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Female infertility has many possible causes — most of them treatable.
When to See a Female Infertility Specialist
If you are under 35 and have been trying to conceive for 12 months — or over 35 and trying for 6 months — without success, it is time for a fertility evaluation. Seek help sooner if you have irregular periods, known PCOS or endometriosis, a history of pelvic infection, or previous miscarriages.
Common Causes of Female Infertility
Ovulation disorders: PCOS, thyroid dysfunction, elevated prolactin, or premature ovarian insufficiency
Tubal factors: Blocked or damaged fallopian tubes from infection, endometriosis, or surgery
Endometriosis: Uterine-lining tissue growing outside the uterus, affecting eggs, tubes, and implantation
Uterine factors: Fibroids, polyps, adhesions, or structural abnormalities
Diminished ovarian reserve: Fewer or lower-quality eggs, often age-related
Unexplained infertility: No identifiable cause after standard testing
Tests Your Clinic Will Run
Hormone blood tests: AMH, FSH, LH, oestradiol, thyroid, prolactin
Transvaginal ultrasound: Antral follicle count, ovarian cysts, fibroids, uterine lining
Tubal patency test (HSG or SSG): Checks whether the fallopian tubes are open
Hysteroscopy: Direct view inside the uterus if abnormalities are suspected
Laparoscopy: For suspected endometriosis or pelvic adhesions
Your partner's semen analysis is done at the same time — infertility is a couple's diagnosis.
Treatment Options
Ovulation induction with tablets or injections
Surgery to remove fibroids, polyps, or endometriosis, or to repair tubes
IUI for mild cases with open tubes
IVF / ICSI for tubal factor, endometriosis, low reserve, or when other treatments have not worked
Egg donation when ovarian reserve is very low
Female Fertility Care at Iswarya Fertility, Chennai
Iswarya Fertility offers complete female infertility evaluation and treatment in Chennai — from hormone testing and ultrasound to fertility surgery, IUI, and IVF — with a ~75% IVF success rate. Call or WhatsApp 99627-00000 to book a confidential consultation.
Frequently Asked Questions
When should I see a fertility specialist?
After 12 months of trying if under 35, or 6 months if over 35. See a specialist sooner if you have irregular periods, PCOS, endometriosis, or previous miscarriages.
What tests are done for female infertility?
Hormone blood tests (AMH, FSH, thyroid, prolactin), transvaginal ultrasound, a tubal patency test (HSG), and if needed hysteroscopy or laparoscopy.
What are the most common causes of female infertility?
Ovulation disorders such as PCOS, blocked fallopian tubes, endometriosis, uterine fibroids or polyps, and age-related decline in egg reserve.
Can female infertility be treated?
Yes. Most causes are treatable with ovulation induction, surgery, IUI, or IVF. Iswarya Fertility's IVF success rate is approximately 75%.
