Medical & Reproductive History
Your specialist reviews your menstrual and reproductive history, previous pregnancies and fertility treatment, medical or surgical history, medications and other factors relevant to your fertility.
Female Infertility Treatment in Ahmedabad
Female infertility evaluation, diagnosis and treatment options for women and couples planning parenthood.
Understand Female Infertility. Find the Right Next Step.
When pregnancy does not happen as expected, an evaluation for female infertility can help your doctor understand the factors that may be affecting conception.
At Sunflower Infertility & IVF Center, the evaluation begins with your medical and reproductive history, followed by a clinical examination, relevant laboratory tests and sonography. The information gathered helps your fertility specialist decide which treatment approach may be appropriate for you.
When Should You Consider a Female Infertility Evaluation?
Female infertility may be considered when pregnancy has not occurred despite regular attempts to conceive, or when there are known or suspected concerns affecting reproductive health.
Your specialist may consider factors such as:
- Irregular, absent or unpredictable menstrual cycles
- Previous pelvic infection or pelvic surgery
- Known or suspected PCOS, endometriosis, fibroids or ovarian cysts
- Previous concerns involving the uterus, ovaries or fallopian tubes
- Previous fertility treatment and its results
- Concerns related to ovulation
- Relevant medical or reproductive history
Your doctor may also recommend an evaluation based on your age and the duration of time you have been trying to conceive.
These assessments help with the diagnosis of infertility in females and help your specialist decide which tests or treatment may be appropriate.
How We Evaluate Female Infertility
The evaluation of female infertility brings together your medical and reproductive history, clinical examination, laboratory tests and sonography. The tests recommended depend on your history and clinical assessment.
Clinical Examination
The examination may include assessment of your general health, body weight and BMI, along with a reproductive examination when clinically indicated.
Sonography
Transvaginal sonography may be used to assess the uterus, endometrium, ovaries and pelvic structures. Depending on the clinical requirement, 3D sonography may provide additional information about the uterine cavity and its structure.
Laboratory Tests
Blood tests may be recommended as part of the evaluation of female infertility. The tests selected depend on your medical history and clinical assessment.
Additional Tests
Where clinically indicated, your specialist may recommend further investigations such as karyotyping or other tests relevant to your fertility assessment.
What Sonography May Help Identify
Sonography is an important part of female infertility evaluation at Sunflower Infertility & IVF Center. Depending on the clinical requirement, transvaginal and 3D sonography can provide information about the uterus, cervix, endometrium, ovaries, fallopian tubes and other pelvic structures.
Uterus
Sonography can help assess the size and structure of the uterus and identify findings such as fibroids, adenomyosis and variations in uterine shape.
Cervix
Sonography and clinical examination may help assess the cervix for findings relevant to fertility, including cervical length and certain cervical abnormalities.
Endometrium
The endometrial lining can be assessed for its thickness and pattern. Sonography may also help identify findings such as endometrial polyps, adhesions or other abnormalities, and assess endometrial blood flow when required.
Ovaries
The ovaries can be assessed for their size, volume and appearance. Sonography may help identify findings such as polycystic ovaries, functional cysts and endometriomas, and adherent masses. Antral follicle count may also be assessed as part of the fertility evaluation.
Fallopian Tubes
Healthy fallopian tubes are generally not visible on a routine transvaginal scan. When the tubes are dilated, such as in hydrosalpinx or hematosalpinx, sonography may identify the finding.
Pelvis
The pelvic region is assessed for findings that may be relevant to fertility, including pelvic free fluid, pelvic masses, hematomas, infections, and other abnormalities identified during the examination.
Follicular Monitoring
Transvaginal sonography may also be used for follicular monitoring to assess follicular growth and help evaluate ovulation during a treatment cycle, including doppler blood flow.
Understanding Ovarian Reserve
Ovarian reserve refers to the remaining supply of eggs in the ovaries. Its assessment can provide useful information when planning female infertility treatment.
Several factors may be considered as part of the assessment:
Age and Egg Quality
Age is an important consideration when assessing fertility because egg quality changes with age. Ovarian reserve tests provide information mainly about egg quantity and provide limited information about egg quality.
