Case Studies

Patient X, 34 years old, housewife and her husband 36 years old, Doctor, married for 8 years, trying for baby since 6 months. The patient had history of epilepsy for which she was taking antiepileptic drugs.

When couple came for first consultation, ultrasound showed less egg reserve and was counseled for IVF. They tried one unsuccessful IVF cycle with self-eggs.

After the first IVF cycle, the dose of antiepileptic drugs was increased. Pregnancy may worsen epilepsy and vice versa. So, we recommended the self egg surrogacy to the couple.

We were lucky to be successful in the first cycle. The surrogate conceived in first cycle of self egg surrogacy and now she is a mother of 6 months old female baby.

Many women are unable to be mothers of their own genetic child as they suffer from medical conditions which pose a risk on their lives once they are pregnant. Some such conditions are heart disease, uncontrolled hypertension and epilepsy.

With the help of IVF and surrogacy, these women get a chance to have their own genetic child. It is indeed a miracle of modern science!!

Case History

• 25-years-old female
• 3 years of infertility, Good AMH, Semen analysis – No sperms
• USG – B/L ovaries PCO, Uterus normal size

Treatment At AFGC

• Correct diagnosis
• Testicular Biopsy – No sperms
• Counseling of couple
• Suggested treatment: IUI with Donor sperms
• Positive pregnancy test in second cycle
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 30-years-old female
• 3 years of infertility, Normal AMH, poor Semen analysis
• USG – B/L ovaries & Uterus normal size
• Previous history – Failed IUI (8 cycles)

Treatment At AFGC

• Correct diagnosis
• Counseling of couple
• Suggested treatment: IVF with ICSI
• Positive pregnancy test in first cycle
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 35-years-old female
• 6 years of infertility, Average AMH, poor Semen analysis
• USG – B/L ovaries & Uterus normal size
• Previous history – Failed IVF (3 cycles)

Treatment At AFGC

• Correct diagnosis
• Counseling of couple
• Suggested treatment: Self egg surrogacy with ICSI
• Positive pregnancy test in first cycle
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 40-years-old female
• 10 years of infertility, low AMH, poor Semen analysis
• USG – B/L ovaries small, Uterus normal size
• Previous history – IVF (2 cycles)

Treatment At AFGC

• Correct diagnosis
• Counseling of couple
• Suggested treatment: Donor egg IVF with ICSI
• Positive pregnancy test in first cycle
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 30-years-old female
• 3 years of infertility, Good AMH, Low Semen count
• HSG – Both tubes open
• USG – B/L ovaries PCO, Uterus normal size
• Previous history – Ovulation induction with Natural try – 3 cycles

Treatment At AFGC

• Correct diagnosis
• Counseling of couple
• Suggested treatment: Ovarian stimulation with IUI (Intrauterine insemination)
• Positive pregnancy test in third cycle of IUI
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 32-years-old female
• 4 years of infertility, Good AMH, Low Semen analysis
• USG – B/L ovaries normal, Uterus normal size
• Previous history – Ovulation induction with intrauterine insemination (IUI) – 6 cycles

Treatment At AFGC

• Correct diagnosis
• Counseling of couple
• Suggested treatment: IVF ICSI
• Positive pregnancy test in first cycle
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 34-years-old female
• 7 years of infertility, Good AMH, Low Sperm count
• USG – Both ovaries PCO, normal uterus
• B/L ovaries normal, Uterus normal size
• Previous history – 2 failed IVFs

Treatment At AFGC

• Correct diagnosis
• 3rd cycle of IVF tried – Negative
• Suggested treatment: FET with surrogacy
• Positive pregnancy test after 2 weeks of embryo transfer
• Transvaginal ultrasonography – Intrauterine twin live pregnancy!

Case History

• 28-years-old female
• 2 years of infertility, Good AMH, Normal Semen analysis
• USG – B/L ovaries normal, Uterus normal size
• Previous history – Nonconsummation of marriage

Treatment At AFGC

• Correct diagnosis
• Counseling of couple
• Suggested treatment: Artificial insemination (AI) for 6 cycles
• AI demonstration in OPD
• Positive pregnancy test in 3rd AI cycle
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 40-years-old female
• 4 years of infertility, Low AMH, Normal Semen analysis
• USG – B/L ovaries small in size, small polyp in cavity
• Previous treatment – Done 3 failed cycles IVF with self eggs

Treatment At AFGC

• Correct diagnosis
• Hysteroscopy with Endometrial Biopsy – Polypectomy done
• IVF with donor eggs done
• Positive pregnancy test in first cycle
• Transvaginal ultrasonography – Intrauterine Twin live pregnancy!

