Mrs. V. D., age 30 years approached Dyumna Women’s Clinic in 2014. She had a history of ‘Preterm premature rupture of membranes’(PPROM). This is a pregnancy complication wherein the sac (amniotic membrane) surrounding the baby ruptures before 37 th week of pregnancy.Mrs. V.D. had suffered unfortunate pregnancy losses 3 times during the past three years between 12th and 19th week of her pregnancy. She was facing difficulty to conceive as well when she approached Dyumna Women’s Clinic.She was upset at not being able to conceive and at the same time more anxious about the circumstances after she would get pregnant. Her test reports before starting treatment at Dyumna Women’s Clinic indicated –

Mrs. S.R., age 28 years came to Dyumna Women’s Clinic in July 2017. She had a recent history of ectopic pregnancy. Her right fallopian tube had been surgically removed as a consequence of her ectopic pregnancy. Her Hysterosalpingography (HSG) report before starting the treatment at Dyumna Women’s Clinic revealed blockage in her left fallopian tube which was the only one she was left with. So basically any of her fallopian tube was not functioning at that time.

Miss. P. M. Age – 25 years. Patient initially visited Dyumna Women’s Clinic in June 2017. She had irregular periods since 6 months. Her menstrual cycle was of 60 days with 3 days of scanty bleeding.She also complained of clots and dysmenorrhoea during her periods. She was advised for a baseline ultrasonography study. The study revealed polycystic changes in her ovaries. The ovarian volume was 13 cc and 10 cc respectively for the right and left ovaries.

Mrs. S.A., age 43 years, initially visited Dyumna Women’s Clinic in August 2018. She had irregular menses since 6 months with prolonged heavy bleeding and clots during her periods. She was also very much concerned because of her mood swings and mental irritation that aggravated about 8-10 days before her menstrual cycle. Her baseline ultrasonography done during secretory phase revealed endometrial hyperplasia with endometrial thickness of 24.3 mm.

Mrs. G. S. K., age 42 years, approached Dyumna Women’s Clinic in May 2017. She had dysmenorrhoea and menorrhagia since 4-5 years.Her ultrasonography revealed bulky uterus with multiple fibroids. Endometrial thickness was 16 mm in secretary phase suggestive of endometrial hyperplasia.She also complained of severe vaginal itching and profuse vaginal discharge.