Understanding infertility treatment: comprehensive treatment options at Livasa Hospitals

Livasa Hospitals provides comprehensive reproductive medicine services across Punjab, including Livasa Mohali, Livasa Amritsar, Livasa Hoshiarpur and Livasa Khanna. If you are searching for infertility treatment in Punjab or the best IVF centre in Punjab, this guide explains causes, evaluation, treatment choices, comparisons of procedures, costs and what to expect when you choose care at Livasa. Call +91 80788 80788 or book an appointment for a fertility specialist consultation.

Introduction

Infertility is defined medically as the inability to conceive after 12 months of unprotected intercourse for couples where the woman is under 35, or after 6 months for women 35 and older. It is a common medical condition affecting couples across the world and in India. Globally, major health agencies estimate that around 1 in 6 couples experience difficulties conceiving at some point in their reproductive lives. The World Health Organization and population-based studies estimate tens of millions of couples worldwide face infertility, making access to effective reproductive medicine an important public health need.

In India the prevalence of infertility is estimated in many studies to be around 10–15% of couples, although rates vary between regions and urban versus rural populations. Punjab mirrors national trends, and the demand for fertility services — from initial evaluation to advanced assisted reproduction — has been rising steadily in cities such as Mohali and Amritsar. Advances in assisted reproductive techniques (ART) such as intrauterine insemination (IUI), in vitro fertilization (IVF), and intracytoplasmic sperm injection (ICSI) have made conception possible for many couples who otherwise would remain childless.

This article is designed as a patient-friendly resource about infertility treatment in Punjab, the types of care available at a fertility clinic in Punjab like Livasa Hospitals, expected outcomes, common questions, and how to choose an appropriate treatment pathway. Whether you are at the start of your journey or exploring advanced options such as donor egg IVF or surrogacy services in Punjab, this guide will help you understand your choices and what to expect.

understanding infertility: basic concepts and categories

Infertility may be classified as primary (when a couple has never achieved pregnancy) or secondary (difficulty conceiving after a previous pregnancy). It is also categorized by the contributing partner: male factor infertility, female factor infertility, combined male and female factors, or unexplained infertility when routine testing finds no clear cause.

Female infertility commonly involves ovulatory disorders, tubal damage or blockage, endometriosis, uterine conditions, and age-related decline in ovarian reserve. Male infertility typically involves problems with sperm production, sperm transport (blockages), or functional defects in sperm motility and morphology. Lifestyle factors such as smoking, obesity, alcohol, environmental exposures, and stress can affect fertility in both sexes.

Importantly, infertility is a medical condition—not a moral failing—and modern reproductive medicine can address most causes with medical, surgical and assisted reproductive technologies. In Punjab, fertility clinics such as Livasa Hospitals provide multidisciplinary care with reproductive endocrinologists, andrologists, embryologists, laparoscopic surgeons, counsellors and genetic specialists to create individualized treatment plans.

Understanding which category you fall into guides the diagnostic tests and treatment selection. For example, ovulatory disorders often respond well to ovulation induction with oral medications or injectable gonadotropins; tubal disease may require laparoscopy or IVF; and severe male factor infertility may be treated with sperm retrieval procedures plus ICSI.

causes of infertility: female and male factors

A systematic evaluation begins by identifying potential causes in both partners. Female causes include:

• Ovulatory disorders — polycystic ovary syndrome (PCOS), hypothalamic amenorrhea, premature ovarian insufficiency.
• Tubal disease — infection-related scarring, prior pelvic inflammatory disease, endometriosis causing adhesions or blockages.
• Uterine factors — fibroids, polyps, congenital anomalies, thin endometrium.
• Age-related diminished ovarian reserve — egg quality and quantity decline with advancing maternal age (notably after 35).
• Recurrent miscarriage — which can be related to genetic issues, uterine abnormalities, clotting disorders or endocrine causes.