Antral Follicle Count
Antral follicle count (AFC) is assessed through transvaginal sonography by counting small follicles in the ovaries. It is considered along with other findings when evaluating ovarian reserve and planning fertility treatment.
AMH
Anti-Mullerian Hormone (AMH) is a blood test commonly used as part of ovarian reserve evaluation. It provides information related to the pool of developing follicles in the ovaries.
Day 2-4 FSH & Estradiol
Blood tests for FSH and estradiol (E2) may be recommended early in the menstrual cycle. These tests are done around Day 2-4, depending on the clinical assessment.
Treatment Options for Female Infertility
Treatment for female infertility is planned after your evaluation, taking into account your medical history, test results and the factors affecting conception.
Depending on the findings and male partner assessment, your specialist may consider:
Medical Management
Medical treatment may be recommended when a hormonal, ovulatory or other medical factor is identified.
Ovulation Induction
Medicines may be used to support Ovarian Follicular Stimulation when appropriate. Your specialist may monitor follicular development through sonography during the treatment cycle.
IUI
Intrauterine insemination (IUI) may be considered in selected cases after evaluating the fertility factors of both partners.
IVF/ICSI
In vitro fertilisation (IVF) may be recommended when the fertility assessment indicates that assisted reproductive treatment is appropriate. Intracytoplasmic sperm injection (ICSI) may be considered when additional laboratory support for fertilisation is appropriate based on the couple's fertility assessment.
Surgical Treatment
Surgical treatment may be considered when a condition affecting fertility, such as selected cases of endometriosis or fibroids, severe PID, or pelvic masses, requires surgical management.
Female Fertility Care at Sunflower
Female fertility care at Sunflower Infertility & IVF Center brings together the specialists and services involved in fertility evaluation and treatment.
The care team includes specialists in gynaecology, embryology, andrology and sonology, supported by laboratory, counselling and nursing professionals.
The women's hospital and infertility centre provides female infertility tests and diagnosis, ovulation monitoring, IUI, IVF and ICSI, with treatment planned according to the findings of your assessment.
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Our Fertility Care Experience
1,500+
IVF & ICSI procedures a year
22,000+
Live births through IVF & ICSI technology
70-76%
IVF ART success rate
Centre-reported figures. Treatment outcomes vary by individual and clinical circumstances.
Real Stories From Our Patients
Every fertility journey is personal. Hear directly from women and couples who chose Sunflower, a women's hospital and infertility centre, for treatment.
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Questions You May Have
What does a female infertility evaluation include?
A female infertility evaluation may include a detailed medical and reproductive history, clinical examination, sonography and relevant tests. Depending on the clinical assessment, additional investigations such as karyotyping may also be recommended.
What can a transvaginal sonography show during an infertility evaluation?
Transvaginal sonography can help your specialist assess the uterus, cervix, endometrium, ovaries and other pelvic structures. It may help identify findings such as fibroids, adenomyosis, endometrial polyps, ovarian cysts, polycystic ovaries, endometriomas and hydrosalpinx.
What is an antral follicle count?
Antral follicle count (AFC) is the number of small follicles seen in the ovaries during transvaginal sonography. It is considered along with other findings when assessing ovarian reserve and planning fertility treatment.
What blood tests may be used to assess female infertility?
Depending on the clinical assessment, blood tests for female infertility may include FSH, estradiol (E2), AMH, TSH, and prolactin. These tests provide information that may help your specialist assess ovarian reserve and plan treatment.
What does an ovarian reserve test tell us?
Ovarian reserve tests provide information mainly about the remaining egg supply. They provide limited information about egg quality, for which age remains an important consideration.
What treatment options are available for female infertility?
Depending on the findings of your female infertility evaluation, treatment may include medical management, ovulation induction, IUI, IVF, ICSI or surgical treatment when clinically indicated.
Take the Next Step Towards Parenthood
Have questions about your female infertility evaluation, test results or treatment options? Speak with a fertility specialist to understand your assessment and the next steps that may be appropriate for you.
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