Doctor for Fertility Problem in Moradabad: Causes, Tests & Treatment

Trying for a baby can be joyful at first. Then months pass, tests stay negative, and the joy is slowly replaced by worry, pressure from family and silent questions between partners.

If this sounds like your story, please remember one thing: a fertility problem is a medical condition, not a personal failure. It is common, it is not anyone's fault, and in many cases it is treatable. Many couples conceive after simple treatment, and others with the help of IUI or IVF.

This guide explains what a fertility problem is, why it happens in women and men, how it is tested, and what treatment is available. It also shows how to consult Dr. Priyanka Pachauri in Moradabad.

What Is a Fertility Problem?

Doctors call it infertility when a couple cannot conceive after:

• 12 months of regular, unprotected intercourse if the woman is under 35.
• 6 months if the woman is 35 or older.

There are two main forms:

• Primary infertility: the couple has never conceived.
• Secondary infertility: the couple has conceived before but is now unable to.

Both need proper evaluation, and both are treatable in many cases.

Who Is Affected? It Takes Two

• Roughly one-third of cases have a female cause.
• Roughly one-third have a male cause.
• The rest involve both partners or remain unexplained after tests.

This is why a good fertility evaluation always includes both partners, and why blaming one person is neither fair nor accurate.

Fertility Problems in Women

1. Ovulation Disorders

• The ovaries do not release an egg regularly.
• Signs include irregular, delayed or absent periods.
• Common causes are PCOS, thyroid problems and high prolactin.

2. PCOS (Polycystic Ovary Syndrome)

• One of the most common and most treatable causes.
• Irregular ovulation, acne, extra hair growth and weight gain are typical.
• Often responds well to lifestyle changes and ovulation-inducing medicines.

3. Blocked or Damaged Fallopian Tubes

• Infection, past surgery, tuberculosis or endometriosis can block the tubes.
• The egg and sperm then cannot meet.

4. Endometriosis

• Tissue like the uterine lining grows outside the uterus.
• Causes severe period pain, pain during intercourse and reduced fertility.

5. Uterine Problems

• Fibroids, polyps, adhesions or a uterine septum.
• These can interfere with implantation of the embryo.

6. Low Ovarian Reserve

• Fewer eggs remain than expected for the woman's age.
• Measured with the AMH blood test and an antral follicle count on ultrasound.
• More common after 35, but can occur earlier.

7. Thyroid and Hormonal Imbalance

• Underactive or overactive thyroid disturbs ovulation.
• High prolactin can stop periods altogether.

8. Age

• Egg quantity and quality decline gradually, faster after 35.
• Earlier evaluation gives more treatment options.

9. Lifestyle and Other Factors

• Being very underweight or overweight.
• Smoking, tobacco and heavy alcohol.
• Long-term stress and poor sleep.
• Some medicines and medical conditions such as diabetes.

Fertility Problems in Men

Male factors are often overlooked because many couples test only the woman first.

• Low sperm count.
• Poor sperm movement (motility).
• Abnormal sperm shape.
• No sperm in the semen, from blockage or a production problem.
• Varicocele: enlarged veins around the testicle.
• Infections of the reproductive tract.
• Hormonal imbalance.
• Sperm DNA damage: can be missed on a routine semen report.
• Lifestyle factors: smoking, tobacco, alcohol, obesity and prolonged heat exposure.
• Erectile or ejaculation difficulties.

A semen analysis is a simple, painless test and should be one of the first steps.

Unexplained Infertility

• In some couples, all basic tests appear normal.
• Subtle egg, sperm or embryo quality issues may still exist.
• Treatments such as ovulation induction, IUI and IVF can still help.
• Advanced tools like time-lapse embryo monitoring and sperm DNA testing may offer more insight.

Warning Signs of a Fertility Problem

• Irregular, very late or absent periods.
• Very painful or very heavy periods.
• Pain during intercourse.
• History of pelvic infection, tuberculosis or abdominal surgery.
• Known fibroids, cysts or endometriosis.
• Two or more miscarriages.
• Known low sperm count or past testicular problems.
• Being 35 or older and planning a pregnancy.
• Not conceiving after 12 months (or 6 months if 35+).

When Should You See a Fertility Doctor?

• You have been trying for the time period given above.
• You already know of a condition that can affect fertility.
• Periods are irregular or absent.
• You have had repeated pregnancy loss.
• You want to check your fertility before delaying pregnancy.
• You have had a previous failed treatment and want a fresh opinion.

