Embracing Motherhood Differently, at 45

Mrs and Mr Pal (name changed) had lost their 25-year-old son to a tragic accident. They had, however, not lost hope of parenting another child. When the elderly couple visited the clinic, I was amazed at their determination. Considering the wife’s age (45) and after running a few tests, I figured IVF (In vitro fertilization) would be the ideal treatment option for her, and strongly recommended the same.

Since the patient had an adenomyotic uterus – a condition where the endometrial tissue exists within and grows into the uterine wall – I decided to give her luteinizing hormone-releasing hormone (LHRH) agonists, like Zoladex injection, alongside other usual medications to enable implantation.

Although the pandemic interrupted their treatment cycle for a few months, the couple held on to their hopes and returned to have the embryos transferred as soon as the lockdown was lifted. The embryo transfer succeeded in the very first attempt. 

However, 6 months down the line, Mrs Pal developed gestational hypertension. High blood pressure during pregnancy poses various risks, which is why the baby had to be delivered prematurely at 28 weeks and was kept in the NICU under superior care and observation. After a month the little boy was fit to travel home with his parents.

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