Best infertility centres in Delhi NCR
We frequently witness women entering a fertility specialist’s clinic by themselves to get checked out since they are having trouble getting pregnant after many years of marriage. Infertility is caused by female factors in 40% of instances, male factors in 40% of cases, a mix of male and female factors in 15% of cases, and an inexplicable reason in 5% of cases.
- If you are trying to get pregnant and have been trying for more than 12 months.
- If you are over 35 years old, since with AGE reproductive capacity goes down, especially for women.
- History of recurrent miscarriage
- PCOS
- Male fertility assessment
- Semen Analysis
- Female fertility assessment
- Anti-MullerianHormone(AMH) Test
- Body Mass Index Assessment
- Ultrasound on Day 2 of period
- Hysterosalpingogram or HSG
- Hysteroscopy/Laparoscopy
- Review with Fertility Specialist
Semen Analysis – Semen analysis evaluates traits including sperm count, motility (movement), and shape in order to determine the amount and quality of a man’s semen and sperm.
A change in one or more of the following parameters in one of the two samples taken four weeks apart is considered male factor infertility, according to the WHO:
- Sperm count – 15 million/ ml of semen
- Motility – 40% sperms should be motile
- Morphology (shape) – 4% normal forms
Men undergoing cancer therapy or who are at a distance away from their families are recommended to undergo sperm cryopreservation, or freezing of the sperm, so as to preserve fertility.
This is because some simple blood tests, which might be done any day of the cycle, can be used to gauge anti-Mullerian hormone (AMH) levels so as to determine whether a woman can produce eggs at any point in time or not. The AMH level will be lower the fewer eggs there are in the ovary.
Woman with diminished ovarian reserves is at risk of fertility problems and an increased risk of miscarriages.
| AMH Levels | Interpretation |
| Less than 1.0 ng/ml | Low ovarian reserves |
| 1.0 -3.0 ng/ml | Normal |
| More than 3.0ng/ml | PCOS |
Body Mass Index Assessment: Both men and women are affected by being overweight or underweight, hence affecting fertility, hence the decrease in the possibility of pregnancy. Having a healthy BMI of 18.5 to 24.9 is best in order to conceive and have higher chances of having a healthy baby and pregnancy.
Period Ultrasonography Day 2: This is done to identify the number of antral follicles by conducting a transvaginal ultrasound on day two of the menstrual cycle. An ultrasound also assists in eliminating the presence of an anatomical abnormality.
Hysterosalpingogram or HSG: HSG is recommended in young patients (less than 30 years) who have good ovarian reserve and in whom normal semen analysis has been reported by the husband in order to determine whether the tubes are open or not. Fertility doctor uses this radiation test by injecting a harmless pigment into the womb, which is then supposed to run into the fallopian tubes. On an X-ray, the dye indicates whether the tubes are obstructed or open. And if the tubes are blocked or any filling defect is seen on X-Ray, the next step would be laparoscopy along with hysteroscopy.
A laparoscopy/hysteroscopy is the gold standard for evaluating the uterine cavity, the tube-ovarian connection, and the patency of the fallopian tubes.
Review with a Fertility Specialist: Once all the investigations are done, your fertility specialist will explain the fertility potential. Here, the fertility specialist may suggest additional tests in the event that your reports are normal in all of them.
In case of any problems that are causing infertility, a fertility exam gives an account of the reproductive capacity between couples and makes them feel better, as they can become parents after the aid of medical science.