Infertility is a common concern affecting couples worldwide. Comprehensive evaluation is the first step in understanding the underlying causes and developing a personalised treatment plan. At our centre, Dr. Pruthvi Raj Honnaiah offers advanced diagnostic services to evaluate both male and female infertility factors. By combining clinical expertise with advanced diagnostic technology, we aim to identify potential issues and recommend the most appropriate solutions — including surgery, if required.

Male Infertility Evaluation

Male infertility accounts for nearly 40-50% of all infertility cases. A thorough evaluation helps identify factors that may be affecting sperm production, sperm function, or sperm delivery. The evaluation includes:

• Detailed Medical History: Past medical conditions, surgeries, lifestyle factors, and sexual history.
• Physical Examination: Evaluation of the reproductive organs.
• Semen Analysis: Assessing sperm count, motility, morphology, and overall sperm health.
• Hormone Testing: Assessing testosterone and other reproductive hormones.
• Genetic Testing (if required): To detect chromosomal abnormalities or genetic conditions.
• Scrotal Ultrasound: To detect structural issues like varicocele, blockages, or abnormalities.

Based on the findings, appropriate treatments are recommended, ranging from lifestyle changes and medications to advanced surgical procedures if necessary.

Female Infertility Evaluation

Female infertility evaluation focuses on understanding ovulation, fallopian tube health, uterine conditions, and hormonal balance. The comprehensive evaluation includes:

• Detailed Medical and Menstrual History: Including past pregnancies, menstrual cycles, and medical conditions.
• Ovulation Assessment: Hormonal tests to evaluate ovulatory function.
• Ultrasound Scan: To assess uterine and ovarian health.
• Hormone Testing: Including thyroid function, prolactin levels, and reproductive hormones.
• Hysterosalpingography (HSG): To check for blockages in the fallopian tubes.
• Endometrial Biopsy (if required): To assess the uterine lining.
• Advanced Diagnostic Tests: Including laparoscopy and hysteroscopy, if structural abnormalities are suspected.

Evaluation helps determine whether medical management, assisted reproductive techniques (ART), or surgical correction is the right approach.

Consideration for Surgery on Demand

In cases where infertility is caused by structural or anatomical abnormalities, surgical intervention may be recommended. These surgeries are tailored to individual needs and are performed using minimally invasive techniques wherever possible to ensure faster recovery. Surgical options include:

For Men:

• Varicocelectomy: Surgery to correct enlarged veins in the scrotum (varicocele) that affect sperm production.
• Vasectomy Reversal: Reconnecting the vas deferens to restore sperm flow.
• Testicular Sperm Extraction (TESE): Direct sperm retrieval from the testes in cases of obstructive azoospermia.
• Correction of Ejaculatory Duct Obstruction: To improve sperm delivery.

For Women:

• Laparoscopic Surgery: To remove ovarian cysts, endometriosis, or pelvic adhesions that hinder conception.
• Hysteroscopic Surgery: To correct uterine abnormalities such as polyps, fibroids, or septum.
• Tubal Surgery: To correct blocked or damaged fallopian tubes (if suitable).
• Ovarian Drilling (in PCOS): To stimulate ovulation in selected cases.

All surgical options are discussed in detail with the couple, ensuring they are fully informed and comfortable with the approach before proceeding.