Dr. Aravind's IVF – Fertility Centre Trichy

Dr. Aravind's IVF Fertility & Pregnancy Centre in Trichy, Tamil Nadu offers advanced reproductive care including IVF, IUI, ICSI, blastocyst transfer & fertility preservation. Led by internationally trained specialists Dr. Aravind Chander (ART Singapore, FRM) and Dr. Reshma Shree A. (FRM, FMAS). Serving couples across Tiruchirappalli, Thanjavur, Karur & central Tamil Nadu. 📍 Thillai Nagar, Trichy – 620017 📞 [phone] 🔗 draravindsivf.com

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Unexplained Infertility: Why Hysteroscopy May Reveal the Cause

When All the Tests Come Back Normal

Hearing "everything looks normal" after months of fertility testing can feel more frustrating than an actual diagnosis. Unexplained infertility affects a significant number of couples, and it doesn't mean nothing is wrong, it often means the real cause simply hasn't been found yet. At a trusted fertility clinic in Trichy, hysteroscopy is frequently the next step recommended when standard testing doesn't reveal an answer.

What "Unexplained Infertility" Actually Means

This diagnosis is given when a couple has been trying to conceive for over a year, both partners have completed standard fertility testing, and no clear cause has been identified. It's less a diagnosis and more an acknowledgment that the usual tests haven't found the answer, which is very different from saying there is no answer at all.

Why Standard Tests Can Miss the Real Cause

Most initial fertility workups focus on hormone levels, semen analysis, ovulation confirmation and tubal patency. These tests are valuable, but they don't always look closely at the uterine cavity itself, the exact place where implantation needs to happen successfully.

What Standard Testing Usually Covers

A typical workup usually includes:

Hormone panels and thyroid testing

Semen analysis for the male partner

Ovulation tracking or confirmation

HSG or ultrasound to check tubal patency

Notice that none of these give a detailed, direct view inside the uterine cavity itself, which is exactly where hysteroscopy adds value.

How Hysteroscopy Fills the Gap

Hysteroscopy uses a thin, lighted camera to directly view the inside of the uterus, something standard tests simply can't do with the same precision. This direct visualisation often uncovers subtle issues that don't show up on ultrasound or bloodwork at all.

Hidden Issues It Can Reveal

Conditions commonly found through hysteroscopy in unexplained cases include:

Small endometrial polyps that don't cause obvious symptoms

A uterine septum affecting cavity shape

Mild adhesions from past infections or procedures

Chronic endometritis, a subtle inflammation of the uterine lining

Any of these can quietly interfere with implantation, even when every other test result looks completely normal.

Is Hysteroscopy Worth It for Unexplained Cases

Not every couple with unexplained infertility needs a hysteroscopy immediately, but it becomes genuinely valuable when trying to conceive naturally hasn't worked despite normal test results, or ahead of starting IVF to rule out uterine factors first. This aligns with why hysteroscopy is often recommended before IVF treatment, since catching a hidden issue early can save couples from repeating cycles without addressing the real cause. If you're also unsure whether hysteroscopy or another test fits your situation better, this comparison of hysteroscopy versus HSG testing breaks down what each test actually reveals.

Unexplained doesn't have to mean unanswered forever. Dr. Aravind's IVF Fertility & Pregnancy Centre, a trusted fertility clinic in Trichy, offers detailed hysteroscopy evaluation for couples who've hit a wall with standard testing. Couples in Trichy get thorough, honest answers instead of being told to simply keep trying without direction.

Book Now for your consultation at Dr. Aravind's IVF Fertility & Pregnancy Centre: https://www.draravindsivf.com/book-your-appointment

Contact Us Dr. Aravind's IVF Fertility & Pregnancy Centre No 113, 5th Street, Fort Station Road, Thillai Nagar, Trichy - 620017 Phone: [phone] Email: [email protected]

Frequently Asked Questions

Can hysteroscopy find the cause of unexplained infertility?

Yes, hysteroscopy can reveal hidden uterine issues like polyps, adhesions or a septum that standard tests often miss, offering answers when other results look normal.

Is hysteroscopy always needed for unexplained infertility?

