Struggling to conceive can be one of the most emotionally difficult experiences a couple faces. If you're looking for answers and support, Dr. Sangeeta Dubey, a trusted Gynecologist in West Bengal, offers a compassionate and comprehensive approach to infertility care. With the right medical guidance and a personalised plan, many couples are able to overcome fertility challenges and move closer to building the family they’ve been dreaming of.
What Is Infertility?
Infertility is typically diagnosed when a woman under 35 has not conceived after one year of unprotected intercourse, or after six months for women over 35. While both partners can contribute to fertility challenges, this page focuses on female infertility and the steps involved in evaluating and treating it.
Why a Thorough Evaluation Matters
Pinpointing the cause of infertility is essential before starting treatment. A comprehensive evaluation involves several stages and helps your care provider determine the most effective path forward.
Key Steps in an Infertility Evaluation:
- Medical History and Physical Exam: A review of your menstrual cycle, lifestyle, and past medical conditions to identify early indicators.
- Hormonal Testing: Blood tests to assess ovulation-related hormones like FSH, LH, AMH, and thyroid levels.
- Imaging Tests: An ultrasound or HSG (hysterosalpingography) checks for physical abnormalities in the uterus, ovaries, and fallopian tubes.
- Laparoscopy: A minimally invasive surgical procedure that allows direct examination of reproductive organs, often used to diagnose endometriosis or pelvic adhesions.
- Ovarian Reserve Testing: Tests such as AMH levels are used to evaluate the remaining egg supply and determine appropriate treatment strategies.
What Can Cause Female Infertility?
Several conditions can interfere with conception. These are the most common causes:
- Ovulation Disorders: Hormonal imbalances or conditions like PCOS can prevent regular ovulation. Treatment might include medication, lifestyle changes, or advanced fertility procedures.
- Structural Problems: Blocked fallopian tubes or abnormalities in the uterus may require surgical correction.
- Endometriosis: Tissue similar to the uterine lining growing outside the uterus can impact fertility and may require surgery or medication.
- Age-Related Fertility Decline: As women age, egg quality and quantity decline. Options such as IVF, egg freezing, or donor eggs may be explored.
- Immune System Disorders: Autoimmune issues can lead to miscarriages or failed implantation. Specific treatments are available to manage these cases.
- Unexplained Infertility: Sometimes, no clear cause is found. In such cases, treatment usually begins with medications or ART procedures like IUI or IVF.
Your Fertility Treatment Options
Once the cause is determined, your care provider will recommend a treatment plan tailored to your needs and health history. Here are the most common options:
- Lifestyle Modifications: Improving diet, maintaining a healthy weight, reducing stress, and avoiding smoking and alcohol can positively influence fertility.
- Fertility Medications: Hormonal treatments such as Clomiphene citrate or injectable gonadotropins can stimulate ovulation.
- Surgery: Laparoscopy or hysteroscopy may be used to treat endometriosis, fibroids, or anatomical blockages.
- Assisted Reproductive Technologies (ART): Options include:
- IUI (Intrauterine Insemination): Sperm is directly placed in the uterus to increase the chances of fertilisation.
- IVF (In Vitro Fertilisation): Eggs are fertilised outside the body and then transferred to the uterus.
- ICSI (Intracytoplasmic Sperm Injection): A single sperm is injected directly into an egg, typically used for severe male infertility.
Take the First Step Toward Parenthood
If you’re seeking expert support in your fertility journey, Dr. Sangeeta Dubey, an experienced Gynecologist in West Bengal, is here to help. With a compassionate approach and a clear, evidence-based strategy, she provides personalised care every step of the way.
Schedule your consultation today to begin your journey with confidence.
