Infertility Evaluation and Treatment

Month after month, you wait for a positive pregnancy test, and month after month, it doesn’t come. What starts as excitement slowly turns into anxiety, frustration, and quiet grief. You watch announcements around you while you carry the struggle privately, often facing well-meaning but intrusive questions that sting more than people realise.

Initial Assessment

A thorough infertility evaluation at our fertility clinic in Surat starts with both partners. We take a detailed history, examine reproductive health, and order targeted blood tests. Ovarian reserve and ovulation markers for women, and key hormones for men when needed.

Core First-Line Tests

A semen analysis is done early to check count, movement, shape, and volume. For women, we confirm ovulation and do a transvaginal ultrasound to assess the uterus, ovaries, follicles, and possible concerns like fibroids, polyps, or PCOS.

Uterus and Tubes:

An HSG checks whether the fallopian tubes are open and if the uterine cavity looks normal. If needed, hysteroscopy directly views (and sometimes treats) issues inside the uterus, while laparoscopy helps diagnose and treat endometriosis, adhesions, or tubal damage.

Advanced Male Testing:

If semen results are abnormal, we may add hormone tests, genetic work-up, scrotal ultrasound, or biopsy in select cases.

Infertility Treatment Options:

Lifestyle Modifications & Timed Intercourse: Weight, sleep, stress, smoking/alcohol reduction, and properly timed intercourse during the fertile window can be enough for some couples. Ovulation predictor kits, cycle tracking, or basal temperature help you time it accurately.
Ovulation Induction: This helps when eggs aren’t released regularly. Oral medicines like clomiphene or letrozole may support ovulation, especially in PCOS. Injectables are used when needed, with close monitoring.
IUI (Intrauterine Insemination): Prepared sperm is placed directly in the uterus around ovulation. Often paired with ovulation support and commonly tried for a few cycles.
IVF (In Vitro Fertilisation): Eggs are retrieved, fertilised in the lab, and embryos transferred to the uterus. Options like ICSI or PGT may be discussed depending on the situation.
Surgery: This may help when fertility is blocked due to fibroids, polyps, adhesions, endometriosis, or varicoceles.
Third-party options: Donor eggs, donor sperm, or surrogacy can be life-changing when eggs, sperm, or the uterus can’t do the job.

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