Male causes include:

• Semen abnormalities — low sperm count (oligozoospermia), poor motility (asthenozoospermia), abnormal morphology (teratozoospermia) or no sperm (azoospermia).
• Obstructive causes — blockages in the vas deferens, prior vasectomy, or congenital absence of the vas.
• Varicocele — dilated scrotal veins that impair spermatogenesis and can sometimes be surgically corrected.
• Genetic causes — Y-chromosome microdeletions, chromosomal abnormalities causing non-obstructive azoospermia.
• Infections and lifestyle — sexually transmitted infections, heat exposure, toxins, smoking and medications can all reduce sperm quality.

Some couples will have a combination of factors, and in 10–20% of couples, no clear cause is found (unexplained infertility). When causes are identified, targeted therapies are available and outcomes are often excellent when treated early and appropriately.

symptoms, red flags and when to seek help

Infertility is diagnosed by the absence of pregnancy; however, several signs or medical history elements should prompt earlier evaluation:

• Irregular or absent menstrual cycles, which suggest ovulatory dysfunction (seek evaluation sooner than 12 months).
• Known pelvic inflammatory disease, past tubal surgery, or a history of severe sexually transmitted infections.
• Previous cancer treatment (chemotherapy/radiation) where fertility preservation may be urgent.
• Men with history of testicular issues, prior vasectomy, genital infection, or significant sexual dysfunction.
• Women aged 35 or older — medical guidelines recommend starting evaluation after 6 months of trying to conceive.

Early consultation with a fertility specialist in Punjab can shorten time to conception. At Livasa Hospitals, initial consultations include comprehensive medical histories, tailored investigations for both partners and counselling about next steps. For couples who live near Mohali, Amritsar, Hoshiarpur or Khanna, local access to diagnostics and same-day counselling reduces delays in starting an appropriate treatment plan.

If you are experiencing emotional distress or feel uncertain about next steps, ask for psychosocial support. Fertility treatment can be emotionally intense, and clinics in Punjab increasingly offer counselling as an integrated part of care.

diagnostic evaluation at a fertility clinic in Punjab

A methodical evaluation distinguishes reversible causes from those best managed with assisted reproduction. Typical diagnostic elements include tests for both female and male partners:

• For women: baseline hormonal profile (FSH, LH, AMH, TSH, prolactin), transvaginal ultrasound for antral follicle count, ovulation assessment, HSG (hysterosalpingogram) to check tubal patency, and when indicated diagnostic laparoscopy or hysteroscopy to inspect pelvic anatomy.
• For men: at least one semen analysis examining count, motility and morphology; hormonal profile when sperm issues are detected; ultrasound of scrotum for varicocele; and genetic testing if azoospermia or severe oligospermia is found.
• Specialised tests: endometrial receptivity assays, genetic carrier screening, karyotyping, sperm DNA fragmentation assays and infectious disease testing when clinically indicated.

These tests define a targeted plan: for example, anovulatory patients may receive ovulation induction; tubal blockage may be treated with laparoscopy or bypassed with IVF; and severe male factor often requires sperm retrieval with ICSI. At Livasa Hospitals' fertility clinics in Punjab, a coordinated diagnostic pathway ensures timely results and individualized treatment recommendations tailored to each couple’s needs, age and preferences.

Diagnostic testing is also an opportunity to discuss risks, costs and expected timelines. Transparency about likely outcomes and alternatives helps couples make informed decisions, including consideration of donor gametes, embryo donation, or surrogacy services in Punjab when indicated.

treatment options overview: medical, surgical and assisted reproduction

Treatment selection depends on diagnosis, couple’s age, previous fertility history and personal preferences. Broadly, options include medical therapies, surgical correction, and assisted reproductive technologies. Below is a clear comparison of the most commonly used procedures to help you understand the differences.

Medical therapy is often the first-line step for ovulatory dysfunction. Surgical approaches address correctable structural causes and can be fertility-sparing. Assisted reproductive technologies (ART), including IUI treatment in Punjab and IVF services in Punjab, are standard where medical or surgical treatment is unlikely to succeed or has failed.

assisted reproductive techniques: ivf, icsi, donor programs and surrogacy

Assisted reproductive techniques are the cornerstone of modern fertility care and include several distinct procedures. Understanding the differences helps couples choose an approach that balances success, cost and personal values.

IVF (in vitro fertilization) involves ovarian stimulation to produce multiple eggs, egg retrieval under light anesthesia, fertilization in the embryology laboratory, embryo culture and transfer to the uterus. IVF is used for tubal disease, moderate male factor, unexplained infertility and after failed IUI cycles.

