After a long wait and a search for solutions to their difficulty conceiving, a couple aged 42 and 37 began a new course of treatment, hoping to fulfill their long-held dream of becoming parents.
On arriving at Dr. Soliman Fakeeh Hospital – Riyadh, the couple underwent a comprehensive medical evaluation under the supervision of Dr. Mishari Al-Zahrani, Consultant of Urology, Andrology, and Male Infertility, and Dr. Rola AbuDaqqa, Consultant of Obstetrics and Gynecology.
The investigations revealed several health factors that could affect the couple’s fertility. The husband had abnormal semen parameters and a varicocele, which was detected on clinical examination and confirmed by ultrasound, as well as elevated sperm DNA fragmentation. The wife was found to have a benign uterine fibroid.
Considering the evaluation results, the medical team developed an integrated treatment plan to address the factors affecting conception, considering each partner’s health condition and their relatively advanced age.
The plan included microsurgical varicocelectomy for the husband and surgical removal of the uterine fibroid (myomectomy) for the wife, with the aim of treating the medical factors that could affect the chances of pregnancy.
Following the two surgical procedures, medical follow-up showed a marked improvement in the husband’s semen parameters, along with a decrease in sperm DNA fragmentation, which returned to normal levels.
Six months after the two operations, the long-awaited good news arrived: the wife conceived naturally, and the journey was completed with a natural vaginal delivery. The couple was blessed with a beautiful baby girl, turning years of waiting and searching for hope into the family's joy they had long dreamed of.
This case highlights the importance of a comprehensive medical evaluation of both partners when conception is delayed, and the role of collaboration between medical specialties in identifying contributing factors and designing appropriate treatment plans, thereby improving the chances of conception and fulfilling the dream of parenthood.
