So we advice them Diagnostic Laparoscopy and E.B + TB PCR.
Couple accepted the same on day 14 of menstrual period. Diagnostic Laparoscopy + E.B + TB PCR done, though dye test shows patent bilateral patency tube E.B TB PCR shows positive.
Then Niraja was put on ATT treatment in 3 months – 4 months.
After 3 months again we started Ovulation Induction medicines IUI done on 15th & 16th day of menstrual period.
Patient conceived in their IUI, now pregnancy of 6 weeks seen.
Anitha and Praveen
Anitha & Praveen were married since 5 years.
Anitha is Software Engineer and Praveen is H.R by profession.
Immediately after marriage she conceived but she underwent M.T.P done to some seasons after that she could not conceive.
So they visited our hospital, then all the routine test were done to couple.
Praveen semen analysis and sperm function test shows normal with 50 million sperm count 40% motility.
Anitha routine investigation such as basal line scan, FSH, LH, HSG all the reports shows normal except for mild PCOD (Poly Cystic Ovarian Disorder).
In view of PCOD we advice for couple in IUI with husband semen so they agreed for the same. Ovulation Induction medicines were given to Anitha, on 13th & 14th day of her menstrual period. IUI was done Anitha had some vaginal infection after IUI we gave medicine to treat vaginal infection.
Patient conceived in the 2nd cycle of IUI. Now pregnancy of 5 weeks seen with FP & FSH.
Saraswathy & Ravichander
Saraswathy & Ravichander aged 29 years and 32 Years are married since 3 years they had no children.
Saraswathy is house maker and Ravichander is business man by profession.
Saraswathy is having Primary infertility.
Through friends they came to know about this institute and visited the same.
Saraswathy all the test such as hormonal assay and follicular study was normal.
But she had cervical stenosis.
We did cervical dilatation under GA on day 3 of menstrual period.
After she had Acute Antiverted uterus.
Husband semen analysis shows 60% million with 30% motility.
Ovulation induction medicines given from day 3 onwards and 13th day scan shows good mature follicle were seen in both ovaries. HCG injection given of day 13. 14th day and 15th day IUI done.
In 2nd cycle of IUI patient conceived.
Ramadevi & Nagaraj
Ramadevi & Nagaraj were married since 10 years. Ramadevi is housewife & Nagaraj is Private sector employee.
But they had no children. Couple were very anxious to conceive.
Through their friends they case to know about this hospital and visited the same.
Husband semen analysis shows Azoospermia.
Ramadevi all the reports such as FSH, LH, T3, T4, TSH were all normal.
HSG shows bilateral patent tubes.
As they could not afford in IVF treatment they opted in donor insemination.
From day 3 of menstrual period ovulation induction medicines started and 13th. 14th day IUI done.
In first 2 cycles patient could not conceive because of poor endometrium so we improved the Endometrial lining by giving medicines and injection.
The again we tried one more cycle of IUI with donor insemination in 3rd cycle of IUI patient conceived.
Now pregnancy of 5 weeks 4 days seen.
Swetha and Ramesh
Swetha and Ramesh were married since 7 years.
Swetha is school teacher by profession Ramesh is Software Employee by profession. Swetha and Ramesh were anxious to conceive. Swetha had Diagnostic Laparoscopic for primary infertility which shows one left fallopian tube block, but right fallopian tube normal and patent but her uterus is good and ovaries normal.
She had other problem like hypotyrodim, she was on Eltroxin since 2 ½ years.
Ramesh semen analysis showed normal count 80 million with 60% motility.
Swetha’s other hormonal report such as FSH & LH, PRL was normal.
In view of tubal block we suggested in IUI when there is ovulation on both sides or when there is ovulation in the right side.
Couple agreed in IUI.
Then we started ovarian induction medicine from day 3 of menstrual period.
On day 13 scan shows both sides ovulation in right ovary and left ovary.
IUI done with husband semen on 14th and 15th of menstrual cycle.
Swetha conceives in 3rd cycle of IUI now scan shows 5 weeks 3 days good fetal cardiac activity.
Laxmisingh and Praveen
Laxmisingh 27 years Praveen 30 years were married since 3 ½ years, Laxmisingh is Home maker and Praveen is a private firm Employee they were anxious to conceive.
They came to institute through one of there relative.
Laxmisingh was thoroughly investigation, she had problem of irregular menstrual cycle her hormonal assay also suggestive of PCOD 13th day scan shows no dominant follicle, but HSG shows bilateral patent tubes.
Prolactin and thyroid also shows, normal study.
Post coital test (PCT) shows negative. We suggested them for IUI with her husband semen.
Husband semen analysis shows 40 million with 30% motility.
She was given ovulation induction medicines and injectables from day 3 of menstrual cycle.
On day 13 scan shows dominant follicles on both right ovary and left ovary. IUI done on 13th and 14th day of menstrual cycle in the very 1st cycle of IUI patient conceived, now 6 weeks 4 days of good featal cardiac activity is seen.
Madhavi and Shanker
Madhavi age 33 years Lecturer by profession Shanker age 35 years, Engineer by Profession married since 4 ½.
Visited in August 2013, for secondary infertility. 2 years back she had one spontaneous abortion after that no pregnancy, they were anxious to conceive.
Elsewhere Diagnostic Laparoscopy + Hystroscopy done, she had septate uterus removal (Septum was rescted) done Hysteroscopy done normal study. Laparoscopy done tubes were patent.
On routine examination like FSH, LH, T3, T4, TSH & TORCH test were done.
TORCH report shows viral infection so torch treatment were given for 2 months course.
