IVF Treatment & Pre-IVF Fertility Evaluation in Goregaon West, Mumbai

Author:

Dr. Dimple Doshi (MBBS, MD, DGO)
Lady Gynecologist & Laparoscopic Surgeon
27+ years’ experience
20,000+ surgeries completed

What is IVF?

IVF (in-vitro fertilisation) is a fertility treatment where eggs and sperm are combined in a laboratory, and the embryo is placed in the uterus.

IVF — short for in-vitro fertilisation, and part of what’s called assisted reproductive technology (ART) — helps many couples who haven’t conceived through simpler means. It brings egg and sperm together in a lab, grows an embryo, and transfers it into a prepared uterus. As part of Dr. Dimple Doshi’s infertility care, the focus here is making sure IVF is truly the right step, and that your body is well prepared for it.

A step-by-step medical process, not a single procedure.
Used after simpler treatments or when they aren’t suitable.
Most successful when the diagnosis is clear and treatable factors are addressed first.

Who may need IVF?

IVF may help when there are blocked tubes, severe male-factor infertility, endometriosis, low ovarian reserve, advanced age, or failed IUI.

IVF is commonly considered for:

Blocked or damaged fallopian tubes.
Severe male-factor infertility.
Endometriosis-related infertility.
Reduced ovarian reserve or advanced maternal age.
Repeated failed ovulation induction or IUI, or unexplained infertility.

Not everyone with these needs IVF, and some need it sooner rather than later — which is why an individual assessment matters.

Is IVF always the first treatment for infertility?

No — IVF is not always first; correctable problems are treated and simpler options like ovulation induction or IUI are often tried before IVF.

A step-by-step, least-invasive-first approach is usual:

Evaluate both partners to find the cause.
Correct treatable factors (see below).
Try simpler treatments — ovulation induction or IUI — where suitable.
Move to IVF when simpler options fail or aren’t appropriate.

That said, in low ovarian reserve or advanced age, unnecessary delay can reduce chances — so the balance is decided case by case. As Dr. Doshi puts it, “A couple should not feel rushed into IVF without understanding the reason.”

What tests are needed before IVF?

Pre-IVF tests include ovarian-reserve and hormone blood tests, a pelvic ultrasound and uterine check for the woman, plus semen analysis.

Typical work-up:

Woman: AMH, FSH, LH, estradiol; TSH and prolactin; blood counts and sugar; viral markers and rubella immunity; blood group/Rh.
Uterus & pelvis: pelvic ultrasound, follicular study, sonosalpingography or HSG, and hysteroscopy if a cavity problem is suspected.
Man: semen analysis, plus semen culture or hormone tests if indicated.

These check both the egg/sperm side and the uterine environment, so nothing treatable is missed before an IVF cycle.

Which fertility problems should be corrected before IVF?

Treatable factors like cavity-distorting fibroids, polyps, hydrosalpinx, adhesions or thyroid imbalance are ideally corrected before IVF.

Common correctable factors and where they’re treated:

Factor	Why it matters	Typical action
Cavity-distorting fibroids	Can lower implantation	Remove in selected cases
Endometrial polyps	Can interfere with implantation	Hysteroscopic removal
Hydrosalpinx	Tubal fluid can reduce implantation	Laparoscopic clipping/removal
Septate uterus	Miscarriage risk	Hysteroscopic correction if indicated
Endometriosis / chocolate cyst	Affects egg quality & pelvis	Individualised (protect ovarian reserve)
Adenomyosis	Affects receptivity	Medical/hormonal suppression
Intrauterine adhesions	Reduce lining growth	Hysteroscopic adhesiolysis
Thyroid / prolactin imbalance	Affects the cycle	Medical correction

Dr. Doshi’s approach is balanced: “Some problems should be corrected before IVF, but in low ovarian reserve or advanced age, unnecessary delay can reduce fertility chances.”

What are the main steps of IVF?

IVF involves ovarian stimulation, egg retrieval, fertilisation in the lab, embryo culture and embryo transfer — with pre-IVF checks to ready the uterus.

Step	What happens	Where
1. Pre-IVF evaluation	Tests + correcting treatable factors	Vardaan Hospital
2. Ovarian stimulation	Hormone injections to grow eggs	IVF centre
3. Monitoring & trigger	Scans/bloods, then trigger injection	IVF centre
4. Egg retrieval	Eggs collected under sedation	IVF centre
5. Fertilisation & culture	IVF/ICSI; embryos grown	IVF centre
6. Embryo transfer	Embryo placed in the uterus	IVF centre
7. Pregnancy test	Blood test ~2 weeks later	Either

Vardaan Hospital supports Step 1 and ongoing gynecological care; the laboratory steps happen at a dedicated IVF/ART centre.

What happens during egg retrieval?

Egg retrieval collects mature eggs from the ovaries using ultrasound-guided aspiration under sedation — a short day-care step done at an IVF centre.

What to expect:

Before: baseline scans and hormone tests, follicle monitoring, then a trigger injection.
During: a short procedure under sedation; a transvaginal ultrasound guides a needle to collect follicular fluid, and the lab identifies the eggs.
After: usually day-care discharge; mild bloating, spotting, pelvic heaviness or tiredness can follow.

Severe pain, heavy bleeding, fever, breathlessness or reduced urine output afterward need urgent review (possible OHSS). Egg retrieval is performed at an IVF/ART centre; Dr. Doshi provides the pre-IVF preparation.

