Infertility Treatments

If you’re reading this right now, there’s a good chance you’re doing it alone. Or maybe your partner is sitting beside you, but you both feel miles apart. Maybe you’re at work, pretending everything is fine, while inside you’re breaking. Maybe you just saw another pregnancy announcement and had to excuse yourself. I’ve been a fertility specialist for years, and I’ve learned something that most medical textbooks don’t teach: infertility isn’t just about biology. It’s about the silence. It’s about shame. It’s about lying awake at 3 AM wondering if something is fundamentally wrong with you. I’m writing this because I want you to know something before you even come to see me: You are not broken. You are not alone. And what you’re feeling is real—it’s valid, and it matters. The Truth Nobody Tells You Let me be honest with you from the start. One in six couples globally struggle with infertility. That’s millions of people. But infertility is still treated like a secret—whispered about in private, hidden from friends and family. Women carry this shame alone while their bodies become a source of grief instead of joy   Here’s what I see in my clinic every single day: intelligent, accomplished, beautiful women who have somehow internalized the belief that they’ve failed. That there’s something fundamentally defective about them. Men who feel emasculated and confused. Couples who used to laugh together and now can barely look each other in the eye   The emotional weight is real. Research shows that women experiencing infertility report anxiety and depression levels comparable to cancer patients. Not because infertility is life-threatening, but because it attacks something primal—your dreams, your identity, your vision of your future family   And here’s the heartbreaking part: 48% of couples avoid seeking help because they can’t face a formal diagnosis. They’d rather suffer in silence than admit something is wrong.   If that’s you—I’m asking you to pause that thinking right now. Please. What Changed When I Started Listening I remember the exact moment everything shifted in my practice. A couple came in after their third failed IVF cycle. The woman was hollow-eyed and broken. Her husband sat silently, disconnected. I started with the science, the data, and the next protocol. And she cried and said, “I don’t need to know about percentages. I need to know that you believe in us. I need to know this isn’t hopeless.” That changed me. I realized that every patient walking into my clinic wasn’t asking for complicated medical jargon. They were asking for something deeper: hope wrapped in truth, delivered with compassion. So I stopped treating infertility as purely a medical problem. I started treating couples as whole human beings experiencing a life crisis. I started listening more than I talked. And—this matters—I started explaining everything in simple language because you shouldn’t need a medical degree to understand your own treatment. Here’s What I Actually See When You Come In When you walk through my door, I don’t see you as a “case” or a “protocol.” I see a person who’s been carrying this alone. I see your courage in finally seeking help. I see someone who deserves clarity, honesty, and a plan designed specifically for you—not a generic package.   The first thing we do is listen. We will talk about your story. When did this start? How long have you been hoping? What’s the hardest part of this journey for you? What matters most to you in treatment?   Then we do the tests. These aren’t meant to shame you or label you. They’re detective work. They’re us trying to answer the question: What is actually preventing your body from doing something it’s designed to do? Once we know the answer, everything else becomes clear. The Three Pathways—And Why One Size DOESN’T Fit All Here’s where most fertility practices get it wrong: They have a protocol, and they plug you into it. IVF for everyone. Because it has the highest success rates, so obviously it’s best, right? No. That’s not medicine. That’s laziness. Real medicine means understanding your specific situation and choosing the gentlest, most effective path for you. Pathway 1: When We Start Gentle (PCOS, Hormonal Imbalance, Mild Issues) Some of you need medication. Maybe your cycles are irregular, or your hormones are out of balance. In recent years, something remarkable happened: we discovered a combination of Metformin + Myo-Inositol that actually works brilliantly for PCOS. Not expensive. Not invasive. Just smart medicine.   I had a patient, Priya, who was diagnosed with PCOS. She came to me expecting to jump straight to IVF, fearing it would cost ₹2-3 lakhs. Instead, we started her on this combination therapy for about ₹4,000 a month. After three months, her cycles regulated. After six months, she was pregnant naturally. Total cost: ₹32,000. Total time: seven months. She avoided ₹3,00,000 in IVF costs and the emotional intensity of high-tech treatments   If you’re under 35 with regular-ish cycles and clear tubes, we often start with IUI (intrauterine insemination). It’s like nature’s version, but we help it along. Success rates are 10-25% per cycle—and when you do the math across multiple cycles, many couples get pregnant this way.   The point: We escalate only when necessary, not because it’s profitable. Pathway 2: When We Need Structure (Blocked Tubes, Severe Male Factor) Some of you have structural problems we can’t work around. If both your fallopian tubes are blocked, no amount of medication will help—the egg and sperm will never meet. In that case, IVF isn’t an option. It’s the only logical choice. Similarly, if a partner’s sperm count is extremely low, or the sperm aren’t moving properly, trying IUI is like asking someone to climb a mountain without ropes. We use ICSI—a specialized IVF technique where we inject a single sperm directly into the egg. Fertilization rates go from 10% to 70-80%. That’s not up-selling. That’s using the right tool for the job.   IVF success rates for women under 35