Name of the Patient : Padmini
Name of the Spouse : Srinivas
Date : June, 2018
Padmini and Srinivas are a couple with a married life of over eight years, suffering with infertility woes. Nothing seemed to be working for them, they have gone to a fertility specialist but didn’t like the follow up so after a couple of choices they stepped into Rama’s Hospital (Dr.Rama’s Institute for Fertility) after being recommended by a relative of them.
The couple were suggested simple ovulation induction and timed intercourse which didn’t work even after two attempts. So IUI (intrauterine insemination) was explained to couple as the next line of treatment, Padmini had patent fallopian tubes. But the couple chose to directly opt for IVF (Invitro Fertilization - Embryo transfer technique), instead of further wasting time Padmini was 30 years then. After consultation with Dr.Rama, Padmini had all positivity in air and filled herself with confidence. She loved the atmosphere at Rama’s and took up the treatment as a meditation. She grins and says she still remembers Dr.Rama holding her hand on embryo transfer table and saying “It’s going to work for you”.
The very first attempt of IVF was successful for her and she successfully delivered a healthy baby girl at 36weeks of gestation, when asked about her stressful days of treatment she said “The embryologist , doctors , staff, nurses and even the house keeping have helped her through her journey which didn’t end there.
This girl is five years now. After trying for two years and failing to attain pregnancy, they dropped into Rama’s again for having a second child. The investigations revealed that one of the fallopian tubes is blocked for Padmini and semen analysis of Srinivas showed severe oligoasthenoteratozoospermia. After giving them antioxidant therapy for three months, IVF treatment commenced off. IMSI (Intracytoplasmic of morphologically selected spermatozoon injection – where in a sperm with good morphology and less abnormality at 6000 times more magnification from routine selection is used.) technique was used for fertilization of the eggs collected in an antagonist cycle. Two beautiful blastocysts formed from eight eggs collected of which only one was transferred and another vitrified (frozen) for future use just incase the attempt failed. But luck favoured the couple yet again, 30 days post embryo transfer scan revealed a healthy gestational sac with fetal heart and pole. Their happiness knew no bounds.
Name of the Patient : Snigdha
Name of the Spouse : Tanay
Date : May, 2018
Snigdha and Tanay started their treatment at Rama’s over a year ago. She was 36 and he was 42 years with a married life of over five years.
First year and half they didn’t plan for children, when they did plan to start a family, they realized that things were not easy. As a routine they dropped to a gynecologist and series of investigations were done. On hearing from a colleagues’ experience at Ramas, Tanay decided to visit Rama’s Fertility Center.
After their initial history and case sheet, reports of investigations Dr.Rama advised them to opt for IVF treatment as already 3 IUI cycle failed and two IVF attempts failed these were at another fertility institute at district level and the biological clock was ticking for Snigdha. The couple finally consented for IVF. Keeping her hormonal analysis and ovarian reserve in view Dr.Rama suggested minimal stimulation protocol with antagonist administration as and when required. Freeze all embryos and transfer the embryos in the natural cycle a month later with estrogen and progesterone priming. After counseling of all the pros and cons, the couple consented.
We had retrieved six eggs, all of them being mature, fertilized and formed six beautiful embryos. On day 3 all were frozen. Snigdha was started on medication in subsequent cycle and on day 3 of progesterone we revived 3 embryos of hers and planned for an embryo transfer, wherein we transferred the best single embryo and put the other two 2 embryos for further culture. D6 we had one beautiful blastocyst as the couple wanted twins we transferred this blastocyst to her uterus as a part of sequential transfer. 30 days later ultrasound scan revealed healthy twin gestational sacs.
Tanay says “Dr Rama didn’t want to take any chances. She wanted to be 100% sure that we are successful, making sure that we go back home with a baby or two of ours. Snigdha says, Dr.Rama is exceptional. Her staff also were very supportive. “We both Tanay and me feel blessed and happy to step into this paradise Dr.Rama’s Institute for Fertility, which made our dream come true soon we will have a beautiful family of ours.
Name of the Patient : Bujji
Name of the Spouse : Laxmi
Location : Karimnagar
Date : April 25, 2018
We are married for 15 years and have been trying to conceive from past 8 years. We had undergone 4 IUI cycles + 1 cycle of IVF at other hospitals we were referred to Dr.Rama’s Institute by a friend we were counseled about our condition and the need for IVF was explained in detail to us. Blood tests were done and after doing semen analysis count and motility were found to be very low. We were advised to undergo IVF – TESA for better success. We started the case as advised.
We were counseled at every step of procedure. We were explained in detail the process and the progress after every scan. We had a successful outcome in first cycle we were very happy after scan when we were told that it is twins we are following up our pregnancy also with them. Now I am in my 6 th month of pregnancy and every thing is going fine. We are very happy with the doctors and the staff. Every minute detail was given attention and we are very satisfied with the services that they provide.
