Fertility Evaluation

Understanding Fertility Evaluation

It is a series of medical examinations and tests that are performed to find the answer to the question of why a couple is unable to conceive even after 12 months of unprotected intercourse. These tests are recommended for both partners to know the underlying health issues affecting fertility.

Benefits of Fertility Assessment

Early fertility assessment helps improve the success of conception because of the following benefits:

Help detect the underlying female factors contributing to infertility, such as poor egg reserve, blocked fallopian tubes, uterine abnormalities, PCOS, fibroids, or endometriosis.

Evaluate male infertility factors, such as low sperm count, poor motility, abnormal morphology, or hormonal issues.

• Help curate the effective treatment option.
• Lower the emotional and financial burden.
• Lower chances of pregnancy loss.
• Gives you realistic expectations.

Advanced Comprehensive Fertility Services at Cocoon Hospital

We combine decades of clinical expertise with modern diagnostic facilities to ensure both male and female partners receive complete care under one roof.

Female Fertility Evaluation

The assessment is based on your age, present symptoms, medical history, cycle pattern, and previous reports.

• Detailed History: Your age, duration of trying, menstrual pattern, prior pregnancies or miscarriages, past infections and surgeries (if any), and lifestyle choices are taken into consideration.
• Physical and Pelvic Examination: Your weight, BMI, signs of hormonal imbalance (for example, excess hair growth or acne), or thyroid enlargement are evaluated. The uterus, cervix, and ovaries are checked for any issues.
• Ovarian Reserve Tests: These are primary tests that include the Anti-Müllerian Hormone (AMH) (blood test), Antral Follicle Count (AFC) (ultrasound), and Follicle-Stimulating Hormone (FSH) (day 3 blood test). These are recommended for women over 35 or those facing infertility. 

       High AMH/High AFC indicate good ovarian reserve and vice versa. High FSH indicates poor ovarian reserve.

• Transvaginal Ultrasound: Helps examine a woman's pelvic organs, including the uterus, ovaries, cervix, and dilated fallopian tubes. Check the presence of fibroids, polyps, congenital anomalies, cysts, and PCOS.
• Hysterosalpingography (HSG): Helps analyse the shape of the uterus and the patency (openness) of the fallopian tube.
• Sonohysterography: It is also known as saline infusion sonography. Sonohysterography is a procedure to look at the inside of the womb.
• Hystero Contrast Sonography (HyCoSy): It is a transvaginal ultrasound used to evaluate fallopian tube patency (blockage) and the uterine cavity.
• Hormonal Blood Tests: Measures hormonal balance such as FSH, LH, oestradiol, TSH, prolactin and progesterone.
• Laparoscopy (if required): It is a minimally invasive procedure used to diagnose and treat endometriosis, adhesions, fibroids, or tubal problems.

Male Fertility Evaluation

A complete fertility evaluation always includes the male partner. Here are the tests that can be recommended:

• Detailed Review of Medical History: Past lifestyle habits, surgeries or injuries, medications and medical conditions are taken into consideration.
• Semen Analysis: It’s one of the first steps in detecting fertility issues. The semen sample is evaluated under a microscope to know the sperm count, sperm activity and shape.
• Hormonal Tests: Male hormonal profiles are evaluated, which include FSH, LH, testosterone, and prolactin.
• Additional Tests: In some cases, male partners can be recommended genetic screening and scrotal ultrasound.

Who Should Consider Fertility Evaluation ?

Consider medical examinations and tests for fertility if:

• You have been trying to conceive for one year or more without any success.
• If you are 35 years or older and unable to conceive after 6 months of unprotected intercourse.
• History of any gynaecological issues.
• Multiple miscarriages.
• Issues with sperm count and quality.

Why Choose Cocoon Hospital for Fertility Evaluation ?

Located in the heart of Chandigarh, Cocoon Hospital is known for delivering the best fertility care, backed by a complete advanced fertility evaluation.

From hormonal tests, ovarian reserve assessment, tubal testing, follicular scans, and semen analysis to transvaginal ultrasound, all services are available under one roof. We focus on a calm, private, and premium environment for women and couples to empower them with the right treatment strategy.

Our fertility evaluation service stands out because of:

• Experienced gynaecologists with over 20 years of experience.
• Advanced diagnostic technology, including hysterosalpingography and 3D/4D imaging.
• Integrated care and supportive environment.
• Expertise in a fertility-preserving approach.
• Served more than 200,000 women.
• Performed 10,000+ gynaecological procedures.

Are you facing challenges in conceiving?

Speak to our experts for the right diagnosis and treatment at 08929816349.