Bangalore
08048034064
+918197238767
Infertility Evaluation and Management

Infertility Evaluation and Management

Phone Number

08048034064

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Mon-Thu: 10 AM - 2 PM • Fri: 3 PM - 7AM

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Address Fortis Hospital, Tumkur Main Road, Yeshwantpur Industrial Area, Goraguntepalya, Yeshwantpur, Bangalore, Karnataka 560022

Bangalore, India, 560022

Description

Infertility affects millions of couples worldwide, yet it remains one of the most emotionally and medically challenging journeys. Defined as the inability to conceive after one year of regular, unprotected intercourse (or six months for women over 35), infertility can arise from a wide range of physical, hormonal, or lifestyle-related factors. At the clinic of Dr. Rajani Vaidya, we understand the sensitivity and urgency that comes with fertility concerns. Our approach to infertility evaluation and management is thorough, compassionate, and evidence-based. We aim to uncover the root cause of infertility and provide targeted, personalized treatment plans to improve your chances of conception. When Should You Seek Help for Infertility? Many couples hesitate to seek fertility care, often waiting too long before consulting a specialist. If you’ve been trying to conceive without success for over a year—or six months if you’re over 35—it’s important to begin a professional evaluation. Other reasons to seek help earlier include irregular or absent periods, a known history of pelvic infections or endometriosis, or male partner concerns such as low sperm count or erectile issues. Early evaluation allows timely identification of underlying problems and opens up more treatment options, particularly for couples who may need assisted reproductive techniques. Comprehensive Infertility Evaluation at Our Clinic Infertility can be caused by issues in either partner or both. That’s why a detailed and systematic evaluation is essential. At Dr. Rajani Vaidya’s clinic, we begin with a complete medical history, lifestyle assessment, and physical examination. This is followed by focused diagnostic tests to assess ovarian function, uterine and tubal health, and male fertility parameters. For women, common tests include: Hormonal blood tests (AMH, FSH, LH, thyroid, prolactin) Pelvic ultrasound to check for ovarian reserve and structural abnormalities Hysterosalpingography (HSG) to evaluate fallopian tube patency Ovulation tracking For men, semen analysis is the first step in evaluating sperm count, motility, and morphology. Additional tests may be recommended based on individual cases. This complete picture helps identify whether the issue is due to ovulation disorders, tubal blockages, uterine abnormalities, male factor infertility, or unexplained infertility. Personalised Fertility Management Plans Once the evaluation is complete, Dr. Rajani Vaidya designs a customized management plan based on the couple’s diagnosis, age, medical history, and fertility goals. Our fertility treatment options range from lifestyle modifications and ovulation induction to more advanced interventions like intrauterine insemination (IUI) or referral for in vitro fertilization (IVF) when needed. For women with ovulatory issues like PCOS, treatment may involve oral medications or injectable hormones to stimulate regular ovulation. Tubal or uterine abnormalities may require surgical correction. If male factor infertility is identified, appropriate interventions such as medical therapy, lifestyle changes, or sperm retrieval techniques may be suggested. In cases of unexplained infertility, timed cycles, fertility-enhancing medications, or IUI may be offered as first-line treatment before moving on to more advanced procedures. Supporting the Emotional and Physical Aspects of Fertility At Dr. Rajani Vaidya’s clinic, we acknowledge that fertility issues are not just clinical—they are deeply emotional. Each journey is different, and couples often experience anxiety, self-doubt, or stress during this process. Our care approach is holistic, ensuring patients feel supported, informed, and empowered at every step. We prioritize open communication, helping couples understand their condition, treatment options, success rates, and timelines in clear, compassionate terms. Emotional support, counseling, and stress reduction techniques are integrated into care when appropriate to promote overall well-being and improve fertility outcomes. Why Choose Dr. Rajani Vaidya for Fertility Care? Dr. Rajani Vaidya brings a depth of experience in women’s health and a strong focus on individualized care. Her expertise in identifying and managing complex fertility concerns ensures that couples receive clear answers and structured treatment pathways. With a patient-first philosophy, she provides fertility care that is both clinically sound and emotionally supportive. Whether you are at the beginning of your fertility journey or have already undergone previous treatments, Dr. Vaidya’s practice offers an encouraging environment where science and sensitivity go hand in hand. Take the First Step Toward Parenthood If you’ve been trying to conceive without success, professional evaluation and timely treatment can make all the difference. Dr. Rajani Vaidya offers a comprehensive, personalized approach to infertility evaluation and management, helping you move forward with clarity and confidence. Book a consultation today today to begin your journey toward parenthood with expert care tailored to your needs.

