Infertility Evaluation in Sangareddy
Expert Obstetrics & Gynecology (OBG) care at KBR Life Care Hospitals, Sangareddy
Infertility Evaluation in Sangareddy
Infertility is defined as the inability to conceive after 12 months of regular unprotected intercourse (or 6 months for women above 35). It is a deeply personal and emotionally challenging experience, and one that many couples in Sangareddy face without knowing where to begin or who to turn to. Infertility is common: it affects roughly 1 in 6 couples and is equally attributable to female factors, male factors, or a combination of both.
At KBR Life Care Hospitals, we approach infertility with care, thoroughness, and sensitivity. We begin with a structured evaluation of both partners simultaneously, since investigating only the woman while ignoring the male factor is one of the most common and costly mistakes in infertility workup. Our gynaecologists provide initial assessment and investigations and coordinate with fertility specialists when advanced procedures such as IUI or IVF are indicated.
Many couples in Sangareddy achieve pregnancy with relatively simple interventions: ovulation induction, timing guidance, or treating an underlying infection or hormonal issue. Starting the evaluation sooner rather than waiting for years is always the right decision.
Types & Causes
Ovulatory Dysfunction
Irregular or absent ovulation, most commonly due to PCOS, thyroid disorders, or hyperprolactinaemia, accounts for roughly 25 percent of female infertility causes.
Tubal Factor Infertility
Blocked or damaged fallopian tubes due to previous pelvic infection, chlamydia, or endometriosis prevent the egg and sperm from meeting.
Uterine Abnormalities
Fibroids inside the uterine cavity, polyps, or a septum can interfere with implantation of the fertilised egg.
Male Factor Infertility
Low sperm count (oligospermia), poor sperm motility (asthenospermia), or abnormal sperm shape (teratospermia) account for approximately 40 to 50 percent of infertility cases.
Unexplained Infertility
All routine investigations are normal but conception has not occurred; often managed with empirical ovulation induction and timed intercourse or IUI.
Age-Related Reduced Ovarian Reserve
Declining egg quantity and quality with advancing age, particularly accelerated after 35, reduces the probability of conception each cycle.
Symptoms to Watch For
No conception after 12 months of regular unprotected intercourse in a couple under 35
No conception after 6 months when the woman is above 35
Irregular or absent menstrual cycles in the woman
Known history of pelvic inflammatory disease, previous ectopic pregnancy, or tubal surgery
Painful periods or pain during intercourse that may suggest endometriosis
Known hormonal conditions such as PCOS, thyroid disorder, or hyperprolactinaemia
Previous history of mumps in the male partner, which can affect sperm production
When to See a Doctor
- After 12 months of regular unprotected intercourse without conception, for a woman under 35
- After 6 months for a woman above 35 or with known irregular cycles
- Immediately if there is a known reason for difficulty conceiving such as irregular cycles, previous pelvic infection, or a prior ectopic pregnancy
- For the male partner: after any abnormal semen analysis result
- When previous fertility treatment at another facility has not succeeded
- Any couple with anxiety about their fertility who wants early reassurance or screening
How We Diagnose
- Semen analysis for the male partner as a mandatory first-line investigation
- Hormonal blood tests for the female partner: FSH, LH, AMH (ovarian reserve), prolactin, TSH, and testosterone
- Pelvic ultrasound to assess antral follicle count, uterine shape, and endometrial lining
- Hysterosalpingography (HSG) or sonosalpingography to check tubal patency and uterine cavity
- Laparoscopy when endometriosis, pelvic adhesions, or tubal pathology is suspected and not answerable by non-invasive tests
Our Treatment Approach
- Treatment of identified underlying cause first: thyroid correction, prolactin reduction, PCOS management
- Ovulation induction with letrozole or gonadotropins for anovulatory infertility with timed intercourse
- Intrauterine insemination (IUI) for mild male factor, unexplained infertility, or when ovulation induction alone is insufficient
- Surgical correction of fibroids, polyps, or uterine septum affecting implantation
- Referral to a fertility specialist for IVF or ICSI when simpler treatments fail or when the cause requires advanced reproductive technology
- Emotional support and counselling as an integral part of infertility management given the psychological burden on both partners
Why Choose KBR Life Care Hospitals?
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