Name of the Patient : Rajesh
Name of the Spouse : Kavitha
Location : Tenali
Date : April 10, 2018
Patient Mrs. Kavitha aged 33 years with known diabetic and Hypothyroid came to us with irregular menses and primary infertility. Couple were investigated and husband was found to have oligoasthenospermia. She was found to have thin endometrium. Treatment for improvement of endometrium was done by vaginal medications, hydrotubation. PRP was also instilled to improve endometrial thickness and vascularity. Stimulation was done, and embryos were frozen. In the next cycle, enometrium was prepared and frozen embryo transfer was done. Beta hCG was done on day 13 which showed a positive result. Scan was done which shows a single live fetus.
Name of the Patient : Pratap
Name of the Spouse : Vani
Location : Adilabad
Date : April 09, 2018
Patient Vani aged 37 years married for 1 year 4 months with history of one abortion came to us for fertility treatment. Couple were investigated and she was found to have low AMH OF 0.6. She was advised IVF, she was started with Antagonist protocol and LH was monitored while undergoing stimulation. She had premature LH surge and this was controlled with injections, 3 oocytes were retrieved and embryo transfer was done she had a positive pregnancy test. This patient got success in first cycle itself.
Name of the Patient : Douglas D'Ambrosio
Name of the Spouse : Natalie D'Ambrosio
Location : Kea'au Hawaii, USA United States of America
Date : May 25, 2009
My name is Douglas D'Ambrosio, my wife is Natalie D'Ambrosio, and we live in Kea'au Hawaii. After a very complicated first pregnancy, pre-existing medical conditions made it impossible for my wife to have another baby, so in early 2008 we began researching fertility clinics in India. We contacted several facilities in different areas of India, all advertising on the internet, and we received a wide variety of responses. They all offered complete fertility services as well as surrogacy. We were initially drawn to Dr. Rama's Institute for Fertility in Hyderabad because of their detailed and timely responses to our e-mail inquiries, as well as their "three-try" approach to their IVF service. We understood completely that there were no guarantees no matter what facility we chose, but we liked Dr. Rama's all-inclusive multiple-attempt approach to IVF and embryo implantation. This seemed to offer us the best possible chances to facilitating a successful pregnancy.
I was cautiously optimistic as I traveled to Hyderabad for the first time in the spring of 2008, but my skepticism began to wane when I arrived at the hospital for the first time and had an opportunity to meet the doctors and tour the four-floor facility. It became apparent that this was a well-established and professionally run fertiity hospital offering a wide variety of fertility services to a mainly Indian clientel. As a foreign guest, I believe I was given special treatment, or so I felt. I did not feel like I was being conned or held over a barrel. On the contrary I felt like the entire staff (approximately 130 people) went out of their way to make me feel welcome, and they showed a genuine interest in my health and well being while I was in India. They made me feel like a guest in their home. They helped me get checked into the hotel next door and arranged a discounted room rate for me. Throughout my entire visit I had easy access to the doctors and staff, including Dr. Rama herself, who is enormously busy but always found time to see me if I needed to speak with her.
Due to the large number of people involved with the services we requested, the hospital understandably required a large portion of their fees to be paid up front. Dr. Rama and I had a discussion about this, and we came to an arrangement that we both agreed was based on mutual trust. It was none-the-less an enormous leap of faith for everyone involved.
We were understandably disappointed on hearing the news that our first two attempts were unsuccessful. We knew they were trying their best, but that was hard news to digest. Our third attept, however, resulted in a successful pregnancy, and 9 months later our daughter, Ashley, was born. She weighed a whopping 8 pounds 13 oz. Everyone in the hospital was genuinely excited for us, and all wanted to see the big American baby.
Our surrogate mother, Jayalaxshmi, was a very nice 27 year old woman from a small town in Andhra Pradesh. We met Jayalaxshmi several times throughout the later stages of the pregnancy. We expressed to her how much we appreciated what she was doing for us, and she told us how much she appreciated what we were doing for her and her family. It was important to us that Jalaxshmi was emotionally stable, and well compensated for her efforts. After the delivery she asked if she could see the baby, and of course we agreed. She seemed genuinely interested in the baby and told us she was happy that she was able to do this for us. She also seemed very happy with the compensation she was given. She did a very good job caring for our baby for 9 months and we're forever appreciative. For her efforts she was given a life-changing sum of money that will improve her family's life and go towards her daughters' education.
