Welcome to our Clinic

At SHRI DHANVANTARI IVF , we are here to help you realize your dream of parenthood. Our expert team of infertility specialists, clinical nurses and embryologists work together to provide comprehensive and individualized fertility care using state-of-the-ART (Assisted Reproductive Technology)

Make an Appointment
Shreee Dhanvantari

WHY CHOOSE SHRI DHANVANTARI IVF?

  • Patient Care
    Personalized Patient Care
    We build individualized, comprehensive care plans based on patients' unique needs.
  • Depth and breadth of services
    Depth and Breadth of Services
    We specialize in a wide range of services, and can effectively treat common or complicated cases of infertility.
  • Multidisciplinary Team
    Multidisciplinary Team
    We offer a continuum of care, including genetic counseling and ultrasound services.
  • Evidence Based Treatment
    Evidence-based Treatments
    Our fertility treatments are backed by the latest in scientific research.
Make your appointment today!

CAUSES OF INFERTILITY

INFERTILITY CONDITIONS WE TREAT:

It can be very frustrating and overwhelming when you are ready to start a family and are having difficulty becoming pregnant. The fertility experts at the SHRI DHANVANTARI IVF CENTRE can help you identify the potential causes of your infertility and develop a personalized treatment plan to help you become pregnant.

Infertility in Women

Because of the complex nature of the female reproductive tract, there can be many reasons a woman is having trouble becoming pregnant.

Our experts will conduct various diagnostic tests to pinpoint the cause of your infertility. Tests can include:
  • A physical pelvic exam
  • A pelvic ultrasound
  • A hysterosalpingogram HSG (X-ray of the uterus and fallopian tubes)
  • Blood Tests

These procedures can tell us about the health and structure of the fallopian tubes, uterus and ovaries, specifically whether there are abnormalities in size or shape, fibroids, scar tissue or other masses. We are also able to learn if you have other conditions that may be affecting your fertility, such as hormonal disorders.

Diminished Ovarian Reserve Treatment: What to Expect

To determine whether you may be affected by diminished ovarian reserve, our experts will perform a comprehensive evaluation, including laboratory tests to analyze hormone levels and ultrasound to examine your ovaries. After analyzing the results, we will tailor our treatment plan to maximize your chance of pregnancy.

Endometriosis Treatment: What to Expect

At your initial consultation, you will meet with a fertility specialist and discuss your personal health history, experience attempting to conceive and goals for fertility treatment. We will perform diagnostic tests to determine the extent that endometriosis is impacting your fertility — and rule out other potential causes.

Depending on the severity of your endometriosis and symptoms, we may recommend surgery before beginning fertility treatments. We will work closely with the highly experienced surgical team at the Endometriosis Center to determine the best course of action for managing your endometriosis while maintaining your fertility goals.

When the condition has been properly managed and you are ready to begin your fertility treatment, your team at the Fertility Center will review the treatment options available to you and begin the process of infertility treatment.

Fertility Treatment and Fibroids: What to Expect

At your initial consultation, you will meet with a fertility specialist and discuss your personal health history, experience attempting to conceive and goals for fertility treatment. We will perform diagnostic tests to determine the extent that fibroids are impacting your fertility — and rule out any other potential causes. Based on these results, your fertility specialist may recommend surgery prior to beginning fertility treatments.

If surgery is recommended, we will work closely with specialists to determine the best course of action for managing your fibroids while also supporting your fertility goals.

When your fibroids have been properly managed and you are ready to begin your fertility treatment, we will meet with you to review the treatment options available to you and customize a treatment plan.

MALE INFERTILITY CONDITIONS

Infertility is defined as the inability to conceive after one year of unprotected, properly timed intercourse. Approximately 15% of all couples are infertile, and around 50% of male partners will have an identifiable factor impairing their reproductive potential; 20% to 30% of couples will not be able to conceive naturally solely because of a male factor.

Traditionally, couples sought evaluation after trying to conceive for one year. However, many couples are now postponing parenthood until they are older, so it is suggested that couples seek evaluation earlier if they have any concerns about their fertility.

Early evaluation of the male partner is important for the following reasons:
  • To optimize overall fertility potential and maximize chances of natural or assisted pregnancy.
  • To prevent unnecessary added delays, since many couples are now postponing parenthood.
  • To screen for modifiable practices or lifestyle elements that might be affecting male fertility.
  • To identify treatable causes of male infertility.
  • To screen for undetected medical conditions that might be contributing to male infertility.

