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Fertility Investigation

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How to check for infertility?

Exams and infertility tests are part of the first assessment of infertility treatment to try to determine why you and your spouse haven’t conceived. Physical examinations, as well as the sexual and medical histories of both spouses, are part of a typical reproductive evaluation. Men have their sperm examined to determine sperm count, motility, and structure. Doctors first observe ovulation in women to determine whether it is taking place. This can be identified and tracked using a stimulate ovulation home test kit, ultrasound examinations of the ovaries, or hormone-detection blood tests. Treatment for Infertility can be feasible if a cause is identified.

(A) Female Fertility Assessment

A thorough history is taken prior to the Physical Examination to –

  • Assess the menstrual cycle’s bleeding frequency which can assist in determining whether ovulation is taking place or whether there are problems such as ovarian reserve being depleted due to aging or uterine anomalies (fibroids or polyps) being present.
  • Gather data on prior STIs, painful periods or interactions, and/or a history of abdominal surgery.
  • Comprehend and gather data about social behaviors such as smoking, alcohol drinking etc.

Various physical examinations are conducted during female infertility testing to check for any potential hormonal issues and analyze the pelvic organs. Below are some of the tests conducted–

1. Pap Smear – 

A Pap smear may be performed on you to look for abnormal cells around the cervix. This fertility test can find sexually transmitted illnesses as well as other cervix-related issues like cervical cancer.

2. Urine Test –

Your physician could advise you to do a luteinizing hormone, or LH, urine test at home. Just prior to ovulation, this hormone is present in high concentrations.

3. Blood Test –

Follicle-stimulating hormone level, or FSH, is a hormone that causes your ovaries to prepare an egg for release each month and may be measured in a blood test.

. Additionally, your physician can advise a blood test to look for anti-müllerian hormone (AMH). The amount of AMH can provide insight into ovarian function. Extremely low levels may indicate an inadequate ovarian reserve.

4. Postcoital Testing –

Postcoital testing is a different test. After you have had intercourse, your doctor will inspect the cervical mucus.

5. Hysterosalpingogram (HSG) –

It is also known as a “tubogram,” and it consists of many X-rays of your uterus and fallopian tubes. Your doctor injects liquid dye through the vagina before taking X-rays. An alternative technique substitutes saline and air for dye and ultrasonography.

6. Hysteroscopy –

A thin, flexible tube with a camera is inserted by your doctor through the cervix and into the uterus. They can observe any issues there and, if necessary, collect tissue samples.

7. Transvaginal Ultrasound –

An ultrasound “wand” is inserted into the vagina and moved toward the pelvic organs by the physician. They will be able to examine pictures of the uterus and ovaries using sound waves to look for any issues. Your doctor may also examine the progesterone levels in your blood. An increase in progesterone indicates ovulation.

8. Biopsy –

Your doctor may also suggest an endometrial biopsy. They extract a sample of tissue from the lining of your uterus during this surgery.

These tests might not all be necessary for you. Which ones are ideal for your individual condition can be discussed with your doctor. About 85% of couples will have some understanding of the reasons why they are having difficulty conceiving when the testing is completed.

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(B) Male Fertility Assessment

The analysis and development of a thorough treatment for infertility for the infertile couple depend heavily on examining the male. A thorough medical history, physical examination, fertility drugs, and basic hormone testing are all part of the male fertility workup. Similar to female fertility assessment, a detailed Medical History is required to –

  • Analyse the previous medical history which may include treatments such as surgeries and drug therapies.
  • Recognize any birth abnormalities or infertility in the family history.
  • Determine if a person has potentially been exposed to chemicals that might affect fertility, consider their lifestyle and employment history.

A key component of evaluating male infertility is a general physical examination and lab tests such as:

1. Urinalysis – 

To find out if there are any urinary infections present, this test is done.

2. Semen Analysis –

This checks the morphology, motility, and count. A typical count should have at least 20 million sperm per milliliter. Sperm motility, which refers to their capacity for swimming, is often stated as a percentage; around 60% of them should be able to do so. Morphology is the study of sperm morphology or how they look. There are several descriptive systems for morphology evaluation, and for each system, sperm are classified as normal or abnormal based on a set of requirements.