Not always, but it's often recommended when natural attempts haven't worked despite normal test results, or before starting IVF to rule out uterine causes.

What does unexplained infertility actually mean?

It means standard fertility tests haven't identified a clear cause after a year of trying, not that there's no underlying reason at all.

Can hysteroscopy fix issues found during the same procedure?

Yes, many issues like small polyps or mild adhesions can often be corrected during the same hysteroscopy procedure once identified.

Should I get a hysteroscopy before trying IVF for unexplained infertility?

Many doctors recommend it beforehand, since ruling out hidden uterine issues first can improve the chances of a successful IVF cycle.

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Fertility Treatment in Trichy: IVF, IUI and ICSI, Costs, Timeline and Expectations

Starting Your Fertility Journey

Choosing the right care can feel hard when you are trying to start a family. If you are looking for an IVF centre in Trichy, it helps to know how IUI, IVF and ICSI work. This guide explains each treatment in simple terms. You will also learn about cost and how long each step takes.

IUI: The First Step for Many Couples

IUI is often the first treatment doctors suggest. It is simple and quick. Sperm is placed inside the uterus at the right time in the cycle. This helps sperm reach the egg more easily. IUI works well for mild fertility issues. It also costs less than IVF. Many couples try this step first before moving to other options.

IVF: A Full Solution for Complex Cases

IVF is a stronger option when IUI does not work. It is also used for issues like blocked tubes or low egg count. In this process, eggs are collected from the body. They are mixed with sperm in a lab. The embryo is then placed back in the uterus. IVF gives better results for many couples, especially after age 35.

ICSI: Help for Male Fertility Issues

ICSI is a special step used with IVF. In this method, one healthy sperm is placed directly into an egg. This helps when sperm count is low or sperm movement is weak. ICSI makes it easier for fertilisation to happen in the lab. It is now a common part of many IVF cycles today.

What Does Treatment Cost?

Cost depends on the type of treatment and medicines used. IUI is the most affordable option. IVF and ICSI cost more since they involve more steps. Many clinics offer IVF at a starting price that fits different budgets. This helps couples plan the cost without worry.

How Long Does Each Step Take?

IUI takes about one month per cycle. If it does not work, you can try again the next month. IVF takes four to six weeks from the first step to embryo transfer. After that, there is a two week wait for the pregnancy test. ICSI follows the same time frame as IVF, since it is done as part of the same cycle.

What Results Can You Expect?

Success depends on age, health, and the cause of infertility. Some couples get pregnant in the first try. Others may need two or three cycles. A good fertility team checks how your body responds and makes changes when needed. This step by step care can improve your chances over time.

Every couple's path to parenthood is different, and the right support makes it easier. Dr. Aravind's IVF Fertility & Pregnancy Centre, a trusted best IVF centre in Trichy, offers IUI, IVF and ICSI care under expert fertility specialists Dr. Aravind Chander and Dr. Reshma Shree. With over 30 years of experience, the centre helps couples in Trichy at every step of their fertility journey with care and clarity.

Book Now for your consultation at Dr. Aravind's IVF Fertility & Pregnancy Centre: https://www.draravindsivf.com/book-your-appointment

Frequently Asked Questions

How much does IVF cost in Trichy?

Cost depends on the treatment plan and medicines needed. A consultation gives you the exact cost for your case.

How long does IVF take from start to finish?

IVF takes four to six weeks up to embryo transfer, then a two week wait for the test result.

When is ICSI needed instead of IVF?

ICSI is used when sperm count or movement is low, helping fertilisation happen in the lab.

Should I try IUI before IVF?

Yes, IUI is often the first step for mild fertility issues since it is simple and low cost.

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Questions to Ask Your Doctor About Low AMH

Walking into a fertility consultation with a low AMH result and no prepared questions is one of the most common mistakes women make.

Not because they are unprepared — but because anxiety takes over the moment they sit down. You leave remembering only half of what was said and wondering what you forgot to ask. The best fertility hospital in Chennai gives you the time and space to ask everything. But arriving with your questions already written down changes the quality of that conversation entirely.

