Understanding Fertility & When to Seek Help
Fertility is influenced by many factors—hormones, ovulation, sperm health, age, lifestyle, and overall reproductive wellness. A basic fertility evaluation helps identify the root cause of difficulty in conceiving.
You should consider a fertility evaluation if:
You have been trying to conceive for more than 12 months (age < 35).
You have been trying for more than 6 months (age > 35).
You have irregular or absent periods.
You have known reproductive issues such as PCOS, endometriosis, or fibroids.
You have a history of miscarriages.
Male partner has concerns like poor erection, ejaculation issues, or testicular problems.
At Sparsh Meditunes Hospital, we make the evaluation simple, clear, and stress-free—helping couples move closer to their dream of parenthood.
Why Choose Sparsh Meditunes Hospital for Fertility Evaluation?
✔ Expert Gynecologist, Infertility & IVF Specialist
Specialized care for ovulation problems, hormonal imbalance, reproductive disorders, and female fertility issues.
✔ Dedicated Pediatrician & Neonatologist – Dr. Paresh Vaswani
Ensures complete care from planning pregnancy to the newborn stage.
✔ Advanced diagnostic infrastructure
Ultrasound, hormonal labs, semen analysis, imaging, and minimally invasive procedures.
✔ Personalized treatment plans
Tailored for natural conception or assisted reproductive techniques like IUI, IVF, and ICSI.
✔ Supportive, confidential & compassionate environment
Your privacy, comfort, and emotional well-being are our priority.
What Is a Basic Fertility Evaluation?
A Basic Fertility Evaluation is the first step in identifying why a couple is facing difficulty conceiving. It involves a combination of medical history, physical examination, imaging, hormone tests, and semen analysis.
This evaluation gives a complete picture of reproductive health in both partners so that the right treatment can be planned.
The evaluation includes:
Female Fertility Assessment
Male Fertility Assessment
Couple’s Joint Consultation & Counseling
Let’s explore each in detail.
Female Fertility Evaluation
The female reproductive system is complex, and even minor disturbances can affect fertility. At Sparsh Meditunes Hospital, we conduct a detailed and step-by-step evaluation.
A. Medical History & Lifestyle Review
Our fertility specialist will discuss:
Duration of trying to conceive
Menstrual cycle regularity
Previous pregnancies or miscarriages
Contraception history
Sexual health
Weight changes
Stress levels
Sleep & lifestyle habits
Family history of infertility or hormonal disorders
A detailed background helps identify early clues such as PCOS, endometriosis, ovulation disorders, or hormonal issues.
B. Physical Examination
A general and pelvic examination may include:
BMI & weight assessment
Blood pressure & hormonal signs
Thyroid evaluation
Pelvic exam to check uterus, cervix, ovaries
This helps diagnose fibroids, cysts, infections, or anatomical abnormalities.
C. Hormonal Blood Tests
Hormonal balance plays a key role in ovulation. Common tests include:
FSH (Follicle Stimulating Hormone) – indicates ovarian reserve
LH (Luteinizing Hormone) – essential for ovulation
AMH (Anti-Mullerian Hormone) – ovarian reserve indicator
TSH (Thyroid Function) – thyroid disorders affect fertility
Prolactin – high levels disturb menstruation
Estrogen & Progesterone – ovulation & menstrual cycle health
Insulin levels – for PCOS evaluation
Androgens (Testosterone, DHEAS) – excess may cause PCOS
These tests provide clarity about a woman’s ability to ovulate regularly.
D. Ovulation Assessment
To check if and when ovulation is happening:
Basal body temperature tracking
Ovulation prediction kits
Mid-cycle ultrasound
Blood progesterone test (Day 21)
Absent or irregular ovulation is one of the most common causes of infertility.
E. Ultrasound Examination (Follicular Study)
Transvaginal sonography evaluates:
Ovarian follicles
Endometrial thickness
Presence of cysts
Fibroids or polyps
Ovulation timing
Follicular monitoring helps understand egg development and natural fertility window.
F. Fallopian Tube & Uterine Cavity Testing
Blocked fallopian tubes prevent the sperm and egg from meeting. Tests include:
★ HSG (Hysterosalpingography)
X-ray dye test to check tube blockages.
★ SSG (Sonosalpingography)
Ultrasound-based tubal patency test.
★ Hysteroscopy
A small camera checks the uterus for polyps, adhesions, and septum.
★ Laparoscopy
Minimally invasive procedure to treat endometriosis, adhesions, tube blocks, or cysts.
Male Fertility Evaluation
A. Medical & Sexual History
The doctor will discuss:
Past injuries or surgeries
Infections
Erectile or ejaculation issues
Lifestyle factors (smoking, alcohol, heat exposure)
Family history
Medication use
Occupational hazards
B. Physical Examination
To identify:
Testicular size
Varicocele
Hormonal disorders
Genetic indicators
C. Semen Analysis
A simple yet most essential test that evaluates:
Sperm count
Sperm motility
Sperm morphology
Semen volume
Liquefaction time
Infections or WBC count
If abnormalities are found, a repeat test is usually suggested after 3–4 weeks.
D. Hormonal Tests (if required)
Testosterone
LH
FSH
Prolactin
These determine if hormonal imbalances are affecting sperm production.
Common Causes of Infertility Identified During Evaluation
Female Factors
Ovulation disorders
PCOS
Endometriosis
Fibroids
Tubal blockages
Hormonal imbalances
Diminished ovarian reserve
Uterine abnormalities
Obesity or extreme weight loss
Male Factors
Low sperm count
Poor motility
Abnormal morphology
Varicocele
Hormonal issues
Lifestyle habits
Infections
Erectile or ejaculation issues
Unexplained Infertility
Sometimes, all tests appear normal—yet conception is delayed. At Sparsh Meditunes, these cases are managed with advanced treatment strategies and close monitoring.
Treatment Options After Basic Fertility Evaluation
Once the underlying cause is identified, treatment options include:
1. Ovulation Induction
Medications to stimulate ovulation in women with irregular cycles.
2. Timed Intercourse
Guided by ultrasound to increase chances of natural conception.
3. IUI (Intrauterine Insemination)
Processed sperm is directly placed inside the uterus.
4. IVF (In Vitro Fertilization)
Egg and sperm are combined in a lab; embryos are transferred to the uterus.
5. ICSI (Intracytoplasmic Sperm Injection)
A single sperm is injected into an egg, useful for severe male infertility.
6. Endometriosis & Fibroid Treatment
Medical or surgical management to improve fertility.
7. Tubal Recanalization
To treat blocked fallopian tubes.
8. Lifestyle & Nutritional Counseling
Diet, exercise, stress management, and supplements.
Emotional Care & Support During Fertility Journey
Infertility can be emotionally challenging. Couples may feel stress, anxiety, or disappointment.
At Sparsh Meditunes Hospital, we provide:
Compassionate counseling
Stress-reduction strategies
Guidance on emotional coping
Constant support through every phase
We believe in holistic fertility care—addressing mind, body, and heart.