After TORCH treatment we advise the couple for IUI, in view of age factor couple agreed the same.
Husband semen function shows 68 million of sperms with 50% motility.
Ovulation Induction medicine given from 3rd day of menstrual cycle.
On 13th day of her menstrual period. U.S.G show 3 good mature follicles HCG given on 13th, 14th and 15th day of menstrual cycle IUI done with husband insemination.
Patient conceived in the very 1st cycle, now 10 weeks one day of good cardiac activity is seen.
Kavitha and Ramesh
Kavitha and Ramesh were married since 6 years, but they had no children. They visited several hospitals, through one of their friends they case to know about institute and visited for the Ray of hope.
Kavitha underwent all investigations, but her scan and hormonal assay shows she had diminished ovarian reserve, her FSH report is 16.32 and LH – 50.34, so we gave the medicine to improve her ovarian reserve and at the same time to reduce FSH & LH level. For a period of 2 months. Later we checked again her FSH & LH. FSH has 11.62 and LH – 6.34.
HSG shows Bilateral patent tubes.
Her husband semen analysis shows Azoospermia, as couple could not afford IVF we advice them in IUI with donor insemination.
Ovulation induction medicines given from 3rd day of menstrual cycle on day 13 of menstrual cycle 2 domin follicle. Seen on the right ovary, Left ovary shows only small follicle. IUI with donor insemination after giving hCG injection IUI done on 14th & 15th day of menstrual period, in the 2nd cycle patient conceived now 5 weeks 6 day is seen with good hormonal support.
The couple was extremely happy.
Sridhar and Suneetha
Sridhar and Suneetha ages 36 and 28 years respectively are a couple who visited our clinic with a history of primary infertility. They had been together with a married life of 8 years. Sridhar is an Aptransco employee and Suneetha a home maker by profession. We advised for investigations. Her investigations reports showed GTT, HSG, FSH were normal. Her husbands semen analysis also shown normal. She was put on medication for ovulation induction and since she had high LH, antagonist was given. She had ovulation on day 14th. IUI was done on 15,16 and 17th day and she conceived in the 3rd cycle of IUI. Her ultrasound scan showed a gestational sac of 4 weeks 6 days was seen.
M.D. Jamel and Mohamadia
Mr.M.D. Jamel and Mohamadia are couple aged 30 years and 22 years respectively. They have a married life of over 4½ years with primary infertility. We advised the couple investigations required. All reports of the female partner were normal, but the husbands semen analysis showed oligospermia. After counseling she was put on medication for ovulation induction and we used modified method to prepare the semen sample for IUI with antioxidants [patient was having B/L varicocele of Grade II]. IUI was done on days 14th and 15th . Patient conceived in the Ist cycle of IUI. Her scan shows Gestational sac corresponding to 5 weeks.
Chowdary and Srilaxmi
Chowdary and Srilaxmi aged 32 and 42 years respectively are a couple who visited our clinic with a history of secondary infertility , an abortion in 4th month. Chowdary was an Airport Employee. They had a married life of over 3 ½ years. We advised all the investigations required all of which were normal, except for TORCH profile showed positive for injection. She was prescribed medication for the infection and the couple were put on antioxidant therapy.The couple subsequently got IUI cycle done.In the first cycle itself it was succes and the pregnency went on eventfull with no complications. She deliverd a healthy beautiful girl child.
Manohar Reddy and Kalpana
Manohar Reddy and Kalpana aged 33 and 23 years respectively stepped into our clinic with a history of primary infertility. Their married life spanned for 4 ½ years. The couple were agriculturists. On investigations it was found that he was having Azoosperima. After thorough counseling and explanation of the options of IUI with Donor semen or IVF/ICSI, the patients gave consent to go ahead with IUI with Donor semen sample as they could not afford IVF treatment and also did not want to transmit to the offspring. This couple conceived in the 6th cycle of IUI. She developed Gestational Diabetes Mellitus for which she is being monitored closely and put on insulin 4 units /c. her pregnancy is continuing with good fetal development.
Kumar and Kanka Durga
Kumar and Kanka Durga aged 30 years and 24 years respectively are a couple who visited our Clinic with a history of primary infertility. Kumar as an agriculturist and Kanaka Durga a teacher by profession. They are together with a married life of 3 years. Kanaka Durga’s was a case of irregular menstrual cycle with PCOD. We suggested investigations for the couple. Her investigations reports showed GTT, HSG, PCT, TSH, FSH and LH were normal. We have noticed that she had thin endometrium for which we gave her vaginal application. Her husband’s semen analysis was also normal. She was put on medication for ovulation induction, and also for developing endometrium and IUI. She had ovulation on day 15 and her endometrium was 0.9 cm, IUI was done on 15,16 & 17 and she conceived in the very first attempt. Her scan shows a gestational sacs of 6 weeks with monozygotic twins. She is being closely monitored.
Uma Maheswara Rao
Uma Maheswara Rao and Praveena aged 29 and 23 respectively are couple who came to our hospital with history of primary infertility. No cases of infertility reported in both their families. Their married life was over 2½ years during which she did not conceive. Uma Maheswar Rao is a Software Engineer and Praveena a Housewife. After investigations it was diagnosed that Praveena was having severe bilateral PCOD and pelvic inflammation because of which she was having irregular menstrual cycle pattern. Day 3 hormonal analysis showed FSH, LH. Thyroid profile, GTT, HSG were normal. H er husbands reports too were normal. She was put on medication for ovulation induction very carefully . IUI was done on days 14,15,17th days. She conceived and her scan shows a Gestational sac of 5 weeks with fetal heart and pole CL’s were noted in the right.