Mrs N a 38 year old with diminished ovarian reserve (DOR) and Hysteroscopic adhesiolysis done came to us for an IVF cycle.
Her response to 300 units of gonadotropins was poor and her cycle was cancelled. On using a higher dose of gonadotropins, she responded and 5 embryos were transferred but had a negative pregnancy test.
She was counseled for a Donor Egg IVF. Her embryos were vitrified, as her endometrium was very thin.
On a subsequent remote transfer cycle she failed to conceive.
After endometrial scratch therapy, preparing her endometrium adequately with Estradiol and Low Molecular Weight Heparin therapy, she had a positive pregnancy test and delivered a boy at 34 weeks by LSCS.