by Dr Neelima Mantri | Aug 20, 2025 | Blog, Infertility Treatment
You are trying to conceive. You have done all the right things. The tests seem normal. But still, there is no pregnancy. This is often where the term “unexplained infertility” comes in. It means everything looks fine on paper, yet conception does not happen. It can feel frustrating, but there are clear next steps.
What Is Unexplained Infertility?
Unexplained infertility is a diagnosis made when all standard fertility tests come back normal. Ovulation is regular. Sperm count is healthy. Tubes are open. The uterus shows no major issues. But after a year or more of trying, there is still no success.
It does not mean there is no reason. It just means the cause has not been found yet. Often, it involves subtle issues like egg quality, sperm function at a molecular level, or timing that cannot be seen through routine testing.
What Tests Are Done for Unexplained Infertility?
Before calling it unexplained, doctors will run a full fertility workup.
- Ovulation tracking to confirm regular egg release
- Hormone level tests for FSH, LH, AMH, prolactin, and thyroid
- Pelvic ultrasound to assess the uterus and ovaries
- Semen analysis for count, shape, and movement
- HSG (hysterosalpingogram) to check the fallopian tubes
- STI screenings
- Basic genetic screening in some cases
So, what tests are done for unexplained infertility? These are the standard checks. If all results appear normal, the diagnosis becomes unexplained infertility.
What Is the Best Treatment for Unexplained Infertility?
There is no one-size plan. The treatment depends on age, medical history, and how long you have been trying. In younger couples, doctors may suggest a few more months of trying with timed intercourse. In others, there is the use of assisted methods. What then is the most appropriate treatment of unexplained infertility? The most typical ones are as follows:
- Ovulation induction with IUI: This is often the first step. It boosts egg release and increases the chances of sperm reaching the egg.
- In vitro fertilisation (IVF): IVF allows fertilisation outside the body. This bypasses many small factors that may be blocking natural conception.
- ICSI: A single sperm is injected directly into the egg, used in IVF cycles when there may be hidden sperm issues.
The best fertility treatment options will be chosen based on how your body responds and how much time you are willing to commit.
How Successful Is Treatment for Unexplained Infertility?
Many couples do conceive after treatment. IUI success rates are about 10 to 20 percent per cycle. IVF offers higher chances, especially when combined with advanced methods like embryo freezing or ICSI.
So, how successful is treatment for unexplained infertility? It depends on age, ovarian reserve, and treatment choice. IVF often gives the best outcome within three cycles. Emotional and physical support during this time also improves the journey. Connect with the best gynaecologist in Mumbai for infertility to avail immediate solutions.
Final Thoughts: Keep Moving Forward
Unexplained infertility can feel like a dead end. But in reality, it opens the door to closer observation and targeted treatment. Many couples in the same situation do go on to have healthy pregnancies.
If the journey feels uncertain, take one step at a time. Ask questions. Track each phase. Work with a doctor who listens. Sometimes, the answer is not in the test results but in the personalised care plan that follows.
by Dr Neelima Mantri | Jul 21, 2025 | Blog, Infertility Treatment
Infertility can be hard to deal with. It brings questions. It brings stress. And it brings the need for answers. One way doctors get those answers is through a procedure called hysteroscopy. Hysteroscopy is a simple way to look inside the uterus.
A small camera goes in through the cervix. No cuts. No stitches. It helps the doctor see if something is stopping a pregnancy from happening. For many women, it provides clarity. For others, it’s the first step toward treatment.
When Is Hysteroscopy Recommended for Infertility Treatment?
Hysteroscopy is advised when scans or blood tests don’t explain the cause of infertility. It’s also suggested if you’ve had repeated miscarriages or failed IVF cycles. Some women experience heavy bleeding or irregular periods. Others may have fibroids, polyps, or a uterine septum. These can block the path for a fertilised egg or stop implantation.
If a doctor suspects any of these, hysteroscopy gives a clear view. It helps confirm the diagnosis. It also lets them treat the issue on the spot. Small tools can remove polyps or scar tissue during the same procedure. That saves time. That avoids second surgeries.
Why Is It Done?