ICSI (intracytoplasmic sperm injection) is a laboratory technique where a single sperm is injected into an egg and is indicated for severe male factor infertility or previous fertilization failure. ICSI is commonly performed as part of an IVF cycle when male factor is present.

Donor egg IVF, donor sperm and embryo donation are options when one partner has irreparable gamete issues or poor prognosis with their own gametes. Surrogacy remains a pathway for couples where pregnancy is medically contraindicated for the woman. Each of these pathways includes counselling on legal, ethical and medical aspects — important considerations in Punjab and across India.

Success of ART depends heavily on maternal age, ovarian reserve (AMH, antral follicle count), semen parameters, embryo quality and clinic laboratory standards. IVF success rates in Punjab vary; experienced centres report success in the range of 30–45% per cycle in younger patients, while rates decrease with advancing maternal age. When evaluating options, patients should compare success rates by age group, laboratory accreditation and cumulative pregnancy rates including frozen embryo transfers.

male infertility treatment options and sperm retrieval techniques

Male infertility is treatable in many cases. Treatments start with addressing reversible factors—stopping harmful medications, improving lifestyle, treating infections, and correcting varicocele when appropriate. For men with low sperm count or absent sperm, assisted techniques can retrieve sperm directly from the testis or epididymis for use with ICSI.

Common sperm retrieval techniques include PESA (percutaneous epididymal sperm aspiration), TESA (testicular sperm aspiration), TESE (testicular sperm extraction) and micro-TESE (microsurgical TESE). Each procedure differs in invasiveness, yield and suitability depending on whether the azoospermia is obstructive or non-obstructive.

At Livasa Hospitals' fertility clinics in Punjab, these procedures are offered with experienced andrologists and embryologists to ensure optimal sperm handling and high-quality laboratory fertilization with ICSI when needed. Couples typically discuss fertility prognosis and alternatives such as donor sperm before invasive procedures.

fertility preservation, special situations and recurrent pregnancy loss

Fertility preservation is an important consideration for patients facing medical treatments (chemotherapy, radiotherapy), those who wish to delay parenthood for personal reasons, or patients with conditions that rapidly reduce fertility (e.g., premature ovarian insufficiency). Options include:

• Egg freezing (oocyte cryopreservation) — recommended for women wishing to preserve fertility for future use. Success relates to age at freezing and number of oocytes stored.
• Sperm freezing — quick, effective and standard for men before gonadotoxic therapies.
• Embryo freezing — used when couples undergo IVF and prefer to store embryos for future transfer; cumulative live birth rates improve with effective vitrification protocols.

Recurrent pregnancy loss (RPL) — defined as two or more consecutive pregnancy losses — requires a careful evaluation for chromosomal, uterine, endocrine, immunological and clotting causes. Treatment is guided by the identified cause and may include targeted surgery, progesterone support, anticoagulation in selected clotting disorders, preimplantation genetic testing (PGT) when parental chromosomal abnormalities are present, or the use of donor gametes where appropriate.

Special conditions such as endometriosis and PCOS require specialized fertility approaches. Endometriosis fertility treatment in Punjab may involve laparoscopic excision of endometriotic lesions followed by ART if necessary. PCOS infertility treatment in Punjab often begins with lifestyle modification and ovulation induction; if not successful, IUI or IVF may be recommended.

costs, success rates and choosing the best fertility clinic in Punjab

Cost and success rates are key concerns when choosing a fertility clinic. Prices vary across Punjab and India based on protocol complexity, laboratory sophistication, use of donor gametes, and legal or administrative services for surrogacy. Below is an approximate cost comparison matrix to give a general idea of relative costs in Punjab. These are indicative ranges—your fertility specialist will provide a precise estimate tailored to the individual plan.