3. Hormonal tests – 

To assess the general hormonal system balance and the precise stage of sperm production, this test measures the levels of testosterone and FSH (follicle-stimulating hormone). Other hormonal tests, such as those for prolactin and serum luteinizing hormone, may be performed if the results of prior tests call for them.

4. Genetic Testing –

It’s possible that a hereditary factor contributed to your exceedingly low sperm concentration. The presence of Y chromosomal alterations that might cause male infertility in such circumstances can be determined by a blood test, though. Numerous congenital or hereditary disorders can be diagnosed using genetic testing as well.

5. Ultrasonography –

To determine whether the testicles are blocked, an ultrasound examination of the man’s scrotum is performed. This method can also check the existence of varicocele or other irregularities in the reproductive system’s supporting structures.

After the diagnostic assessment is complete, a decision is taken regarding the best course of action. This decision may involve surgical correction, medicinal or endocrinologic therapy, or the choice to alter or process the patient’s pre-existing sperm to conceive.

If you want to establish a family or grow your existing one, infertility problems present numerous difficulties and can be demoralizing. Your relationships and emotional well-being may be impacted.

 

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Testimonial

1000+ Happy Couples with real stories from IVF patients

My case was handed by Dr Mandavi Rai, she is very professional toward her work and All the staff members have been very helpful and friendly I believe it is one of the best gynecologist and ivf across Delhi NCR, if someone facing issue with infertility must visit indira ivf , sectors 18, Noida. Once again thank you so much Dr Mandavi rai and all the team members.

Surendra Pal

Hello everyone ,Iam very thankful to Indira IVF Noida center for their help.they helped me to achieve pregnancy after 10 years of long wait.it is the Best IVF center in noida.they have the best and supportive staff.most important is Dr Mandavi is very experienced and guides you well.she is the best doctor I will once again thanks the entire Indira IVF Noida team for their immense support 😘.

Ayush Gujjar

Thanks to Dr. Neha and Dr. Mandvi for this immense happiness which is possible just by their guidence and support, I have just started my journey. Special thanks to Ms.Ocean, she is very supportive and ready to answer all the doubts regarding any issue anytime. Thanks to all Indra IVF Noida team, all the members working there are very good and carries a smile on their faces which gives a positive vibes 🙏

neha chaudhary

Thank you Dr Madhavi Madam and all the staff at Noida center. They have provided all possible solutions to become parenthood's and our dreams journey have been started just. All the best and Good luck from our side to start your journey soon. You can get an good and wonderful experience and support from them. Most important is that couples need to prepare mentally and physical too for this wonderful feelings. Just need to extend your support on financial part who need it most.

mitul makwana

After struggling for last 5 years, We have wonderful experience with the doctor & whole staff of INDIRA IVF NOIDA CENTRE , Doctor Mandavi ma’am is very generous & simple . All the staff are very easy going & supportive. I would like to mention the name specially lovely Osheen ma’am, Shweta ma’am for guiding us in every situation. They are always available on phone call for any guidance & emergencies. They treat like family not like Clint. I would like to thanks Prabhat ji karan ji & all other staff too for their wonderful support . We wish them all the success & best wishes from bottom of our heart. Humble thanks! 🙏🙏🙏

PRIYA TIWARI

Thanks to Indira IVF and all the staff members of Noida centre..I have been trying for 4 years for pregnancy but there were no positive result..Then I heard about Indira IVF and the journey started and now my report is positive in first attempt..I am very greatfull to Dr Mandi Rai and her team...🤩🤩😊😊 Thanku so much to all of you♥️

jayant Kumar

I am very thankful to all indira ivf noida staff and Dr. Mandavi Rai. Noida centre is one of the best center of indira IVF. Doctor Mandavi Rai is so experienced doctor in her field. All the staff and doctor are very caring and helpful nature.They guide us every time when we need. I conceived my pregnancy in first attempt after 8 years of my marriage. Once again thanks to Dr. Mandavi Rai and her team. Best place for every infertile couple who want to be parents.

