Name of the Patient : Asifa
Name of the Spouse : Anwar
Date : May, 2018
Asifa and Anwar couple approached our hospital with primary infertility. Married life was about 4 ½ years, with four failed IUI cycles. After taking their history, and necessary investigations were suggested. Investigations showed Asifa having low ovarian reserve, both AMH as well as day 3 FSH levels were low, 0.77ng/ml and 5.39mIU/ml respectively. The male spouse also was having Grade II varicocele and right mild hydrocele. Correspondingly semen analysis also was borderline with oligoasthenozoospermia.
The couple was explained two options IUI for another the cycles but the chances of success could be low or directly opt for IVF/ICSI which would enhance the success rates.
The couple wanted to try two attempts of IUI before switching over to IVF. Both the attempts failed. Then with a gap of six months, IVF cycle was suggested. During this period the couple were put on antioxidants, nutritive supplements as well as medication for improving gematogenesis. In the first IVF attempt only one egg was retrieved following ICSI one embryo formed which was frozen, embryos pooling was explained to the patient to which the couple readily consented. We suggested Asifa if wanted to opt for egg donation, but she was adamant that she wants her eggs only. Next IVF/ICSI trial also resulted in single egg, embryo which was also frozen. With a break of 3 months next IVF trial was done with high dosage of gonadotropins and this time three eggs were retrieved of which only two were mature third one had germinal vesicle, which was kept for further culture. ICSI was done for the two eggs both of which gave two embryos and they were frozen the third egg also had polar body extruded the following day and ICSI was done for that egg too and embryo formed which was also frozen.
With enough embryos for transfer, her uterus was prepared with estrogen priming and progesterone, day 3 mock embryo transfer (ET) revealed resistance at the internal OS so ET was planned on day 18 under mild anesthesia. Two blastocysts formed from 5 embryos revived of which only one was healthy. Surprisingly the embryo formed from immature oocyte went on to form blastocyst. Post ET Luteal support was given.
D12 post ET βhCG value was 38miu/ml which was low, therefore the progesterone dosage was increased from 50mg/day to 100mg/day and hCG injections started once in 3 days, D16 hCG value rose to 480mIU/ml, D21 hCG was 1420mIU/ml, D29 following ET ultrasound scan revealed single gestational sac with fetal pole and regular fetal heart.
Finally the patient was successful in achieving a healthy conception. She is now going great at 16 weeks of pregnancy. Her optimism and our dedication finally yielded a success.
Name of the Patient : Sirisha
Date : May, 2018
I’m Sirisha 41 years old with no children even after several attempts of IUI and 4 IVF attempts at other hospitals. On seeing Dr.Rama madam’s interview on TV, I decided to visit them as my last trial before giving up. Even after 15 years of married life having no children was painful and more over a social stigma 11 years we have relentlessly by tried many ways of treatment to have children. At one stage we even were Ok with adoption, but that too being lengthy and endless process we gave up on that too.
Our experience at Dr.Rama’s Institute was very much pleasant from the day we stepped in. On hearing our story and case history for over an hour, Rama madam suggested investigations including hysteroscopy, which revealed certain malformations in the uterus, apart from this since I was hypertensive and also having cardiac problem, madam suggested us to opt for surrogacy. After a lot of thinking we have given consent. I was put on an antagonist protocol, and got 11 eggs, with ICSI used to fertilize my eggs with that of my husband spermatozoa, 9 embryos were formed. These embryos were frozen and transferred to the surrogate.
The very first attempt was successful, the surrogate conceived twin gestation. Like a miracle all the subsequent scans, investigations revealed fetuses being normal and good, passed off with no issues.
Today we are proud parents of two boys, very cute and healthy. I owe a lot to Rama Madam and her team for their efforts to bestow me with happiness and motherhood. I appreciate Rama madam for her frankness where she clearly explained all the possibilities and chances of success being lower in our case with may eggs, keeping my age in view. I also give a special ode of appreciation to the surrogate for helping me be a mother and enjoy parenthood.
Name of the Patient : Bujji
Name of the Spouse : Laxmi
Location : Karimnagar
Date : April 25, 2018
We are married for 15 years and have been trying to conceive from past 8 years. We had undergone 4 IUI cycles + 1 cycle of IVF at other hospitals we were referred to Dr.Rama’s Institute by a friend we were counseled about our condition and the need for IVF was explained in detail to us. Blood tests were done and after doing semen analysis count and motility were found to be very low. We were advised to undergo IVF – TESA for better success. We started the case as advised.
We were counseled at every step of procedure. We were explained in detail the process and the progress after every scan. We had a successful outcome in first cycle we were very happy after scan when we were told that it is twins we are following up our pregnancy also with them. Now I am in my 6 th month of pregnancy and every thing is going fine. We are very happy with the doctors and the staff. Every minute detail was given attention and we are very satisfied with the services that they provide.
