Fertility & Reproductive Medicine | Advanced Fertility Care

🔍

Comprehensive Fertility Evaluation

Ovarian reserve testing, imaging, and hormonal workup to assess your fertility.

🧪

Hormonal Optimization

Personalized protocols tailored to your unique hormonal profile.

🧬

IVF, IUI & Advanced Reproductive Technologies

Advanced options for complex or unexplained fertility cases.

🩺

Personalized Treatment Protocols

Cycle planning and transfer timing built around your individual response.

Understanding Your Fertility Journey

Fertility is influenced by a range of factors — ovarian reserve, hormonal balance, uterine health, and reproductive anatomy — that work together to support conception. A thorough evaluation helps identify the specific factors affecting your fertility, which is essential for building an effective, personalized treatment plan.

Comprehensive evaluation covers ovarian reserve, hormonal profile, and uterine and tubal factors — the foundation for an effective treatment plan.

1 in 6

Couples worldwide experience fertility challenges

🔍

✔

Early evaluation improves outcomes

✔

Individualized treatment pathways

✔

Treatable with advanced reproductive care

Why Comprehensive Evaluation Matters for Fertility

Fertility depends on several interconnected factors working together to support conception and a healthy pregnancy.

🫄

Ovarian Reserve

Egg quantity and quality assessment helps determine the best treatment pathway and timing for your care.

🧪

Hormonal Balance

Proper hormonal signaling supports ovulation, endometrial receptivity, and a favorable environment for implantation.

🩸

Uterine & Tubal Health

A healthy uterine cavity and open fallopian tubes are essential for natural conception and successful embryo transfer.

Fertility Treatment Pathways by Patient Factors

Treatment recommendations are shaped by age, diagnosis, and individual reproductive health factors.

Track 1

Lifestyle & cycle monitoring. Best for early-stage or mild fertility concerns.

Track 2

Ovulation induction & IUI. Suited to mild ovulatory or unexplained infertility.

Track 3

IVF with standard protocols. Recommended for tubal, male-factor, or age-related concerns.

Track 4

Advanced IVF (donor eggs, PGT, surrogacy). For complex or recurrent cases.

Your care team reviews your diagnostic results to recommend the treatment pathway most likely to succeed for your specific situation — rather than a one-size-fits-all approach.

Common Causes of Infertility

Multiple factors can contribute to difficulty conceiving. Identifying the underlying cause is essential for effective treatment.

🧪

Ovulatory Disorders

PCOS or hormonal imbalances affecting regular ovulation.

🩺

Tubal Blockage

Blocked or damaged fallopian tubes preventing fertilization.

🕐

Declining Ovarian Reserve

Reduced egg quantity or quality, often age-related.

⚠️

Genital Tuberculosis

Particularly relevant in India as an underlying cause.

✂️

Endometriosis

Tissue growth outside the uterus affecting fertility.

🩸

Male Factor Infertility

Low sperm count, motility, or quality issues.

💊

Thyroid & Metabolic Disorders

Hormonal imbalances that disrupt reproductive function.

❤️

Unexplained Infertility

No identifiable cause despite thorough evaluation.

⚠️ In India, genital tuberculosis is an important and often under-recognized cause of tubal and uterine infertility. Testing should be considered in resistant cases.

Comprehensive Fertility Evaluation

Thorough assessment to identify underlying causes and guide treatment.

📋

Complete History

Menstrual patterns, prior pregnancies or losses, previous fertility treatments, surgical history, medications, and lifestyle factors.

🔍

Ovarian Reserve Assessment

Antral follicle count via ultrasound alongside AMH testing to estimate egg quantity and predict treatment response.

🧪

Hormone Testing

FSH, LH, estradiol, thyroid function, and prolactin to evaluate the hormonal environment supporting ovulation and conception.

✖

Tubal & Uterine Evaluation Essential for Diagnosis

HSG or saline sonogram to check tubal patency, along with hysteroscopy to detect polyps, fibroids, or adhesions affecting the uterine cavity.

🕐

Semen Analysis

Sperm count, motility, and morphology assessment as a core part of the couple's fertility workup.

📅

3D Ultrasound / MRI

Detailed assessment of uterine anatomy for fibroids, adenomyosis, or congenital anomalies when indicated.

Treatment Strategies for Fertility Challenges

Personalized, multi-modal approach based on underlying cause.

🧪

Ovulation Induction

•Clomiphene citrate cycles
•Letrozole for PCOS patients
•Gonadotropin injections
•Timed intercourse with monitoring
•Trigger shot timing optimization

🩸

IUI (Intrauterine Insemination)

•Washed sperm sample preparation
•Timed with ovulation tracking
•Combined with ovulation induction
•Donor sperm option when indicated
•Best suited for mild male-factor or unexplained cases

✂️

Surgical Correction

•Laparoscopic treatment of endometriosis
•Myomectomy for cavity-distorting fibroids
•Hysteroscopic polypectomy
•Tubal repair or recanalization
•Septum resection for uterine anomalies

🧬

Advanced Reproductive Technologies

•IVF with standard or ICSI fertilization
•Preimplantation genetic testing (PGT)
•Donor egg or sperm programs
•Fertility preservation (egg/sperm freezing)
•Gestational surrogacy when needed

IVF success rates depend heavily on age, ovarian reserve, and underlying diagnosis — your specialist will personalize the protocol accordingly.

