Infertility Treatment in Kathmandu
Struggling to conceive? You are not alone. Dr Rashmi Bastakoti provides compassionate, evidence-based fertility evaluation and treatment to help couples in Nepal achieve their dream of parenthood.
Common Causes of Infertility
Female Factors
Our Fertility Services
Fertility Workup
Complete hormonal panel, pelvic ultrasound, HSG for tubal assessment, and semen analysis coordination.
Ovulation Induction
Clomiphene or letrozole-based protocols with follicle monitoring to optimize timing of conception.
IUI (Intrauterine Insemination)
Minimally invasive procedure placing prepared sperm directly into the uterus at the optimal time.
Laparoscopic Surgery
Surgical treatment of endometriosis, tubal blockage, fibroids, and ovarian cysts affecting fertility.
PCOS Fertility Treatment
Specialized protocols for women with PCOS including lifestyle optimization and ovulation induction.
IVF Referral & Coordination
For cases requiring IVF/ICSI, we provide comprehensive evaluation and referral to specialized centers.
Frequently Asked Questions
When should a couple seek infertility treatment?
Couples under 35 should seek evaluation after 12 months of unprotected intercourse without conception. Women over 35 should seek help after 6 months. Women with known conditions like PCOS, endometriosis, irregular periods, or previous pelvic surgeries should seek evaluation sooner. Early evaluation identifies problems faster and increases treatment success rates.
What are the common causes of infertility in women?
Common female infertility causes include: ovulation disorders (PCOS, premature ovarian failure), tubal blockage or damage (from infections, endometriosis, or surgery), uterine abnormalities (fibroids, polyps, adhesions), endometriosis, age-related decline in egg quality, hormonal imbalances (thyroid, prolactin), and unexplained infertility. Comprehensive evaluation helps identify the specific cause in your case.
What are the common causes of infertility in men?
Male infertility causes include: low sperm count, poor sperm motility (movement), abnormal sperm morphology (shape), varicocele (enlarged scrotal veins), hormonal imbalances, ejaculatory disorders, genetic factors, lifestyle factors (smoking, alcohol, heat exposure), and previous infections or surgeries. Semen analysis is the primary test for male fertility assessment.
What tests are done for infertility evaluation?
Female tests include: hormonal panel (FSH, LH, AMH, prolactin, TSH, estradiol), pelvic ultrasound for ovarian reserve and uterine assessment, hysterosalpingography (HSG) for tubal patency, ovulation confirmation, and sometimes laparoscopy/hysteroscopy. Male tests include: semen analysis (count, motility, morphology), hormonal testing if needed, and physical examination. We customize testing based on your history.
What is ovulation induction and who needs it?
Ovulation induction uses medications (clomiphene citrate, letrozole, or gonadotropins) to stimulate the ovaries to produce and release eggs. It's the first-line treatment for women with PCOS, irregular ovulation, or unexplained infertility. Treatment involves monitoring with ultrasound and hormonal tests to time intercourse or IUI. Success rates are 15–25% per cycle for oral medications.
What is IUI and what are the success rates?
Intrauterine insemination (IUI) involves placing washed, concentrated sperm directly into the uterus around ovulation time. It's recommended for: mild male factor infertility, unexplained infertility, cervical factor infertility, and as initial treatment before IVF. Success rates average 15–20% per cycle, higher with ovulation induction. The procedure is simple, takes minutes, and requires no anesthesia.
Do you offer IVF treatment?
We provide comprehensive fertility evaluation and initial treatments including ovulation induction and IUI. For cases requiring IVF (severe tubal damage, severe male factor, failed IUI, advanced age), we provide referral and coordination with specialized IVF centers in Kathmandu. We ensure seamless transition of care and continued support throughout your fertility journey.
What lifestyle changes improve fertility?
Fertility-optimizing lifestyle changes include: maintaining healthy BMI (18.5–24.9), regular moderate exercise, balanced diet rich in antioxidants and omega-3s, limiting caffeine to 1–2 cups daily, avoiding smoking and excessive alcohol, managing stress through yoga or meditation, adequate sleep (7–8 hours), and avoiding exposure to environmental toxins. Both partners should adopt these changes.
Does age affect fertility treatment success?
Yes, age significantly impacts fertility and treatment success. Female fertility declines gradually after 30, more rapidly after 35, and steeply after 40. Success rates for treatments like IUI and IVF also decrease with age due to declining egg quality and quantity. However, many women over 35 conceive successfully with appropriate treatment. Early evaluation and intervention improve outcomes.
What is AMH and why is it tested?
Anti-Müllerian Hormone (AMH) is a blood test that indicates ovarian reserve — the number of remaining eggs. Higher AMH suggests better ovarian reserve (common in PCOS), while lower AMH may indicate diminished reserve. AMH helps predict response to fertility medications and guides treatment decisions. Unlike FSH, AMH can be tested any day of your cycle.
What is the role of male partner in fertility evaluation?
Male evaluation is essential — male factors contribute to 40% of infertility cases. A simple semen analysis provides crucial information. We recommend male evaluation simultaneously with female evaluation to avoid delays. If abnormalities are found, treatment options include lifestyle modifications, medications, varicocele surgery, or assisted reproductive techniques. Both partners should be evaluated together.
How long should we try ovulation induction before moving to IUI or IVF?
Generally, we recommend 3–6 cycles of ovulation induction with timed intercourse before considering IUI. If no pregnancy after 3–6 ovulation induction cycles, or if there are additional factors (mild male factor, cervical issues), we proceed to IUI. After 3–4 failed IUI cycles, or if there are severe factors, IVF may be recommended. Your treatment plan is personalized based on your specific situation.
What are the side effects of fertility medications?
Common side effects of ovulation-inducing medications include: hot flashes, mood swings, breast tenderness, bloating, headaches, and nausea. Multiple pregnancy (twins/triplets) risk increases with gonadotropins. Ovarian hyperstimulation syndrome (OHSS) is a rare but serious complication. We monitor cycles carefully with ultrasound to minimize risks and adjust medication doses as needed.
Is infertility treatment confidential?
Absolutely. All fertility consultations and treatments are completely private and confidential. We understand the sensitive nature of fertility concerns and maintain strict confidentiality. Your medical records, test results, and treatment details are protected. You can discuss your concerns openly without fear of disclosure.
How do I book an appointment?
Call +977 9700682797, WhatsApp us, or use the Book Appointment button on our website. We recommend both partners attend the initial consultation if possible. Bring any previous test results or medical records. We offer flexible appointment times and understand the urgency of fertility concerns. Same-day appointments may be available for urgent cases.
What should I expect during my first fertility consultation?
Your first consultation includes: detailed medical history for both partners, discussion of menstrual history and sexual health, physical examination, initial fertility assessment, recommendation for necessary tests, explanation of treatment options, opportunity to ask questions, and development of a personalized treatment plan. The visit typically lasts 30–45 minutes and sets the foundation for your care.
Take the First Step Toward Parenthood
Confidential fertility consultations in Kathmandu.