Evaluation of Infertility in Mumbai

At Dhanvantari Hospital, Borivali, Dr. Deepika Doshi, Consultant Obstetrician, Gynaecologist, and Fertility Specialist, provides a comprehensive infertility evaluation for both partners. Rather than rushing directly to treatment, she believes in identifying the underlying cause first, allowing couples to receive the most appropriate and personalized fertility care.

What Is Infertility?

Infertility is defined as the inability to achieve pregnancy despite regular, unprotected sexual intercourse.

Many couples ask,

"Does infertility always mean we cannot have children?"

Absolutely not. Infertility simply means that pregnancy has not occurred naturally within the expected time. In many cases, the underlying cause can be identified and successfully treated.

Infertility may be:

• Primary Infertility – A couple has never achieved pregnancy.
• Secondary Infertility – Difficulty conceiving after having had one or more previous pregnancies.

When Should You Seek an Infertility Evaluation?

You should consult a fertility specialist if:

• You are under 35 years and have tried to conceive for 12 months without success.
• You are 35 years or older and have tried for 6 months without success.
• You have irregular or absent menstrual cycles.
• You have recurrent miscarriages.
• You have known endometriosis.
• You have PCOS (Polycystic Ovary Syndrome).
• You have a history of pelvic infections or previous pelvic surgery.
• Your partner has known sperm abnormalities.
• There is a history of chemotherapy or radiation treatment.

Early evaluation often improves the chances of successful treatment.

What Causes Infertility?

One of the biggest misconceptions is that infertility is only a woman's problem.

In reality:

• Female factors contribute to about 40–50% of infertility cases.
• Male factors contribute to about 40–50%.
• Combined or unexplained factors account for the remaining cases.

Common female causes include:

• Ovulation disorders
• PCOS
• Endometriosis
• Blocked fallopian tubes
• Uterine fibroids
• Adenomyosis
• Poor ovarian reserve
• Age-related decline in fertility

Common male causes include:

• Low sperm count
• Poor sperm motility
• Abnormal sperm morphology
• Hormonal disorders
• Varicocele
• Erectile or ejaculation disorders

How Is Female Infertility Evaluated?

Many women ask,

"Will I need many tests?"

Not necessarily. The evaluation is planned according to your medical history and symptoms.

A comprehensive female fertility evaluation may include:

Medical History

Your doctor discusses:

• Menstrual cycle pattern
• Previous pregnancies
• Miscarriages
• Previous surgeries
• Medical illnesses
• Lifestyle factors
• Family history

Physical Examination

A detailed gynaecological examination helps identify possible reproductive abnormalities.

Hormonal Blood Tests

These may include:

• AMH (Anti-Müllerian Hormone)
• FSH
• LH
• Estradiol
• Prolactin
• Thyroid profile
• Progesterone

Ultrasound Scan

A pelvic ultrasound evaluates:

• Uterus
• Ovaries
• Ovarian reserve
• Fibroids
• Ovarian cysts
• Endometrial thickness

Ovulation Assessment

Your doctor may monitor follicle growth through serial ultrasound scans to confirm ovulation.

Tubal Patency Test

Tests such as:

• HSG (Hysterosalpingography)
• Sonosalpingography
• Diagnostic laparoscopy (when indicated)

help determine whether the fallopian tubes are open.

How Is Male Infertility Evaluated?

Since fertility involves both partners, evaluation of the male partner is equally important.

Tests commonly include:

• Semen analysis
• Hormonal evaluation
• Physical examination
• Scrotal ultrasound (if required)
• Genetic testing in selected patients

A semen analysis remains the first and most important investigation.

Advanced Diagnostic Procedures

If initial investigations do not identify the cause, additional tests may be recommended.

These include:

• Diagnostic hysteroscopy
• Diagnostic laparoscopy
• Endometrial evaluation
• Genetic testing
• Advanced reproductive hormone testing

These procedures help detect conditions that routine tests may miss.

What Happens After the Evaluation?

Many couples worry,

"Will we need IVF immediately?"

Not always.

Treatment depends entirely on the cause of infertility.

Possible treatment options include:

• Lifestyle modifications
• Ovulation induction
• Timed intercourse
• Treatment of thyroid or hormonal disorders
• Medical management of PCOS
• Surgical treatment for fibroids or endometriosis
• Intrauterine Insemination (IUI)
• In Vitro Fertilization (IVF)
• ICSI for male factor infertility

The goal is always to choose the least invasive and most effective treatment first.

Why Choose Dr. Deepika Doshi for Infertility Evaluation in Mumbai?

When dealing with infertility, every couple deserves compassionate care, clear communication, and a personalized treatment plan.

Dr. Deepika Doshi is an experienced Obstetrician, Gynaecologist, and Fertility Specialist at Dhanvantari Hospital, Borivali. She offers a systematic and evidence-based approach to infertility evaluation, ensuring that both partners receive a comprehensive assessment before treatment begins.

Her approach focuses on identifying the exact cause of infertility through detailed history, advanced investigations, and individualized counselling. Whether the solution involves simple lifestyle changes, medication, minimally invasive surgery, IUI, or IVF referral when required, Dr. Doshi works closely with each couple to provide the most appropriate fertility care while offering emotional support throughout their journey.