Infertility Treatment in Jaipur
Infertility is defined as not conceiving after 12 months of regular unprotected intercourse, or after 6 months if the woman is over 35. In roughly a third of couples the cause is female, a third male, and a third shared or unexplained — which is why both partners are assessed from the start.
When to seek help
- After 12 months of trying if you are under 35, or after 6 months if you are 35 or older.
- Immediately if you have irregular or absent periods, known PCOS, endometriosis or blocked tubes.
- After two or more consecutive miscarriages, without waiting for a third.
- If your partner has a known issue with semen quality or a history of testicular surgery or infection.
The fertility work-up
- For the woman: AMH and antral follicle count for ovarian reserve, thyroid and prolactin, ovulation tracking, and a transvaginal ultrasound.
- Tubal patency is assessed by HSG or saline sonography, and by laparoscopy where indicated.
- For the man: a semen analysis, repeated after an interval if abnormal, as results vary considerably.
- The full assessment is usually completed within one menstrual cycle.
Treatment options, least invasive first
- Timed intercourse with ovulation tracking, where cycles are irregular but tubes are open.
- Ovulation induction with oral or injectable medication, monitored by follicular scans.
- Intrauterine insemination (IUI) for mild male factor, cervical factor or unexplained infertility.
- IVF or ICSI where tubes are blocked, male factor is significant, or earlier treatment has not worked.
- Surgical correction of fibroids, polyps, adhesions or endometriosis where these are the obstacle.
Recurrent pregnancy loss
- Two or more losses warrant investigation — genetic, hormonal, anatomical, immunological and clotting causes are all screened.
- A uterine septum or intrauterine adhesions can be corrected hysteroscopically.
- Thyroid dysfunction, diabetes and antiphospholipid syndrome are treatable causes that are commonly missed.
Fertility & Infertility Treatment — frequently asked questions
How long should we try before seeing a fertility specialist?
Twelve months if you are under 35, six months if you are 35 or over. Come sooner if you have irregular periods, known PCOS or endometriosis, or a history of miscarriage.
Does my husband need testing too?
Yes, from the outset. Male factor contributes in around 40 to 50 per cent of couples, and a semen analysis is simple, quick and inexpensive.
Is IVF the only option?
Far from it. Many couples conceive with ovulation induction or IUI. IVF is recommended when simpler treatments are unlikely to succeed or have already been tried.
