Dr. Kanchan Mala

Your Fertility Plan Should Be Built Around Your Needs

Fertility treatment can involve ovulation induction, stimulation, IUI, IVF, ICSI, egg retrieval and embryo transfer. Dr. Kanchan Mala works across these stages with attention to your individual history, investigations and treatment needs.

Experience Across Complex Infertility and IVF Care

Her clinical experience includes counselling and management of infertile patients, donor cycles, egg freezing, ovarian PRP, stem cell therapy, and assisted reproductive procedures. She also manages gynecological and obstetric conditions and high-risk labour.

A Complete Evaluation Before Your Treatment Plan

Assessment may include scanning, follicular monitoring, infertility workup, hysteroscopy and diagnostic laparoscopy when indicated. The aim is to understand the clinical picture before deciding on the next step.

IVF Success Despite Low Ovarian Reserve

IVF Success at 40: Overcoming Low AMH with Personalized Fertility Treatment and Hope

A 40-year-old woman with an AMH of 0.33 ng/mL approached us after being advised elsewhere to consider donor eggs for IVF. We discussed an individualized treatment option incorporating ovarian rejuvenation, with the aim of attempting conception using her own oocytes. We planned embryo pooling through two controlled ovarian stimulation cycles, carefully designed to maximize her chances of retrieving mature oocytes and achieving viable embryo development despite her diminished ovarian reserve and low ovarian response.

After comprehensive counselling, we advised the couple to pursue individualized IVF treatment using her own oocytes rather than proceeding with donor eggs. Ovarian rejuvenation was incorporated as an adjunct, followed by two stimulation cycles for embryo pooling. Two mature MII oocytes were retrieved, and both developed into blastocysts. Following embryo transfer, she achieved a singleton pregnancy. Nine months later, she delivered a baby boy, marking a successful IVF outcome achieved with her own eggs and offering hope for selected patients.

Recurrent Pregnancy Loss: IVF Success

Overcoming Recurrent Pregnancy Loss Through Advanced Sperm Selection and Precision IVF Treatment

A 33-year-old couple came to us after experiencing four heartbreaking early pregnancy losses. Despite extensive investigations showing no obvious abnormality, they had repeatedly been told that carrying a successful pregnancy would be difficult for them. Their hope was gradually fading. We looked beyond routine tests and recommended sperm DNA fragmentation testing. The DFI was found to be remarkably high at 83%. This finding provided an important clinical insight and helped us counsel the couple toward an individualized IVF approach with advanced sperm selection.

We proceeded with IVF using a microfluidics-based sperm selection approach to identify sperm with improved DNA integrity, followed by embryo development and genetic testing. Six embryos were obtained, of which four were identified as euploid on preimplantation genetic testing. After detailed counselling, two euploid embryos were transferred, resulting in a singleton pregnancy. She is now approximately eight months pregnant and is expected to reach term in the coming month. This case highlights individualized evaluation and treatment in recurrent pregnancy loss.

Overcoming IVF Failure Through Hysteroscopy

From Repeated IVF Failure to Healthy Motherhood Through Hysteroscopy and Personalized Treatment

A 35-year-old woman with a previous early miscarriage underwent D&C, after which her menstrual cycles became irregular. She subsequently underwent three IVF attempts without achieving pregnancy. When she consulted us, considering her history of repeated IVF failure and menstrual irregularity, we planned a hysteroscopic evaluation to assess the uterine cavity for any correctable pathology that could potentially affect endometrial receptivity and implantation before proceeding with another individualized IVF treatment cycle.

Hysteroscopy revealed an intrauterine adhesion band, which was carefully removed. During the procedure, endometrial rejuvenation was also performed, and an endometrial biopsy was obtained. The biopsy indicated infection, for which appropriate antibiotics were prescribed. After completing treatment, we proceeded with an individualized IVF plan. She successfully conceived following embryo transfer and subsequently delivered a healthy baby, achieving a successful pregnancy and live birth after three previous unsuccessful IVF attempts

Thesis

Impact of Maternal Overweight and Obesity on Pregnancy Outcome

Thesis research conducted at PMCH Hospital Patna, studying the impact of maternal overweight and obesity on pregnancy outcomes.

Paper presentation on ( Impact of Maternal Overweight and Obesity on Pregnancy Outcomein ISOPARB SOCIETY got first Prize for paper presentation.