Evaluation of Couples at Orrchid Fertility Centre

At Orrchid Fertility Centre, the first and most essential step toward successful fertility treatment is the comprehensive evaluation of couples. Under the expert guidance of Dr. Sanjeev Khot, a leading fertility specialist in Mulund, this process identifies the exact causes of infertility and lays the foundation for a personalized and effective treatment plan.

Infertility is not limited to one partner — it can result from male, female, or combined factors. Recognizing this, Orrchid Fertility Centre emphasizes evaluating both partners together, addressing not just physical causes but also emotional and psychological aspects of infertility. This holistic approach ensures accurate diagnosis and compassionate care, giving couples the best chance of achieving parenthood.

With advanced diagnostic tools, state-of-the-art technology, and personalized attention, Orrchid Fertility Centre provides the highest standard of care in infertility management. Every couple is given hope, clarity, and a scientifically backed path toward achieving parenthood. At Orrchid Fertility Centre, the evaluation of couples isn’t just a medical process — it’s the beginning of a hopeful journey toward creating life.

Male Partner Evaluation Female Partner Evaluation Other Evaluation Tests

The male infertility evaluation begins with a semen analysis, which examines sperm count, motility, and morphology — three key parameters that determine fertility potential. According to WHO standards, a healthy sperm count should exceed 20 million per millilitre, with more than 50% motility and 15% or more normal-shaped sperm.

Abnormal semen results may indicate conditions such as:

  • Oligospermia: Low sperm count
  • Azoospermia: Absence of sperm in semen
  • Asthenozoospermia: Poor sperm motility
  • Teratospermia: High abnormal sperm morphology

When semen abnormalities are detected, advanced diagnostic and sperm retrieval techniques like TESA (Testicular Sperm Aspiration) or PESA (Percutaneous Sperm Aspiration) may be recommended. These minimally invasive procedures retrieve viable sperm directly from the testis or epididymis for use in ICSI (Intracytoplasmic Sperm Injection). At Orrchid Fertility Centre, retrieved sperm can also be cryopreserved for future use.

Depending on the diagnosis, Dr. Sanjeev Khot designs individualized treatment plans using the latest Assisted Reproductive Techniques (ART) such as IUI, IVF, or ICSI — ensuring the best possible outcomes for male infertility cases.

The evaluation of the female partner begins with a comprehensive history that includes age, duration of marriage, past pregnancies, menstrual cycle details, lifestyle factors, and any previous medical or surgical history. A physical examination and transvaginal ultrasound follow, providing detailed insight into the condition of the uterus, ovaries, and fallopian tubes.

Hormonal Testing is another key component of female evaluation. The following hormones are commonly tested:

  • FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone): Checked on day 2 or 3 of the menstrual cycle to assess ovarian reserve and function.
  • AMH (Anti-Müllerian Hormone): A strong predictor of ovarian reserve and response to stimulation.
  • TSH (Thyroid Stimulating Hormone) and Prolactin: To identify thyroid or pituitary-related fertility issues.
  • Estrogen, Progesterone, and Androgens: To evaluate ovulation and hormonal balance.

At Orrchid Fertility Centre, all these hormonal assays are performed in-house for convenience and accurate interpretation.

 

Pelvic Sonography
A high-quality pelvic sonography provides valuable insights into the health of the uterus, ovaries, and fallopian tubes. It helps detect conditions such as fibroids, adenomyosis, uterine septum, endometriosis, ovarian cysts, dermoids, and hydrosalpinges. At Orrchid Fertility Centre, Dr. Sanjeev Khot personally performs the sonography for precise clinical correlation and better treatment planning. Transvaginal ultrasound (TVS) is also a vital tool for ovulation monitoring and egg retrieval during IVF or ICSI cycles.

Tubal Patency Tests

  • HSG (Hysterosalpingography): A specialized X-ray that outlines the uterus and fallopian tubes to detect blockages, hydrosalpinges, or congenital uterine anomalies. It is an effective and economical screening test.
  • Laparoscopy: A minimally invasive procedure that checks for tubal patency and identifies pelvic conditions like endometriosis or adhesions. It is routinely performed at Orrchid Fertility Centre to enhance diagnostic accuracy and treatment success.
  • Hysteroscopy: Used to visualize the uterine cavity and manage conditions such as polyps, fibroids, or uterine septum. It is particularly helpful in cases of repeated IVF failures or pelvic infections.

Genetic Tests
In cases of severe male factor infertility or recurrent IVF failure, genetic testing such as Karyotyping, Y-chromosomal microdeletion, or Delta 508 mutation studies may be advised. These tests help identify potential genetic or chromosomal causes contributing to infertility and guide future treatment decisions.

Comprehensive and Compassionate Fertility Care

Once all investigations are completed, Dr. Sanjeev Khot formulates a personalized treatment plan tailored to the couple’s specific needs. At Orrchid Fertility Centre, the focus is not only on medical excellence but also on emotional support — helping couples navigate the journey with confidence and hope.