Infertility
Normally 75% of couples will achieve pregnancy within 6 months, 85% within one year and 90% within two years. 10-15% others are diagnosed with infertility.
Most common causes of infertility are male factors 1/3, female factors 1/3 and unexplained 1/3. If you present with infertility initially both of you will be required to attend the clinic and both of you will be investigated as a couple.
Common Cause of Infertility
The most common female cause is lack of ovulation or blockage of tubes. If ovulation is lacking, you may be given Clomid for induction of ovulation and you will be followed by follicle tracking. If however, you have tubal blockage due to any other cause you may have laparoscopy for checking on the causes like endometriosis or other tubal problems and may need IVF. Abnormality of the male factor may need assisted reproductive technique.
Understanding Infertility
Infertility is defined as the inability to conceive after 12 months of regular, unprotected intercourse (or 6 months if the woman is over 35). It affects many couples and individuals, with causes often involving male factors, female factors, or a combination of both. In women, common contributors include ovulatory disorders, tubal blockages, endometriosis, uterine abnormalities, and age-related decline in egg quality. Understanding the underlying cause is the first step toward effective treatment and personalised fertility planning.
Comprehensive Fertility Assessment
A thorough fertility evaluation begins with a detailed medical history and physical examination by a specialist gynaecologist like Dr Amita Singla. Diagnostic testing may include hormone profiling to assess ovulation and ovarian reserve, pelvic ultrasound to visualise reproductive anatomy, and assessment of tubal patency using hysterosalpingography (HSG). Where indicated, semen analysis is also performed for male partner evaluation. These investigations provide a complete picture and help guide evidence-based treatment options.
Tailored Treatment Options
Infertility treatment is highly individualised, taking into account factors such as age, diagnosis, duration of infertility and reproductive goals. Lifestyle optimisation — including weight management, smoking cessation, and timing of intercourse — forms a foundation of care. Medical interventions may involve ovulation induction with oral or injectable therapies, laparoscopic surgery for endometriosis or adhesions, and assisted reproductive technologies (ART) such as intrauterine insemination (IUI) or in-vitro fertilisation (IVF) where appropriate. A specialist approach ensures each patient receives the most appropriate pathway toward achieving pregnancy.
Emotional Support and Holistic Care
Infertility can be emotionally challenging, and supportive care is an essential component of successful treatment. Alongside medical management, women and couples may benefit from counselling, stress-reduction strategies and connection with support communities. Open communication with your gynaecologist ensures that emotional wellbeing is prioritised alongside clinical care throughout your fertility journey.
For further information about Infertility, please contact Dr. Singla's office.