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Infertility and Treatment



Infertility and Treatment


  1. What is infertility?

Infertility is the disability to conceive after a year of consistent and unsafe intercourse. Interpretation and pregnancy involve several complex processes in both the partners. Any problem in these processes can lead to infertility.


  • The female body delivers an egg from one of her ovaries which has to pass through the Fallopian tube to reach the uterus (womb).
  • The male body creates sperm which has to reach the egg at the site of fertilization (uterus).
  • The prepared egg should then insert itself inside the uterine wall for pregnancy to succeed.

Infertility is a common problem seen globally. Both male fertility and female fertility are a concern. Female factor values for one-third and male factor accounts for one-third of infertility cases. The remaining one-third of the infertility concerns are related to both male and female factors together.


  1. By when should a couple see an infertility doctor?

Ideally, couples must seek help after consistently trying for a year. However, couples with below conditions should not pause infertility care when they are trying to get pregnant:

  • Irregular or no periods or very painful periods
  • Endometriosis
  • Pelvic inflammatory diseases
  • More than one miscarriage
  • Surgery on pelvic organs
  • Suspected male infertility factors
  • History of cancer treatments

It is important to visit a Gynaecologist before planning to conceive. Prenatal tests, genetic screenings and counseling ensure that problems are identified early and suitable actions are taken.

  1. What causes infertility in women?

Pregnancy is achieved in ladies when their ovaries, Fallopian tubes and uterus are intact. Conditions influencing these organs can cause fertility problems. While in some women, a combination of factors results in infertility, in others, there is no identifiable cause. Briefly, the causes of female infertility include;

  •       Ovarian factors.
  •       Tubal (Fallopian tube) factors.
  •       Uterine & cervical factors.
  •       Pelvic adhesions.
  •       Hormonal factors.
  1. What is the risk of infertility in women?
  • Age Female fertility declines clearly after 35 years. However, in a few cases, the decline begins at a younger age due to decreased egg reserve.
  • Gynaecological problems such as previous ectopic pregnancy or more than one miscarriage.
  • Cancer and its treatment, both radiation and chemotherapy, can impair female fertility.
  • Medical conditions such as diabetes, epilepsy, and thyroid and inflammatory bowel diseases.
  • Lifestyle factors such as stress, being overweight or underweight, excessive workout, alcohol consumption and smoking.
  • Genetic factors: Klinefelter’s syndrome, Y-chromosome microdeletion, the problem with Y-chromosome, and other less common genetic disorders may affect sperm production
  1. What are the risk factors for infertility in men?
  •       Age
  •       Corrective surgeries 
  •       Cancer and its treatments
  •       Medical conditions 
  •       Lifestyle factors 
  1. Can my OB/GYN treat infertility?

In many cases, difficulty in conceiving may be resolved by a Gynaecologist. A gynaecologist may perform basic infertility evaluation, he/she may refer to an infertility specialist when a problem is noted or suspected.

  1. How do doctors identify infertility problems in couples?

Diagnosing infertility involves –

  • Medical and sexual history of partners
  • Physical examination
  • Female fertility tests 
  •  Male fertility tests 

team of expert infertility doctor and embryologists together evaluate the possible causes of infertility and plan an individualized course of treatment.

  1. What are the different treatments available for infertility?

Treatment is decided based on the cause and duration of infertility, couple’s age, and personal preferences guided by risks, benefits and success rates of all the available treatment options.

Consult Dr. Pallavi Mulay Gynaecologist in Hadapsar at Dr. Mulay Super Speciality IVF Hospital in Hadapsar.


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