There can be many causes for male infertility. Therefore, we advocate a systematic approach which begins with a detailed history and physical examination, followed by a thorough laboratory evaluation. The initial evaluation includes a semen analysis and hormonal testing. Depending upon these results, a more detailed evaluation may follow with:

  • Repeat semen analyses
  • Sperm function tests
  • Additional hormonal studies
  • Radiologic studies
  • Genetic evaluation
  • Testicular biopsy
Undetected medical conditions

Male infertility can often be the first sign of other undiscovered health conditions. Furthermore, healthy men with infertility are at an increased risk of certain medical conditions later in life. Studies have found significant medical conditions in up to 6% of infertile men that were thought to be healthy, and the risk seems to correlate with semen and hormonal abnormalities. See below for more information about various medical conditions and their relationship to male infertility, such as testicular cancer, testosterone deficiency, prostate cancer and other hormonal issues.

Testicular cancer affects 1 in 250 men and is most common in men of reproductive age. Both testis cancer and infertility are associated with poor development of the testes, and testis cancer itself can directly cause infertility as well. Studies have found the risk of testis cancer in the setting of semen abnormalities can increase by as much as 18 fold. Thus, all infertile men need a proper physical exam at initial evaluation, and they should perform monthly testicular self-examination (TSE).

Aside from causing infertility, testosterone deficiency or low testosterone can cause symptoms such as fatigue and decreased libido. Low testosterone levels are also associated with multiple other health concerns, including heart disease, abdominal obesity, and osteoporosis.

Recent studies suggest a possible link between infertility and prostate cancer. Specifically, it seems that infertility might confer an even higher risk of developing aggressive prostate cancer than a family history of the disease. Since prostate cancer typically affects men past the reproductive age, it is important for infertile men to understand the importance of proper screening once they get older.

Other hormonal problems can be caused by certain health conditions. Diabetes, thyroid problems, and small pituitary tumors in the brain can all cause disruption of sperm parameters and hormonal balance – even in the absence of symptoms. When initial evaluation raises clinical suspicion for such conditions, extended testing is indicated.

Ovarian Cyst Treatment

At your initial consultation, you will meet with a fertility specialist and discuss your health history, experience attempting to conceive, prior management of your ovarian cysts and goals for fertility treatment. Then, we will perform diagnostic tests to determine if your ovarian cysts or other causes are impacting your fertility. Depending on the type, size and number of ovarian cysts, your fertility specialist may recommend medical fertility treatments or surgery.

PCOS Treatment

At your initial consultation, you will meet with our fertility experts and undergo a laboratory and physical evaluation to determine if you have any associated conditions that require treatment beyond your fertility care. We will also evaluate you and your partner for any additional causes of infertility.

We typically start treatment with ovulation induction, a process that helps you release eggs in order to increase your chances of conceiving each month. This involves oral medication and ultrasound monitoring of your progress. If you are not responsive to this treatment method, we will pursue other options including injectable medications or in vitro fertilization (IVF) to maximize your chances of pregnancy.

Primary Ovarian Insufficiency Treatment:

At your initial consultation, you will meet with your fertility specialist and share your treatment goals. Some women with primary ovarian insufficiency wish to become pregnant, while others wish to treat symptoms and prevent long-term health consequences. We want to first understand your goals before developing your treatment plan.

We will review your medical records and order additional testing (if needed) to confirm your primary ovarian insufficiency diagnosis and develop a custom treatment plan.

Tubal Disease Treatment

At your initial consultation, you will meet with a fertility specialist and discuss your personal health history, experience attempting to conceive and goals for fertility treatment. We will perform diagnostic tests to determine the extent tubal disease is affecting your fertility and rule out any other potential causes.

If you are diagnosed with tubal disease, we will work with you to develop an individualized treatment plan to help you realize your fertility goals. Treatment can include removal of pelvic adhesions (scar tissue) and cysts with minimally invasive surgery (laparoscopy) or in very complex cases, traditional open surgery (laparotomy). In some cases, in vitro fertilization (IVF) will be also be recommended.

Unexplained Infertility

After your first consultation, you will undergo a complete fertility evaluation. For men, we test sperm count and motility. For women, we examine the fallopian tubes, uterus and ovarian reserve (egg supply) and determine if ovulation occurs regularly. Unexplained infertility will be diagnosed if the evaluation results are normal.

Patients with unexplained infertility have many options to help them have a baby. Treatments such as fertility medications combined with IUI (intrauterine insemination) or IVF (in vitro fertilization) can dramatically improve pregnancy rates for women/couples with unexplained infertility.