How Do Fertility Specialists Diagnose Infertility?

Fertility Specialist in Delhi

Infertility is an emotional journey—a blend of overwhelming hope, unexpected setbacks, and the desire to hold a child in your arms. For many couples, this journey becomes easier when they find the right medical guidance, advanced technology, and compassionate care. Delhi has emerged as one of India’s leading hubs for reproductive medicine, and among the many fertility centres in the region, Shivam IVF has built its name on trust, expertise, and high success rates. At the heart of this institution is Dr Bhavana Mittal, a renowned Fertility Specialist in Delhi known for her extensive experience, patient-centric approach, and scientific excellence.

How Do Fertility Specialists Diagnose Infertility?

Fertility specialists follow a structured and scientific approach to identify the cause of infertility. Experts like Dr Bhavana Mittal use modern diagnostic tools and comprehensive evaluations to understand both male and female factors before recommending treatment.

1. Detailed Medical History Assessment

• Review of menstrual history

• Past pregnancies or miscarriages

• Sexual history

• Medical conditions like PCOS, thyroid issues, diabetes, or hormonal disorders

• Lifestyle habits such as smoking, alcohol, stress, and sleep patterns

• Any previous surgeries or infections

2. Physical Examination

A fertility specialist conducts a physical examination to check:

• Signs of hormonal imbalance

• Abnormal weight changes

• Pelvic abnormalities

• Reproductive organ health

3. Hormonal Blood Tests

These tests help evaluate ovulation, ovarian reserve, and endocrine function:

• FSH (Follicle Stimulating Hormone)

• LH (Luteinizing Hormone)

• AMH (Anti-Müllerian Hormone) – crucial for ovarian reserve

• TSH (Thyroid)

• Prolactin levels

• Estradiol

Dr Bhavana Mittal uses these tests to understand a woman’s hormonal profile and egg health.

4. Ultrasound & Pelvic Scan

A transvaginal ultrasound helps check:

• Antral follicle count (AFC)

• Uterine lining (endometrium)

• Presence of cysts (as in PCOS)

• Fibroids, polyps, or structural abnormalities

5. Ovulation Monitoring

To determine whether a woman is ovulating regularly, specialists may use:

• Follicular scans

• Ovulation predictor kits

• Hormone tracking

6. Semen Analysis for Male Partner

Male infertility contributes to nearly 40–50% of cases. A semen analysis checks:

• Sperm count

• Motility (movement)

• Morphology (shape)

• Semen volume and consistency

Dr Bhavana Mittal ensures a complete evaluation of both partners to avoid missing male factor issues. This quality makes her the best fertility specialist in Delhi.

7. Tubal Patency Tests

To determine if the fallopian tubes are open or blocked, doctors may use:

• HSG (Hysterosalpingography) – X-ray dye test

• SSG (Sonosalpingography) – ultrasound-based test

• Laparoscopy – for detailed inspection if needed

Blocked tubes can significantly affect natural conception.

8. Uterine Evaluation

Specialists check the uterus for issues such as:

• Fibroids

• Polyps

• Adhesions

• Septum

• Endometrial abnormalities

Techniques include:

• Hysteroscopy

• Saline infusion sonography (SIS)

9. Genetic Testing

Recommended in certain conditions, like:

• Recurrent miscarriages

• Repeated IVF failures

• Known hereditary issues

Genetic assessments help identify chromosomal abnormalities in either partner.

10. Advanced Diagnostic Techniques

Fertility specialists like Dr Bhavana Mittal may also use:

• Endometrial Receptivity Analysis (ERA)

• PGT (Preimplantation Genetic Testing)

• Hormone profiling over multiple cycles

• Immune factor evaluation in specific cases

What tests does a fertility specialist recommend initially?

• Hormone Blood Tests – To check thyroid (TSH), prolactin, AMH, FSH, LH, and estrogen levels.

• Ultrasound Scan – To assess ovaries, uterus, follicles, and detect PCOS or fibroids.

• Semen Analysis – To evaluate sperm count, motility, and morphology.

• Ovulation Tests – To confirm if and when ovulation occurs.

• HSG (Hysterosalpingography) – To check for blockages in the fallopian tubes.

• Pelvic Examination – To detect anatomical or hormonal issues.

• Medical History Review – Past pregnancies, cycles, lifestyle, and any health conditions.

Do fertility specialists use advanced technology?

• Yes, fertility specialists use modern, high-precision technologies to improve treatment success rates.

• Techniques like IVF, ICSI, time-lapse embryo monitoring, and laser-assisted hatching help in selecting the best embryos.

• Advanced genetic testing (PGT) is used to detect chromosomal issues early.

• Sophisticated lab equipment ensures safe embryo culture and storage.

• Dr Bhavana Mittal uses state-of-the-art IVF lab technology and personalised protocols to achieve high pregnancy success rates for her patients.

Dr Bhavana Mittal

Dr Bhavana Mittal has emerged as one of the most trusted names in reproductive medicine. With years of experience treating complex infertility cases, she brings hope to couples who have struggled for long periods or faced repeated IVF failures elsewhere.

Key Highlights of Dr Bhavana Mittal:

• Highly experienced infertility and IVF specialist

• Expertise in ICSI, IVF, IUI, egg freezing, donor programs, and recurrent pregnancy loss

• Known for high success rates, even in difficult cases

• Patient-friendly approach with personalised treatment

• Strong academic and clinical background

• Advanced training in embryology and reproductive endocrinology

• Works with some of the most advanced IVF laboratory technologies in Delhi

Final Thoughts

Finding the right fertility expert is a life-changing decision. With the combination of advanced reproductive technology, a world-class IVF lab, and the expertise of Dr Bhavana Mittal, Shivam IVF stands as one of the most trusted fertility centres in the capital. For couples seeking a Fertility Specialist in Delhi, Dr Mittal offers the perfect blend of scientific excellence and compassionate care.