Infertility turns me into Sherlock Holmes !

Being able to have babies is a natural ability and the desire to have one, is a basic instinct for survival !! Some women however find it difficult to conceive, resulting in a lot of heartache and frustration Case History Mrs LD, 29 years old, married for 11 years, had not conceived even once. She had been taking treatment with 3 specialists and had undergone diagnostic evaluations through sonography , laparoscopy and laboratory tests with several stimulation cycles with no results . Frustrated, she stopped treatments for 2 years and accepted that she cannot conceive . She was referred to me, by her friend ( one of my patient ) who had positive results with my treatment. As per the previous records Mrs LD had undergone hysteroscopy ( endoscopic evaluation of the uterine cavity ) for some lesion detected in the womb on ultrasound . One doctor had also mentioned that she had abnormal tubes and had suggested ART-IVF ( Artificial reproductive technique -in vitro fertilisation ) . In total she had been subjected to hysteroscopy thrice and laparoscopy ( endoscopic evaluation of the peritoneal cavity ) once . Diagnosis Her clinical evaluation with us revealed that she had severe anaemia ( hb 7.2g/dl ) , chronic cervicitis ( infection of the neck of the womb ) and PID ( Pelvic inflammatory disease ) . All these conditions were treated by medicines and some surface treatments . After 3 months, we performed a hysterosalpingography (HSG ) ( a procedure where in a radio opaque dye is injected in the womb and the spillage through the tubes is noted which helps in confirming the tubal patency ) . She was put on appropriate preconceptional medications and was guided with exercise , nutritional therapy and stress management measures . LD reported just after one month with missed periods and we diagnosed a healthy naturally conceived 5-6 weeks pregnancy . Throughout the antenatal period, she was closely screened for infections , growth , screening for abnormalities and metabolic diseases . Result At 39 + 6 weeks she came in spontaneous labor and had to be delivered by emergency cesarean section for foetal decelerations ( sign of foetal jeopardy ) . A bony 3.9kg healthy baby was born through an uneventful Caesarean section . The

baby is now 11 months old thriving well and both of them visit me regularly to thank me and to remind me that the correct approach , intense passion and right knowledge base, got a long way in helping hapless childless couple. In this case LD and her husband needed counselling and guidance to regain their lost self esteem , patience and above all their trust in me could help deliver their bundle of joy. Truly love my moms and their babies !!!

Gynaecologist, Obstetrician,

IVF Specialist

Cloudnine Hosptial

Axon Building, Survey No 28/1, Bhamburda, Shivajinagar, Pune, Maharashtra 411005

Bharati Hospital

Satara Rd, Bharati Vidyapeeth Campus, Dhankawadi, Pune, Maharashtra 411043