Questions About Your Diagnosis

Start with understanding exactly what your result means before moving to solutions.

What is my AMH level and what does it mean for my specific age?

How does my antral follicle count compare to my AMH result?

Is my AMH critically low or mildly to moderately low?

Could my result have been affected by my cycle timing or any medications?

For a deeper understanding of what these numbers actually mean before your appointment, read more about what is a good AMH level to get pregnant.

Questions About Your Treatment Options

Once you understand the diagnosis, focus on what comes next.

What treatment options are most appropriate for my AMH level and age?

Would personalised IVF stimulation protocols apply to my case?

Is Mini IVF or egg freezing worth considering right now?

At what point would donor egg IVF become the recommended route?

What additional tests do I need before starting any treatment?

Questions About Lifestyle and Nutrition

What you do between appointments matters. Ask your doctor directly.

Which supplements are appropriate for my specific case — CoQ10, DHEA, vitamin D?

Are there dietary changes that would genuinely support my egg quality?

How much does stress management actually affect my fertility outcomes?

Is there anything in my current lifestyle actively working against my treatment?

Questions About Timing

Low AMH makes timing a genuine clinical factor, not just a personal preference.

How urgently should I begin treatment given my current AMH level?

If I want to try naturally first, how long is a reasonable window for my age?

How quickly can ovarian reserve decline over the next six to twelve months?

When would waiting actually reduce my chances rather than preserve them?

Questions About Success Rates and Realistic Outcomes

Honest expectations protect you more than optimistic generalisations.

What are realistic success rates for someone with my AMH level and age?

How many IVF cycles might be needed given my ovarian reserve?

What does a best case and a realistic case scenario look like for me?

If treatment does not succeed, what are the next steps from there?

Why the Best Fertility Hospital in Chennai Welcomes Every Question

A good specialist does not rush past difficult questions.

At the best fertility hospital in Chennai, consultations are structured to give you:

Unhurried time to ask everything on your list

Clear, plain language answers — no vague reassurances

A treatment plan that reflects your specific numbers and priorities

Follow-up access when new questions arise between appointments

No question is too small. No concern is too emotional. The right clinic treats your anxiety with the same clinical seriousness as your test results.

Preparing your questions before a low AMH consultation is not overthinking — it is the smartest thing you can do for yourself. At Dr. Aravind's IVF Fertility & Pregnancy Centre in Chennai, every patient is encouraged to ask, challenge, and understand fully before committing to any decision. As the best fertility hospital in Chennai, the team here believes that an informed patient is always a better supported one.

To book your consultation at Dr. Aravind's IVF Fertility & Pregnancy Centre: https://www.draravindsivf.com/book-your-appointment

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IVF vs Natural Conception: Which Is Right for You and When to Make the Switch

Most couples begin their parenthood journey expecting pregnancy to happen naturally. While many conceive within a few months, others find themselves waiting much longer than expected. When that happens, an important question arises: should you continue trying naturally, or is it time to consider IVF?

At Dr.Aravind's IVF Fertility & Pregnancy Centre, a leading fertility hospital in Chennai, many couples seek guidance on when to make this transition. Understanding the difference between natural conception and IVF can help you make an informed decision.

How Natural Conception Works

Natural conception occurs when a healthy sperm fertilizes an egg during ovulation. For couples with no underlying fertility issues, this process can happen within the first year of trying.

Natural conception may be suitable when:

Both partners are under 35

Menstrual cycles are regular

There are no known fertility concerns

The couple has been trying for less than 12 months

However, age and reproductive health play a major role in fertility outcomes.

When IVF May Be the Better Choice

IVF treatment is often recommended when natural conception becomes difficult due to medical or fertility-related factors.

Common reasons include:

Low sperm count

Blocked fallopian tubes

Ovulation disorders

Endometriosis

Unexplained infertility

IVF helps by fertilizing the egg outside the body and transferring the resulting embryo into the uterus.

When Should You Make the Switch?

You should consider consulting a fertility specialist if:

You are under 35 and have been trying for over 12 months

You are over 35 and have been trying for more than 6 months

There is a history of miscarriage

Male fertility issues have been identified

Early evaluation can save valuable time and improve treatment outcomes.

