Dr. Shefali Bansal Madhav

The patient came to us with a history of infertility and previous two failed IVF in different IVF centres. On evaluation, we found that there was a problem in the egg quality of the mother as well as the sperm had very poor morphology and count. So the couple decided to go for egg donation and sperm donation. On further evaluation, we found that the endometrial lining was very underdeveloped and was very thin. So before starting the IVF procedure we planned for diagnostic hysteroscopy for her, where we found that the uterine cavity size was small and the endometrial lining was very scanty. A BACTEC culture was done to rule out genital tuberculosis which came negative. And then we started medications for the preparation of the endometrium.

After 4 cycles of medicines, we saw that the endometrium development went up to 7 mm. Then we planned for PRP (platelet-rich plasma) infusion in the endometrium. This is a novel technique where the blood is drawn from the mother and platelets are separated using a PRP machine and then the platelet-rich plasma is infused into the endometrium via a special catheter through the vaginal route. After the PRP infusion, we found that the endometrium thickness improved to 8 mm. We then did the embryo transfer with 2 good quality blastocyst embryos, and the patient conceived and her first cycle of transfer. She had a single pregnancy and delivered a healthy male baby at full 9 months of pregnancy.

This is the case of a couple who had visited me in 2020 .They have done three IVF cycles outside and all the IVF cycles were negative. They were very much depressed and were almost losing hope. On detailed valuation of their previous IVF cycle records it was found that the equality of the female partner was very very low. So we decided to to use an egg donor for her. Also on evaluation of a male partner the sperm morphology was found to be very poor so we ICSI was planned for them. We were able to create 6 good embryos in the first IVF cycle itself  out of which two blastocyst embryos were transferred and she conceived in her first cycle of embryo transfer. She  had a single pregnancy and delivered a healthy male child at the completion of 9 months of pregnancy.

This patient came to us  with history of delayed periods. She was married for nine years and had primary infertility. Her  HSG showed hydrosalpinx in the fallopian tubes,  so we planned a diagnostic hysteroscopy and  laparoscopy for her. We found that the fallopian tubes were  unhealthy so we decided to go for IVF in this patient.  On stimulation we found that her egg  equality was also quite poor. However we were able to make 6 embryos in her first cycle of IVF out of which three embryos were good grade.  2 blastocysts were transferred in her first IVF cycle she conceived in her first IVF cycle itself . She had a single pregnancy and delivered a healthy baby at completion of 9 months.

Patient was referred to us with primary infertility. She had history of delayed periods and  was diagnosed to have severe PCOD. She had undergone multiple cycles of fertility treatment outside but did not get any success. We counselled her to go for IVF procedure. When we did her IVF her egg quality was found to be very poor,  however using ICSI procedure we were able to make good quality embryos from the eggs we transferred. Two good quality blastocyst were transferred in her uterus and the patient conceived in a first cycle of embryo transfer and she delivered a healthy baby girl at 8.5 months

This couple had come to us with history of 6 miscarriages . All the miscarriages were during the first three months of pregnancy. All the tests which were done previously outside were not able to determine the cause of the miscarriages. On detailed evaluation the patients reports revealed that her equality count was very low and there was some problem in the semen analysis of the husband.They also underwent evaluation of the recurrent abortion.  We did tests for both husband and wife through the recurrent abortion panel including antibody levels for APLA and . We also did hysteroscopy to rule out any uterine abnormality. The couple was then counseled by Dr Shefali Bansal Madhav to undergo IVF procedure and to select a healthy embryo among all the embryos. The couple underwent IVF procedure and out of 6 eggs we found only one healthy embryo and it was transferred  into the uterus of the mother. She conceived in the first IVF cycle and had a healthy baby at full 9 months of delivery. Through latest advancements in technology it is possible for couples with recurrant multiple miscarriage to have a healthy baby