Infertility Evaluation & Treatment
Infertility is defined as the inability to conceive after one year of regular, unprotected intercourse (or six months if the woman is over 35). It affects approximately 10-15% of couples and can have multiple contributing factors.
Dr. Sowmya Sampurna offers a systematic, evidence-based approach to infertility evaluation and treatment, helping couples achieve their dream of parenthood.
Common Symptoms
- Inability to conceive after 12 months of trying
- Irregular or absent menstrual periods
- History of recurrent miscarriages
- Known conditions like PCOS, endometriosis, or fibroids
- Previous pelvic surgery or infections
- Age over 35 with 6 months of trying
Evaluation
- Detailed medical history and physical examination
- Hormonal profile (Day 2/3 — FSH, LH, AMH, Prolactin, Thyroid)
- Pelvic ultrasound with follicular monitoring
- Hysterosalpingography (HSG) — tubal patency test
- Semen analysis for the partner
- Diagnostic hysteroscopy/laparoscopy when indicated
Treatment Options
- Ovulation Induction: Medications (Clomiphene, Letrozole) to stimulate egg development
- Follicular Monitoring: Serial ultrasound scans to time intercourse or procedures
- Intrauterine Insemination (IUI): Prepared sperm placed directly into the uterus
- Surgical Correction: Laparoscopic/hysteroscopic treatment of fibroids, polyps, endometriosis, or tubal blocks
- IVF Referral: Referral to IVF centres when advanced assisted reproduction is needed
- Systematic, step-by-step evaluation
- Both partners evaluated together
- Cost-effective treatment before considering IVF
- Surgical expertise for correctable causes
- Emotional support and counselling throughout the journey
- Collaborative approach with fertility specialists when needed
Dr. Sowmya Sampurna's comprehensive approach ensures no stone is left unturned in identifying the cause of infertility. Her surgical expertise allows her to correct many structural issues laparoscopically, improving natural conception chances.
If you're under 35 and haven't conceived after 1 year of trying, or over 35 and haven't conceived after 6 months. See a doctor sooner if you have known issues like irregular periods or PCOS.
IUI is generally painless or causes only mild cramping. The procedure takes just a few minutes and you can resume normal activities immediately after.