When should I see a fertility specialist?

See a fertility specialist if you're under 35 and haven't conceived after 12 months of trying, or if you're over 35 and haven't conceived after 6 months. Also consult immediately if you have irregular periods, known fertility issues, previous pelvic infections, or endometriosis.

What tests are done for infertility evaluation?

Female fertility testing includes hormonal blood tests (FSH, LH, AMH, thyroid, prolactin), transvaginal ultrasound to check ovaries and uterus, HSG (hysterosalpingography) to assess fallopian tube patency, and ovulation monitoring. Male partner requires semen analysis. Dr. Rashmi provides comprehensive fertility workup in one visit.

What is the success rate of IUI treatment?

IUI (Intrauterine Insemination) success rates are 10-20% per cycle, with cumulative success of 40-50% after 3-4 cycles. Success depends on age, cause of infertility, sperm quality, and timing. Women under 35 with unexplained infertility have the highest success rates.

Should I choose IUI or IVF?

IUI is less invasive and invasive, recommended for unexplained infertility, low sperm count, or PCOS with poor ovulation response. IVF is more successful for tubal disease, male factor infertility, endometriosis, or previous failed IUI cycles. Dr. Rashmi recommends the best option based on your specific situation.

What causes male infertility?

Main causes include low sperm count (oligospermia), poor sperm motility (asthenospermia), abnormal sperm morphology, varicocele, erectile dysfunction, ejaculation problems, and hormonal imbalances. Semen analysis identifies the specific problem. Treatment options vary from lifestyle changes to medical therapy to surgery.

What does AMH test show for fertility?

AMH (Anti-Müllerian Hormone) test measures ovarian reserve - the number of eggs remaining. AMH levels indicate your egg supply and can predict response to fertility medications. Low AMH suggests reduced fertility potential, while normal AMH indicates better fertility prospects. Results guide fertility treatment planning.

How does age affect fertility?

Female fertility peaks at age 20-30, gradually declines after 35, and drops significantly after 40. By age 45, natural conception is rare. Male fertility also declines with age but more gradually. Age affects egg quality more than quantity. Early consultation helps maximize fertility treatment success.

How does lifestyle affect fertility?

Lifestyle significantly impacts fertility: maintain healthy weight, exercise regularly (but not excessively), reduce stress, avoid smoking and excessive alcohol, manage medical conditions (diabetes, thyroid), and ensure adequate sleep. For both partners, these changes can improve conception chances by 20-30%.

What causes recurrent miscarriage?

Causes of recurrent miscarriage (3+ losses) include chromosomal abnormalities (40%), uterine problems (15%), hormonal issues (5%), immune factors, infections, and blood clotting disorders. Comprehensive evaluation and appropriate treatment can improve outcomes. Dr. Rashmi specializes in recurrent miscarriage management.

What is fertility preservation?

Fertility preservation includes egg freezing, sperm freezing, and embryo preservation for women/men facing cancer treatment or other health threats to fertility. Egg freezing allows younger women to preserve eggs at peak quality. This option is becoming increasingly popular for those wanting to delay childbearing.

Fertility Specialist — Kathmandu

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.

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