
24/03/2025
Mrs TANJINA AKTER( name changed) Aged 35 child less for 15 years. History of 5 RPL, develop diabetes after last conception 4 year back .She came to me for subfertility .Her diabetes controlled with oral medicine metformin 500 mg daily. APA test found negative .her endometrial thickness was found reduced around ovulation. Naltrexone + sildenafil was used continuously for 6 month , and she conceived & continue her ANC accordingly without much hazard. Her diabetes controlled with diet & oral medicine metformin only. Electively she was delivered through cesarean section after completion of 38 weeks with a healthy baby without any complication for mother and baby.