In this article, we interview Dr Partha Das, Reproductive Endocrinology and Infertility Specialist, Deputy Medical Director at Orchid Fertility Clinic, located in Dubai’s Healthcare City. The fertility clinic is state of the art, offering a bespoke holistic approach to infertility treatment. The clinic offers a large variety of treatments for many conditions, such as female and male infertility, PCOS, endometriosis, recurrent pregnancy loss, along with many other conditions.
1. What is the ethos of your clinic?
Orchid Fertility, offers a bespoke holistic approach to infertility treatment that considers the physical, emotional, and psychological and psychosocial need of every couple. We share a vision to provide treatment to infertile couples and that stands out from other fertility clinics. We aim to offer a holistic approach not only in clinical education and counselling but, in the form of emotional guidance and lifestyle support to improve the health and quality of life of couples to achieve our goal: “healthy babies born to healthy families”. This nurturing approach has a positive and profound effect that ensures that our future generations are protected through good health.
2. What conditions and treatments do you specialize in?
Female and Male Infertility, PCOS, Endometriosis, Recurrent Pregnancy Loss, Recurrent implantation failure after IVF, diminished ovarian reserve, Unexplained infertility, Genetic abnormalities and screening.
3. Can you tell us about a success story where you treated a particularly difficult case?
Success story 1:
Mrs. KU and Mr. KS, aged 35 years and 38 years, presented with secondary infertility and anxious to conceive for 5 years. The couple has one child age 8 years old and one miscarriage following the 1st pregnancy. They tried a few cycles of ovulation induction and artificial insemination treatment elsewhere but was not successful.
The couple had a detailed consultation and evaluation and she underwent 1 cycle of IVF with genetic screening of embryos, PGT-A. She had 3 normal embryos out of 9 embryos screened.
Her first and second frozen cycle transfer was successful at implantation but she had a miscarriage at 6-7 weeks. Prior to her third transfer, Mrs. KU underwent office hysteroscopy and immune modulation with steroids and Intralipid along with estrogen-progesterone and blood thinners subcutaneously. She conceived at her third transfer and delivered a healthy male baby at term without any complications.
Immune dysfunction could be a silent cause of pregnancy loss and or repeated implantation failure after IVF and probably, in this case, genetic screening of the embryos along with immune modulation achieved a successful pregnancy outcome.
Success story 2:
SC and JC, both 34 years old, married for 8 years and trying actively for 6 years. The couple visited numerous clinics only to be diagnosed with PCOS and menstrual abnormalities. She was always treated with hormones to regularize her period. The periods were regular only on treatment for that particular cycle otherwise irregular. The couple was almost on the verge of losing hope and resigning to their fate until they were referred to me by one of my ex-patient. On evaluation, she had a normal ovarian reserve and was a case of unexplained infertility. After a thorough counselling session, I decided to conduct Intrauterine insemination with injectable hormones. She had 2 follicles that ovulated and IUI was done. The pregnancy test was positive in the first attempt itself and had twin babies, boy and girl by LSCS. The couple were overjoyed as their wait for 8 years ultimately resulted in the completion of their family.
Couple inferred that “if ONLY symptomatic treatment of her irregular menses would have continued then probably she would have been infertile throughout her life”.
4. How do you keep up to date with the latest research and technology?
Fertility treatment is not 100% guaranteed. There are a lot of treatment options and the physician has to be very judicious in selecting a particular treatment option that suits the patients’ needs and success. We are strictly adhering to the latest guidelines as laid down by the ESHRE and ASRM. Time-lapse technology in the embryology laboratory helps us to study the embryo morphokinetics. We are also closely following the new researches designed to find the molecular receptor and gene expressions responsible for implantation failure and have also started testing the same in our clinic. Also, in the field of male infertility, we are testing males with abnormal semen parameters for Sperm DNA fragmentation and its effect on reproductive outcome and offering treatment for the same. Regularly, attending conferences and symposium and participating in talks and webinars helps to update scientific knowledge.
5. As a clinic, you are engaging in patient feedback with Doctify – what importance do you place on patient feedback?
Clinicians here take a lot of effort to counsel and educate their patients to help them in their fertility journey. Any concerns and queries from couples are being dealt with sincerity and honesty from the whole team.
In return, we expect good feedback appreciating our efforts and genuineness and this feedbacks help other couples to feel comfortable and compliant. And not only that, the good comments and feedback is also a confidence booster for us at the clinic to challenge ourselves more and do better.
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