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Understanding Infertility
Understanding Infertility
Infertility is defined as the inability to conceive after 12 months of regular, unprotected intercourse — or after 6 months for women over the age of 35. It is more common than many couples realise, affecting approximately one in six couples globally. Importantly, infertility has a cause in the vast majority of cases — and most causes are identifiable and treatable.
Infertility is defined as the inability to conceive after 12 months of regular, unprotected intercourse — or after 6 months for women over the age of 35. It is more common than many couples realise, affecting approximately one in six couples globally. Importantly, infertility has a cause in the vast majority of cases — and most causes are identifiable and treatable.
Dr. Yevale approaches every infertility consultation without judgement and with full clinical rigour. She understands the emotional weight that fertility challenges carry, and ensures that patients are thoroughly informed at every stage of their assessment and treatment journey.
Dr. Yevale approaches every infertility consultation without judgement and with full clinical rigour. She understands the emotional weight that fertility challenges carry, and ensures that patients are thoroughly informed at every stage of their assessment and treatment journey.
Causes of Infertility
Causes of Infertility
Female Factors
Female Factors
Common causes of female infertility include ovulatory disorders (such as PCOS), tubal blockage or damage, endometriosis, uterine abnormalities (such as fibroids or polyps), diminished ovarian reserve, and hormonal imbalances. Age is also a significant factor, with fertility declining progressively from the mid-thirties onward.
Common causes of female infertility include ovulatory disorders (such as PCOS), tubal blockage or damage, endometriosis, uterine abnormalities (such as fibroids or polyps), diminished ovarian reserve, and hormonal imbalances. Age is also a significant factor, with fertility declining progressively from the mid-thirties onward.
Male Factors
Male Factors
Male factor infertility — including low sperm count, poor sperm motility, or abnormal sperm morphology — accounts for approximately 40 to 50 percent of infertility cases. For this reason, Dr. Yevale recommends that both partners be assessed simultaneously. Adarsh Nursing Home also offers andrology services to support male reproductive health evaluation.
Male factor infertility — including low sperm count, poor sperm motility, or abnormal sperm morphology — accounts for approximately 40 to 50 percent of infertility cases. For this reason, Dr. Yevale recommends that both partners be assessed simultaneously. Adarsh Nursing Home also offers andrology services to support male reproductive health evaluation.
Unexplained Infertility
Unexplained Infertility
In some cases, all standard investigations return within normal limits, yet pregnancy does not occur. This is termed unexplained infertility. While the absence of a clear diagnosis can be frustrating, a structured treatment approach can still be effective, and Dr. Yevale will guide couples through their options.
In some cases, all standard investigations return within normal limits, yet pregnancy does not occur. This is termed unexplained infertility. While the absence of a clear diagnosis can be frustrating, a structured treatment approach can still be effective, and Dr. Yevale will guide couples through their options.
Fertility Evaluation at Adarsh Nursing Home
Fertility Evaluation at Adarsh Nursing Home
A fertility evaluation at Adarsh Nursing Home typically includes:
A fertility evaluation at Adarsh Nursing Home typically includes:
- Detailed medical and reproductive history for both partners
- Hormonal blood tests (FSH, LH, AMH, thyroid function, prolactin)
- Pelvic ultrasound — including antral follicle count and uterine assessment
- Semen analysis for the male partner
- Assessment for structural uterine or tubal abnormalities where indicated
Based on the results, Dr. Yevale develops an individualised management plan — which may include medical treatment, lifestyle modification, or referral for specialist reproductive procedures.
Based on the results, Dr. Yevale develops an individualised management plan — which may include medical treatment, lifestyle modification, or referral for specialist reproductive procedures.
Treatment Approach
Treatment Approach
Medical & Hormonal Treatment
Medical & Hormonal Treatment
Where ovulatory disorders or hormonal imbalances are identified as the cause of infertility, Dr. Yevale may prescribe ovulation induction medication or hormonal treatment to regulate and stimulate the reproductive cycle.
Where ovulatory disorders or hormonal imbalances are identified as the cause of infertility, Dr. Yevale may prescribe ovulation induction medication or hormonal treatment to regulate and stimulate the reproductive cycle.
Surgical Treatment
Surgical Treatment
Where structural factors — such as fibroids, polyps, or uterine abnormalities — are contributing to infertility, surgical intervention may be recommended. Dr. Yevale performs relevant procedures at Adarsh Nursing Home's in-house operation theatre.
Where structural factors — such as fibroids, polyps, or uterine abnormalities — are contributing to infertility, surgical intervention may be recommended. Dr. Yevale performs relevant procedures at Adarsh Nursing Home's in-house operation theatre.
Referral for ART (IUI / IVF)
Referral for ART (IUI / IVF)
For couples who require assisted reproductive technology — including intrauterine insemination (IUI) or in-vitro fertilisation (IVF) — Dr. Yevale provides thorough counselling on the available options and coordinates referral to trusted specialist fertility centres. She remains involved in the couple's care throughout the process.
For couples who require assisted reproductive technology — including intrauterine insemination (IUI) or in-vitro fertilisation (IVF) — Dr. Yevale provides thorough counselling on the available options and coordinates referral to trusted specialist fertility centres. She remains involved in the couple's care throughout the process.
Frequently Asked Questions
Frequently Asked Questions
Q: When should I see a doctor about fertility concerns?
Q: When should I see a doctor about fertility concerns?
A: If you have been trying to conceive for 12 months without success (or 6 months if you are over 35), it is appropriate to seek a fertility evaluation. If you have a known condition such as PCOS, irregular periods, or a history of pelvic infection, earlier consultation is recommended.
A: If you have been trying to conceive for 12 months without success (or 6 months if you are over 35), it is appropriate to seek a fertility evaluation. If you have a known condition such as PCOS, irregular periods, or a history of pelvic infection, earlier consultation is recommended.
Q: Does Dr. Yevale treat male infertility as well?
Q: Does Dr. Yevale treat male infertility as well?
A: Yes. Adarsh Nursing Home offers andrology services for male reproductive health evaluation. Dr. Yevale recommends that both partners be assessed together from the outset, as male factor infertility accounts for a significant proportion of cases.
A: Yes. Adarsh Nursing Home offers andrology services for male reproductive health evaluation. Dr. Yevale recommends that both partners be assessed together from the outset, as male factor infertility accounts for a significant proportion of cases.
Q: Does Dr. Yevale perform IVF?
Q: Does Dr. Yevale perform IVF?
A: Dr. Yevale provides fertility evaluation and treatment counselling, including for advanced reproductive techniques. Where IVF or IUI is indicated, she provides evidence-based guidance and coordinates referral to specialist fertility centres, maintaining her involvement in patient care throughout.
A: Dr. Yevale provides fertility evaluation and treatment counselling, including for advanced reproductive techniques. Where IVF or IUI is indicated, she provides evidence-based guidance and coordinates referral to specialist fertility centres, maintaining her involvement in patient care throughout.
Q: Can PCOS cause infertility, and is it treatable?
Q: Can PCOS cause infertility, and is it treatable?
A: PCOS is one of the most common causes of ovulatory infertility, but it is highly treatable. Dr. Yevale has extensive experience managing PCOS-related infertility, using a combination of lifestyle guidance, ovulation induction, and hormonal therapy.
A: PCOS is one of the most common causes of ovulatory infertility, but it is highly treatable. Dr. Yevale has extensive experience managing PCOS-related infertility, using a combination of lifestyle guidance, ovulation induction, and hormonal therapy.
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