Infertility is defined as the inability to conceive after 12 months of regular, unprotected intercourse.
For individuals aged 35 or older, the best fertility doctor at Surya Hospitals it is recommended to seek medical advice after six months of trying.
At Surya hospitals we have the Best fertility doctor who can guide you with personalised treatment plans.
Around 15% of couples experience infertility. The causes are typically divided as follows:
It's important to remember that infertility is a medical condition, “not a personal failure," and many couples successfully conceive with the right treatment.
Also Read: How To Choose The Best IVF Clinic For Your Journey: Key Factors To Consider
Doctors generally classify infertility into three main types to better identify the underlying issue.
| Type of Infertility | Description |
| Primary Infertility | Occurs when a couple has never been able to conceive, even after trying for a year. |
| Secondary Infertility | Happens when a couple has conceived at least once irrespective of outcome ,*332 but is unable to get pregnant again. |
| Unexplained Infertility | All medical tests appear normal, yet pregnancy still |
Female infertility often happens due to ovulation problems, structural issues, or hormonal imbalances.
Some common causes include:
| Cause | Description | Impact on Fertility |
| Ovulation Disorders (e.g., PCOS) | Conditions like Polycystic Ovary Syndrome interfere with regular egg release. | Prevents ovulation, making conception impossible. |
| Blocked Fallopian Tubes | Caused by infections, pelvic inflammatory disease, or endometriosis. | Blocks sperm from reaching the egg or embryo from reaching the uterus. |
| Uterine Conditions | Includes fibroids, polyps, or scarring (Asherman’s syndrome). | Hinders embryo implantation and growth in the uterus. |
| Age-Related Fertility Decline | Fertility decreases after age 30, dropping rapidly after 35. | Reduces egg quality, quantity, and overall conception chances. |
| Lifestyle Factors | Smoking, obesity, excessive exercise, or severe weight loss. | Disrupts hormone balance and ovulatory function. |
Male infertility is just as common as female infertility and is often linked to sperm health.
Typical causes include:
| Cause | Description | Impact on Fertility |
| Low Sperm Count | Fewer than normal number of sperm in semen. | Reduces chances of sperm fertilizing the egg. |
| Poor Sperm Movement (Motility) | Sperm unable to swim effectively toward the egg. | Makes it difficult for sperm to reach and penetrate the egg. |
| Abnormal Sperm Shape | Irregularly shaped or structured sperm. | Hinders sperm's ability to fertilize the egg. |
| Varicocele | Enlarged veins in the scrotum. | Impairs sperm production and quality. |
| Hormonal or Genetic Issues (e.g., Klinefelter syndrome) | Disruptions in hormones or genetics affecting testes. | Reduces or halts sperm production. |
| Lifestyle Factors | Smoking, excessive alcohol, drugs, overheating testes (e.g., tight clothing, laptops on lap), certain medications. | Lowers overall sperm quality, count, and motility. |
In some cases, infertility involves both partners or lifestyle-related factors.
Examples include:
Fertility typically peaks in the 20s and early 30s for both men and women and declines gradually afterward.
In many cases, infertility doesn’t cause obvious symptoms other than difficulty getting pregnant.
However, some warning signs may include:
| For Women | For Men |
| Irregular or missed periods Painful or heavy periods Pelvic pain Recurrent miscarriages |
Erectile dysfunction Low libido Testicular pain or swelling Hormonal imbalance symptoms |
Often, couples only discover fertility issues after trying to conceive for some time.
It’s a good idea to consult a fertility specialist if:
Early evaluation can make a big difference in treatment success.
Doctors at Surya Hospitals perform comprehensive tests that usually begin with medical history, physical exams, and basic fertility tests.
| Tests for Women | Tests for Men |
| Hormone blood tests (FSH, LH, estrogen, progesterone, thyroid hormones) Transvaginal ultrasound to check ovaries and uterus Hysterosalpingogram (HSG) to examine fallopian tubes Ovarian reserve testing |
Semen analysis to measure sperm count, movement, and shape Hormone tests Scrotal ultrasound to detect varicoceles or blockages |
Sometimes additional procedures like laparoscopy or genetic testing may be recommended.
