Infertility may be caused by a number of diverse reasons. The diagnostic and therapeutic modalities in the management of this have advanced tremendously in the last three decades with the birth of the first "test tube" baby, Louise Brown in 1978. The underlying problem in infertility may be any of the following: semen quality; ovulation; passage of the sperm to the fallopian tubes; fertilization; or the transport of the embryo to the uterine cavity. All this can now be addressed by doing in-vitro fertilization and embryo transfer (IVF-ET). However, the solution to the problem of implantation remains elusive. The dilemma is even worse, if there is no endometrium to implant on. Presented here is one such case where a disease in childhood was likely to have made a lasting impact on the future of her reproductive potential. The diagnosis, fertility prognostication and reproductive options in these cases are also discussed.
ASHERMAN'S ; SYNDROME ; UTERINE ; SYNECHIAE ; GENITAL ; TUBERCULOSIS ; INTRAUTERINE ; ADHESIONS ; ;