A fertility assessment is a structured set of investigations designed to identify why natural conception has not occurred — or to establish a baseline before planning a family. It evaluates both partners simultaneously, because infertility has a cause in both males and females in approximately equal proportion.
A fertility assessment at Cloudnine Hospital Kompally with Dr Bhavana Nallapu is not a generic package of tests. It begins with a detailed consultation — your history, cycle patterns, previous investigations, and symptoms — and the investigations are chosen based on what that history suggests. The result is a clear diagnosis, or a clear statement that no cause has been found (unexplained infertility), and a personalised treatment roadmap from the first visit.
Who should get a fertility assessment?
Not conceived after 12 months of trying (under 35)Not conceived after 6 months of trying (35 or older)Irregular periods or absent ovulation suspectedKnown or suspected PCOS, endometriosis, or fibroidsPrior ectopic pregnancy or miscarriageAbnormal semen analysis in prior testPlanning pregnancy after cancer treatmentWanting to understand your fertility before beginning to trySecond opinion after inconclusive investigations elsewhere
What the assessment includes
1
Consultation & HistoryDr Bhavana takes a thorough history — menstrual cycle regularity, prior pregnancies, contraception history, prior surgeries, thyroid or hormonal conditions, medications, family history, and how long you have been trying. The male partner's health history is also reviewed.
2
Ovarian Reserve Assessment (Female)Blood test: AMH (anti-Müllerian hormone), FSH, LH, oestradiol, TSH, prolactin. Pelvic ultrasound: antral follicle count, uterine morphology, ovarian appearance. Together these indicate the quantity and quality of remaining eggs.
3
Ovulation Confirmation (Female)Mid-cycle progesterone blood test confirms whether ovulation has occurred in the current cycle. Cycle charting history and any prior basal body temperature data are also reviewed.
4
Uterine & Tubal Assessment (Female)Depending on history, this may include hysterosalpingography (HSG) to assess tubal patency and uterine shape, or a saline sonohysterography (SHG). Hysteroscopy may be recommended if uterine abnormalities are suspected.
5
Semen Analysis (Male)The male partner provides a semen sample. Analysis covers sperm count, motility (movement), morphology (shape), volume, and pH. This is one of the most important investigations and should not be skipped or postponed.
6
Results Review ConsultationDr Bhavana reviews all results together — not in isolation. The interpretation considers how each finding relates to others. You leave with a clear diagnosis or categorisation, and a specific recommended treatment plan with options.
Duration & Timelines
First consultation
60–90 minutes. History, physical examination, and investigation planning.
Blood tests
Day 2–3 of the menstrual cycle for most hormonal tests. Same-day results in most cases.
Ultrasound
Typically on the same day as blood tests (Day 2–3) or at mid-cycle.
Semen analysis
Can be done at any time. Results usually available within 24 hours.
Tubal assessment
Scheduled between Day 7–10 of the cycle if needed. Results same day.
Review consultation
Once all results are available — typically within one menstrual cycle of the first appointment.
What the results mean for you
Identified Cause
Most assessments identify a specific factor — ovulatory disorder, tubal blockage, low ovarian reserve, or male factor. A specific cause means a specific treatment can be targeted at it rather than treating blindly.
Unexplained Infertility
In 15–25% of couples, no identifiable cause is found after thorough investigation. "Unexplained" is not a dead end — it is a category with its own treatment pathway, and IVF or IUI remain effective options.
Your Treatment Roadmap
Dr Bhavana presents treatment options in a logical sequence — from least invasive to most. Each option is explained with realistic success rates based on your age and test results, not generic clinic averages.
Second Opinion Cases
If your previous investigations found nothing or recommended treatment you are unsure about, Dr Bhavana will review all prior reports and give an independent assessment. Second opinions are welcome here.
Why both partners must be assessed
Male factor infertility is identified in approximately 40–50% of infertile couples — either as the sole cause or as a contributing factor. Semen analysis is non-invasive, inexpensive, and provides critical information that determines the entire treatment direction. Couples who delay or skip the male evaluation risk months of failed treatment aimed at the wrong partner. Dr Bhavana assesses both partners from the first appointment — this is standard practice, not an extra step.
Frequently Asked Questions
No referral is needed. You can contact Dr Bhavana's clinic directly to book a consultation. If you have prior blood test results, ultrasound reports, or semen analyses from elsewhere, bring these — they save time and may reduce the need to repeat investigations.
It is strongly recommended that both partners attend the first consultation. Fertility assessment is a two-partner evaluation — decisions about investigation and treatment direction depend on both partners' history. If both cannot attend the first visit, the male partner should at minimum provide a semen sample within the first cycle of investigation.
Not necessarily. Bring all previous reports and scans. Dr Bhavana will review what has been done, identify any gaps, and only repeat investigations that are outdated (most hormone tests should be repeated if more than 3–6 months old) or inconclusive. The goal is to fill gaps in the picture, not duplicate work.
If all investigations are within normal limits, the diagnosis is unexplained infertility — which accounts for 15–25% of cases. This is not a dead end. IUI with ovulation induction or IVF are effective in unexplained infertility, and Dr Bhavana will discuss the expected success rates for each option based on your age and how long you have been trying.
Start here
Book a Fertility Assessment
Know exactly where you stand — before deciding on any treatment. Dr Bhavana gives you a diagnosis and a roadmap, not just test results.