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Infertility

Infertility

Infertility is a common concern affecting many couples who are trying to conceive. It is defined as the inability to achieve pregnancy after 12 months of regular, unprotected intercourse. For women above 35, evaluation is recommended after 6 months. Infertility can be emotionally stressful and physically challenging, but with timely diagnosis and expert care, most couples can significantly improve their chances of conceiving naturally or with assisted treatments.

There are several reasons why conception may be difficult. These may relate to ovulation, fallopian tubes, the uterus, hormonal imbalance, or factors affecting the male partner. A thorough and systematic evaluation helps identify the underlying cause and guides the most effective treatment plan tailored to the couple’s goals.

Common Causes of Infertility

  • Ovulation disorders such as PCOS or hormonal imbalance
  • Blocked or damaged fallopian tubes
  • Endometriosis affecting pelvic anatomy
  • Fibroids or uterine abnormalities
  • Poor egg reserve (low AMH levels)
  • Male factor infertility (low sperm count, motility issues)
  • Thyroid, prolactin, or metabolic issues

A detailed consultation includes medical history, cycle tracking, hormonal tests, and imaging studies. Ultrasound, AMH test, and tubal evaluation (HSG or laparoscopy) play key roles in determining the cause. For selected cases, laparoscopy not only confirms the diagnosis but also treats conditions such as endometriosis, adhesions, fibroids, or tubal blocks—significantly improving the chances of natural conception.

Treatment Options

Treatment is personalized based on age, ovarian reserve, duration of infertility, and identified causes.

Infertility
  • Ovulation induction using medications to support regular egg release in women with irregular cycles.
  • Laparoscopic surgery for endometriosis, fibroids, ovarian cysts, or adhesions that hinder conception.
  • Fertility-enhancing procedures to restore normal pelvic anatomy and improve natural pregnancy chances.
  • IUI (Intrauterine Insemination) for mild male factor or unexplained infertility, improving sperm reach and timing.
  • IVF/ICSI may be recommended for severe tubal factors, severe endometriosis, very low sperm count, or repeated unsuccessful cycles.
  • Hormonal and metabolic optimization for thyroid disorders, PCOS, or lifestyle factors affecting fertility.

Minimally invasive surgical treatments play an important role for many women, as removing endometriosis, correcting fibroids, or treating ovarian cysts can significantly enhance fertility. For couples undergoing assisted reproductive techniques, preparing the uterus and optimizing egg quality are equally important steps.

Benefits of a Structured Fertility Approach

  • Accurate identification of the root cause of infertility
  • Personalized treatment plans tailored to age and fertility goals
  • Improved natural conception rates after corrective procedures
  • Higher success in IUI/IVF with proper pre-treatment optimization
  • Emotional support and guidance throughout the journey

Infertility can be emotionally overwhelming, but with the right evaluation and treatment, most couples achieve a successful pregnancy. A compassionate, step-by-step, and scientifically guided approach ensures women and couples feel supported, informed, and confident throughout their fertility journey.