How a Fertility Evaluation Works

Step 1: Detailed Consultation

• Age, duration of marriage and time spent trying.
• Menstrual history and cycle length.
• Past pregnancies, miscarriages, surgeries and infections.
• Medical conditions, medicines and lifestyle habits.
• Frequency and timing of intercourse.
• Health history of the partner.

Step 2: Tests for the Woman

• Pelvic ultrasound and follicle tracking to see egg growth and release.
• Hormone tests: thyroid, prolactin, FSH, LH and AMH.
• Blood sugar and basic health tests.
• Tube assessment using a special X-ray or ultrasound-based test.
• Hysteroscopy to look inside the uterus when needed.
• Laparoscopy in selected cases with pelvic pain or suspected endometriosis.

Step 3: Tests for the Man

• Semen analysis: count, movement and shape.
• Advanced sperm tests, including DNA integrity when indicated.
• Hormone tests and examination if results are abnormal.

Step 4: Explanation and Planning

• A clear summary of the findings.
• Treatment options and realistic expectations for your situation.
• A plan that fits your age, comfort and budget.

Fertility Treatment Options

Treatment always depends on the cause. Many couples need only the first steps.

1. Lifestyle and Timing Guidance

• Reaching a healthy weight.
• Stopping tobacco and alcohol.
• Understanding the fertile window.
• Better sleep and stress control.

2. Treating the Underlying Condition

• Thyroid medicines and control of prolactin.
• PCOS management.
• Antibiotics for infection.
• Medicines for endometriosis where suitable.

3. Ovulation Induction

• Tablets or injections to help the ovaries release eggs.
• Ultrasound monitoring to time intercourse or IUI.
• Suitable for PCOS and irregular ovulation.

4. Surgical Correction

• Hysteroscopy: removes polyps, adhesions or a septum.
• Laparoscopy: treats endometriosis, cysts, fibroids and some tubal problems.
• Advantages: smaller cuts, less pain and quicker recovery.

5. IUI (Intrauterine Insemination)

• Prepared sperm are placed in the uterus around ovulation.
• Often used for mild male factor, unexplained infertility or ovulation problems.
• A short procedure that usually needs no anaesthesia.

6. IVF (In Vitro Fertilisation)

• Eggs are collected, fertilised in the laboratory and grown as embryos.
• The best embryo is transferred to the uterus.
• Suitable for blocked tubes, severe male factor, endometriosis, low ovarian reserve and repeated IUI failure.

7. ICSI

• A single healthy sperm is injected into an egg.
• Used mainly for severe male infertility.

8. Counselling and Emotional Support

• Fertility treatment can be tiring for both partners.
• Open conversations and professional support make the journey easier.

Lifestyle Tips While Trying to Conceive

For both partners

• Eat balanced meals with fruits, vegetables, whole grains, dal and protein.
• Maintain a healthy weight.
• Exercise moderately.
• Sleep 7–8 hours.
• Avoid smoking, tobacco and excess alcohol.
• Manage stress through yoga, walks or meditation.

For women

• Start folic acid before conception as advised.
• Track your cycle.
• Treat anaemia and vitamin deficiencies early.

For men

• Avoid tight underwear and prolonged heat exposure.
• Take medicines only under medical advice.
• Limit long hours with a laptop placed directly on the lap.

Common Myths About Fertility Problems

• Myth: It is always the woman's fault. Fact: Male factors contribute in a large share of cases.
• Myth: IVF is the only solution. Fact: Many couples conceive with medicines or IUI.
• Myth: PCOS means you cannot have a baby. Fact: Most women with PCOS can conceive with treatment.
• Myth: Age does not matter. Fact: Fertility declines with age, so earlier evaluation helps.
• Myth: Stress alone is the reason. Fact: Stress can play a part, but a medical cause usually needs checking.
• Myth: Home remedies can fix everything. Fact: Unverified remedies waste valuable time.

What to Expect at Your First Fertility Visit

• A relaxed, private conversation with no judgement.
• Questions about your cycle, health and lifestyle.
• A basic examination and a suitable ultrasound.
• A list of tests for you and your partner.
• Simple explanations and no pressure to begin advanced treatment.
• A clear plan and a follow-up date.

Please bring:

• Previous prescriptions, reports and scans.
• Any semen report already done.
• Dates of your last few periods.
• Details of earlier treatment or surgery.

Book Your Fertility Consultation with Dr. Priyanka Pachauri

Frequently Asked Questions (FAQs)