Endometriosis patient cultivates good embryos, successful first transfer

Endometriosis and Ovarian Surgery History: How She Welcomed a Successful Pregnancy After Her First Stimulation Cycle

Ms. L, aged 30, had once experienced the joy of pregnancy but suffered a miscarriage in 2022. Since then, she and her husband had been hoping to welcome their own baby again, but reality did not go as smoothly as they had imagined.

After examination, Ms. L was diagnosed with endometriosis. What worried her more was that she had undergone laparoscopic surgery to remove chocolate cysts — a 9 cm cyst on the right ovary and a 6 cm cyst on the left. After such surgery, ovarian reserve function is often affected, which filled the couple with concerns about their future fertility journey.

Meanwhile, her husband's semen analysis showed low sperm motility, further increasing the difficulty of natural conception.

Personalized Plan After Comprehensive Assessment

After arriving in Thailand, Ms. L underwent a comprehensive fertility assessment led by Dr. Jisupa.

Tests showed her AMH (anti-Müllerian hormone) was 2.49 ng/ml, with an antral follicle count of 11, indicating that her ovarian function still had good potential for stimulation. Her hormone levels were generally stable, creating favorable baseline conditions for subsequent treatment.

Patient Overview

• Age: 30 years old
• One miscarriage after natural pregnancy in 2022
• Diagnosed with endometriosis
• Underwent bilateral chocolate cyst removal surgery
• Right ovarian chocolate cyst: 9 cm
• Left ovarian chocolate cyst: 6 cm
• Antral follicle count: 11
• Male partner's semen analysis showed low sperm motility

Hormone Test Results

• Prolactin (PRL): 12.5 ng/ml
• Follicle-stimulating hormone (FSH): 7.4 mIU/ml
• Luteinizing hormone (LH): 4.9 mIU/ml
• Estradiol (E2): 22.2 pg/ml
• AMH: 2.49 ng/ml

Precise Treatment to Support Embryo Implantation

Based on the actual situation of both partners, Dr. Jisupa developed a personalized IVF treatment plan.

During the embryo transfer stage, the team specifically used Embryo Glue to assist the transfer, aiming to further enhance the embryo's ability to bind with the endometrium and create a more favorable environment for implantation.

First Stimulation Cycle Brings Good News

Delightfully, after the first stimulation cycle, Ms. L successfully achieved pregnancy.

The post-transfer pregnancy test showed a β-hCG level of 77.8 mIU/ml, marking the long-awaited good news.