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Diabetes and Fertility: A Couple's IVF Triumph
11 Sep
Summary
- Woman battled infertility for eight years due to obesity and undiagnosed diabetes.
- IVF enabled conception by addressing multiple fertility challenges together.
- Preconception care improved health, managing diabetes and thyroid issues.
A 34-year-old woman faced an eight-year infertility journey, marked by two miscarriages. Contributing factors included obesity, low ovarian reserve, and hypothyroidism. Compounding these issues, she was diagnosed with Type 2 diabetes. Her husband also experienced fertility challenges with low sperm count.
IVF offered a structured approach to overcome these combined obstacles. Preconception assessments were vital, focusing on managing her diabetes and thyroid function. The first IVF attempt was unsuccessful due to insufficient egg retrieval, leading to the decision to use donor eggs.
Intracytoplasmic Sperm Injection (ICSI) was used due to the husband's sperm issues. The treatment yielded three viable embryos, and after medical preparation, two were transferred. Her HbA1c improved significantly before and during early pregnancy.
Diabetes can affect both male and female reproductive health. The woman's twin pregnancy required intensive multidisciplinary antenatal care, including strict glycaemic monitoring. The pregnancy concluded successfully with the birth of two healthy babies via elective caesarean delivery at 37 weeks.