Hysteroscopy helps detect problems like adhesions, fibroids, or structural changes in the uterus. These may not always show up in regular ultrasound scans. The procedure improves the success rate of fertility treatments.
It prepares the uterus to receive and support a pregnancy. It’s often done before starting assisted reproductive treatments. Some doctors also use it between IVF cycles to improve outcomes. For many, it is the missing piece of the puzzle.
Is It Safe?
Yes, hysteroscopy is safe. Most procedures are done as day care. You don’t need to stay overnight. The anaesthesia used is light. The scope is thin and flexible. That makes it less painful. Bleeding, cramps, or light discharge may happen after the procedure. But serious risks are rare. The uterus heals quickly. There are no external scars.
How Long Does Recovery Take After Hysteroscopy?
Most women go home a few hours after the procedure. They rest the same day. Normal activity can resume in a day or two. Painkillers may be given for mild cramps. Sexual activity is usually avoided for a few days. Your doctor will guide you based on what was done during the procedure. If any treatment was carried out, like removing fibroids, recovery may take longer. But in most cases, it’s short and manageable.
Finding the Right Expert Matters
If you are thinking about hysteroscopy for female infertility, choosing the right doctor makes all the difference. You need someone with experience in both diagnostics and fertility care. If you’re in Mumbai, you’ll want the best gynaecologist for hysteroscopy in Mumbai. Someone who can explain things clearly.
Someone who can guide your fertility journey with care and detail. One trusted name is Dr. Neelima Mantri, known for her work in advanced gynaecology and infertility treatment. She takes time to assess your history. She explains the reasons behind each step. And most importantly, she offers a personalised approach for every patient.
Your Fertility Journey Deserves Clarity
Hysteroscopy is not the first test in infertility care. But it’s often the one that brings real answers. It shows what scans miss. It treats what others cannot. And for many, it opens the door to pregnancy.
Ask your doctor if it’s right for you. Talk about timing. Discuss risks. Understand the benefits. Your fertility plan should be based on facts, not guesswork. When used at the right time, hysteroscopy gives you more control. More insight. And a better chance at starting the family you’ve been hoping for.
by Dr Neelima Mantri | Mar 20, 2025 | Blog, Infertility Treatment
Infertile couples receive hope through the medical procedure known as in-vitro fertilisation (IVF). The success rate of IVF has increased through medical progress. However, physical preparation for IVF treatment plays a vital role for better fertility outcomes and smooth treatment progression. The body responds better to treatment and embryo implantation is more likely to succeed when patients properly prepare themselves for the process.
Seeking assistance from the best gynaecologist doctor in Mumbai allows individuals to gain complete information about the necessary health measures and lifestyle changes required for conception during IVF treatment. Here are the fundamentals of IVF treatment and effective tips that will help you to effectively prepare for the process.
Maintain a Healthy Diet
The nutrients consumed by a person influence fertility and reproductive wellness. Including necessary nutrients in your diet will enhance egg quality and stimulate hormone equilibrium. These are critical elements for successful IVF treatment.
Consuming food rich in antioxidants [like fruits, vegetables, and nuts] will protect eggs and sperm from damage. Your body can effectively produce hormones and enhance embryo transfer success rates if you eat healthy fats like avocados, olive oil, and nuts.
A reduction in processed foods, limiting sugar consumption, and caffeine intake positively affects reproductive health. Personalised dietary guidance for fertility should be considered by collaborating with fertility specialists and the best gynaecologist doctors in Mumbai.
Achieve a Healthy Weight
The success of IVF treatment depends on having an appropriate body weight. Weight management helps control reproductive hormone function. People with either underweight or overweight status encounter difficulties in the ovulation and implantation processes. Excessive weight stimulates hormonal problems and insulin resistance that interfere with egg maturation and embryo implantation.
Walking, swimming, and practising yoga at moderate intensities will assist weight control and improve blood flow to the reproductive organs. Too much exercise increases the risks of miscarriage as it disrupts hormone functions and prevents standard ovulation. Individuals should follow fitness plans under medical supervision to maintain their weight.
