Personalised Fertility Evaluation at Borivali Women & Child Clinic
Trying to conceive can be an emotional and sometimes confusing experience, particularly when pregnancy does not occur as expected. Infertility can have multiple causes, and in many couples more than one factor may contribute.
At Borivali Women & Child Clinic, we provide structured evaluation of female fertility, including ovulation assessment, hormonal evaluation, ovarian reserve testing, follicular monitoring and assessment of tubal patency where appropriate.
The goal of a fertility evaluation is not simply to order multiple tests. It is to identify factors that may affect conception and develop an appropriate plan based on your age, medical history, menstrual pattern, reproductive goals and previous investigations.
When Should You Have a Fertility Evaluation?
Fertility evaluation may be considered when pregnancy has not occurred after a period of regular unprotected intercourse appropriate to the woman’s age and clinical circumstances.
Earlier evaluation may be appropriate when there are concerns such as:
- Irregular or absent periods
- Suspected PCOS
- Previous pelvic infection
- Suspected endometriosis
- Previous pelvic or abdominal surgery
- Known ovarian or tubal problems
- Previous chemotherapy or treatments that may affect fertility
- Increasing maternal age
- Previous pregnancy-related concerns
Fertility evaluation should generally consider both partners, because male factors contribute significantly to infertility.
Initial Fertility Consultation
The first step is a detailed medical and reproductive history.
We may discuss:
- Menstrual cycle pattern
- Previous pregnancies
- Duration of trying to conceive
- Previous fertility treatments
- Medical and surgical history
- Previous pelvic infections
- Medications
- Lifestyle factors
- Sexual frequency and timing
- Family history where relevant
This information helps determine which investigations are appropriate.
Ovulation Assessment
Regular ovulation is important for natural conception. Women with irregular periods may have irregular or absent ovulation.
Ovulation assessment can involve:
- Menstrual cycle tracking
- Hormonal testing where indicated
- Follicular monitoring by ultrasound
- Assessment of ovulatory response during treatment
Follicular Monitoring
Follicular monitoring involves serial ultrasound examinations during a menstrual cycle to observe follicular development and ovulation.
It can help determine:
- Whether a dominant follicle is developing
- Approximate timing of ovulation
- Endometrial development
- Response to ovulation-induction medication
- Timing for conception attempts or fertility procedures when appropriate
The monitoring schedule depends on the individual cycle and treatment plan.
Hormonal Evaluation
Hormonal investigations may be recommended depending on symptoms and medical history.
Tests may include selected assessments of:
- Thyroid function
- Prolactin
- Reproductive hormones
- Androgen levels when clinically indicated
- Other hormonal parameters depending on the presentation
Testing should be interpreted in the context of the menstrual cycle and clinical history.
Ovarian Reserve Testing and AMH
Anti-Müllerian Hormone (AMH) is one of the tests used to assess ovarian reserve.
AMH can provide information about the approximate quantity of ovarian follicles, but it should not be interpreted as a direct measure of egg quality or as a standalone test predicting natural fertility.
Ovarian reserve assessment may also consider age, ultrasound findings and other clinical factors.
Tubal Patency Testing
The fallopian tubes play an important role in natural conception. If the tubes are blocked or significantly damaged, sperm and egg may not meet normally.
A hysterosalpingogram (HSG) is one method used to assess whether the fallopian tubes are patent and to evaluate the uterine cavity.
HSG may not be required for every woman immediately. The timing and choice of test depend on the individual’s history and fertility evaluation.
Lifestyle and Fertility
Lifestyle factors can influence reproductive health.
During fertility planning, attention may be given to:
- Healthy body weight
- Balanced nutrition
- Regular physical activity
- Sleep
- Smoking and alcohol avoidance
- Stress management
- Appropriate supplementation
- Management of medical conditions such as thyroid disorders or diabetes
Lifestyle advice is individualised rather than based on one universal fertility diet.
Ovulation Induction
Women who do not ovulate regularly may benefit from ovulation-induction treatment in appropriate circumstances.
Treatment may involve medication followed by follicular monitoring. The choice of medication depends on the cause of ovulatory dysfunction and the woman’s individual circumstances.
Ovulation-induction treatment should be medically supervised.
Fertility Evaluation Is a Couple’s Evaluation
Although this page focuses on female fertility, conception involves both partners.
Depending on the situation, evaluation of the male partner, including semen analysis, may be recommended. Identifying all relevant factors helps avoid unnecessary delay and inappropriate treatment.
When Should You Consult a Fertility Specialist?
Consider seeking evaluation if:
- You have been trying to conceive without success
- Your periods are irregular
- You suspect that you are not ovulating
- You have a history of pelvic infection
- You have known endometriosis or ovarian problems
- You have undergone previous pelvic surgery
- You are concerned about declining fertility with age
- You have had previous fertility treatment without success
Why Choose Borivali Women & Child Clinic?
At Borivali Women & Child Clinic, we believe fertility evaluation should be systematic and individualised.
Rather than performing every possible investigation at once, the evaluation can be planned according to your history, age, symptoms and reproductive goals. Where indicated, this may include hormonal assessment, follicular monitoring, ovarian reserve evaluation and tubal assessment.
Frequently Asked Questions
Does AMH tell me whether I can become pregnant?
AMH primarily provides information about ovarian reserve. It does not by itself determine whether a woman can conceive naturally.
What is follicular monitoring?
It is a series of ultrasound examinations used to monitor follicular development and ovulation during a menstrual cycle.
Does every woman trying to conceive need an HSG?
No. The need for tubal testing depends on the clinical situation, duration of infertility and other risk factors.
Can PCOS cause infertility?
PCOS can cause irregular or absent ovulation, which may make conception more difficult. Appropriate treatment can improve the chances of conception in many women.
Should my husband also be tested?
Yes. Fertility problems can involve either partner or both partners, so male evaluation may be recommended.
Does age affect fertility?
Female fertility generally declines with age, particularly due to changes in egg number and quality. This is one reason timely evaluation may be important.
Book a Fertility Consultation in Borivali
If you have been trying to conceive or have concerns about ovulation, periods, ovarian reserve or tubal health, a structured fertility evaluation can help you understand your options.
Borivali Women & Child Clinic provides personalised women’s fertility evaluation and gynaecological care in Borivali.
Our location at Vazira Naka, Borivali West offers a private, accessible setting for regular follicular monitoring visits:
- Shimpoli Road & Kastur Park: 3 to 5 minutes away.
- Vazira Naka & Babhai Naka: 2 minutes away.
- IC Colony & LIC Colony: 7 to 10 minutes away.
- Yogi Nagar & Borivali Station (West): 5 to 8 minutes away.
- Chikuwadi & Mahavir Nagar (Kandivali West): 8 to 12 minutes away.
Clinic Address- Shop No. 4, Sharda Estate, LT Rd, Vazira, Borivali West, Mumbai, Maharashtra 400092
Call: 9422799905/ 9321459990
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Fertility outcomes vary between individuals. No specific treatment can guarantee pregnancy.