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Infertility Evaluation & Treatment

Evidence-led workup, ovulation induction and clear thresholds for IUI/IVF referral

Book Infertility Consultation
4–6 wks
Initial workup window
Hormones, ultrasound mapping and semen analysis
70–80%
Ovulation success (OI)
Across 3–6 letrozole cycles in eligible PCOS
35 years
Escalation threshold
Faster move to IUI/IVF if criteria met

When to Consult

  • •Trying to conceive for 12 months (6 months if age >35)
  • •Irregular or absent periods (possible anovulation/PCOS)
  • •Known endometriosis, fibroids or tubal surgery history
  • •Two or more miscarriages or biochemical pregnancies
  • •Sexual dysfunction or painful intercourse
  • •Thyroid, prolactin or diabetes concerns

Understanding Infertility in the Indian Context

In Hyderabad and across Telangana, delayed marriage, PCOS, thyroid issues and stress-heavy work patterns contribute to subfertility. A structured, time-bound plan avoids lost months and improves chances while keeping costs predictable.

When to Consult Our Fertility Specialists

  • ✓ Trying for 12 months (6 months if age >35)
  • ✓ Irregular/absent periods or suspected PCOS
  • ✓ Prior miscarriages or failed IVF/IUI elsewhere
  • ✓ Painful periods/intercourse, suspected endometriosis
  • ✓ Thyroid, prolactin or diabetes abnormalities
  • ✓ Male-factor concerns based on semen parameters

Our Diagnostic Approach

Baseline Labs and Semen Analysis

Day 2–3 hormones plus WHO 2021 semen analysis, with metabolic and thyroid evaluation.

Ultrasound and Follicular Tracking

Antral follicle count, endometrium and cycle monitoring; SIS or hysteroscopy if cavity issues suspected.

Tubal Patency

HSG in the early follicular phase; laparoscopy and chromopertubation where endometriosis or adhesions are likely.

Integrated Plan and Timelines

Lifestyle targets, OI protocol, urology/endocrine referrals and escalation checkpoints.

Treatment Pathways

From lifestyle change and letrozole-based OI to IUI preparedness, corrective laparoscopy and ART referral, we document cycles, doses and responses so decisions are transparent and timely. RPL workups run in parallel when history indicates.

What to Expect: Your Care Journey

First month completes tests and counselling; months 2–4 cover OI/IUI cycles with monitoring. By month 3–6 we decide on escalation or continue the current plan. Tele follow-ups and WhatsApp check-ins keep you supported between visits.

Technology & Innovation

AMH, AFC and 3D TVS guide dosing and timing; EMR-based reminders keep scans, triggers and luteal support on track. We coordinate with partner ART centres for seamless handovers when needed.

Preventing Complications

We aim for singleton pregnancies, minimise OHSS risk and optimise metabolic/thyroid control. Early detection of ectopic pregnancy and timely management are part of our protocols.

Why Ajuda for Fertility Care?

🧭 Time-bound, transparent pathways
🧪 Evidence-led protocols (ICMR/RCOG)
💬 Multilingual counselling and WhatsApp follow-ups

Take the First Step

Book a fertility consultation today. Call 9010550550 or message on WhatsApp for appointments.

Diagnosis Approach

1

Baseline labs and semen analysis

Day 2–3 FSH, LH, estradiol, AMH, TSH, prolactin, CBC and WHO 2021 semen analysis; fasting glucose/lipids as per ICMR.

2

Ultrasound and follicular monitoring

Transvaginal USG for antral follicle count, endometrium and follicular growth tracking; SIS/hysteroscopy if indicated.

3

Tubal patency assessment

HSG between days 7–10; laparoscopy with chromopertubation when endometriosis/adhesions suspected.

4

Integrated treatment plan

Risk classification, BMI and metabolic optimisation, male-factor referral and timeline for step-up.

Treatment Options

Lifestyle & Metabolic Optimisation

South-Indian meal plans, weight targets, sleep and stress protocols; vitamin D and anaemia correction.

Improves ovulation and clinical pregnancy rates in PCOS.
8–12 weeks with reviews

Ovulation Induction (First-line Letrozole)

Letrozole-based OI with monitoring; dose escalation per response; add metformin in insulin resistance.

Higher live birth rates vs clomiphene in PCOS.
Up to 3–6 cycles

Timed Intercourse / IUI Readiness

Trigger timing, luteal support and move to IUI for mild male factor or cervical issues.

Increases per-cycle pregnancy probability in select couples.
1–3 cycles before escalation

Corrective Laparoscopy

Adhesiolysis, endometriosis ablation, fibroid/cyst management where fertility-impacting.

Restores anatomy and improves natural/IUI success in select cases.
As indicated with recovery plan

Assisted Reproduction Referral (IUI/IVF/ICSI)

Clear thresholds: failed 3–6 OI cycles, age >35 with diminished reserve, moderate-severe male factor, bilateral tubal block.

Shortens time-to-pregnancy with appropriate selection.
Cycle-specific

Recurrent Pregnancy Loss Protocol

Thrombophilia, thyroid, diabetes and anatomical evaluation with personalised care.

Reduces early loss with targeted interventions.
Preconception and first-trimester focus

Expected Outcomes

Treatment Timeline

2–4 Weeks

Baseline labs, semen analysis and ultrasound mapping completed.

6–8 Weeks

First OI cycle monitored; dose adjusted based on response.

3–6 Months

Up to 3–6 OI/IUI cycles attempted; escalation decisions documented.

1 Year+

Sustained plan or ART pathway with counselling and support.

Success Metrics

  • Ovulation rate per cycle
  • Clinical pregnancy rate per cycle
  • Median time-to-pregnancy

Start Your Fertility Journey with Clarity

Emergency
9010550550
Email
contact@ajudahospitals.in

Related Services

PCOD / PCOS Management
Metabolic optimisation and ovulation support.
Endometriosis Treatment
Pain relief and fertility restoration.