Infertility is more common than many people realise, and it affects both men and women in roughly equal measure. At Rekha Sagar IVF & Research Center, we understand the emotional and physical toll couples in Karimnagar face when pregnancy does not happen as expected, month after month.
Dr. Rekha Rani and our fertility team provide compassionate care, advanced diagnostics, and personalised treatment plans built around your specific diagnosis rather than a standard protocol applied to every couple. With years of experience treating fertility cases across Karimnagar and the surrounding districts, we have helped hundreds of couples move from uncertainty to a clear, workable treatment plan.
Infertility is the inability to conceive after 12 months of regular, unprotected intercourse. Women above 35 years should seek medical advice after six months of trying, since fertility declines more quickly past this age and time matters more for treatment planning. Early evaluation helps identify the underlying cause and meaningfully improves the chances of successful treatment - waiting an extra year “to see what happens” is rarely the right call once you are past your early thirties.
Primary infertility refers to couples who have never conceived. Secondary infertility affects couples who have conceived previously, sometimes years earlier, but are now unable to achieve another pregnancy, which can be just as distressing and often has different underlying causes. Some couples are diagnosed with unexplained infertility when routine tests appear normal on both sides; this does not mean nothing can be done, but rather that treatment often starts with the least invasive option and progresses from there.
| Common Causes of Female Infertility | Common Causes of Male Infertility |
|---|---|
| PCOS and ovulation disorders | Low sperm count |
| Endometriosis | Poor sperm motility |
| Blocked fallopian tubes | Abnormal sperm morphology |
| Uterine fibroids | Varicocele |
| Hormonal imbalance | Hormonal disorders |
| Thyroid disorders | Genetic conditions |
| Reduced ovarian reserve | Infections |
| Pelvic infections | Smoking, alcohol, obesity and stress |
| Age-related decline in fertility | - |
Irregular menstrual cycles, painful periods, repeated miscarriages, pelvic pain, erectile dysfunction, reduced sexual desire, or an abnormal semen report may indicate a fertility problem. A timely consultation, rather than waiting to see if things resolve on their own, can help identify the cause early and open up more treatment options.
Our fertility evaluation may include ultrasound scans, hormone testing, AMH testing (which estimates ovarian reserve), ovulation monitoring, semen analysis, HSG (to check whether the fallopian tubes are open), laparoscopy, hysteroscopy, and other investigations based on your medical history. Both partners are typically evaluated together, since infertility is a shared diagnosis roughly as often as it is attributed to one partner alone.
Rather than jumping straight to the most advanced option, treatment is usually sequenced based on your diagnosis, age, and how long you have been trying.
Are often the starting point for women with irregular ovulation, such as PCOS. Medication is used to encourage the ovaries to release an egg on a more predictable schedule, and this is tracked closely with ultrasound to time intercourse or the next step accurately.
IUI involves placing specially prepared sperm directly into the uterus around the time of ovulation. It is a comparatively simple, lower-cost procedure typically suited to mild male factor infertility, unexplained infertility, or as a first step before moving to IVF.
IVF involves stimulating the ovaries to produce multiple eggs, retrieving them, fertilising them with sperm in the laboratory, and transferring the resulting embryo back into the uterus. IVF is recommended for blocked fallopian tubes, more significant male factor infertility, failed IUI cycles, or when time is a pressing factor due to age.
ICSI is a refinement of IVF used specifically for male factor infertility. Instead of leaving fertilisation to happen naturally in a dish, a single healthy sperm is injected directly into each egg, which significantly improves fertilisation rates when sperm count or quality is low.
Involves growing embryos in the laboratory for five to six days, to the blastocyst stage, before transfer. This allows the embryology team to select the embryo most likely to implant successfully, and can improve success rates in the right cases.
Are often used both diagnostically and therapeutically alongside the treatments above, to clear blocked tubes, remove endometriosis, or correct a uterine abnormality that could otherwise reduce the chance of a treatment cycle succeeding. Read more on our Laparoscopy for Infertility Treatment in Karimnagar and Hysteroscopy in Karimnagar pages.
Freezing eggs, sperm, or embryos, is available for those who want to protect their future fertility ahead of medical treatment, or simply to plan pregnancy for a later stage of life.
Runs alongside every treatment plan, since weight, smoking, alcohol use, and stress measurably affect outcomes for both partners.
We combine experienced fertility specialists, modern laboratory technology, personalised care, and ethical treatment practices with continuous patient support throughout the journey, not just during the procedure itself. Every treatment plan is tailored to the couple’s unique diagnosis, age, and circumstances, and Dr. Rekha Rani takes the time to explain why a particular treatment is being recommended rather than simply prescribing the next step on a checklist. Over years of fertility care in Karimnagar, the clinic has supported hundreds of couples through to a successful pregnancy, including cases referred after unsuccessful treatment elsewhere.
Costs vary depending on the specific protocol, medications required, and whether additional procedures like ICSI or laparoscopy are needed. We discuss a clear cost breakdown during your consultation before any treatment begins, so there are no surprises partway through a cycle.
This varies by individual and cannot be predicted precisely in advance, but many couples achieve a pregnancy within one to three cycles. Your doctor will review your specific chances after the initial evaluation and adjust the protocol based on how earlier cycles respond, if more than one is needed.
IUI places prepared sperm directly into the uterus around ovulation and relies on fertilisation happening naturally inside the body. IVF fertilises eggs with sperm outside the body in a laboratory and transfers the resulting embryo into the uterus. IVF is generally used for more significant fertility issues or when IUI has not been successful.
If you are under 35 and have been trying for 12 months without success, or over 35 and have been trying for six months, it is time for an evaluation. Fertility declines with age, particularly after 35, so earlier evaluation generally means more treatment options.
No. Male factors contribute to roughly as many cases of infertility as female factors, and in a significant proportion of couples, both partners have a contributing factor. We evaluate both partners as a standard part of the diagnostic process.
If you have been trying to conceive without success, don’t lose hope. Consult Dr. Rekha Rani at Rekha Sagar IVF & Research Center, Karimnagar, for a comprehensive fertility evaluation and a personalised treatment plan designed to maximise your chances of a healthy pregnancy. Call +91 949 070 4277 to book an appointment.