Infertility is the inability to conceive after 12 months of regular, unprotected intercourse (or after 6 months if the woman is 35 years or older). A comprehensive fertility evaluation helps identify the underlying cause and guides the most appropriate treatment plan. Since fertility depends on both partners, a complete assessment of both the male and female is essential.
A standard fertility evaluation begins with a detailed medical, reproductive, and sexual history, followed by a physical examination of both partners. This comprehensive assessment helps identify factors that may be affecting the ability to conceive.
For men, the evaluation usually includes a semen analysis to assess sperm count, motility (movement), and morphology (shape). These parameters help determine sperm quality and identify possible male infertility factors.
Depending on the findings, additional investigations such as hormonal tests, ovulation assessment, pelvic ultrasound, genetic testing, or other specialized fertility tests may be recommended. At Dr. Neha Khandelwal's Clinic, we provide a compassionate, evidence-based evaluation to help couples understand the cause of infertility and choose the most suitable treatment.
An early fertility evaluation can help identify potential reproductive issues and improve the chances of successful conception through timely diagnosis and appropriate treatment.
If you are under 35 years of age and have not conceived after one year of regular, unprotected intercourse.
Women aged 35 years or older should seek evaluation after six months of trying to conceive.
Irregular, infrequent, or absent periods may indicate ovulation problems that require medical evaluation.
Couples with repeated pregnancy losses should undergo a comprehensive fertility and reproductive health assessment.
Women diagnosed with PCOS, endometriosis, fibroids, or other reproductive conditions should consider an early fertility evaluation.
A history of pelvic infections or previous pelvic surgery may affect fertility and should be evaluated.
If your partner has known fertility issues or an abnormal semen analysis, both partners should undergo evaluation.
Couples planning a pregnancy can benefit from an early fertility assessment to understand their reproductive health.
A comprehensive infertility evaluation helps identify the underlying causes of infertility in both partners. It includes a detailed medical assessment, physical examination, and specialized fertility investigations to develop the most effective treatment plan.
Includes menstrual history, previous pregnancies, medical and surgical history, lifestyle habits, sexual history, family history of infertility, and current medications.
A comprehensive physical examination helps identify hormonal, anatomical, or other health conditions that may affect fertility.
May include pelvic ultrasound, ovulation assessment, ovarian reserve testing, hormonal blood tests, thyroid function tests, HSG, sonography, hysteroscopy, and laparoscopy when indicated.
Blood tests such as AMH, FSH, LH, Estradiol, Prolactin, and thyroid function tests help evaluate hormone balance and ovarian function.
Assessment generally includes semen analysis, physical examination, hormonal evaluation, and ultrasound when clinically indicated.
Further diagnostic tests may be recommended based on the initial evaluation to accurately identify the cause of infertility and guide personalized treatment.
Find answers to common questions about infertility evaluation, fertility testing, diagnosis, and treatment options for couples planning a pregnancy.