43 year old female with secondary infertility married since 30 years. A case of bad obstetrics history with previous one abortion and one IUD. She is a Known case of Diabetic & hypertension. She had undergone 4 cycles of IVF outside. 2 cycles at Chennai, 2 cycles at Cochin. Septal resection had been done for her previously.

When we evaluated her, hormone status showed elevated FSH, reduced AMH. Male factor revealed azoospermia with doppler showed B/ L varicocele. We decided DO ICSI for her. We prepared her endometrium for 6 months. ET was done. It was successful this time. She had a girl baby by caesarean section.

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