Other Services

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Laparoscopic Hysterectomy

Dr. Rajani Vaidya, a leading Gynaecologist and Laparoscopic Surgeon, offers expertise in performing laparoscopic hysterectomy, a minimally invasive surgical procedure designed to treat various gynaecological conditions safely and effectively. What is a Laparoscopic Hysterectomy? A laparoscopic hysterectomy is a surgical procedure to remove the uterus using small keyhole incisions and a laparoscope—a thin, flexible tube with a camera and light. Unlike traditional open surgery, this technique allows surgeons to view the internal organs on a screen, enabling precise removal of the uterus while reducing trauma to surrounding tissues. This procedure is commonly recommended for women with: Fibroids causing pain or heavy bleeding Uterine prolapse Endometriosis Chronic pelvic pain Early-stage gynaecological cancers Types of Laparoscopic Hysterectomy Total Laparoscopic Hysterectomy (TLH) In TLH, the entire uterus, including the cervix, is removed. This approach is suitable for patients with fibroids, abnormal uterine bleeding, or pre-cancerous conditions. Subtotal or Supracervical Hysterectomy Here, only the upper portion of the uterus is removed while the cervix is preserved. This can help maintain pelvic support and sexual function. Laparoscopically Assisted Vaginal Hysterectomy (LAVH) This combines laparoscopic surgery with vaginal removal of the uterus. LAVH is ideal for women with moderate uterine enlargement or a history of pelvic surgery. Advantages of Laparoscopic Hysterectomy Minimally Invasive: Requires only small incisions, leading to less post-operative pain. Faster Recovery: Patients usually return to normal activities within 2–3 weeks. Reduced Risk of Infection: Smaller incisions lower the risk of complications. Minimal Scarring: Keyhole incisions result in better cosmetic outcomes. Shorter Hospital Stay: Most procedures are completed in 1–2 days, sometimes as day-care surgery. Precision Surgery: Magnified view allows careful tissue handling and reduced blood loss. Who is an Ideal Candidate? A laparoscopic hysterectomy is recommended for women experiencing: Heavy or prolonged menstrual bleeding Painful periods or chronic pelvic pain Fibroids or uterine growths Endometriosis or adenomyosis Uterine prolapse affecting quality of life Early-stage gynaecological cancers A thorough pre-operative evaluation, including imaging, blood tests, and physical examination, ensures safety and suitability for surgery. Pre-Operative Preparation Proper preparation enhances safety and outcomes: Medical Evaluation: Blood tests, imaging, and pelvic examination. Medication Review: Adjustments may be required for medicines like blood thinners. Fasting Instructions: Usually 6–8 hours prior to surgery. Consent and Counseling: Patients should understand the procedure, potential risks, and expected recovery. The Surgical Procedure Anaesthesia: General anesthesia is administered. Incisions: Small keyhole incisions (0.5–1 cm) are made in the abdomen. Laparoscope Insertion: Camera and instruments are inserted through these incisions. Uterus Removal: The uterus is carefully detached. It may be removed vaginally or morcellated for safe extraction. Closure: Incisions are closed with dissolvable sutures or surgical glue. The procedure typically lasts 1–2 hours, depending on complexity and patient anatomy. Post-Operative Care and Recovery Mild pain or discomfort may persist for a few days. Walking and light activity are encouraged to prevent complications such as blood clots. Heavy lifting and strenuous exercise should be avoided for 4–6 weeks. Follow-up evaluations monitor healing and recovery. Risks and Considerations Although generally safe, a laparoscopic hysterectomy carries some risks: Infection or bleeding Injury to surrounding organs (bladder, bowel, ureters) Blood clots Anaesthesia-related complications Careful surgical planning and adherence to pre- and post-operative guidelines help minimize these risks. Why Choose Laparoscopic Hysterectomy Laparoscopic hysterectomy is a less invasive, precise, and effective solution for many gynaecological conditions. It allows quicker recovery, minimal scarring, and better surgical outcomes for suitable patients. Schedule a Consultation If you are considering a laparoscopic hysterectomy, consult Dr. Rajani Vaidya, gynaecologist and Laparoscopic Surgeon, to discuss the procedure, its benefits, and whether it is suitable for you. Early evaluation can help plan a safe and effective treatment for your health and well-being.