When choosing the best IVF centre in Punjab, consider:

• Laboratory quality, embryologist experience and accreditation
• Success rates reported by age group and cumulative live birth rates
• Transparency of cost, package details and possible add-ons
• Availability of comprehensive services: genetics, male infertility, counselling
• Location and convenience — access to Livasa Mohali, Livasa Amritsar, Livasa Hoshiarpur or Livasa Khanna can reduce travel stress during treatment

Livasa Hospitals combines modern ART laboratories with multidisciplinary teams to provide competitive IVF success rates and tailored packages, striving for both high quality and affordability. Ask for age-stratified success data and a clear estimate of the IVF cost at Livasa Hospitals in Punjab when you book a consultation.

preparing for treatment: lifestyle, emotional support and realistic expectations

Preparation for fertility treatment includes medical optimization and emotional readiness. Lifestyle changes can improve outcomes:

• Maintain a healthy weight — obesity and underweight both reduce fertility and response to treatments.
• Stop smoking and limit alcohol — both partners should avoid tobacco and excessive alcohol.
• Manage stress — mindfulness, counselling and support groups can reduce emotional burden and improve coping.
• Control chronic medical conditions — diabetes, thyroid disease and hypertension should be well managed before treatment.
• Optimize nutrition and exercise — a balanced diet, moderate exercise and appropriate supplementation as advised by your fertility specialist.

Emotional support is central to successful fertility care. Clinics in Punjab, including Livasa, provide counselling to help couples manage expectations, process difficult decisions (e.g., use of donor gametes), and cope with treatment cycles that may require multiple attempts. Discussing the likelihood of success, psychological implications, and financial planning helps create a sustainable treatment pathway.

Realistic expectation-setting is important: some couples conceive quickly with minimal intervention; others require multiple cycles or alternative options. Most centres now emphasize cumulative pregnancy rates (including frozen embryo transfers) as a more realistic measure of success than per-cycle statistics.

why choose livasa hospitals: services, locations and how to start

Livasa Hospitals provides integrated fertility care across Punjab with centres located in Livasa Mohali, Livasa Amritsar, Livasa Hoshiarpur and Livasa Khanna. Our focus is clinical excellence, compassionate care and evidence-based protocols. Services include:

• Comprehensive fertility evaluation for both partners
• In-house embryology laboratory for IVF, ICSI, embryo freezing
• Male infertility clinic with sperm retrieval services
• Minimally invasive surgery (laparoscopy/hysteroscopy)
• Fertility preservation (egg and sperm freezing)
• Donor and surrogacy programs with legal counselling where applicable
• Dedicated counselling and psychosocial support

Starting treatment is straightforward: call +91 80788 80788 or visit https://www.livasahospitals.com/appointment to book a fertility specialist consultation. During your first visit at Livasa Mohali, Livasa Amritsar, Livasa Hoshiarpur or Livasa Khanna, you will receive a thorough initial assessment, an individualized testing plan and a transparent discussion about treatment options and costs.

frequently asked questions and concluding guidance

This section answers common questions patients ask during their fertility journey:

• How long before we should seek help? If you are under 35, seek evaluation after 12 months of trying; if 35 or older, or if you have known risk factors, seek help after 6 months or sooner.
• What are realistic success rates? Success depends on age and diagnosis. Many centres in Punjab report IVF success rates of 30–45% per cycle in younger women, but rates decline with maternal age. Ask for age-stratified and cumulative rates.
• How many cycles will we need? Some couples conceive in a single cycle; others need multiple cycles or alternative approaches. Discuss cumulative probability with your specialist.
• Is treatment painful? Most diagnostic tests are minimally invasive. Egg retrieval is a short procedure under anesthesia with brief recovery; embryo transfer is painless for most patients.
• How do I choose between IUI and IVF? IUI is less invasive and lower cost and may be appropriate for mild male factor or unexplained infertility. IVF is recommended for tubal disease, advanced maternal age, or after failed IUI cycles. Your fertility specialist will advise based on individualized factors.

In conclusion, infertility is a treatable medical condition for many couples. With individualized diagnostic pathways and access to a full range of treatments—including advanced ART such as IVF, ICSI, donor programs, and fertility preservation—couples in Punjab have strong care options available at Livasa Hospitals. If you want compassionate, evidence-based reproductive care near Mohali, Amritsar, Hoshiarpur or Khanna, reach out to our team for a personalized consultation.

For appointments and enquiries: +91 80788 80788 or book online.