Conclusion

Natural conception remains the preferred path for many couples, but knowing when to seek help is equally important. If pregnancy has not occurred despite your efforts, timely fertility evaluation can provide answers and direction.

At Dr.Aravind's IVF Fertility & Pregnancy Centre, couples receive personalized fertility care designed around their unique needs. If you are looking for a best fertility hospital in Chennai, professional guidance can help you determine whether continuing naturally or moving to IVF is the right next step.

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ICSI vs IVF: Which One Is Used When the Husband Has Low Sperm Count?

When couples search for the best IVF centre in Coimbatore, one of the first questions is whether IVF is enough or whether ICSI is needed. If the husband has low sperm count, the answer often depends on how low the count is and how well the sperm move.

The right treatment is chosen after a semen test and a full fertility review. That keeps the process simple, focused, and more effective.

Why Sperm Count Matters

Sperm count helps doctors understand whether sperm can reach and fertilize the egg on their own. When the count is low, sperm may have a harder time doing that.

Other factors matter too:

Sperm movement

Sperm shape

Previous fertilization results

Overall semen quality

A low count does not always mean IVF cannot work. It only means the team may need a more precise method.

IVF and ICSI in Simple Words

IVF means the egg and sperm are placed together in a lab dish. Fertilization happens naturally in the lab.

ICSI is a more advanced step. The embryologist selects one healthy sperm and injects it directly into the egg. This helps when sperm numbers are very low or movement is poor.

When ICSI Is Usually Preferred

ICSI is often chosen when:

Sperm count is very low

Sperm movement is poor

Sperm shape is abnormal

Previous IVF fertilization failed

Sperm is collected surgically

In these cases, ICSI gives sperm a better chance to fertilize the egg.

When Standard IVF May Be Enough

Standard IVF may still work when sperm count is mildly low but the sample is otherwise strong. Doctors may choose IVF if sperm movement and shape are acceptable.

That is why testing matters so much. The same treatment is not right for every couple.

To learn more about Dr. Aravind's IVF Fertility & Pregnancy Centre in Coimbatore

Choosing the Right Path

The best treatment depends on your reports, age, and fertility history. A good clinic will explain the results in simple words and guide you gently.

At the best ivf centre in coimbatore, couples should expect clear testing, honest advice, and a plan that fits their exact situation.

To book your consultation at Dr. Aravind's IVF Fertility & Pregnancy Centre

Conclusion: 

The right fertility plan can make the journey feel less stressful and more hopeful. The best ivf centre in coimbatore, Dr. Aravind's IVF Fertility & Pregnancy Centre, offers expert care for male factor infertility in Coimbatore with clear testing and trusted treatment support.

FAQ

Is ICSI better than IVF for low sperm count?

ICSI is usually better when sperm count is very low. It helps the sperm reach the egg directly and improves the chance of fertilization.

Can IVF work if the husband has low sperm count?

Yes, IVF can still work if the sperm count is only mildly low and the sperm quality is good enough.

Why do doctors suggest ICSI instead of IVF?

Doctors suggest ICSI when sperm count, movement, or shape makes natural fertilization difficult in the lab.

How do doctors decide between IVF and ICSI?

They study the semen analysis, fertility history, and overall health before choosing the safest and most effective option.

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The IVF Strategy Most Clinics Never Mention — Sequential Embryo Transfer Explained

If you have been through one or more IVF cycles without achieving a successful pregnancy, there is a good chance nobody has mentioned sequential embryo transfer to you yet. Most couples only discover it after searching extensively on their own or after moving to a more specialist centre.

This article explains what it is, who it is for, and why it may matter for your next cycle.

What Is Sequential Embryo Transfer?

In a standard IVF cycle, one embryo is transferred to the uterus on either Day 3 or Day 5 of development. The goal is to select the single best embryo and give it the optimal conditions for implantation.

Sequential embryo transfer takes a different approach. Two embryos are transferred in the same cycle but at different developmental stages, typically one on Day 3 and a second on Day 5. The rationale is that the Day 3 embryo may produce developmental signals that improve the uterine environment for the Day 5 blastocyst that follows.