Laparoscopic Myomectomy

Dr. Rajani Vaidya, an experienced Gynaecologist and Laparoscopic Surgeon, specializes in performing laparoscopic myomectomy, a minimally invasive procedure to remove uterine fibroids while preserving the uterus and reproductive potential. What is a Laparoscopic Myomectomy? A laparoscopic myomectomy is a surgical procedure to remove fibroids (leiomyomas) from the uterus using small keyhole incisions and a laparoscope—a thin, flexible tube with a camera and light. Unlike open surgery, this minimally invasive approach reduces trauma to surrounding tissues, causes less pain, and ensures faster recovery. Fibroids are common benign growths in the uterus that may cause: Heavy or prolonged menstrual bleeding Pelvic pain or pressure Bladder or bowel symptoms Infertility or difficulty conceiving Pain during intercourse Types of Laparoscopic Myomectomy Subserosal Fibroid Removal Subserosal fibroids grow on the outer surface of the uterus. They can be carefully excised without affecting the uterine cavity. Intramural Fibroid Removal Intramural fibroids develop within the muscular wall of the uterus. Laparoscopic myomectomy allows precise removal while preserving uterine integrity. Pedunculated Fibroid Removal Pedunculated fibroids are attached to the uterus via a stalk. These can often be removed laparoscopically with minimal disruption to surrounding tissues. Advantages of Laparoscopic Myomectomy Minimally Invasive: Small incisions reduce post-operative pain and scarring. Uterus Preservation: Unlike hysterectomy, the uterus remains intact, maintaining fertility options. Faster Recovery: Most patients resume daily activities within 1–3 weeks. Reduced Blood Loss: Advanced laparoscopic techniques help minimize intraoperative bleeding. Precision Surgery: Magnified view enables careful removal of fibroids while protecting healthy tissue. Short Hospital Stay: Most procedures require only 1–2 days of hospitalization or are performed as day-care surgery. Who is an Ideal Candidate? Laparoscopic myomectomy may be recommended for women who: Experience heavy menstrual bleeding or pelvic pain due to fibroids Have subfertility or difficulty conceiving caused by fibroids Wish to preserve their uterus for future pregnancy Have fibroids causing pressure symptoms on the bladder or bowel A thorough medical evaluation, including imaging (ultrasound or MRI) and laboratory tests, ensures the procedure is safe and suitable. Pre-Operative Preparation Preparation helps ensure a smooth surgery: Medical Evaluation: Blood tests, imaging, and pelvic examination. Medication Review: Adjustments may be made for medications such as blood thinners. Fasting Instructions: Typically 6–8 hours before surgery. Consent and Counseling: Understanding the procedure, risks, and recovery expectations is essential. The Surgical Procedure Anesthesia: General anaesthesia is administered. Incisions: Small keyhole incisions (0.5–1 cm) are made in the abdomen. Laparoscope Insertion: Camera and instruments are inserted for visualization and surgery. Fibroid Removal: Fibroids are carefully excised while preserving healthy uterine tissue. In some cases, morcellation may be used to safely remove larger fibroids. Closure: Incisions are closed with dissolvable sutures or surgical glue. Post-Operative Care and Recovery Mild pain or discomfort is common for a few days. Walking and light activity are encouraged to prevent complications. Heavy lifting and strenuous activity should be avoided for 4–6 weeks. Follow-up visits monitor healing and ensure the uterus is recovering well. Risks and Considerations While laparoscopic myomectomy is generally safe, there are minimal risks: Infection or bleeding Injury to nearby organs (bladder, bowel, ureters) Blood clots Anesthesia-related complications Rare fibroid recurrence Proper pre-operative assessment and adherence to post-operative instructions help minimize these risks. Why Choose Laparoscopic Myomectomy? Laparoscopic myomectomy offers a safe, precise, and uterus-preserving solution for women with symptomatic fibroids. It combines minimal invasiveness, faster recovery, and excellent surgical outcomes for patients who wish to retain their reproductive potential. Schedule a Consultation If you are experiencing symptoms due to uterine fibroids or wish to explore laparoscopic myomectomy, consult Dr. Rajani Vaidya, Gynaecologist and Laparoscopic Surgeon, to discuss your treatment options. Early evaluation ensures a safe and effective plan for your reproductive health and overall well-being.

