Marathahalli

+91 80500 75370

HSR Layout

+91 94821 75370

Female Fertility Evaluation

What is fertility assessment?

Fertility assessment is a first place to start if you have been trying for a baby or you may be planning a family and want to have some insight into your current fertility health. It is best come as a couple together during your first visit.

When should I consider a fertility evaluation?

Most couples need a thorough fertility evaluation when they do not get pregnant after 12 months of trying.

However, women need earlier evaluation (after 6 months of trying) if woman is >35 years, women have delayed periods, endometriosis, previous ovarian surgery, sexual dysfunction and family history of early menopause.

The sooner you identify and treat these problems, the better your chance of getting pregnant and having a healthy pregnancy

Female fertility assessment includes review of medical history, sexual history, previous surgical history, physical examination if needed, fertility hormone tests, serology blood tests, an ultrasound of your pelvis (uterus and ovaries) and checking the patency of the fallopian tubes. These tests may not be needed in a single visit.

Age of the women: Fertility starts declining when women’s age is >35 years. The quality and number of eggs a woman has decreases throughout her lifetime and egg loss accelerates around the age of 37, which makes it more difficult to become pregnant.

Duration of fertility issues is noted and any prior treatment / tests are noted.Fertility declines significantly after 2 years of trying naturally.

Sexual history: Frequency of intercourse, fear of having sex, problems with desire, pain during intercourse or bleeding after intercourse. Having intercourse once in every 2 or 3 days will cover the fertile days.

Menstrual history: Any delayed or irregular periods, painful periods, heavy periods, bleeding in between the periods, bleeding after intercourse should be evaluated. Periods happening after 35 days is a delayed periods. In women with PCOS with delayed periods, egg release or ovulation may not happen and women should not delay in consulting a fertility specialist if planning for pregnancy.

Medical problems like diabetes, hypertension, tuberculosis and endocrine problems like thyroid and prolactin tumors are noted.

Family history of fertility problemslike premature menopause is noted.

Any previous surgeries for ovarian cyst / tumor, ovarian drilling, surgery for endometriosis, fibroids, polyps, or hydrosalphynx are noted.Also stress, anxiety and sleep disorders are job related and noted.

Physical examination should include assessment of height, weight, Blood pressure, Thyroid, Breast examination, body habitus and general appearance.Examination of pelvis: To know the Uterus size, position, mobility, any palpable mass or any pain during examination.

a)  Health assessment: We check your height and weight to measure your Body Mass Index (BMI). A high (>27) or low BMI (<18) can affect your fertility and reduce your chance of getting pregnant, both naturally and through IVF. We advise you to raise or lower your BMI to improve your chances of conception by losing or gaining weight. Blood pressure is alsochecked.

b)  To check Egg reserve: AMH blood testgives us a good indication of how many eggs are remaining in the ovary, otherwise known as ovarian or egg reserve. AMH blood test can be performed at any time in your menstrual cycle. FSH, LH & Estradiol blood tests are done only on day2 or day3 of the periods.

c)  Other blood tests: Basic routine investigations are done like Hemoglobin, Blood group, Random blood sugar, Prolactin, Thyroid hormones (mainly TSH).

Serology blood tests like HIV, HbsAg and HCV to rule out viral infections.

d)  Pelvic ultrasound scan:  We perform a transvaginal ultrasound scan of your UTERUS and ovaries to check for anything that could affect conception and embryo implantation. An internal scan is a painless procedure and gives us accurate and detailed information about uterus, endometrium, ovaries and any other abnormalities like endometriosis, fibroids or adenomyosis. Antral Follicle Count (egg reserve) will be checked at the same time. Timing of the ovulation can also be made out if scan is done around the time of ovulation.

  1. HysteroSalpingoGraphy (HSG): The HSG procedure involves taking an x ray after pushing dye inside the uterus and the tubes. It must be performed between 5th day and 10th day of the periods. HSG is done to check the shape of the uterus and mainly to check if there is any blockage in the fallopian tubes.

 

If all the results are normal, couple can try naturally for up to 2 years to achieve higher chance of pregnancy. However couple can start with fertility treatment after one year of trying for pregnancy.

Contact Us Today To Schedule A Consultation

Our dedicated team of professionals is here to provide you with the support and guidance you need. Whether you’re seeking medical advice, counseling services, or expert consultations, we’re here to help.

Testimonials
Testimonials

What Our Client Say

We love that our patients feel inspired to write about the care they received here at Vishvas Fertility! Here are some of the wonderful letters and comments we have recently received.

pramod kr
pramod kr
2023-11-07
We visited Dr. Basavaraj for our treatment. We had to visit for over an year and couple of procedures. Doctor is very knowledgeable and has vast experience. Nurses and other lab staff are good. Initially the wait time was less ,however off kate the wait time is on higher side since doctor does scan and procedures in parallel. The wait time doesn't change even with prior appointment . This is especially true in Marathahalli centre. This can be improved. I feel cost here for treatment is much lesser than any corporate hospitals or other centres. Doctor is mostly straight forward and not verbose. Also doctor prescribes just enough medication which might or might not be good, hard to judge.
Rajeev Kothamachu
Rajeev Kothamachu
2020-11-12
I highly recommend the doctor if there any complications. I visited him and we got very good results. He has very good patience and listen all the problems. Doc is not that commercial he is collecting the same from last 4 years. We are now visiting him again for 2nd pregnancy..
Divya Sharma
Divya Sharma
2020-09-08
Dr Basavaraj is amazing and genuine person. Report asked by him are only needed one, no additional like many other place. All clinic staff are even good n helpful, Appointment recommended Over all very good Dr for fertility.
Vinay K
Vinay K
2019-05-16
Very good doctor , provides good information about the procedures ,
Abhijit Sarkar
Abhijit Sarkar
2019-05-14
We worship God and many says that Doctors are possibly the one. We (me and my wife) evident that in our difficult time. Thank you Dr. Basavraj for your treatment and care. You will always be there in our heart and any word of gratitude is not enough. We have blessed with a baby boy and he is doing great. we were struggling from almost 3 years and finally we have been blessed. We (me and my wife) can never forgot what you did for us. When in difficult time people goes away, you have been our hope and belief. we were really very lucky enough that we got a chance to meet you in person and got the treatment. Our Best wishes to you Doctor and may you help many more people who are suffering from fertility issues. We were really amazed that even after such a busy schedule doctor finds the time to respond whenever it was required (in panic situations). Thank you once again doctor for your personal attention. Our best wishes for you and your family. We will surely come and meet you very soon, I am sure my son also will be blessed by just seeing you. You have given us the reason to Smile 🙂
Bharath Konegadde
Bharath Konegadde
2019-05-06
Dr Basavaraj Shetty take care and advice till 3 months pregnancy . One of the best doctor in hsr
Dr Chetan Kumar N.G
Dr Chetan Kumar N.G
2019-04-16
Dr Devarshetty has a midas touch in his treatment apart from his knowledge skills as a infertility specialist. I recommend all patients to be open minded while consulting him. My wife had a very difficult phase in conceiving after getting ectopic pregnancy twice in 2015-16 because of her PCOD . Being a Dr myself i couldn't cope up with the stress with which i and my wife underwent during those times,later in 2016-17 after Dr Devarshetty advise and treatment we finally became parents and it was the most joyous moment of our married life. Now we have a healthy baby girl 10m old..posted mother and baby image.

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