Radha thakuri

We had the best experience with Dr Mandavi Rai and her entire professional Team of Indira IVF Noida. Dr. Mandavi is very professional, caring, knowledgeable and helpful. They all made this journey easy for me. now I am 18 weeks pregnant and baby is on the way!! Thank You. Dr. Mandavi and Team for made our dream come true!!

Madhuri Mishra

We were trying for a long time for a baby but we failed everytime... When we came to Indira ivf centre , they helped us in every stage of our treatment and finally I got positive result ..... My whole journey during IVF dr. Mandavi mam guided us so well . Thank you so much for bringing happiness in our life..

Richa Sharma

Indira IVF Noida Sec 18: A team of very supportive staff and well experienced Dr. Mandavi Rai. After 7 years of marriage, we lost hope of having kids.Then we visited Indira IVF Sec 18 Noida and we got positive result under the expertise and professional team. Thanks to entire team and especially Dr. Mandavi Rai for make our dream comes true. If some1 have lost hope of having kids than must visit and consult Dr. Mandavi Rai and team. Thanks

Amit Sinha

Indira IVF Noida Sec 18: A team of very supportive staff and well experienced Dr. Mandavi Rai. After 7 years of marriage, we lost hope of having kids.Then we visited Indira IVF Sec 18 Noida and we got positive result under the expertise and professional team. Thanks to entire team and especially Dr. Mandavi Rai for make our dream comes true. If some1 have lost hope of having kids than must visit and consult Dr. Mandavi Rai and team. Thanks

Amit Sinha

I would like to thank Dr. Mandavi and the entire Noida team. I conceived in first attempt after 12years of marriage. The whole team is quite humble and helpful and the Dr. Mandavi is very approachable and kindly answers her patient’s questions and concerns. I am glad I chose Indira IVF Noida😊. I would highly recommend you to consult them if you are struggling with fertility issues. God Bless.

Ritu Singh

Fortunately we came to Indira Ivf and it is the best place to get it done. My husband and me have been married since last 8 years and got this biggest happy news just because of this centre. Dr Mandavi Rai is extremely efficient in her work and very polite , understanding and positive. Also the complete staff is very helping and supportive. They are there everytime you need them . They follow up with you on time nad take updates. I want to specifically thank Jr Doc, Monica, Osheen, Yamini for thier through out support . You guys rock 😃. Last but not he least a smiling face Prabhat bhaiya, you are a gem. Priya & Vaibhav Modi

Priya Gupta

We were trying for a long time for a baby but we failed everytime... When we came to Indira ivf centre , they helped us in every stage of our treatment and finally I got positive result ..... My whole journey during IVF dr. Mandavi mam guided us so well . Thank you so much for bringing happiness in our life..

Richa Sharma

This Center is a boon to many parents. They are supportive and Caring as well. Doctor and Staff Nurses give great advice and do the follow up on regular basis. Thanks to Noida 18 Indira IVF Team. Receptionist, Medical Store respresentative, Cashier and then the most valuable asset 3 angels 😇 of IVF. junior Doc, Staff Nurse Mam. Thanks Again 👍

Divakar nigam

After years trying to conceive, several losses, multiple failed from other fertility clinics with a frustrating diagnosis. I and my wife finally took descision to visit India and decided to choose Indira IVF fertility centre ( Noida , uttar Pradesh). When things aren't working right and you are struggling to get pregnant, this is the doctor you want on your side. Dr. Mandavi Rai is the perfect combination of knowledge and empathy. Each challenge she encounters, she attacks head on, and trust me, my case has a few of them! The phrase " Give up" is not in her vocabulary. She will find a solution. Dr Mandavi Rai's manner is wonderful. Now about staff .... Some of the best people you will ever know. They are all very knowledgeable in their field, treat you with kindness and respect, and makes themselves available for any questions and concerns, oftentimes going above beyond their job description to help you out.👍👍👍👍👍