The hospital arranged for a pediatrician, a personal referral from one of the senior embryologists working on our case. We met with the pediatrician for periodic check-ups at Dr. Rama's hospital several times in the weeks following the delivery. After Ashley's birth, Dr. Rama's hospital had essentially fulfilled their obligations to us, but they continued to work for us for several more weeks after Ashley was born preparing documentation for the US consulate so they could issue Ashley a passport. They even sent a member of the hospital staff with us to the Indian police commissioner in Hyderabad to obtain an exit visa for Ashley. They had no obligation to do this, but it made the task much easier.
Throughout the entire experience, we felt like the staff at Dr. Rama's fertility hospital genuinely cared about our family, not just about the money we were paying them. We felt they went above and beyond the call of duty to help us throught this process and to make sure we were happy and healthy while staying in Hyderabad. We now consider many of the doctors and staff members our personal friends, and will stay in touch with them long after our return home. We wanted to have a baby, but we also wanted a rich cultural experience, and we ended up with both.
“Thank You for helping to make what seemed like
An impossible dream come true for us”
Myself Mr. Mishra [46yrs] and my spouse Ms. Reena mishra[44yrs] have been married since 14years and planning to have kids all these years. We are residents of India, staying in USA from past many years. We consulted many gynaecologist and infertility doctors to have a solution to our problem. All our efforts are in vain. We are highly depressed and seemed as if darkness is spread in our lives. We are in search of a dawn “However long the night, the dawn will break”
In our search on the internet about various infertility clinics across the globe, who can buildup the hope and bring twilight in our lives, We found Dr. Rama’s Institute For fertility as one of the best fertility clinic in India rendering various services to infertile couples from all over the world to attain their dream of parenthood. We first approached Dr. Papolu Rama Devi through mails. The reply was so impressive. Warm welcome that we found while receiving us gave a hope and decided to take the treatment under her guidance. As my spouse is 44 years old and had multiple uterine fibroids and endometriosis, for which she had taken the treatment in other reputed clinic. Unfortunately it was uneventful. So, we decided to opt for oocyte donor along with surrogacy keeping in view of her health. As I will not be available during the treatment period due to my busy job schedule, I had my semen samples frozen. We were successful in the first IVF cycle only. When we heard about the news we are so happy and delighted and seemed as if an impossible dream come true for us.
Now she is in her 6th month of pregnancy. We look forward for the baby's arrival in this world with huge anticipation. We long for the day when we can finally physically carry our baby in our arms and look at our baby in the eyes. The moment my wife heard the news, she busted in tears and said
“I begin to love the baby
and to anticipate her birth
as a fresh twist to a knot,
which I do not wish to untie.”
Last but not the least, for the couple who are facing a problem to have children I would like to say few words about Dr.Papolu Rama Devi and her team, “Their enthusiasm, energy, involvement and dedication were a constant source of inspiration and spiritual energy which made me take up infertility as a challenge. Her individual interest in her patients, her involvement is to be greatly appreciated which never let us loose hope. Patience, Perseverance and Individual attention is what they provide exclusively at Dr.Rama’s IVF Centres for which they are the most successful fertility center. ”
The feeling of happiness dwells for us in the gift
That is given to us by……..
History of our hospital dates back to 15 years rendering various services to infertile couple to achieve their dream of parenthood. We have all the facilities for performing advanced assisted reproductive techniques from IUI to PGD [Intra uterine Insemination to Pre implantation Genetic diagnosis]. A NRI couple Mr.Sateesh and Ms.Anjali happened to know our services through the website http://www.fertilityindia.com/ and approached us through mails. Ms. Anjali’s past history reveals that she was planning to have kids from last 6 years. She had undergone laparotomy for the removal of the ovarian cysts and undergone for 2 cycles of IVF, one in August 2008 and the other in October 2008 at USA. But unfortunately both the cycles were cancelled as the expected number of follicles did not mature and the hormonal E2 values were very low.
At this juncture, the couple approached us stating they would like to go for IVF with Oocyte donation. After going through all the investigations, this is considered as a case of POF [Premature Ovarian Failure]. This is a condition also known as Primary Ovarian insufficiency is the loss of function of the ovaries before age 40. A commonly cited trait for the diagnosis is amenorrhea, hypergonadotropinism and hypoestrogenism.She was advised to opt for oocyte donation. As her husband Mr. Sateesh is not available during the treatment period, he had his semen samples frozen. As Ms.Anjali requested to minimize her stay in India, we sent the medication that has to be taken by her through courier and asked her to take them as per the schedule under the guidance of her RE. Her menstrual cycle is coordinated with the donor cycle and asked her to be here before 4 days of oocyte retrieval. The IVF cycle went smoothly and the resultant embryos were tranfered into Anjali’s uterus. Her 21st day β-hCG value is more than 1500 IUwhich is a sign of positive pregnancy. The couple expressed their happiness and gratitude and said
“Happiness resides not in the possession and not in Gold.
The feeling of happiness dwells for us in the gift
That is given to us by Dr.Papolu Rama Devi”