In Our hospital, we do investigate the reason for RIF by doing tests. Depending upon the cause treatment is given.
- Complete blood checkup, autoantibody assay.
- Laparoscopy and hysteroscopy (This is done, to correct Intra uterine pathologies like polyp, septum, and fibroids, salpingectomy in hydrosalpinx)
- Endometrial biopsy is done for TB endometrium and other infections.
- Male chromosomal analysis.
- Pre-Implantation genetic testing, Blastomere biopsy is done to rule out aneuploidy.
- Endometrial receptive array
Treatment is done depending upon the cause
- Weight reduction
- Healthy lifestyle
- Quit smoking
- Anxiolytics to decrease anxiety
- In case of intrauterine pathology, the patient might undergo polypectomy, septal resection, myomectomy adhesiolysis, salpingectomy depending upon the cause.
- In case of uterine infection, the patient is treated with appropriate antibiotics depending upon the endometrial receptivity testing, embryo transfer is done during the window of implantation.
- Genetically normal embryos are transferred.
- To improve the endometrial receptivity autologous PRP treatment, and other drugs are given.
- Immunotherapy is given RIF is due to autoantibodies of thrombophilic
In our hospital, we have a very good success rate for recurrent IVF failures