☀️

Supportive Measures

•Acupuncture and stress reduction
•Preconception vitamins and folic acid
•Weight optimization
•Smoking and alcohol cessation
•Counseling and emotional support

📅

Cycle Protocol Adjustments

•Antagonist vs. agonist protocols
•Mild stimulation for low responders
•Natural cycle FET options
•Freeze-all strategy when indicated
•Transfer timing based on receptivity testing

Platelet-Rich Plasma (PRP) Therapy

How PRP Works

PRP is prepared from your own blood, concentrated to contain high levels of growth factors and cytokines. When infused into the uterus, these growth factors promote endometrial regeneration, improve blood flow, and enhance receptivity ahead of embryo transfer.

✔Autologous (from your own blood) — no rejection risk

✔Rich in growth factors (VEGF, PDGF, TGF-β)

✔Promotes tissue regeneration and angiogenesis

✔Improves endometrial thickness and receptivity

✔Enhances implantation rates in refractory cases

✔Minimal side effects, well-tolerated

Blood is drawn (similar to a lab test), centrifuged to concentrate platelets, and the PRP is infused into the uterus through a thin catheter. The procedure takes 30–45 minutes, typically performed 24–48 hours before embryo transfer.

Consistent Benefits

PRP has shown consistent benefits in increasing endometrial thickness and improving clinical pregnancy rates, particularly in frozen embryo transfer cycles.

Refractory Cases

Particularly beneficial for patients with a history of failed implantation or thin lining despite standard hormonal treatment.

Regenerative Approach

Promotes endometrial regeneration through growth factor release and improved vascularization ahead of transfer.

While PRP shows promise, it should be considered an adjuvant therapy. Current evidence is encouraging but not definitive for live birth benefit. Discuss with your fertility specialist whether PRP is appropriate for your case.

G-CSF (Granulocyte Colony-Stimulating Factor)

G-CSF is a growth factor that may help improve endometrial thickness and receptivity through immunomodulation and tissue regeneration.

🧬

How G-CSF Works

Alters local endometrial immunology, promotes tissue regeneration, and may add crucial millimeters to the lining in unexplained thin endometrium cases.

🔄

Treatment Protocol

Intrauterine infusion of G-CSF (300 mcg) typically performed 24–48 hours before embryo transfer in frozen cycles.

🔍

Current Evidence

Some studies show benefit in refractory cases, but evidence is not yet conclusive. Should be considered experimental and used selectively.

PRP and G-CSF should not be presented as established treatments. Current evidence is insufficient to show a reliable live-birth benefit, and major guidelines (ESHRE, CFAS) do not recommend their routine use. These are reserved for refractory cases after standard treatments fail.

Why Choose StemRx for Fertility Treatment

Turning Hope Into Reality

🔍

Comprehensive Fertility Assessment

🧬

Advanced Reproductive Technologies (IVF, ICSI, PGT)

🧪

Personalized Hormonal Protocols

✂️

Expert Hysteroscopic & Laparoscopic Surgery

❤️

Proven Track Record with Complex Fertility Cases

Your Treatment Journey at StemRx

Initial consultation and comprehensive evaluation

Diagnostic workup (ultrasound, HSG, labs)

Identification of underlying causes

Personalized treatment protocol design

Ovarian stimulation or ovulation induction

Serial monitoring of cycle progress

Egg retrieval, fertilization, or embryo transfer

Continued support through early pregnancy

Comprehensive Care for Your Journey to Parenthood

Understanding Your Fertility Journey

Why Comprehensive Evaluation Matters for Fertility

Fertility Treatment Pathways by Patient Factors

Common Causes of Infertility

Comprehensive Fertility Evaluation

Treatment Strategies for Fertility Challenges

Platelet-Rich Plasma (PRP) Therapy

How PRP Works

G-CSF (Granulocyte Colony-Stimulating Factor)

Treatment Outcomes and Success

Why Choose StemRx for Fertility Treatment

Your Treatment Journey at StemRx

Understanding Your Fertility Journey

Why Comprehensive Evaluation Matters for Fertility

Fertility Treatment Pathways by Patient Factors

Common Causes of Infertility

Comprehensive Fertility Evaluation

Treatment Strategies for Fertility Challenges

Platelet-Rich Plasma (PRP) Therapy

How PRP Works

G-CSF (Granulocyte Colony-Stimulating Factor)

Why Choose StemRx for Fertility Treatment

Your Treatment Journey at StemRx

Quick Links

Resources

Services