronic diseases such as breast cancer and cervical cancer.
In recent years, cosmetic gynaecology has gained a lot of popularity. This aids the women in overcoming a number of harmful consequences of childbearing and age. Additionally, it boosts women’s self-esteem regarding their physical looks. There are still many misunderstandings about the treatment process because this sector is fairly new and has only recently emerged. If you’re considering cosmetic gynaecology but are unsure of all of its benefits, hang in there and read this blog post all the way through.
Dr. Sonali Agarwal has provided advice and recommendations on cosmetic gynaecology in this blog. IVF specialist Dr. Sonali Agarwal is the top gynaecologist in Gwalior for treating infertility. She has performed numerous essential procedures, including endoscopic surgeries and numerous high-risk pregnancies, successfully during the course of her more than ten years of practise. She is currently employed by the Agarwal Healthcare and Research Institute in Gwalior’s gynaecological and obstetrics department.
Dr. Sonali Agarwal not only explains what cosmetic gynaecology is in reality in this article, but she also goes through some of its many advantages. Dr. Agarwal claims that vaginoplasty, labiaplasty, hymenoplasty, and thermiva are the four dimensions that cosmetic gynaecology can be generically divided into.
When having regular sexual relations or giving birth, the vaginal opening widens. The lost vaginal elasticity can be restored through vaginoplasty. According to Dr. Sonali Aggarwal, this problem is most prevalent among women over the age of 40. Vaginal tightening and restoration to its natural or original state are achieved through vaginal augmentation, which involves the rebuilding of injured vaginal cavity tissues.
In order to do this, the superfluous skin in the inner and outer labia must be removed. The laser is a key therapy tool, according to Dr. Sonali Agarwal. Additionally, labiaplasty is quite beneficial for improving sexual comfort.
Hymenoplasty, also known as hymenorrhaphy, is the formation, reconstruction, or correction of a woman’s hymen. According to Dr. Sonali, it is the most contentious procedure in the field of cosmetic gynaecology since it deals with the virginity of an unmarried woman who may hold strong religious beliefs. In addition, this technique is quite helpful in repairing the hymen, which can be ruptured or ripped at different times during a woman’s life, whether as a result of tampon addiction, exercise, or intercourse.
It is a non-surgical method of treating vaginal problems. According to Dr. Agarwal, the introduction of thermiva is a blessing for women who do not wish to have their vaginas surgically treated.
Here, a cosmetic gynaecologist creates a small quantity of heat under controlled radiofrequency radiation, which is then applied to the treated vaginal region. The area it is applied to gets tighter thanks to the heat.
Cosmetic gynaecology benefits women in a number of ways. Visit the cosmetic gynaecology vertical at AHRI Gwalior if you would like to benefit from a number of cosmetic gynecology’s advantages. The ideal location in the Gwalior-Chambal division to receive the aforementioned treatment procedures is the cosmetic gynaecology vertical at AHRI Gwalior. The vertical consists of a skilled medical team that works under Dr. Sonali Agrawal’s direction. The team is prepared to handle all aspects of women’s wellness. The department ensures a well-equipped treatment technique based on all necessary innovations and the most recent technical assistance. The best cosmetic gynaecology clinic in Gwalior is AHRI since it offers all of these specialist treatments, along with the necessary guidance, care, and compassion, all under one roof and at a reasonable price.
Vaginally, abdominally, laparoscopically, or using a mix of these techniques is one way to do a hysterectomy. A total laparoscopic hysterectomy (TLH) is a sophisticated medical procedure that comprises laparoscopic (keyhole) surgery to remove the uterus and cervix. Depending on the purpose for surgery, ovaries and fallopian tubes may or may not be removed. Other procedures, such the correction of a prolapse, etc., may be coupled with this one.
For women with painful or frequent periods, pelvic pain, endometriosis, fibroids, prolapse, endometrial difficulties, or cervical issues, TLH surgery may be the best option.
Normal TLH procedures involve general anaesthesia. A catheter (a tube for urine drainage) is put into your bladder after you have received a general anaesthetic and are unconscious. Near your navel, a 1 cm-long tiny cut is done (belly button). The belly is inflated with gas, and a laparoscope, an optical device that allows for the viewing of internal organs, is introduced before three additional small cuts, each measuring around 0.5 cm, are made on your abdomen. These incisions are for the additional surgical equipment. Most often, the vagina is used to remove the uterus and cervix. The uterus is divided into pieces and removed vaginally if it is too large to be removed vaginally or the vagina is too small.
The surgery lasts between one and two hours, but you should plan on spending around three hours in the theatre and recovering.
Your recovery time (including hospital stay) and post-operative pain are both shortened with TLH.
Some advantages of TLH include:
Compared to “open” (conventional) surgery, there is less pain following the procedure.
less problems from wounds.
less interference with bowel and urinary function.
Reduced danger of deep vein thrombosis (DVT).
quicker recovery (including hospital stay) than with other hysterectomy procedures.
Compared to other types of hysterectomy surgery, less discomfort following your procedure.
The TLH process is a complicated set of processes that must be done correctly in order to provide successful outcomes. Only highly skilled gynaecologists with extensive training are capable of performing it. The patients of Gwalior and the surrounding areas can get assistance from Drs. Veena and Sonali Agrawal, who are skilled gynaecologists with training in performing TLH.
In vitro treatment, or IVF, is the most widely recognized and successful kind conception method to help unfertile couples to realize their dream of having a baby. It includes preparing an egg outside the body, in a research centre, and afterward embedding it inside a women’s body.
The process includes preparing an egg outside the body, and embedding it to proceed with the pregnancy.
One percent of children conceived in the United States are conceived through IVF.
There is a higher possibility of multiple birth with IVF.
IVF has been utilized since the last part of the 1970s. On 25 July 1978, the primary “unnaturally conceived child,” Louise Brown, was conceived.
Robert Edwards and Patrick Steptoe, who worked together on the methodology, are viewed as the pioneers of IVF.
Procedures may contrast contingent upon the facility, yet IVF as a rule includes the accompanying advances:
Altering the Common Menstrual Cycle
The lady gets a medication, ordinarily as a day by day infusion for around fourteen days, to smother their characteristic menstrual cycle.
Fruitfulness drugs containing the ripeness hormone follicle animating hormone (FSH) are given to the lady. FSH makes the ovaries produce more eggs than expected. Vaginal ultrasound sweeps can screen the procedure in the ovaries.
Recovering the Eggs
The eggs are gathered through a minor surgery known as “follicular desire.” A dainty needle is embedded through the vagina and into an ovary. The needle is which is associated with a pull gadget. This sucks the eggs out. This procedure is rehashed for every ovary.
Insemination and Fertilization
The eggs that have been gathered are set along with male sperm and kept in an earth controlled chamber. Following a couple of hours, the sperm ought to enter the egg.
Solidified sperm, recovered through testicular biopsy, might be utilized. This is accepted to be as powerful as new sperm in accomplishing an effective pregnancy.
The prepared egg separates and turns into an incipient organism.
A couple of the best undeveloped organisms are chosen to move.
The lady is then given progesterone or human chorionic gonadotrophin (hCG) to help the coating of the belly get the undeveloped organism.
Undeveloped Organism Moves
Now and then, more than one incipient organism is put in the belly. It is significant that the specialist and the couple wishing to have a youngster talk about what number of incipient organisms ought to be moved. Typically, a specialist will possibly move more than one undeveloped organism if no perfect incipient organisms are accessible.
AT AHRI, IVF can also be used as a treatment option enabling any embryos that are created, to be tested for some abnormalities before they are transferred into the uterus (womb)