Name of the Patient : Rajesh
Name of the Spouse : Kavitha
Location : Tenali
Date : April 10, 2018
Patient Mrs. Kavitha aged 33 years with known diabetic and Hypothyroid came to us with irregular menses and primary infertility. Couple were investigated and husband was found to have oligoasthenospermia. She was found to have thin endometrium. Treatment for improvement of endometrium was done by vaginal medications, hydrotubation. PRP was also instilled to improve endometrial thickness and vascularity. Stimulation was done, and embryos were frozen. In the next cycle, enometrium was prepared and frozen embryo transfer was done. Beta hCG was done on day 13 which showed a positive result. Scan was done which shows a single live fetus.
Name of the Patient : Pratap
Name of the Spouse : Vani
Location : Adilabad
Date : April 09, 2018
Patient Vani aged 37 years married for 1 year 4 months with history of one abortion came to us for fertility treatment. Couple were investigated and she was found to have low AMH OF 0.6. She was advised IVF, she was started with Antagonist protocol and LH was monitored while undergoing stimulation. She had premature LH surge and this was controlled with injections, 3 oocytes were retrieved and embryo transfer was done she had a positive pregnancy test. This patient got success in first cycle itself.
Name of the Patient : Douglas D'Ambrosio
Name of the Spouse : Natalie D'Ambrosio
Location : Kea'au Hawaii, USA United States of America
Date : May 25, 2009
My name is Douglas D'Ambrosio, my wife is Natalie D'Ambrosio, and we live in Kea'au Hawaii. After a very complicated first pregnancy, pre-existing medical conditions made it impossible for my wife to have another baby, so in early 2008 we began researching fertility clinics in India. We contacted several facilities in different areas of India, all advertising on the internet, and we received a wide variety of responses. They all offered complete fertility services as well as surrogacy. We were initially drawn to Dr. Rama's Institute for Fertility in Hyderabad because of their detailed and timely responses to our e-mail inquiries, as well as their "three-try" approach to their IVF service. We understood completely that there were no guarantees no matter what facility we chose, but we liked Dr. Rama's all-inclusive multiple-attempt approach to IVF and embryo implantation. This seemed to offer us the best possible chances to facilitating a successful pregnancy.
I was cautiously optimistic as I traveled to Hyderabad for the first time in the spring of 2008, but my skepticism began to wane when I arrived at the hospital for the first time and had an opportunity to meet the doctors and tour the four-floor facility. It became apparent that this was a well-established and professionally run fertiity hospital offering a wide variety of fertility services to a mainly Indian clientel. As a foreign guest, I believe I was given special treatment, or so I felt. I did not feel like I was being conned or held over a barrel. On the contrary I felt like the entire staff (approximately 130 people) went out of their way to make me feel welcome, and they showed a genuine interest in my health and well being while I was in India. They made me feel like a guest in their home. They helped me get checked into the hotel next door and arranged a discounted room rate for me. Throughout my entire visit I had easy access to the doctors and staff, including Dr. Rama herself, who is enormously busy but always found time to see me if I needed to speak with her.
Due to the large number of people involved with the services we requested, the hospital understandably required a large portion of their fees to be paid up front. Dr. Rama and I had a discussion about this, and we came to an arrangement that we both agreed was based on mutual trust. It was none-the-less an enormous leap of faith for everyone involved.
We were understandably disappointed on hearing the news that our first two attempts were unsuccessful. We knew they were trying their best, but that was hard news to digest. Our third attept, however, resulted in a successful pregnancy, and 9 months later our daughter, Ashley, was born. She weighed a whopping 8 pounds 13 oz. Everyone in the hospital was genuinely excited for us, and all wanted to see the big American baby.
Our surrogate mother, Jayalaxshmi, was a very nice 27 year old woman from a small town in Andhra Pradesh. We met Jayalaxshmi several times throughout the later stages of the pregnancy. We expressed to her how much we appreciated what she was doing for us, and she told us how much she appreciated what we were doing for her and her family. It was important to us that Jalaxshmi was emotionally stable, and well compensated for her efforts. After the delivery she asked if she could see the baby, and of course we agreed. She seemed genuinely interested in the baby and told us she was happy that she was able to do this for us. She also seemed very happy with the compensation she was given. She did a very good job caring for our baby for 9 months and we're forever appreciative. For her efforts she was given a life-changing sum of money that will improve her family's life and go towards her daughters' education.