Manage Stress and Emotional Well-being
The complex nature of IVF treatment elevates emotional and physical strain, stimulating stress levels in patients. Therefore, patients must implement specific measures for mental preparation for IVF. Long-term stress creates problems for fertility as it distorts hormone levels and disrupts the menstrual period. Stress-reducing exercises like meditation, deep breathing, and mindfulness practice enable people to maintain emotional stability.
People can build positive mental states by participating in activities they enjoy, spending time with family members, and availing emotional care from therapists and IVF support groups. Controlling emotional health leads to better results from fertility treatments as the body responds better to IVF treatment.
Address Underlying Gynaecological Conditions
A person needs to eliminate any existing gynaecology problems, which could impact fertility before considering IVF treatment. Successfully implanting embryos and subsequent pregnancy results become challenging when patients have medical conditions like polycystic ovary syndrome (PCOS), endometriosis, fibroids, or infections present in their reproductive system.
The best gynaecologist doctor in Mumbai can diagnose and implement relevant treatment for reproductive health before they begin the IVF procedures. Doctors gain valuable reproductive insights by performing regular health check-ups with pelvic ultrasounds and hormonal assessments. These tests help identify necessary treatments that enhance IVF success rates.
Final Thoughts
Preparing your body for IVF involves a combination of lifestyle changes, medical assessments, and emotional well-being. Maintaining a balanced diet, achieving a healthy weight, managing stress, and addressing gynaecology problems can significantly improve the chances of a successful pregnancy. Consulting a best gynaecologist doctor in Mumbai ensures personalised guidance and medical support tailored to your specific fertility needs.
IVF is a journey that requires patience and commitment. By following these preparatory steps, you can create a healthier environment for embryo implantation and increase the likelihood of a successful outcome.
by Dr Neelima Mantri | Mar 6, 2025 | Blog, Infertility Treatment
Fertility treatments have helped many childless couples to have children through various available techniques. However, there are still many myths and IVF misconceptions that have not been cleared, and this has resulted in a lot of confusion. Couples need to be informed about the facts of infertility treatment in Mumbai so that they can go for treatment without any fear.
Myth 1: Infertility is always a woman’s problem
The first myth is that infertility is always a woman’s problem and that men do not have any role to play in the process of childbearing.
Another common myth is that infertility is a woman’s problem. Infertility is a problem that affects both the male and female partners in a couple. Research has revealed that approximately 40-50% of the cases of infertility are attributed to male factors like low sperm concentration, poor sperm movement, or hormonal problems. It is equally important to seek male infertility treatment in Mumbai as it is to seek treatment for female infertility.
Myth 2: IVF is the Only Fertility Treatment
Some people have a perception that IVF is the only way through which conception can be achieved. Although IVF is very successful, other treatments such as ovulation stimulation, IUI, and lifestyle changes can also assist couples to conceive naturally. The treatment depends on the cause of infertility, which a specialist is in a position to diagnose.
Myth 3: IVF Always Results in Multiple Births
One of the IVF myths is that it always results in twins or triplets. In the past, more than one embryo was transferred during IVF, but with the recent developments in the field, SET is practiced, which reduces the likelihood of multiple births but does not compromise the success rate.
Myth 4: Fertility treatments are only for older women.
Some people have a perception that only women in their late 30s or 40s need fertility help. However, infertility can occur in women of any age due to factors such as PCOS, endometriosis, or hormonal issues. It is therefore advisable to seek female infertility treatment in Mumbai at an early stage since this will increase the chances of conception and avail more treatment options.
Myth 5: Infertility treatments are always expensive
The cost of infertility treatments is one of the most common myths that people believe in today’s society.
The cost is a significant factor that most couples think about when seeking infertility treatment in Mumbai, but not all treatments are costly. The cost depends on the procedure, medication, and treatment plan that is tailored to the patient. Most fertility clinics have low-cost services and payment plans to ensure that everyone can access the treatment.
Expert Guidance for Fertility Treatments in Mumbai
Fertility treatments have assisted millions of couples in fulfilling their desire to have children. It is therefore important to understand the facts and seek the right female or male infertility treatment in Mumbai.
