1) Failed IVF
Mr. (48y) and Mrs. PC (38y) reviewed in SWH (UNIT OF SWCIC) after 18yrs of marriage. Mrs. PC had a Laparoscopy done in the past and was diagnosed with PCOD. After diagnosis she tried various treatments but did not conceive.
Mrs PC had 3 cycles of IUI and 1 cycle of IVF outside which failed. She then reviewed in SWH(UNIT OF SWCIC) and was suggested another cycle of IVF with newer protocols and injections. Her AMH was 2.2 and TB-PCR negative. She conceived in the first attempt of IVF and is now pregnant with triplets.
2) Pelvic Tuberculosis
Mr. and Mrs. Kamran reviewed at SWH (UNIT OF SWCIC) with complaints of primary Infertility, married for 7years.She was given the option of IVF elsewhere and refused.
On examination at SWC both partners were found to be normal. Mrs Kamran was suggested a Laparoscopy and Hysteroscopy which showed tubercles on the uterus and tubes and the tubes were blocked. An FTC (Fallopian tube catheterization) was done by which the tubes opened and there was a free spill of dye.
After Laparoscopy she was put on Anti-tuberculosis treatment. She fell pregnant in 4 months post procedure and is now 8months pregnant.
3) Primary Infertility
Mrs. F (34Y) and Mr. Y (37yrs) came to the clinic with 8yrs of primary infertility after the initial investigations she was diagnosed with PCOD with irregular menstrual cycles. She had a Laparoscopy done 2yrs ago but had not conceived.
She was also overweight and has facial hair and acne. Polycystic ovarian syndrome (PCOS) is an endocrine disorder that affects approximately 5% of all women. This is the most common hormonal disorder among women of reproductive age, and is a leading cause of infertility.
Mrs F was put on a weight loss regime, which consisted of weight loss, exercise and medication. She conceived naturally with just tablets in 3 months. Recent scan showed a single gestation sac of 12 weeks gestation.
A couple by name X and Y aged 36 and 40 year old approached SWH (UNIT OF SWCIC) with the problem of infertility. They have been married 13 years. All these years they were trying with various doctors and different alternative medicines. None of them resulted into pregnancy and they lost hope. Wife had a Laparoscopy which revealed a fixed pelvis.
At the SWC we did a Hysteroscopy and released adhesions present inside the uterus. She conceived in the first cycle of IVF and is now pregnant with twins.
5) Unexplained Infertility
Mr. and Mrs. AB aged 40yrs and 48yrs respectively, married life of 20years and have 1 child aged 18yrs. Husband’s count was normal and a diagnosis of unexplained infertility was made.Mrs AB had failed to conceive in the following years and was anxious to have an IVF done. She was given a poor prognosis due to her age elsewhere and lost hope after 2 failed IVF`s.
In SWC she conceived in the very first cycle of IVF with her own eggs, she is now 6 weeks pregnant with twins.
6) Unexplained Infertility
Mr. and Mrs. XY aged 38yrs and 45yrs respectively, married life of 20years with no issues. Husband’s count was normal and a diagnosis of infertility with multiple fibroids was made largest measuring 8cms.
Mrs. AB had failed to conceive in the following years and was anxious to have an IVF done. After counselling she agreed to go for a Laparoscopic fibroid removal, 2 fibroids each measuring 8cms and 6cms were removed.
She conceived after 1 yr spontaneously and has recently given birth to a baby boy.
7) Success at last
Mr.Asif (35y) and Mrs. Sana (34y) from Hyderabad India reviewed in SWH (UNIT OF SWCIC) after 15yrs of marriage. Mrs. Sana had a 3 laparoscopic surgeries in the past a various reputed centres.She also had 2 IVF`s done which failed. Out of the three laparoscopic surgeries- In the first two she was given a diagnosis of Tuberculosis, and third time she was given a diagnosis of Endometriosis.
At SWH (UNIT OF SWCIC) she was diagnosed with Endometriosis and another laparoscopic surgery with clearance of the endometriomas was done. A uterine septum was found and resected at the same time. She was put on special injections following the surgery for three months. Following which she conceived in the first attempt of IVF and recently delivered a baby boy at SWH (UNIT OF SWCIC)
8) Successful at 50years
Mr KB(55yrs) and Mrs SB (50yrs) from Nalgonda reviewed at SWH (UNIT OF SWCIC) with complaints of primary Infertility, married for 30years. They had undergone various treatments and different hospitals all over India and failed.
Mr KB had severe oligospermia (due to chronic use of tobacco and alcohol) and Mrs SB had a small uterus and was suffering from PID(pelvic inflammatory disease).In SWH (UNIT OF SWCIC) she was put on a course of antibiotics and her husband was asked to use the use of cigarettes and alcohol.
After a diagnostic Hysteroscopy an IVF-ICSI was performed and she was asked to review 15days later for a pregnancy test. Her pregnancy test was positive with a BHCG level of over 300. Recent scan showed a single gestation sac of 6weeks and fetal heart is present.
Mr. and Mrs. SV from Zaheerabad reviewed at SWH (UNIT OF SWCIC) with complaints of primary Infertility, married for 7 years.
he was diagnosed with an Endometrioma despite which she was being given treatment for over 2years with no result. She was then referred to SWH (UNIT OF SWCIC) by a relative.
On examination at SWH (UNIT OF SWCIC) husband was found to be normal, but the Endometrioma for Mrs. SV had gotten bigger in size. She was suggested a Laparoscopy and Hysteroscopy in which not only was the Endometrioma was removed but the wall of the Endometrioma was excised (this prevents recurrence of the Endometrioma or `blood filled cyst)
Subsequently an IUI (Intrauterine Insemination) was performed and Mrs. SV is now pregnant with a Twin Gestation of 8weeks
10) TUBAL BLOCKS
Mrs. Fatima (34Y) and Mr. Younus (37yrs) came to the clinic with 12yrs of primary infertility. She had a Laparoscopy done 2yrs ago and diagnosed with blocked tubes and was offered IVF but refused.
At SWH (UNIT OF SWCIC) she underwent Laparoscopy again and her tubes were opened with Fallopian tube catheterization(FTC)- Following FTC she was put on specialist tablets and injections and conceived naturally in the following 3 months.
A couple by name Kavita and Anil aged 36 and 40 year old approached SWH (UNIT OF SWCIC) with the problem of infertility. They have been married 13 years. All these years they were trying with various doctors and different alternative medicines. The medicines resulted in pregnancies but unfortunately had 3 miscarriages. None of them resulted in a live baby and they lost hope.
On reviewing at SWH (UNIT OF SWCIC) Mrs Kavitha was diagnosed with an Intramural fibroid, distorting the Endometrium(ie within the cavity of the uterus).
At the SWH (UNIT OF SWCIC) we did a Hysteroscopy and resected resected the fibroid present inside the uterus. She conceived in the first cycle of IVF and is now pregnant at 6 months.
12) Secondary Infertility
Mr. and Mrs. khan aged 36yrs and 38yrs respectively, married life of 20years and have 1 child aged 18yrs. Husband`s count was less that 15million/hpf .Mrs AB had 5 miscarriages and was anxious to have a second child. She was given a poor prognosis due to her age elsewhere and lost hope after 2 failed IVF`s.
In SWH (UNIT OF SWCIC)- one of the best fertility centers in Hyderabad India, she was tested for viral infection and a hysteroscopy showed intrauterine adhesions. She was treated for both, following which she conceived in the very first cycle of IVF- ICSI, she is now 6 weeks pregnant.