Successful Ivf With Donor Eggs

She came to us last year, at 38 years of age, with inability to conceive despite trying for 3 years. She has a baby, 8 years old, conceived spontaneously. She did not have Periods for last 5 years. We performed all necessary tests to find out the cause and found it as “Premature Menopause” or “Premature Ovarian Failure” (POF). However, no reason for POF was found despite all possible investigations. We started Hormone therapy to protect the health of bone and heart.  Regarding Fertility, they finally pored for IVF with Egg Donation. .But after Ovum Pick Up (OPU) […]

Pcos, Sperm Motility, Growth Restricted Baby

They came to us in December 2017 with Inability to conceive. The woman had PCOS. The man had mild problems in Sperm Motility. All other reports were normal. The woman had Hypothyroidism, which was well controlled with Medicine. They agreed to try Ovulation Induction (medicines to help the eggs grow) for 2-3 months. We performed TVS Follicular Scan to see if eggs were growing after taking the medicines. Fortunately they conceived after 1st month of taking the medicine. Pregnancy was largely uncomplicated. All the reports were normal, like Combined Test, Anomaly scan etc. As she was at risk of FGR […]

Pcos, Ovulation Induction, Amniocentesis, Pregnancy

They came to us in May 2017 for the first time with difficulty in conceiving. All the reports were normal except that the lady had irregular cycles for PCOS, because of which she did not have “OVULATION” (eggs were not growing and getting ruptured). Additionally, she was suffering from hypothyroidism, for which L Thyroxine supplementation was started. She was also overweight. So we advised Weight Reduction. Finally they agreed to have “OVULATION INDUCTION” (OI) with oral tablet Letrozole. In the first month, we monitored her with TVS Follicular scan to confirm if Letrozole was able to start Ovulation. When it […]

Low Amh: Ivf Not Always Needed

Low AMH does not mean you cannot get pregnant. What is AMH? AMH (Anti Mullerian Hormone) is a hormone secreted by the ovaries. AMH indicates the “ovarian reserve”. It is checked by a blood test. This blood can be checked at any time. What is Ovarian Reserve? “Ovarian reserve” means the number of eggs inside the ovaries of a woman at a particular time. In women, the eggs are produced in the ovaries before the women is born. After birth, no new eggs are produced. On the contrary, in each month, a number of eggs are destroyed. From […]

Low Amh: Natural Conception

This is another patient with “less number of eggs” who conceived NATURALLY without any treatment.  The couple had been trying for pregnancy for 6 months. The reports showed AMH 0.05. Her age is 32. All other reports were normal. We checked AFC (Antral Follicular Count) which was borderline. They were anxious about the AMH. We said, “We treat the patients, we do NOT treat a report”. As her age is low, we gave her DHEA tablets and asked them to try for another 3 months. We wanted to avoid any UNNECESSARY treatment. We also explained that the role […]

Ivf Success in Difficult Case

This couple was referred to us by our Colleague from Tamluk. Husband’s semen test, done outside showed “No Sperms”. We repeated the test at our centre and found the result better, although it was abnormal. However, after doing tests, no cause for such abnormal result was obtained. The woman had severe endometriosis. In laparoscopy, there was frozen pelvis (all organs like uterus, tubes, ovaries were attached to each other). Both the Fallopian Tubes were blocked. We examined her and found her AMH was very low and there was an insufficient number of eggs in the ovaries. As her age was […]

Azoospermia- No to Donor Sperms- New Policy

The first step in managing a case of AZOOSPERMIA is to find out the cause. However, in majority of the cases, no cause can be found. If no cause is found, and the man wants to become a biological father, the treatment is sperm collection from the testicles by TESA (Testicular Sperm Aspiration- inserting small needle inside the testicles) or TESE (Testicular Sperm Extraction- making a small cut inside the testicles). The sperms obtained in this way, can only be used for IVF-ICSI (In vitro fertilization and Intracytoplasmic Sperm Injection). Thus the wife of the man with azoospermia has […]

Successful 2nd Pregnancy After Death of 1st Baby Inside Uterus

The Best New Year Gift for this Couple. They came to us one year ago. Three months prior to that, the lady lost her first pregnancy, because the baby died inside the uterus at 30-week of pregnancy. We provided them with TLC (Tender Loving Care). We explained to them that we need to do some tests to find out the cause of fetal death (IUFD- Intrauterine Fetal Death). If any cause would be found, we could take some corrective measures in the next pregnancy. However, in 50% cases, no cause of IUFD could be found despite extensive investigations but in […]

Male Infertility- Always Ivf Not Needed

If there is abnormal Semen Report, it’s important to see the whole report, NOT merely the count. It’s also important to ensure that the test has been done from an authentic laboratory and that laboratory should follow the WHO 2010 guidelines for semen analysis (Not the older version of WHO 1999 or WHO 1992). . Again, we must see what’s the Total Motile Count (TMC) of the sperms. If TMC is normal or mildly low, oral tablets can be advised (although their efficacy is doubtful) and the couple can try naturally. Lifestyle changes are also advised (avoiding smoking, excess alcohol, prolonged […]

PCOS: Can Conceive With Correct Treatment

In women with PCOS, there are sufficient number of eggs inside the ovaries. The only problem is that the eggs cannot grow and are released (“Ovulation“). Therefore, if the Fallopian Tubes and the Sperms are normal, the treatment of PCOS Infertility is “Ovulation Induction (OI)”– the treatment to stimulate the eggs to grow and ovulate. Before ovulation induction, the main advice is weight control. If weight is optimum, the response of the ovaries by the medicines increases. Sometimes, some medicines (Metformin, Inositol) can be added..The first line of medicines used for OI are orally taken medicines like Clomiphene Citrate […]