To avail of the best fertility treatments, Dr. Neelima Mantri offers the best and most specialized treatments to couples to overcome the problems and have a successful pregnancy. Whether it is about IVF myths or other fertility treatments, the right information makes the path to parenthood easier.
by Dr Neelima Mantri | Oct 23, 2024 | Blog, Infertility Treatment
Infertility is a condition that affects millions of people around the world, yet it remains a deeply personal and often misunderstood challenge.
Whether you’re trying to conceive or want to learn more about reproductive health, understanding the causes and available diagnostic tests is crucial” says Dr Neelima Mantri , the best gynecologist in Mumbai for infertility.
In this blog, with here inputs we’ll break down the causes of infertility and the various diagnostic tests that can help identify the right treatment path.
What is infertility?
Infertility is defined as the inability to conceive after one year of unprotected sex for couples under 35, or after six months for women aged 35 and older. Infertility affects both men and women equally, making it essential for both partners to undergo evaluation when challenges arise.
Causes of Infertility
Infertility can arise from several factors affecting both men and women. Ovulatory disorders like PCOS and hormonal imbalances can prevent ovulation, while blocked or damaged fallopian tubes from infections, surgeries, or endometriosis may obstruct pregnancy. Uterine issues, including fibroids or polyps, can hinder embryo implantation.
On the male side, low sperm count, poor motility, or abnormal sperm shape can make conception difficult. Hormonal imbalances may disrupt testosterone and sperm production, while genetic conditions like Klinefelter syndrome and medical problems such as diabetes or infections can affect sperm health.
Additionally, aging reduces egg quality and quantity, with lifestyle factors such as smoking, alcohol, obesity, and stress further impacting fertility.
Diagnostic Tests for Infertility
One of the first steps in diagnosing infertility in women involves testing hormone levels. For couples struggling with infertility, a thorough diagnostic workup is essential to identify the root cause. Here’s what you can expect:
- Medical History and Physical Examination: The journey often begins with a detailed discussion about your medical history, including menstrual cycles, previous pregnancies, and lifestyle factors. A physical examination will help assess overall reproductive health.
- Hormonal Blood Tests: Blood tests measure critical hormones like follicle-stimulating hormone (FSH), luteinizing hormone (LH), and anti-Müllerian hormone (AMH) to assess ovarian function. These tests help doctors gauge the woman’s egg reserve and ovulation health, crucial for successful conception.
- Pelvic Ultrasound: A pelvic ultrasound allows doctors to visualize the reproductive organs, identifying any structural abnormalities, such as uterine fibroids or ovarian cysts.
- Hysterosalpingography (HSG): Thisspecialized X-ray test examines the fallopian tubes and uterus to check for blockages. A dye is injected into the uterus, allowing the specialist to see if the tubes are open and functioning correctly, which is essential for the sperm to reach the egg.
- Laparoscopy: In some cases, a minimally invasive surgical procedure called laparoscopy may be recommended. This allows doctors to observe the reproductive organs directly and diagnose conditions like endometriosis or pelvic adhesions.
- Ovarian Reserve Testing: Evaluating the ovarian reserve is critical, particularly for women over 35. Tests may involve hormone assessments and ultrasound evaluations to determine the number of viable eggs remaining.
- Semen Analysis for Male Infertility: A semen analysis assesses sperm count, motility, and morphology, helping fertility specialists determine if male factors are contributing to the couple’s inability to conceive. If abnormalities are found, male infertility solutions in Mumbai can provide personalized treatment plans.
Treatment Options for Infertility
Depending on the cause of infertility, treatments range from medications to advanced procedures, each focused on improving fertility. These options aim to enhance reproductive health for both partners.
- Medicine: Fertility drugs can stimulate ovulation in women and improve sperm production in men.
- Intrauterine Insemination (IUI): A procedure where sperm is placed directly into the uterus.
- In Vitro Fertilization (IVF): Eggs are fertilized in a lab and implanted into the uterus, offering a higher chance of success for couples with complex infertility issues.
- Surgical Interventions: Laparoscopic infertility treatment can remove blockages, fibroids, or scar tissue, allowing for a more natural conception. This is often used in cases where non-invasive treatments fail.
- Male Infertility Solutions: Depending on the results of the semen analysis, men may undergo hormone therapy, lifestyle changes, or surgical procedures to improve sperm quality.