Laparoscopic Ovarian Cyst Removal

Ovarian cysts are fluid-filled sacs that develop on or inside an ovary. While many cysts are harmless and resolve on their own, some may grow larger, cause pain, or lead to complications that require medical intervention. When surgical removal is necessary, laparoscopic ovarian cystectomy is often the preferred method—offering a safer, faster, and less invasive alternative to open surgery. Understanding Ovarian Cysts Ovarian cysts are quite common, especially during a woman’s reproductive years. They often form as part of the menstrual cycle and are usually benign. However, in some cases, cysts can: Grow large and exert pressure on surrounding organs Cause pelvic pain or irregular menstrual cycles Rupture and lead to internal bleeding Be associated with endometriosis or polycystic ovary syndrome (PCOS) Have the potential for malignancy, particularly in postmenopausal women When a cyst is persistent, symptomatic, or suspicious, a surgical procedure known as ovarian cystectomy may be recommended. What Is Laparoscopic Ovarian Cyst Removal? Laparoscopic ovarian cyst removal is a minimally invasive surgical procedure that uses small incisions and a laparoscope—a thin tube with a camera and light—to access and remove the cyst. Compared to traditional open surgery (laparotomy), laparoscopy is associated with: Smaller incisions and minimal scarring Reduced postoperative pain Lower risk of infection Shorter hospital stays Quicker recovery time This technique is especially beneficial for women who wish to preserve their fertility, as it allows the surgeon to remove the cyst while leaving the ovary intact whenever possible. Who Is a Candidate? Laparoscopic removal may be advised if: The cyst is larger than 5–10 cm It persists through multiple menstrual cycles It causes significant pain or pressure symptoms There is a suspicion of endometriosis or other underlying conditions The cyst appears unusual or possibly cancerous on ultrasound or MRI Preoperative evaluations often include pelvic examinations, imaging studies, and blood tests (such as CA-125 levels) to determine the nature of the cyst. What to Expect During the Procedure? The surgery is usually performed under general anesthesia and takes about 30 to 90 minutes, depending on the complexity of the case. Step-by-Step Overview: Preparation: The abdomen is cleaned, and anesthesia is administered. Small Incisions: A few tiny incisions (typically 0.5–1 cm) are made in the abdomen. Insertion of Instruments: Carbon dioxide gas is used to inflate the abdominal cavity, and the laparoscope is inserted through one incision, while surgical tools are introduced through the others. Cyst Removal: The surgeon carefully separates the cyst from the ovary. In most cases, the healthy ovarian tissue is preserved. Closure: The instruments are removed, the gas is released, and the incisions are closed with absorbable stitches or surgical glue. Most patients go home the same day or after an overnight stay. Recovery and Aftercare One of the major benefits of laparoscopic surgery is a faster and more comfortable recovery. Most women can return to work and resume normal activities within a week. Postoperative care tips include: Rest and avoid strenuous activities for a few days Follow wound care instructions Watch for signs of infection (fever, redness, unusual discharge) Avoid sexual intercourse for a short period as advised by your doctor Follow up as scheduled for pathology reports and to ensure healing Mild bloating, shoulder pain (from residual gas), and pelvic discomfort are common but typically resolve in a few days. Risks and Complications Although laparoscopic ovarian cystectomy is generally safe, potential risks include: Bleeding Infection Injury to nearby organs (bowel, bladder) Adhesion formation Rare chance of cyst recurrence Choosing an experienced laparoscopic surgeon significantly reduces these risks and improves outcomes. Why Choose Dr. Rajani Vaidya for Your Ovarian Cyst Surgery? When it comes to delicate procedures like ovarian cyst removal, experience and expertise matter. Dr. Rajani Vaidya is a highly respected specialist in Gynecology, Laparoscopy, and Robotic Surgery, known for her precision, patient-centered care, and advanced surgical skills. With years of experience in treating complex gynaecological conditions using minimally invasive techniques, Dr. Vaidya ensures: Accurate diagnosis and individualized treatment plans Compassionate care tailored to women of all ages Expertise in fertility-sparing surgery Advanced laparoscopic and robotic techniques for faster recovery and better outcomes Whether you're dealing with recurrent ovarian cysts, endometriosis, or unexplained pelvic pain, Dr. Rajani Vaidya provides holistic and evidence-based solutions to help you regain comfort and health. Take the First Step Towards a Healthier You Don’t let pain or uncertainty about ovarian cysts affect your well-being. If you’ve been advised to consider cyst removal or want a second opinion, trust the skilled hands of Dr. Rajani Vaidya. Her expertise in minimally invasive gynecologic surgery ensures you receive the best possible care with the least disruption to your life. Book your consultation today and take control of your reproductive health with confidence.

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