Fertility Evaluation

In fertility evaluation, we take a thorough history of the couple, including their sexual history, past illness, family history, evaluation of previous investigations and treatments. Following which a physical examination is done. Then we recommend baseline Tests/Investigations to the couple. These tests help us to find the underlying reason for the inability to conceive.

Tests for male partner is usually only Semen analysis. This analysis helps in determining the sperm count and the motility of sperm. A normal semen analysis usually rules out any male factor for infertility in 99% of the cases.

In patients where abnormalities are found, further analysis is carried out like sperm morphology testing, vitality testing, Y chromosome deletion testing etc.

We try to identify whether problem is in uterus, ovaries, fallopian tubes or hormones. The most common tests are baseline USG, HSG, follicular study and AMH. Only one menstrual cycle is enough to do all the tests and find out the cause for infertility. Laparoscopy and hysteroscopy may also be needed in some cases.

We prescribe the baseline investigations /Tests rationally and try to keep them minimal and also do not repeat them if done earlier. We follow a stepwise manner so that the exact cause can be identified with minimum cost, time and inconvenience.