This approach is not suitable for every couple. But for those with repeated implantation failure despite transferring good quality embryos, it represents a clinically reasoned alternative worth discussing.

Who Is It For?

Sequential embryo transfer is most commonly considered for couples who have experienced two or more failed transfers with chromosomally normal or high quality embryos, where no structural uterine cause has been identified and endometrial receptivity appears adequate on standard assessment.

It is also discussed in cases where embryo quality has been consistently good but implantation has not occurred, suggesting that the issue may relate to endometrial signalling rather than embryo quality alone.

According to ESHRE guidelines on recurrent implantation failure, exploring alternative transfer protocols is a recognised clinical pathway after repeated failure with standard approaches.

At the best fertility centre in Electronic City, Dr. Aravind's IVF Fertility and Pregnancy Centre evaluates each couple's transfer history thoroughly before recommending whether sequential transfer, standard blastocyst transfer, or a modified protocol is the most appropriate next step.

What It Is Not

Sequential embryo transfer is not a guaranteed solution. It is not appropriate for all patients, and it does involve transferring two embryos, which carries a small increased probability of multiple pregnancy. The decision to consider it should always follow a detailed clinical review.

What it represents is an option. One that deserves to be on the table when standard approaches have not produced the expected outcome.

For a broader overview of implantation failure and the investigations that precede protocol changes, visit the Dr. Aravind's IVF blog for detailed clinical guides.

The best fertility specialist in India will always tell you: if a protocol has failed more than once with good quality embryos, the question worth asking is not just what went wrong but what could be done differently.

Visit: https://www.draravindsivf.com/Banglore-electronic-city/electronic-city-detail 

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PCOS, Thyroid & More: The Hidden Conditions Behind Irregular Periods That Affect Fertility

Irregular periods are rarely just a calendar problem; they're often your body's way of flagging something deeper. For many women trying to conceive, missed or unpredictable cycles can point to underlying hormonal or reproductive issues that need proper diagnosis before treatment begins. This is why seeing the best fertility hospital in Trichy matters early in the fertility journey.

Introduction

A regular menstrual cycle is a sign that ovulation may be happening normally, but irregular cycles can signal that ovulation is delayed, inconsistent, or absent. When that happens, conception becomes harder because timing intercourse or treatment around ovulation becomes less predictable. Instead of guessing, a complete fertility evaluation helps identify the actual cause and improves the chances of success.

PCOS — The Most Common Culprit

Polycystic Ovary Syndrome, or PCOS, is one of the most common reasons behind irregular periods and infertility. It affects how the ovaries release eggs, often causing delayed ovulation or no ovulation at all. Women with PCOS may also notice acne, unwanted facial hair, weight gain, or stubborn belly fat.

From a fertility point of view, PCOS does not mean pregnancy is impossible. In many cases, ovulation can be restored with lifestyle changes, medicines, and monitored fertility care. A fertility specialist may suggest ovulation-inducing treatment, insulin management, or a structured plan based on hormone test results.

Thyroid Disorders and the Cycle Connection

Both hypothyroidism and hyperthyroidism can interfere with menstruation and fertility. An underactive thyroid may lead to heavy, delayed, or irregular periods, while an overactive thyroid can also disturb the cycle and affect ovulation. Because thyroid hormones influence many body functions, even a mild imbalance can affect conception.

That is why thyroid screening is an important part of fertility testing. If a problem is found, treatment is usually straightforward and can significantly improve menstrual regularity and reproductive outcomes. Once thyroid levels are controlled, many women see more predictable cycles and better fertility response.

Hyperprolactinemia

Hyperprolactinemia means prolactin levels are higher than normal, and this can suppress ovulation. Prolactin is a hormone linked to milk production, but when it rises outside pregnancy or breastfeeding, it can disrupt the menstrual cycle. Common symptoms include missed periods, nipple discharge, headaches, or difficulty conceiving.

The condition is usually diagnosed through a blood test, sometimes along with imaging if needed. Treatment often involves medication that lowers prolactin levels and restores normal ovulation. In many cases, once prolactin is managed, fertility improves without needing advanced procedures.