Manjil Mandal

I had the best time with Dr Mandavi and her team from day one. She is so goood I can't explain in words. Before her I had consulted quite a few others doctors but I couldn't continue with any of them. Dr Mandavi is calm doctor who listens to concerns even if you ask a thousand times and never rushes into conclusions. She will take time to explain and then will help us make our decision. She has became nothing less than my family member and truly cherish my relationship with her. A big portion of her being the way she is goes to the wonderful team she has who are equally responsive, available at midnight, caring and super supportive. I am very thankful to Yamini ji, Monika ji and Prabhat ji and even Wasim ji who always gave a warm smile in my journey. I am very very thankful to everyone and spl Dr Mandavi for just being there for me then and even now and always going forward. Thanks a lot & God bless.

Urvashi Dube

A place where our dream of having a child actually turned to reality is Indira IVF Noida. We would like to thank Doctor Mandavi ma'am and her entire team for this beautiful experience. I conceived my pregnancy in first attempt after 7 years of my marriage. All credit goes to you Mandavi ma'am 🙏🏼❤️ Thank you for your kind and supportive nature throughout our journey. (Whoever is dreaming of becoming a parent, please do get your treatment done at this place.)

Saroj

I am very grateful to INDIRA IVF NOIDA Teem. They are the best IVF center in Noida. My wife conceived in first attempt. They have the best staff and best services. Dr. Mandavi Rai is the best doctor to consult.They have most affordable treatment plan. Than you soo much INDIRA IVF NOIDA.

Vedprakash Sharma

I am (Priyanka Rani) sharing my feedback here about Indira IVF Centre. There is no doubt about giving a 5-star rating because Dr. Madam and all the staff are very helpful. They guide us every time, when we needed them (some times on calls or what's up as well). I conceived my pregnancy on my first attempt after six years of marriage. Thanks a lot to Indira IVF (Dr. Mandavi Rai and her staff). It's just advice for Indira IVF call centre that it should be clear on the phone that all the IVF package details are given, and after using medicine, an approximate idea of the amount should be given because some times every person cannot cover medicine and injections after taking the IVF package. Because every person can not do the google for more details and can not contact to their relatives.

Piku Rani

I am so thankful to Dr mandavi rai is so experienced in her field. She is the best consultant in noida. My wife conceived after १५ years of our marriage. I recommend this indira ivf noida center to all the persons who want to become parents. The staff here is so cooperating and helpful they guide us properly in every time. I am thankful to all staffs here Dr monika, yamini, osheen, prabhat, waseem 😊😊. # best doctor.

Jagdish Chhimwal

I cannot express how grateful and satisfied I am with my experience at Indira IVF Noida, particularly with Dr. Mandavi Rai's expertise. From the very beginning, she demonstrated a caring and compassionate approach, answering all my questions and concerns with patience and empathy. The entire process was seamless, and I felt well-supported throughout my journey. Dr. Mandavi's knowledge and professionalism instilled confidence in me, and I was thrilled to achieve success in my first attempt at conception. The staff at Indira IVF Noida was also exceptional, providing a warm and welcoming environment that made a significant difference during this emotional and important time. The facilities were modern, clean, and well-maintained. I highly recommend Indira IVF Noida and Dr. Mandavi Rai to anyone seeking fertility treatments. My heartfelt thanks to the entire team for making my dream of becoming a parent a reality.

Abhi Gupta

I am delighted to share my heartfelt appreciation for the outstanding service provided by Indira IVF, Noida , Dr. Mandavi Rai and all the staff there. From the moment we entered the clinic, the warm and friendly atmosphere put us at ease. The professionalism and expertise displayed by the medical team were truly commendable. Their care and compassion throughout our fertility treatment journey were exemplary. Indira IVF's staff went above and beyond, creating an exceptional experience that we would highly recommend to others. Thank you Noida Team .😊

Sachin Tripathi

We were lost hope to have smile on our face s after diagonized with some critical issue, but Ms Dr. Mandvi Rai Mam and her team put a great effort to bring back smile. Thank you so much Indira IVF noida team. Noida team is very caring. I personally advise to people who are facing such issue please meet with doctors before time is up.