These tests help doctors identify 80–90% of infertility causes.
Treatment depends on the:
Many couples successfully conceive with medications, minor procedures, or assisted reproductive technologies.
Medications such as Clomiphene citrate or Letrozole stimulate ovulation and are commonly used in women with PCOS or irregular cycles.
In some cases, doctors may prescribe gonadotropin hormone injections.
Surgery may be recommended to correct structural problems.
Examples include:
These procedures can significantly improve fertility in selected cases.
When other treatments don’t work, doctors may suggest assisted reproductive methods.
Intrauterine Insemination (IUI)
Processed sperm is placed directly into the uterus (womb) to increase chances of fertilization.
In Vitro Fertilization (IVF)
Eggs are retrieved from the ovaries, fertilized in a lab, and the embryo is transferred into the uterus.
Intracytoplasmic Sperm Injection (ICSI)
A single sperm is injected directly into an egg, often used for severe male infertility.
Other options include donor eggs, donor sperm, or surrogacy.
Simple lifestyle adjustments can sometimes improve fertility outcomes.
Helpful changes include:
Tip for you: Timing intercourse around ovulation can also increase the chances of natural conception.
Fertility treatment success depends on many factors, such as:
For example:
With modern treatments, however, up to 90% of couples eventually achieve pregnancy within two years.
Yes, we understand infertility can be emotionally challenging for couples. Feelings of stress, frustration, and uncertainty are common.
But things like seeking counseling, joining support groups, or transparently talking with your partner can make the journey easier.
If you're struggling to conceive, consider consulting a reproductive endocrinologist or fertility specialist. Many advanced, best fertility centers in India—including Surya Hospitals—offer comprehensive testing and treatment options.
Meet Our Experts – mumbai/pune
1. A Journey of Hope and Joy from Agartala to Surya IVF!
We are so happy to share this beautiful testimonial of our patient who came all the way from Agartala to have IVF treatment at Surya IVF. Under the care of @drshilpasaple, she conceived twins on her very first IVF attempt!
Her testimonial is full of thanks to @drshilpasaple and our team for the wonderful care and support. Witnessing such joyous outcomes is why we do what we do and we are blessed to be a part of her journey.
2. Meet the Miracle Triplets
After 17 years of marriage, Deora and Madhu conceived through IVF and were blessed with triplets—two boys and a girl. Born 13 weeks premature, they weighed 810 g, 910 g, and 1.1 kg.
They faced complications like respiratory distress and retinopathy, but with advanced care and treatment, they recovered well.
Contact Surya Hospitals at +91-882882 8100 or info@suryahospitals.com
Surya Hospitals, 101-102, Mangal Ashirwad, S.V. Road, Santacruz West, Mumbai – 400054.
Surya Hospitals, Shrikant Chambers-II, Beside R.K. Studio, Chembur, Mumbai, Maharashtra, 400071
Q1: Why can't I get my wife pregnant?
A: Infertility often stems from male, female, or combined factors like hormonal issues or blockages, consult a doctor for tests.
Q2: What are the causes of infertility?
A: Includes ovulation disorders, sperm problems, STIs, smoking, obesity, fibroids, or unexplained issues in 33% of each category.
Q3: How do I know if I'm infertile?
A: No pregnancy after 1 year of trying, signs include irregular periods, testicle pain, or erection issues; get a semen analysis. Only your doctor can determine if you are infertile or not.
Q4: What percentage of couples are infertile?
A: About 10-15% of couples face infertility, roughly 1 in 6-7 worldwide.
Q5: What percentage of couples experience infertility?
A: Up to 15% of women and 1 in 6 couples struggle to conceive naturally.
Q6: How to deal with a wife's infertility?
A: Here are the tips that can help:
Q7: How to overcome infertility?
A: Follow your fertility specialist's advice on lifestyle changes, medications, surgery, or ART like IVF succeed in 85-90% cases