Navigating the journey of infertility can be one of life’s most challenging experiences, but you don’t have to face it alone. Dr. Neelima Mantri, one of the best gynecologists in Mumbai for infertility, understands the emotional toll it takes and is here to offer compassionate support every step of the way. With a focus on personalized care, she provides advanced laparoscopic infertility treatment and a variety of male and female infertility solutions tailored to your unique circumstances.
For expert advice and support, connect with Dr. Neelima here: https://www.drneelimamantri.com.
by Dr Neelima Mantri | Sep 24, 2024 | Blog, Infertility Treatment
Recurrent miscarriage or repeated pregnancy loss can be a profoundly distressing experience, especially for those who are eager to start or grow their family. Recurrent miscarriage refers to the loss of two or more consecutive pregnancies, often before the 20th week of gestation. While the causes of these miscarriages vary, understanding the root cause is crucial for finding the proper treatment and increasing the chances of a successful pregnancy.
How is Recurrent Miscarriage Diagnosed?
The diagnosis of recurrent miscarriage requires a thorough evaluation to determine the underlying cause. A gynecologist or obstetrician may perform several tests, including:
- Blood Tests: These tests are essential to check for hormonal imbalances, autoimmune conditions, or infections that could be causing pregnancy loss.
- Genetic Testing: is another important diagnostic tool for determining whether chromosomal abnormalities exist in the parents or the embryo.
- Ultrasound and imaging tests: These examine the structure of the uterus and detect any abnormalities that could be hindering the pregnancy.
- Hysteroscopy: In some cases, the doctor may recommend a hysteroscopy, a minimally invasive procedure to examine the inside of the uterus for issues such as scar tissue or polyps.
Treatment Options for Recurrent Miscarriage
Once a diagnosis is made, treatment for recurrent miscarriage is highly individualized, depending on the cause. Lifestyle changes, medical treatments, and surgical procedures are among the most common approaches to treating recurrent miscarriages. Even after three miscarriages, many women still have a 60% to 80% chance of a successful pregnancy with proper care.
- For uterine abnormalities, surgical interventions may be necessary to correct issues like fibroids or a septate uterus, which can significantly improve the chances of a successful pregnancy.
- Blood-thinning medications such as heparin or low-dose aspirin may be prescribed if blood clotting disorders are identified. These treatments help prevent blood clots that could lead to miscarriage but must be managed carefully to avoid complications like excessive bleeding.
- Hormonal imbalances, such as thyroid disorders or abnormal blood sugar levels, can also be addressed with appropriate medications. For some women, progesterone supplements or medicines that support hormonal balance can be beneficial in maintaining a healthy pregnancy.
- For those facing genetic issues, genetic counseling and fertility treatments like in vitro fertilization (IVF) can be highly effective. IVF combined with preimplantation genetic diagnosis (PGD) allows for the selection of healthy embryos, enhancing the chances of a successful pregnancy.
- Anticoagulants or immune-suppressing medications may be prescribed for those with autoimmune conditions to protect the embryo and support its development.
Preventing Recurrent Miscarriage
In addition to medical treatments, adopting a healthy lifestyle can significantly reduce the risk of miscarriage. Quitting smoking, reducing alcohol and caffeine intake, avoiding recreational drugs, and maintaining a healthy weight are all critical steps in improving pregnancy outcomes. These changes enhance your overall well-being and create a better environment for a healthy pregnancy.
Final Thoughts
Recurrent miscarriage is a complex condition, but with the correct diagnosis and treatment, many women can still achieve their dream of motherhood. If you are experiencing recurrent miscarriages, it is crucial to consult with the best gynecologist and obstetrician in Mumbai, who can guide you through the process of diagnosis and treatment. Early intervention and the proper medical and lifestyle changes can make all the difference in improving pregnancy outcomes.
Finding the right care is crucial when it comes to recurrent miscarriages. Dr. Neelima Mantri, known as the best gynecologist in Mumbai for pregnancy, offers compassionate, expert solutions to improve your chances of a healthy pregnancy. Consult her today to explore your options for a successful pregnancy.
