If you have been trying to conceive without success, the most important first step is a structured evaluation — not guesswork, not generic supplements, and not waiting another year. At Mithr Women's Health in Electronics City, Dr Raman Shobana provides a stepwise, couple-based infertility evaluation that identifies the specific reason conception has not happened and creates a targeted treatment pathway. From your first fertility consultation to ovulation tracking, follicular monitoring, and IUI support, every step is guided by clinical evidence and clear communication — so you know exactly where you are and what comes next.
- Couple-based assessment — both partners evaluated from the start
- Hormone profile, AMH, pelvic ultrasound, and tubal assessment
- Ovulation tracking and follicular monitoring
- IUI pathway support and ART referral when indicated
What is Infertility Evaluation?
Infertility is defined as the inability to achieve a pregnancy after 12 months of regular, unprotected intercourse — or after 6 months if the woman is 35 or older. Infertility evaluation is a systematic investigation of all the factors that may be preventing conception, including ovulation, tubal function, uterine anatomy, and sperm health. A thorough evaluation involves both partners.
For women, key investigations include an assessment of ovarian reserve (AMH, antral follicle count), hormone profile (FSH, LH, oestrogen, prolactin, thyroid), pelvic ultrasound to evaluate the uterus and ovaries, and a fallopian tube assessment (HSG or sonosalpingography) when indicated. For the male partner, a semen analysis is the essential first step. At Mithr Women's Health, Dr Raman Shobana reviews both partners' results together, explains findings in plain language, and creates a treatment plan that is matched to the actual diagnosis — not a one-size-fits-all protocol.
Why Choose Mithr Women's Health for Infertility Care?
Infertility care requires sensitivity, precision, and patience. Dr Raman Shobana combines all three. She takes a thorough history, orders only the investigations that are clinically relevant, explains every result clearly, and builds a treatment plan that is honest about timelines and outcomes. There is no pressure, no rushed escalation to expensive ART cycles before simpler options have been properly explored.
- ✓Couple-based evaluation from the very first appointment
- ✓Honest, realistic guidance on timelines and treatment options
- ✓Stepwise approach — least invasive option first, escalation only when indicated
- ✓Monitoring appointments close to home in Electronics City — no long hospital trips from Doddathogur, Hebbagodi, Neeladri Road or South Bengaluru
What to Expect — Your Infertility Evaluation Journey
Initial consultation
Detailed history taking: menstrual cycle, past pregnancies, previous treatments, lifestyle factors, partner's health, and any previous investigations.
Couple investigations
Blood tests and pelvic ultrasound for you; semen analysis for your partner. Results are reviewed together, with both partners understanding the full picture.
Targeted diagnosis
Dr Shobana identifies the specific factors contributing to your infertility and explains findings to both partners in a clear, jargon-free way.
Treatment planning
A stepwise plan starting from the least invasive and most appropriate option: ovulation induction, follicular monitoring, timed intercourse, or the IUI pathway.
Cycle monitoring
Serial scan-based monitoring during treatment cycles to track follicle development, endometrial response, and timing of ovulation or trigger injection.
Review and escalation
If the initial pathway does not succeed after appropriate cycles, Dr Shobana reviews progress and discusses the next step — including ART referral when indicated, with full clinical context.
Frequently Asked Questions — Infertility Evaluation
When should a couple seek infertility evaluation?
Medical guidelines recommend seeking evaluation after 12 months of regular unprotected intercourse if the woman is under 35, and after 6 months if she is 35 or older. Earlier evaluation is appropriate if there are known risk factors — such as irregular periods, a previous ectopic pregnancy, endometriosis, PCOS, prior pelvic infection, or if the male partner has a known semen concern.
What tests are done for female infertility?
Standard investigations include a hormone profile on day 2–3 of the menstrual cycle (FSH, LH, AMH, oestrogen, prolactin, thyroid), a pelvic ultrasound to assess the uterus, ovaries and antral follicle count, and a fallopian tube patency test (HSG or sonosalpingography) to rule out tubal blockage. Additional tests such as HbA1c, fasting insulin, or vitamin D may be added based on clinical findings.
What are the most common causes of infertility in women?
The most common causes are ovulation disorders (including PCOS), tubal factor (from previous infection or endometriosis), diminished ovarian reserve, uterine abnormalities (fibroids, polyps, adhesions), and unexplained infertility. Thyroid disorders, elevated prolactin, and metabolic conditions can also affect fertility. In approximately 30–40% of infertile couples, a significant male factor is present — which is why both partners are evaluated from the start.
Is infertility treatment covered by insurance in India?
Most health insurance policies in India do not cover infertility treatment, including IUI and IVF. However, diagnostic investigations such as blood tests, ultrasound, and semen analysis may be covered under general health insurance depending on your policy. It is worth checking with your insurer directly. Dr Shobana avoids unnecessary investigations to keep evaluation costs proportionate.
How long does an infertility evaluation take?
The basic investigation cycle takes approximately 4 to 6 weeks — one menstrual cycle to complete cycle-timed blood tests, imaging, and partner assessment. Results are reviewed at a follow-up consultation within 6 to 8 weeks of your first visit. Treatment may begin in the same cycle or the following one, depending on the findings.
What is the difference between IUI and IVF?
IUI (intrauterine insemination) places prepared sperm directly into the uterus near the time of ovulation, increasing the chance of natural fertilisation. It is a simpler, lower-cost procedure suitable for mild male factor, ovulation disorders, and unexplained infertility. IVF (in vitro fertilisation) involves stimulating the ovaries, retrieving eggs, fertilising them in a laboratory, and transferring a resulting embryo into the uterus. IVF is recommended for tubal factor, severe male factor, failed IUI cycles, or reduced ovarian reserve. Dr Shobana discusses both options honestly, with realistic success rates, before any treatment decision is made.
Medically reviewed by Dr. Raman Shobana, Obstetrician & Gynaecologist, Mithr Women's Health, Electronics City, Bangalore.
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Electronics City Phase 1 · Bengaluru · +91 70222 72001