Female infertility treatment at Femcare Fertility, Kalyani Nagar, Pune covers PCOS, tubal factor, endometriosis, low ovarian reserve, uterine abnormalities and hormonal disorders under Dr. Sayali Chavan Shitole's care. Each case is investigated thoroughly before a personalised treatment plan is developed. Consultation: ₹500.
Female infertility is not a single condition - it is a collection of distinct medical issues, each with its own investigation path and treatment approach. A woman with PCOS has a very different problem from one with blocked tubes or diminished ovarian reserve and treating them identically is a clinical error. At Femcare Fertility in Kalyani Nagar, Pune, Dr. Sayali Chavan Shitole takes a methodical, diagnosis-first approach that ensures each woman receives treatment matched to her actual problem.
Hormonal blood tests - FSH, LH, AMH (Anti-Müllerian Hormone), oestradiol, prolactin, TSH and progesterone at appropriate cycle days
Transvaginal ultrasound - antral follicle count, uterine morphology, ovarian appearance
Hysterosalpingography (HSG) or saline infusion sonogram - to assess tubal patency and uterine cavity
Hysteroscopy - direct visualisation of the uterine cavity when ultrasound suggests an abnormality
Laparoscopy - when endometriosis, tubal disease, or adhesions are suspected
Polycystic Ovarian Syndrome is the single most common cause of ovulatory infertility, affecting an estimated 20% of Indian women of reproductive age. Women with PCOS may have irregular or absent periods, excess androgen symptoms (acne, excess facial hair) and multiple small follicles on the ovaries without a dominant follicle developing to ovulation.
Treatment depends on the severity:Blocked or damaged fallopian tubes account for approximately 25-30% of female infertility. The most common causes are pelvic inflammatory disease (PID) from past infections, previous ectopic pregnancy and endometriosis. Because a blocked tube prevents sperm from reaching the egg, IVF - which bypasses the tubes entirely - is the most effective treatment for bilateral tubal blockage.
Endometriosis affects roughly 10% of women of reproductive age and causes endometrial-like tissue to grow outside the uterus, leading to inflammation, adhesions and in more advanced cases, blocked tubes and endometriomas on the ovaries. It is both underdiagnosed and underestimated as a fertility problem.
Dr. Sayali's approach combines laparoscopic surgery (when appropriate) with carefully timed IVF. The success of IVF in women with endometriosis is well-established, particularly after surgical clearance of disease.
AMH (Anti-Müllerian Hormone) is the best available marker of ovarian reserve - the pool of eggs remaining in the ovaries. A low AMH means fewer eggs are available in any given stimulation cycle. It does not mean pregnancy is impossible, but it does mean time matters and the stimulation strategy must be tailored to maximise response.
Dr. Sayali uses modified stimulation protocols for women with low AMH and discusses the option of donor eggs where the prognosis is very poor.
Fibroids, polyps, a uterine septum and Asherman's syndrome (intrauterine adhesions) can all interfere with implantation or pregnancy maintenance. Dr. Sayali corrects these surgically, usually via hysteroscopy, before proceeding with fertility treatment.
Elevated prolactin levels (hyperprolactinaemia) suppress ovulation. An underactive thyroid increases miscarriage risk and affects fetal neurodevelopment. Both are straightforward to diagnose and treat, yet often missed when the fertility evaluation is incomplete. Dr. Sayali screens for both routinely.