Patient’s Profile: 

A 28-year-old woman and her 36-year-old husband presented with a history of primary infertility for 10 years. The patient had low AMH along with hypothyroidism, hypertension, and morbid obesity. 

The couple had previously undergone multiple fertility treatments at other centers, including 2 failed IUI cycles and 2 unsuccessful IVF cycles, before seeking treatment at Safal Infertility & Laparoscopy Hospital. 

Diagnosis: 

Based on the couple’s detailed medical and fertility history, previous treatment outcomes, and fertility evaluation, the couple was diagnosed with primary infertility with diminished ovarian reserve/low AMH, along with associated medical comorbidities. 

Findings Included: 

Medical History: 

• Primary infertility for 10 years 

• Low AMH 

• Hypothyroidism 

• Hypertension 

• Morbid obesity 

Previous Fertility

Treatments: 

• 2 IUI cycles: Failed 

• 1 IVF cycle in 2022: Failed at another center 

• 1 IVF cycle in 2024: Failed at another center 

Treatment: 

After a detailed evaluation, an individualized IVF treatment plan was developed based on the patient’s fertility parameters, previous treatment history, and associated medical conditions. 

The couple underwent IVF treatment at Safal Infertility & Laparoscopy Hospital with close monitoring throughout the treatment process. 

Treatment Outcome: 

The couple achieved successful conception in their first IVF attempt at Safal. 

The pregnancy was subsequently monitored with appropriate medical care considering the patient’s existing health conditions. 

Monitoring: 

Regular follow-up and monitoring were carried out throughout the pregnancy to assess: 

• Maternal health 

• Pregnancy progression 

• Fetal growth and well-being 

• Blood pressure and thyroid-related parameters 

• Overall pregnancy status 

Result: 

After 10 years of primary infertility and multiple unsuccessful fertility treatments, the couple successfully completed their pregnancy and welcomed 2.740kg weight of healthy baby boy. 

The patient underwent a Caesarean delivery, with her weight at the time of delivery recorded at 126.8 kg. 

Conclusion: 

This case highlights the importance of a personalized approach to fertility treatment, particularly in patients with low AMH, previous unsuccessful fertility treatments, and associated medical conditions. 

After two failed IUI cycles and two unsuccessful IVF attempts elsewhere, the couple achieved a successful pregnancy in their first IVF attempt at Safal Infertility & Laparoscopy Hospital, Vadodara, and welcomed a healthy baby boy.