Infertility Specialist in Hyderabad
Infertility treatment in Hyderabad is offered by Dr. Nasreen Ashfaq, Obstetrician, Gynaecologist & Infertility Specialist in Banjara Hills. She evaluates and treats female and male infertility — including ovulation induction, IUI and IVF guidance — with personalised fertility care plans to help couples on their journey to parenthood.
Difficulty conceiving is common and, in most cases, treatable. Dr. Nasreen offers a thorough evaluation of both partners and a step-wise, evidence-based plan — starting with the least invasive options — to give you the best chance of a healthy pregnancy without rushing to IVF.
Understanding infertility
Infertility is usually defined as not conceiving after 12 months of regular, unprotected intercourse — or after 6 months if the woman is over 35. It is common and affects both women and men. In many couples, more than one factor is involved, and in some, no single cause is found. A structured evaluation helps identify what may be contributing, so care can be tailored to your situation.
Dr. Nasreen Ashfaq provides a calm, step-by-step approach — explaining what each test and option means, so couples can make informed decisions at their own pace.
When to see a fertility specialist
It is reasonable to seek an evaluation if you have been trying to conceive for:
- 12 months or more if the woman is under 35.
- 6 months or more if the woman is 35 or older.
- Sooner, if there are known concerns — irregular or absent periods, PCOS/PMOS, endometriosis, previous pelvic surgery or infection, or a known male-factor issue.
The evaluation process
Evaluation looks at both partners, because fertility involves both. A typical assessment includes:
- Detailed history and examination for both partners — cycles, health, lifestyle and any past treatment.
- Ovulation assessment — blood tests (hormone levels) and cycle tracking.
- Ultrasound scan — to check the uterus and ovaries (including antral follicle count).
- Tubal assessment — a test such as an HSG to check whether the fallopian tubes are open.
- Semen analysis for the male partner — a key and simple first test.
Most of this initial work-up is usually completed within a 1–2 cycle timeframe, though this varies by individual and by which tests are needed.
Treatment options & IUI / IVF guidance
The right approach depends entirely on the findings, the couple's age and how long they have been trying. Options that may be discussed include:
- Lifestyle and timing guidance — optimising general health, weight and the fertile window.
- Ovulation induction — medication to support egg release, often a first step for ovulation problems such as PCOS/PMOS.
- IUI (Intrauterine Insemination) — placing prepared sperm into the uterus around ovulation; often considered for mild or unexplained cases. A cycle typically spans a 2–3 week window.
- IVF (In Vitro Fertilisation) — where eggs are retrieved and fertilised in a laboratory; often considered for tubal factors, significant male-factor infertility, or when earlier steps have not worked. A full cycle typically spans 4–6 weeks.
Dr. Nasreen Ashfaq provides evaluation, ovulation induction and IUI guidance, and advises on IVF. For advanced ART procedures, she guides couples through the pathway and coordinates a referral to a specialist fertility lab or centre where needed — so care stays joined-up.
Referral pathway
Not every couple needs advanced treatment. The usual pathway is: (1) evaluation of both partners, (2) correcting any treatable factor and trying simpler options first where suitable, and (3) stepping up to IUI or IVF, or a referral to a dedicated ART centre, only if and when it is the right next step. You are guided — not rushed — through each stage.
Why choose Dr. Nasreen Ashfaq
Dr. Nasreen Ashfaq is an Obstetrician, Gynaecologist & Infertility Specialist in Banjara Hills, Hyderabad, with 28+ years of experience in women's health and fertility care. Her approach is thorough, transparent and unhurried — with clear explanations at each step and a personalised plan for every couple. Consultations are by appointment, Monday to Saturday.
Who it's for: Couples trying to conceive for 12 months (or 6 months if over 35), or with known reproductive concerns.
Frequently Asked Questions
When should we see a fertility specialist?
If you have been trying to conceive for 12 months (or 6 months if the woman is over 35), an evaluation is reasonable. See a specialist sooner if you have irregular periods, PCOS/PMOS, endometriosis, or a known male-factor concern.
What does a fertility evaluation involve?
It assesses both partners — history and examination, ovulation and hormone tests, an ultrasound scan, a tubal test such as an HSG, and a semen analysis for the male partner. The initial work-up usually takes about 1–2 cycles.
What is the difference between IUI and IVF?
IUI places prepared sperm directly into the uterus around ovulation and is less invasive. IVF retrieves eggs and fertilises them in a laboratory before transferring an embryo. Which is suitable depends on your diagnosis, age and history.
Is IUI usually tried before IVF?
For suitable cases it often is, but not always — your specialist advises based on your specific evaluation. Some situations (such as blocked tubes) may indicate IVF from the start.
Can lifestyle changes help fertility?
General health, a healthy weight, not smoking, and well-timed intercourse can support fertility. These are discussed as part of your plan, alongside any medical treatment that is needed.
At 35+, should we go straight to IVF or still try IUI first?
There is no single answer — it depends on the evaluation results, how long a couple has been trying, and any specific findings. Age is one factor a specialist weighs, but the recommendation is based on the full assessment, not age alone. This is decided together with a fertility specialist.
Do both partners need to be tested, or just the woman?
Both. Fertility involves both partners, and male factors contribute in a significant share of couples. A semen analysis for the male partner is a simple, important first test done alongside the woman's evaluation.
How long does a full fertility evaluation usually take?
The initial work-up — history, blood tests, an ultrasound, a tubal test and a semen analysis — is usually completed within about 1–2 menstrual cycles. Timelines vary with which tests are needed and cycle timing.
We haven't been trying for a full year — is it too early to see a specialist?
Not necessarily. If the woman is over 35, or there are known concerns such as irregular periods, PCOS/PMOS, endometriosis or a previous issue, an earlier evaluation is reasonable rather than waiting a full 12 months.
Does having PCOS/PMOS mean we will definitely need IVF?
No. PCOS/PMOS commonly affects ovulation, but many women with PCOS/PMOS conceive with cycle regulation, lifestyle support or ovulation induction. IVF is only one option, considered when simpler steps are not suitable or have not worked.
Ready to speak with Dr. Nasreen?
Ankura Hospitals, Banjara Hills, Hyderabad · Mon–Sat, 12–5 PM