Ovulation disorders, which include conditions like polycystic ovary syndrome (PCOS), can prevent the release of eggs from the ovaries. Without ovulation, fertilization cannot occur, making it a significant cause of infertility.
Blocked or damaged fallopian tubes can prevent sperm from reaching the egg or block the fertilized egg from reaching the uterus. This condition can be caused by pelvic inflammatory disease, endometriosis, or previous surgeries.
Issues within the uterus or cervix, such as fibroids, polyps, or congenital abnormalities, can interfere with the implantation of the fertilized egg or increase the risk of miscarriage.
Male infertility can result from various issues including low sperm count, poor sperm motility, or abnormal sperm morphology. Factors such as genetic conditions, infections, and lifestyle choices can significantly impact sperm health.
Age-related infertility is a natural cause where the quality and quantity of a woman’s eggs decline as she ages. Similarly, male fertility can decrease with age, affecting sperm count and motility.
Endometriosis is a condition where tissue similar to the lining inside the uterus grows outside of it, causing inflammation and scarring that can obstruct the reproductive organs and impair fertility.
Various lifestyle choices, including excessive alcohol consumption, smoking, poor diet, and lack of exercise, can negatively affect fertility. Managing stress and maintaining a healthy weight are also important for optimizing reproductive health.
Certain genetic conditions can impact fertility by disrupting normal reproductive function. Both partners may be tested for genetic abnormalities if infertility is unexplained or if there’s a known family history.
In some cases, infertility remains unexplained despite thorough testing. This can be particularly challenging, but fertility treatments and assisted reproductive technologies (ART) can still offer hope for conception.
Hormone testing typically involves blood tests to measure levels of hormones such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol, progesterone, and thyroid hormones. These tests help assess ovarian reserve, ovulation status, and the overall hormonal environment.
A transvaginal ultrasound is an imaging test that uses a small probe inserted into the vagina to visualize the ovaries, uterus, and sometimes the fallopian tubes. It helps detect abnormalities such as ovarian cysts, fibroids, or polyps and assesses follicular development during the menstrual cycle.
HSG is a specialized X-ray procedure used to evaluate the shape of the uterine cavity and the patency of the fallopian tubes. It involves injecting a contrast dye into the uterine cavity, which can reveal blockages or structural abnormalities that may impact fertility.
Semen analysis is a fundamental test for assessing male fertility. It evaluates sperm count, motility, morphology, and overall semen quality. This test can identify issues such as low sperm count, poor motility, or abnormal sperm shape.
Laparoscopy is a minimally invasive surgical procedure that allows direct visualization of the pelvic organs. It can diagnose conditions like endometriosis, pelvic adhesions, and tubal obstructions. During the procedure, a thin, lighted tube called a laparoscope is inserted through a small incision in the abdomen.
Hysteroscopy is a procedure that uses a thin, flexible tube with a camera (hysteroscope) to examine the inside of the uterus. It helps diagnose and sometimes treat uterine abnormalities such as fibroids, polyps, and adhesions.
Genetic testing may be performed to identify chromosomal abnormalities or genetic mutations that could affect fertility or increase the risk of miscarriage. Both partners may undergo genetic screening to provide a comprehensive view of potential genetic factors.
Ovarian reserve testing assesses the quantity and quality of a woman’s remaining eggs. Tests may include antral follicle count (AFC) via ultrasound and blood tests measuring anti-Müllerian hormone (AMH) levels.
During your initial consultation, you will have an in-depth discussion with Dr. Chauhan about your medical history, lifestyle factors, and any previous fertility treatments. This information helps tailor the diagnostic process to your specific needs.
The duration of the diagnostic workup can vary, but it generally takes a few weeks to complete all necessary tests and reviews. Dr. Chauhan will provide a more specific timeline based on your individual situation.
Not all tests may be necessary for everyone. Dr. Chauhan will recommend tests based on your initial consultation and medical history. Some patients may only need a few tests, while others might require a comprehensive assessment.
Most of the tests involved in the diagnostic workup are non-invasive and carry minimal risks. However, certain procedures like laparoscopy or hysterosalpingography (HSG) may have some risks which will be explained to you in detail by Dr. Chauhan before proceeding.
Yes, partner involvement is crucial, especially for tests like semen analysis. Dr. Chauhan will discuss the importance of both partners undergoing evaluation to get a comprehensive understanding of your fertility.
Even if test results are normal, there might still be underlying issues such as unexplained infertility. Dr. Chauhan will discuss potential treatment options, which can include lifestyle changes, medication, or assisted reproductive technologies (ART).
Once all diagnostic tests are completed and the results reviewed, Dr. Chauhan will discuss the findings with you and formulate a personalized treatment plan. Treatment can typically begin shortly after the review and discussion, depending on your specific needs and preferences.
