Mrs. RD was a 45-year-old lady with primary infertility. One significant aspect of this case was that she had been in England for almost three years previous to coming to us. She had 7 IVF cycles with a pioneer IVF center and another 14 cycles with a private center making a total of 21 failed IVF attempts.
She was managed for some endocrine abnormalities that were discovered on examination. Mrs. RD was then given a preparatory treatment to enhance her fertility and prepare the uterotubal catheterization with special medication. She was to come for IVF cycle as soon as the period starts.
The period never came and she was found to be pregnant three weeks later. All she needed was endocrine management and the uterotubal preparation for rejection and enhancement of implantation. That was during her second month of consultation. She delivered a healthy baby girl.
Mrs. UG had infertility of 11 years standing. She had been to a clinic in England where the hope of pregnancy had been removed since the husband did not produce sperm. He had a congenital absence of the ejaculatory duct. She came to our center and evaluations confirm the findings from England. In addition we also discovered some endocrine abnormalities in the couple. They were both treated for the endocrine problem, and then prepared for IVF. The husband was sent to our colleague in Urology, Dr. Lawrence Rush and had Testicular Epididymal Sperm Aspiration (TESA). We were able to get a good amount of sperm cells that were stored frozen until the IVF cycle. The value of earlier hormonal treatment on sperm recovery cannot be overemphasized. At a later date the wife was then stimulated for IVF using the ICSI technique. Three of the four fertilized embryos were transferred to her. She became pregnant and delivered a baby boy.