Case History

• 30-years-old female
• 3 years of infertility, Average AMH, Normal Semen analysis
• USG – B/L ovaries normal, Uterus small in size
• Previous treatment – Tried naturally

Treatment At AFGC

• Correct diagnosis
• Laparoscopy, Hysteroscopy with Endometrial Biopsy – Unicornuate uterus with small cavity
• Suggested treatment: Self cycle surrogacy
• Started ovarian stimulation of patient
• Embryo transfer in surrogate
• Positive pregnancy test after 2 weeks
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 28-years-old female
• 2 years of infertility, Good AMH, Normal Semen analysis
• USG – Polysystic ovaries
• HSG – Both tubes open
• Previous treatment – Took ovulation induction medications (Egg forming medicines) for 4 months

Treatment At AFGC

• Correct diagnosis
• Laparoscopy, Hysteroscopy with Endometrial Biopsy – Ovarian drilling done
• Ovulation induction with Natural try advised for 6 months
• Positive pregnancy test in first cycle
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 27-year-old female
• 2 years of infertility, Good AMH, No Sperms in semen analysis
• Previous treatment – Husband took lot of medications for 1 year

Treatment At AFGC

• Correct diagnosis
• Testicular Biopsy of husband – Sperms found
• Started IVF ICSI treatment
• Positive pregnancy test after 2 weeks of embryo transfer
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 38-year-old female
• More than 11 years of infertility, Low AMH, Normal Sperm count
• Previous treatment – 4 failed cycles of IVF (2 Self + 2 Donor cycles) from outside

Treatment At AFGC

• Correct diagnosis
• Removed uterine septum with laparoscopy & hysteroscopy
• Started treatment for infection (TB)
• Started Donor egg IVF treatment
• Positive pregnancy test after 2 weeks of embryo transfer
• Transvaginal ultrasonography – Intrauterine twin live pregnancy!

Case History

• 31-year-old female
• More than 5 years of infertility, Average AMH, Normal Sperm count
• USG – Both ovaries normal, very small uterus

Treatment At AFGC

• Correct diagnosis (Hypogonadotropic hypogonadism)
• Couple wanted to try with Self eggs
• Suggested treatment: Self cycle surrogacy
• Started ovarian stimulation of patient
• Embryo transfer in surrogate
• Positive pregnancy test after 2 weeks of embryo transfer
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Case History

• 38-year-old female
• More than 11 years of infertility, Low AMH, Normal Sperm count
• Previous treatment – 2 failed cycles of IVF with self eggs and 1 failed cycle of IVF with donor eggs

Treatment At AFGC

• Correct diagnosis
• Hysteroscopy prior to IVF
• Started IVF treatment with self eggs
• Positive pregnancy test after 2 weeks of embryo transfer
• Transvaginal ultrasonography – Intrauterine single live pregnancy!

Couple came to our Centre with multiple IVF failures and got successful pregnancy from our center.

I m very thankful to kaberi mam for giving us the meaning of life. She is very dedicated and believes in not to give up. she always encouraged us not to lose hope and finally succeeded in making us the proud parents of beautiful daughter. All the team members of the clinic are really helpful and cooperative. I pay my special thanks to Dr Bhawna and Ms kiran for their support. I strongly recommend AFGC to all the couples who wants to make their dream of becoming parents true.

Patient from Srinagar

• 30 yrs old with primary infertility with delayed periods
• Married for 6 yrs
• History of 6 failed IUIs
• HSA – 60M/50% motility/8% morphology
• FSH – 3.4 mIU/ml, LH – 8.9 mIU/ml, AMH – 6.4 ng/ml, TVS – B/L ovaries PCO & small
  endometrial polyp
• Management –
  • Laparoscopy/Hysteroscopy/EB – Bilateral Ovarian drilling/Endometrial polypectomy done
  • Plan - Ovulation induction with medicines with Natural try
• Conceived in second cycle with medicines only