The hospital arranged for a pediatrician, a personal referral from one of the senior embryologists working on our case. We met with the pediatrician for periodic check-ups at Dr. Rama's hospital several times in the weeks following the delivery. After Ashley's birth, Dr. Rama's hospital had essentially fulfilled their obligations to us, but they continued to work for us for several more weeks after Ashley was born preparing documentation for the US consulate so they could issue Ashley a passport. They even sent a member of the hospital staff with us to the Indian police commissioner in Hyderabad to obtain an exit visa for Ashley. They had no obligation to do this, but it made the task much easier.
Throughout the entire experience, we felt like the staff at Dr. Rama's fertility hospital genuinely cared about our family, not just about the money we were paying them. We felt they went above and beyond the call of duty to help us throught this process and to make sure we were happy and healthy while staying in Hyderabad. We now consider many of the doctors and staff members our personal friends, and will stay in touch with them long after our return home. We wanted to have a baby, but we also wanted a rich cultural experience, and we ended up with both.
“Thank You for helping to make what seemed like
An impossible dream come true for us”
Myself Mr. Mishra [46yrs] and my spouse Ms. Reena mishra[44yrs] have been married since 14years and planning to have kids all these years. We are residents of India, staying in USA from past many years. We consulted many gynaecologist and infertility doctors to have a solution to our problem. All our efforts are in vain. We are highly depressed and seemed as if darkness is spread in our lives. We are in search of a dawn “However long the night, the dawn will break”
In our search on the internet about various infertility clinics across the globe, who can buildup the hope and bring twilight in our lives, We found Dr. Rama’s Institute For fertility as one of the best fertility clinic in India rendering various services to infertile couples from all over the world to attain their dream of parenthood. We first approached Dr. Papolu Rama Devi through mails. The reply was so impressive. Warm welcome that we found while receiving us gave a hope and decided to take the treatment under her guidance. As my spouse is 44 years old and had multiple uterine fibroids and endometriosis, for which she had taken the treatment in other reputed clinic. Unfortunately it was uneventful. So, we decided to opt for oocyte donor along with surrogacy keeping in view of her health. As I will not be available during the treatment period due to my busy job schedule, I had my semen samples frozen. We were successful in the first IVF cycle only. When we heard about the news we are so happy and delighted and seemed as if an impossible dream come true for us.
Now she is in her 6th month of pregnancy. We look forward for the baby's arrival in this world with huge anticipation. We long for the day when we can finally physically carry our baby in our arms and look at our baby in the eyes. The moment my wife heard the news, she busted in tears and said
“I begin to love the baby
and to anticipate her birth
as a fresh twist to a knot,
which I do not wish to untie.”
Last but not the least, for the couple who are facing a problem to have children I would like to say few words about Dr.Papolu Rama Devi and her team, “Their enthusiasm, energy, involvement and dedication were a constant source of inspiration and spiritual energy which made me take up infertility as a challenge. Her individual interest in her patients, her involvement is to be greatly appreciated which never let us loose hope. Patience, Perseverance and Individual attention is what they provide exclusively at Dr.Rama’s IVF Centres for which they are the most successful fertility center. ”
The feeling of happiness dwells for us in the gift
That is given to us by……..
History of our hospital dates back to 15 years rendering various services to infertile couple to achieve their dream of parenthood. We have all the facilities for performing advanced assisted reproductive techniques from IUI to PGD [Intra uterine Insemination to Pre implantation Genetic diagnosis]. A NRI couple Mr.Sateesh and Ms.Anjali happened to know our services through the website http://www.fertilityindia.com/ and approached us through mails. Ms. Anjali’s past history reveals that she was planning to have kids from last 6 years. She had undergone laparotomy for the removal of the ovarian cysts and undergone for 2 cycles of IVF, one in August 2008 and the other in October 2008 at USA. But unfortunately both the cycles were cancelled as the expected number of follicles did not mature and the hormonal E2 values were very low.
At this juncture, the couple approached us stating they would like to go for IVF with Oocyte donation. After going through all the investigations, this is considered as a case of POF [Premature Ovarian Failure]. This is a condition also known as Primary Ovarian insufficiency is the loss of function of the ovaries before age 40. A commonly cited trait for the diagnosis is amenorrhea, hypergonadotropinism and hypoestrogenism.She was advised to opt for oocyte donation. As her husband Mr. Sateesh is not available during the treatment period, he had his semen samples frozen. As Ms.Anjali requested to minimize her stay in India, we sent the medication that has to be taken by her through courier and asked her to take them as per the schedule under the guidance of her RE. Her menstrual cycle is coordinated with the donor cycle and asked her to be here before 4 days of oocyte retrieval. The IVF cycle went smoothly and the resultant embryos were tranfered into Anjali’s uterus. Her 21st day β-hCG value is more than 1500 IUwhich is a sign of positive pregnancy. The couple expressed their happiness and gratitude and said
“Happiness resides not in the possession and not in Gold.
The feeling of happiness dwells for us in the gift
That is given to us by Dr.Papolu Rama Devi”