Case Study: Real Cases of Infertility Challenges

When PCOS, Diabetes & even a rare Uterine condition couldn't stop Motherhood.

On paper, her chances looked impossible. PCOS, diabetes, obesity, hypertension, vaginismus, and even a rare uterine anomaly all stacked up against her. But with the right science, the right doctors, and care that treated her as more than just a patient, she went on to experience the joy of pregnancy.

- Birla Fertility & IVF, Gurgaon , (Dr. Prachi Benara & Dr. Rashmika Nanda)

Case Snapshot

Patient Age33

Key ChallengesPolycystic Ovary Syndrome (PCOS), Type 2 Diabetes, Hypothyroidism, Hypertension, and Obesity

OutcomeHealthy Pregnancy

HistoryStruggled with infertility for 3 years

TreatmentIn Vitro Fertilisation (IVF)

Timeline5 months

Journey Timeline

1. Complex Challenges

2. Personalised Plans

3. Safe Retireval & Transfer

4. Guided Transfer

5. Successful Pregnancy

The Barriers She Faced

Polycystic Ovary Syndrome (PCOS)

Disrupted ovulation led to irregular cycles and often produced poor-quality eggs.

Type 2 Diabetes Mellitus

Affected ovarian function and egg quality, while also raising pregnancy risks like miscarriage and late-term complications.

Obesity and Hypertension

Made IVF outcomes poorer, increased risks during anesthesia, and negatively impacted implantation.

Unicornuate Uterus

Reduced uterine volume, which limited implantation capacity and raised miscarriage risk.

Severe Vaginismus

Involuntary pelvic muscle contractions that made procedures like IUI painful or nearly impossible.

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. Prachi Benara

The Treatment Plan that made the Difference

Direct IVF with Personalised Stimulation

Since IUI and other procedures were not possible, treatment began directly with IVF. Stimulation was customised to avoid hyperstimulation, which is a common risk in PCOS, while still retrieving good-quality eggs.

Safe Sedation and Anesthesia

Her obesity, hypertension, and vaginismus made anesthesia a challenge. The team used intravenous sedation for both egg retrieval and embryo transfer, keeping her safe and comfortable without invasive airway management.

Embryo Selection and Transfer

Six high-quality blastocysts were developed. With ultrasound guidance, the transfer was carefully done to the most receptive region of her uterus.

Post-Transfer Care

After transfer, she was monitored closely. A multidisciplinary team of dietitians, endocrinologists, anesthetists, and fertility experts worked together to manage her health and reassure her throughout the process.

Case Summary: Her Journey to Parenthood

This patient was 33 years old and had been married for 8 years. She had tried to conceive naturally many times but without success. Her medical history was complex: PCOS, type 2 diabetes, hypothyroidism, hypertension, and obesity. During a hysteroscopy, doctors also discovered that she had a unicornuate uterus. This rare anomaly means the uterus develops smaller than normal, leaving less space for implantation and increasing miscarriage risk. She was also dealing with severe vaginismus, which caused painful spasms of the pelvic floor muscles during penetration. This made intercourse, gynecological exams, and even fertility procedures extremely difficult. With all these challenges, she and her partner turned to Birla Fertility & IVF, Sector 14, Gurgaon, determined to achieve a healthy pregnancy.

Explore More Cases Across India

Overcoming Endometriosis: Priya's Story (Mumbai)

Priya's journey through endometriosis and successful IVF treatment in Mumbai.

A Successful Pregnancy After Multiple Miscarriages (Delhi)

A story of hope and perseverance leading to a healthy baby in Delhi.

From PCOS to Parenthood: Anika's Journey (Bangalore)

Anika's path to motherhood despite PCOS challenges in Bangalore.

The Outcome Highlight

The IVF cycle succeeded. She conceived.

It wasn’t an easy pregnancy, but with strict monitoring and coordinated antenatal care, she continued steadily toward parenthood.