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Evaluation of Infertility

Comprehensive Infertility Evaluation for Couples

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.

What Goes into a Fertility Evaluation?

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.

Comprehensive infertility evaluation for couples
Infertility Evaluation

When Should You Seek an Infertility Evaluation?

An early fertility evaluation can help identify potential reproductive issues and improve the chances of successful conception through timely diagnosis and appropriate treatment.

Trying for Over One Year

If you are under 35 years of age and have not conceived after one year of regular, unprotected intercourse.

Age 35 or Above

Women aged 35 years or older should seek evaluation after six months of trying to conceive.

Irregular Menstrual Cycles

Irregular, infrequent, or absent periods may indicate ovulation problems that require medical evaluation.

Recurrent Miscarriages

Couples with repeated pregnancy losses should undergo a comprehensive fertility and reproductive health assessment.

PCOS, Endometriosis or Fibroids

Women diagnosed with PCOS, endometriosis, fibroids, or other reproductive conditions should consider an early fertility evaluation.

Pelvic Infections or Surgery

A history of pelvic infections or previous pelvic surgery may affect fertility and should be evaluated.

Male Fertility Concerns

If your partner has known fertility issues or an abnormal semen analysis, both partners should undergo evaluation.

Pre-Pregnancy Fertility Assessment

Couples planning a pregnancy can benefit from an early fertility assessment to understand their reproductive health.

Infertility Evaluation

What Does the Infertility Evaluation Include?

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.

Detailed Medical History

Includes menstrual history, previous pregnancies, medical and surgical history, lifestyle habits, sexual history, family history of infertility, and current medications.

Physical Examination

A comprehensive physical examination helps identify hormonal, anatomical, or other health conditions that may affect fertility.

Female Fertility Assessment

May include pelvic ultrasound, ovulation assessment, ovarian reserve testing, hormonal blood tests, thyroid function tests, HSG, sonography, hysteroscopy, and laparoscopy when indicated.

Hormonal Blood Tests

Blood tests such as AMH, FSH, LH, Estradiol, Prolactin, and thyroid function tests help evaluate hormone balance and ovarian function.

Male Fertility Evaluation

Assessment generally includes semen analysis, physical examination, hormonal evaluation, and ultrasound when clinically indicated.

Additional Investigations

Further diagnostic tests may be recommended based on the initial evaluation to accurately identify the cause of infertility and guide personalized treatment.

Frequently Asked Questions

Find answers to common questions about infertility evaluation, fertility testing, diagnosis, and treatment options for couples planning a pregnancy.

If you have been trying to conceive for one year without success (or for six months if you are 35 years or older), you should consult a fertility specialist for a comprehensive infertility evaluation.

No. Male factors contribute to infertility in a significant number of cases. This is why a complete fertility evaluation includes assessment of both partners.

Common investigations include hormonal blood tests, pelvic ultrasound, ovulation assessment, HSG (Hysterosalpingography), ovarian reserve testing, and semen analysis for the male partner. Additional tests may be recommended based on individual findings.

Most fertility tests are simple, safe, and minimally invasive. Certain procedures, such as HSG, may cause temporary discomfort, but they are generally well tolerated and completed within a short time.

Yes. Once the underlying cause is identified, many couples can benefit from medical treatment, lifestyle modifications, ovulation induction, fertility procedures, or assisted reproductive techniques such as IVF, depending on their condition.

Most infertility evaluations are completed within one or two menstrual cycles, depending on the investigations required and the timing of specific fertility tests.