Premature Ovarian Insufficiency

Premature Ovarian Insufficiency, or POI, happens when the ovaries stop functioning normally before age 40. It is not the same as early menopause, because ovarian function may still be intermittent in POI. Some women with POI may have irregular periods for months before diagnosis, making it easy to overlook.

Risk factors can include family history, autoimmune conditions, certain medical treatments, or no clear cause at all. Fertility options depend on ovarian function and may include hormone support, assisted reproduction, or donor egg treatment in selected cases. Early diagnosis is important because it opens more options for planning.

Endometriosis and Cycle Irregularity

Endometriosis can also affect menstrual regularity and fertility. It occurs when tissue similar to the uterine lining grows outside the uterus, causing inflammation, pain, and sometimes cycle changes. Women may experience painful periods, pelvic pain, painful intercourse, or difficulty conceiving.

In fertility care, endometriosis is managed based on severity and symptoms. Treatment may include medication, laparoscopy, or assisted reproductive support depending on the case. Because it can silently affect egg quality, pelvic anatomy, and implantation, it should not be ignored when periods are irregular.

Conclusion

Irregular periods should never be self-diagnosed as “normal” or dismissed as stress alone. They may be the first sign of PCOS, thyroid imbalance, high prolactin, POI, or endometriosis, all of which can affect fertility in different ways. At Dr. Aravind's IVF Fertility & Pregnancy Centre, we offer comprehensive hormonal and fertility evaluation to identify the real cause and guide treatment with clarity and care.

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Best Age for IVF Success: What Fertility Experts Recommend in Trichy

Introduction

Understanding the right age for IVF success can help couples plan their fertility journey better. Experts from the top 5 IVF center in Trichy emphasize that age plays a key role in treatment outcomes and success rates.

1. Why Age Matters in IVF

Fertility naturally declines with age, especially after 35. Egg quality and quantity reduce, affecting IVF success rates.

2. Ideal Age for IVF Treatment

Doctors often recommend IVF between ages 25–35 for higher success chances, as reproductive health is typically optimal.

3. IVF Success Rates by Age

Younger women generally experience higher pregnancy success rates compared to those above 40 due to better egg quality.

4. Fertility Challenges After 35

Hormonal changes, lower ovarian reserve, and increased risk of complications may require advanced fertility treatment.

5. Role of Fertility Evaluation

A proper fertility assessment at a fertility clinic in Trichy helps determine the right treatment plan based on age and health.

6. Advanced Treatments Improve Outcomes

Modern options like ICSI, embryo freezing, and assisted reproductive technology enhance success rates across age groups.

7. Importance of Early Consultation

Consulting specialists at the top 5 IVF center in Trichy early can improve diagnosis and treatment outcomes significantly.

8. Lifestyle and Fertility Health

Healthy diet, stress management, and avoiding harmful habits can positively impact IVF results.

Conclusion

While age is a crucial factor, the right medical support and timely action can make a big difference. The top 5 IVF center in Trichy offer advanced care, personalized treatment, and expert guidance to help couples achieve their parenthood goals.

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What Happens During Your First Fertility Consultation at an IVF Centre in Trichy

Many couples are unsure what to expect at their first fertility consultation. Understanding the process helps reduce anxiety and improves clinical outcomes.

At Dr. Aravind's IVF centre in Trichy, the first consultation covers a complete medical history review for both partners, followed by a structured diagnostic plan. This typically includes hormonal blood panels, transvaginal ultrasound for ovarian reserve assessment, uterine cavity evaluation, and semen analysis for the male partner.

The clinical team — led by Dr. Aravind Chander (MBBS, MS-OG, ART Singapore, FMAS, FRM) and Dr. Reshma Shree A. (Fertility Super Specialist, FRM, FMAS) — ensures every couple leaves their first consultation with a clear diagnosis, a treatment roadmap, and full cost transparency.

No question is too small. No concern goes unaddressed.

📍 No. 113, 5th Street, Fort Station Road, Thillai Nagar, Trichy – 620017 📞 [phone] 🔗 https://www.draravindsivf.com/trichy/trichy-detail