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Case Study: Real Cases of Infertility Challenges
Against Every Medical Odd: HIV, Endometriosis, and Low Ovarian Reserve Didn’t Stand in Their Way
HIV. Endometriosis. Low ovarian reserve. Each diagnosis felt like another door closing. He was HIV positive. She had Grade 4 endometriosis and a diminished ovarian reserve. For years, they lived with the fear of passing something on to each other or to their future child. <br> On paper, parenthood seemed impossible. But science has a way of rewriting stories when paired with care that truly listens. Today, they are holding a healthy, HIV negative baby girl, living proof that parenthood is not defined by a diagnosis
Case Snapshot
Journey Timeline
1. Complex Challenges
2. Personalised Plans
3. Safe Retireval & Transfer
4. Guided Transfer
5. Successful Pregnancy
The Barriers They Faced
Risk of HIV Transmission
Natural conception was unsafe, requiring stringent ART protocols.
Semen Processing
Samples had to be processed under strict infectious disease protocols in a specialised lab.
Grade 4 Endometriosis
Reduced fertility potential and created uterine challenges.
Suppressed Menstrual Cycle
Years of therapy had disrupted her natural cycle.
Low Ovarian Reserve:
Limited egg supply meant stimulation had to be timed and planned precisely.
Emotional Exhaustion
The couple needed both psychological support and medical precision.
Doctor's Quote
“The key was to tailor every aspect of care to this patient's unique needs, balancing safety, comfort, and clinical effectiveness.”— Dr. Muskaan Chhabra
The Treatment Plan that made the Difference
Restoring Menstrual Cycle
Medications were prescribed to re-establish her natural cycle before IVF.
Safe Semen Preparation
The husband’s HAART continued, and semen was processed to remove viral particles.
Controlled Ovarian Stimulation
Tailored protocols retrieved quality eggs without overburdening her body.
Embryo Creation & Preservation
10 oocytes retrieved → 5 viable embryos developed and frozen.
Endometriosis Suppression & Uterine Readiness
The uterus was optimised for safe implantation.
Embryo Transfer
A single embryo transfer was performed with precision to ensure safety.
Case Summary: Their Journey to Parenthood
The wife had Grade 4 endometriosis, suppressed menstrual cycles due to prolonged hormonal therapy, and low ovarian reserve. After years of waiting, failed attempts, and emotional fatigue, they turned to Birla Fertility & IVF, determined to make their dream of parenthood a reality.
This case is proof that HIV does not mean the end of parenthood dreams. With modern ART, interdisciplinary care, and tailored protocols, science and compassion can help achieve parenthood.
At Birla Fertility & IVF, we believe that no challenge is too great when approached with precision medicine and empathetic care. For this couple, what once seemed impossible became their most beautiful reality, holding their healthy baby in their arms.
The Outcome
IVF was successful. The couple conceived on the first embryo transfer.
After a full-term pregnancy, they welcomed a healthy baby girl weighing 3 kgs, HIV-negative and thriving.