BRIJBHAN CHAUHAN

A very big Thanks to Indira IVF . The complete team of Indira IVF is very professional, transparent and responsive. Dr. Mandavi is so calm and her staff is superb.They all were very cooperative. They discussed the thing in detail and suggested all possible options. We were trying for pregnancy for 5 years . And then I got to know about Indira IVF treatment. Here we got success in the first attempt... I am so thankful for the entire team for their support and effort.

Neelam Pankaj

Its very good experience at Indra IVF . The success rate is quite high may be above 70%. Dr Mandvi Rai is very good , polite, easily approachable and sincere to her duty. In my opinion Indra IVF is the Best IVF center in Delhi NCR as well as in India. I wish for all Success to Indra IVF and to meet the expectations of the needy couple.

Raj Pratap Verma

Best IVF center in Noida. I conceived in 1st attempt after 11 years of my marriage. I want to thanks to Dr mandavi rai she is so experienced and expert in her field. Her entire is also so helpful. I also want to thanks to her entire team of indira ivf noida center junior doctor Monika, Yamini, Osheen, Neha, prabhat, Arjun, waseem. Thank you so much for giving us this happiness of parenthood in our live. I highly recommend this center.

Chanchala Chaudhary

I am very grateful to Dr Mandavi Rai for her guidance and support in achieving our pregnancy. it's the best IVF Cneter with est staff and support. All the patients who want to conceive should visit Noida center as they have the best staff and best doctor!!

Ram Vilash

Amazing experience with the staff and the doctor. Best class support and finally we are in the process of becoming parents. Staff will give personalised support and help throughout the process. Thanks Dr. Mandavi and her team for fulfilling our dream. Kudos and keep up the good work. Highly recommended !!

Sarvesh Pandey

Dr Mandvi and all her staff from admin, to medical, to reception to assistant everyone is very helpful. They listen to every single problem of yours carefully and will ensure all required support and help is given. We came here after a lot of disappointments. But they ensure the treatment and all alternatives are given in the starting only. Thank you again for the support and understanding

The Makeup Diaries!!

After struggling for last 5 years, We have wonderfulexperience with the doctor & whole staff of INDIRAIVF NOIDA CENTRE , Doctor Mandavi ma'am is verygenerous & simple . All the staff are very easy going& supportive. I would like to mention the namespecially lovely Osheen ma'am, Shweta ma'am forguiding us in every situation. They are alwaysavailable on phone call for any guidance &emergencies. They treat like family not like Clint. Iwould like to thanks Prabhat ji karan ji & all otherstaff too for their wonderful support . We wish themall the success & best wishes from bottom of ourheart. Humble thanks!

PRIYA TIWARI

Thank you Dr Madhavi Madam and all the staff at Noida center. They have provided all possible solutions to become parenthood's and our dreams journey have been started just. All the best and Good luck from our side to start your journey soon. You can get an good and wonderful experience and support from them. Most important is that couples need to prepare mentally and physical too for this wonderful feelings. Just need to extend your support on financial part who need it most.

Mitul Makwana

My case was handed by Dr Mandavi Rai, she is very professional toward her work and All the staff members have been very helpful and friendly I believe it is one of the best gynecologist and ivf across Delhi NCR, if someone facing issue with infertility must visit indira ivf , sectors 18, Noida. Once again thank you so much Dr Mandavi rai and all the team members.

Surendra Pal

best staff every one is helping and kind Dr Mandavi mam is so careful and helping and amezing visit for good care

Geetika Agarwal

We started visting Indira IVF after a refreaal from Mumbai Indira IVF; Dr.Mandavi and Team are good and have taken good care of the baby during pregnancy; they advised right hospital for delivery and supported us; Thanks to Shevali and Oshi alog with Dr.Mandavi

Parkash Gurazada
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