Wednesday 27 April 2011

IVF case study

A married couple –   wife 32, husband 34 – came to see me at my office as she had not been   able to get pregnant for the past four years despite regular sexual   intercourse. The first visit revealed that she had had recurrent   adnexitis and her husband had had frequent prostatitis. 

We started investigating their infertility and carried out hormonal   cycle monitoring, tests for specific bacteria cultures, took pap-smear   and made tubal patency check-up for her, and took qualitative and   quantitative spermiograms as well as bacteria testing for him as well.   Results of the wife’s tests showed normal hormonal status and positivity   for Chlamydia. The tubal patency examination however revealed bilateral   tube occlusion and a normal uterus cavity. Results of the spermiograms   suggested that both the qualitative and qualitative parameters were   slightly below the normal range, and the tests demonstrated E.Coli   positivity. 

The wife was given medication for Chlamydia and I suggested laparoscopy   for a possible re-opening of her tubes, which she refused. Following an   andrology examination the husband was given antibiotics and specific   vitamin complex, which significantly improved his spermiograms. As the   next step, we launched an IVF program due to her bilateral tube   occlusion. During the second cycle I transferred 2 embryos, one of which   was implanted and on week 39 of her pregnancy she gave birth to a   healthy girl.

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