Female Infertility Treatment – A Clear Diagnosis. The Right Care.

Female infertility is the inability of a woman to conceive after 12 months of regular unprotected intercourse, or after 6 months if she is over 35. Fertility issues in women account for approximately 40–50% of all infertility cases and are most commonly caused by ovulation disorders, PCOS, hormonal imbalances, uterine fibroids, or ovarian cysts. The majority of these causes are highly treatable with the right diagnosis.

The most common fertility issues in women include: ovulation disorders (absent or irregular ovulation, the single biggest cause of female infertility); PCOS / PCOD (responsible for up to 30% of female infertility); hormonal imbalances (low progesterone, elevated prolactin, thyroid dysfunction); uterine fibroids and ovarian cysts; and blocked or damaged fallopian tubes. Each requires a different diagnostic approach and treatment pathway.

Female infertility treatment options include: ovulation induction (Letrozole, Clomiphene, or gonadotropin injections) for ovulation disorders; PCOS management with metformin, lifestyle correction, and ovulation induction; hormonal correction for thyroid, prolactin, or progesterone issues; myomectomy for fibroids; cystectomy for ovarian cysts; and IVF / ICSI when simpler treatments are insufficient or fallopian tubes are blocked. At Javitri Hospital, treatment always starts with the simplest effective option.

Yes. PCOS is one of the most common causes of infertility in women, responsible for up to 30% of all female infertility cases. It causes irregular or absent ovulation, hormonal imbalance, and insulin resistance, all of which prevent natural conception. At Javitri Hospital, PCOS infertility is treated in stages: lifestyle correction and metformin first, then ovulation induction, and, where needed, IVF for PCOD, which is highly effective even in resistant cases.

Yes. Uterine fibroids, particularly submucosal (inside the uterine cavity) and intramural (within the uterine wall) types, are a significant fertility issue in women. They can distort the uterine cavity, impair implantation, and block the fallopian tubes, causing infertility or recurrent miscarriage. Myomectomy (surgical fibroid removal while preserving the uterus) significantly improves fertility outcomes in the majority of affected women.

Ovarian reserve refers to the number and quality of eggs remaining in a woman’s ovaries. It is assessed by the AMH (Anti-Müllerian Hormone) blood test and antral follicle count (AFC) on ultrasound. Low ovarian reserve is a common fertility issue in women over 35 but can also occur in younger women. It affects the choice and dosage of treatment, from ovulation induction to IVF, and is one of the most important investigations in any female infertility workup.

No. IVF is not the only, and often not the first, female infertility treatment. Many women conceive with simpler treatments: ovulation induction for ovulation disorders; PCOS management with metformin and lifestyle changes; hormonal correction for thyroid or progesterone issues; or surgical treatment (myomectomy, cystectomy) for fibroids or cysts. IVF is recommended when simpler treatments have not succeeded, tubes are blocked, or in cases of severe PCOS or age-related ovarian decline. At Javitri Hospital, we always begin with the least invasive effective option.

Diagnosis of infertility in women at Javitri Hospital begins with a complete fertility evaluation, hormonal profile (AMH, FSH, LH, TSH, prolactin, androgens), transvaginal ultrasound (antral follicle count, uterine cavity assessment, ovarian morphology), follicular monitoring, and tubal assessment (HSG or hysteroscopy where indicated). As a result, the exact cause is identified before any treatment is recommended, ensuring the right treatment from the start.

Signs of potential fertility issues in women include: irregular, very short, or very long menstrual cycles; absent periods (amenorrhoea); severe period pain (possible endometriosis); unexplained weight gain, acne, or excess facial hair (possible PCOS); recurrent miscarriage; and failure to conceive after 12 months of trying. However, many women with fertility problems have completely normal cycles, which is why investigation is essential rather than waiting for obvious symptoms.

Javitri Hospital offers the most comprehensive female infertility treatment programme in Lucknow, with 30+ years of expertise, a NABH-certified fertility laboratory, complete hormonal and ultrasound diagnostics, all ovulation induction protocols, PCOS management, surgical treatments (myomectomy, cystectomy), and advanced IVF / ICSI. Dr. Rajul Tyagi’s training at Cleveland Clinic USA and Brussels University Belgium ensures every woman’s fertility case is managed to the highest international standard.