What is embryo transfer, and how do fresh and frozen differ?

Embryo transfer places an embryo into the uterus through the cervix; a fresh transfer is in the same cycle, a frozen one in a later, prepared cycle.

Aspect	Fresh transfer	Frozen transfer (FET)
Timing	Same IVF cycle as retrieval	A later, separate cycle
Uterine prep	After stimulation	Natural or medicated, more controlled
Often chosen when	Lining & hormones favourable	OHSS risk, lining not ready, or genetic testing planned

The transfer is a short procedure through the cervix, usually not painful — many women say it feels like a Pap smear, with no anaesthesia typically needed. Mild cramping or bloating can follow, and most specialists advise gentle activity rather than strict bed rest. (Note: “FET” usually means Frozen Embryo Transfer.) Embryo transfer is done at an IVF/ART centre; Dr. Doshi prepares and optimises the uterus beforehand.

What is assisted hatching, and does it improve IVF success?

Assisted hatching thins the embryo’s outer shell to help it implant; it may suit selected cases but is not proven to help every patient.

Sometimes considered for:

Repeated implantation failures or advanced maternal age.
A thickened zona pellucida, or frozen embryo transfers.

It is not routinely needed for every IVF patient, does not assure pregnancy, and depends on many factors beyond hatching. Before any IVF add-on, it helps to ask: is it needed in your case, is there evidence it helps, and are the benefits worth the cost and risk? Often, optimising the uterus matters more than adding procedures. Assisted hatching is performed by the embryology team at an IVF centre.

What factors affect IVF success?

IVF success depends on age, ovarian reserve, egg and sperm quality, embryo quality and uterine health — so results vary and are discussed as a range.

Key factors:

Female age and ovarian reserve (AMH).
Egg, sperm and embryo quality.
Uterine lining health, and absence of fibroids, polyps, adenomyosis or hydrosalpinx.
Thyroid/prolactin status, BMI and lifestyle (including smoking).

Because so many factors are involved, honest counselling gives you a realistic range for your situation rather than a fixed outcome. Outcomes vary by individual.

What are the risks and limitations of IVF?

IVF risks include ovarian hyperstimulation, multiple or ectopic pregnancy, cycle cancellation, failed implantation and miscarriage.

Things to be aware of:

Ovarian hyperstimulation syndrome (OHSS).
Multiple pregnancy or ectopic pregnancy.
Cycle cancellation, poor fertilisation or failed implantation.
Miscarriage, and the emotional and financial demands of repeated cycles.

Knowing these upfront helps you make an informed, unhurried decision — which is exactly the counselling Dr. Doshi provides before you begin.

Can you choose your baby's sex with IVF?

No — in India, prenatal sex determination and sex selection are illegal under the PCPNDT Act and are never part of fertility treatment.

Fertility care here is focused solely on helping you conceive a healthy pregnancy. Sex determination or selection is not offered and not lawful in India, and any clinic or service suggesting otherwise is acting outside the law. If you have questions about this, your gynecologist can explain the legal and ethical framework.

How much does pre-IVF fertility evaluation cost in Mumbai?

Pre-IVF fertility evaluation cost in Mumbai depends on the consultation, scans and tests needed; the final estimate is given after review.

Cost is shaped by:

Consultation and ultrasound.
Hormone and other blood tests, semen analysis.
Uterine-cavity testing (hysteroscopy) or laparoscopy, if needed.
Treatment of any correctable factor found.

A consultation and report review come first, after which you’ll get a clear estimate. The IVF cycle cost itself is set by the IVF/ART centre that performs the laboratory steps. Cost is a range and is finalised after consultation; outcomes vary by individual.

🩺 Dr Dimple Doshi Notes: “IVF is an advanced fertility option, but it should not be started blindly. A proper fertility workup helps identify whether IVF is truly needed and whether anything should be corrected first. The key is balance — some problems should be treated before IVF, but in low ovarian reserve or advanced age, unnecessary delay can reduce chances. Before IVF, understand your diagnosis clearly: a prepared uterus, corrected treatable factors and realistic counselling make the journey more confident.”

Why choose Dr. Dimple Doshi & Vardaan Hospital

Dr. Dimple Doshi offers ethical, individualised pre-IVF fertility evaluation and gynecological care at Vardaan Hospital, Goregaon West, Mumbai, working alongside dedicated IVF centres for the laboratory steps.

27+ years of experience as a lady gynecologist and laparoscopic surgeon.
Thorough pre-IVF assessment and treatment of correctable factors (fibroids, polyps, hydrosalpinx, septum, adhesions).
Honest, unhurried counselling — no over-promising, no unnecessary add-ons.
Referral guidance to trusted IVF/ART centres.

Full credentials are viewable on the About page.

FAQs on IVF Treatment

Q1. Is IVF always needed for infertility?

Ans. No. Many couples conceive with simpler treatments like ovulation induction or IUI, or after correcting a treatable factor. IVF is considered when these aren’t suitable or haven’t worked.

Q2. Is egg retrieval painful?

Ans. Egg retrieval is done under sedation or light anaesthesia, so you should not feel pain during it. Mild bloating or cramping can follow and usually settles within a day or two.

Q3. Is embryo transfer painful?

Ans. Embryo transfer is usually not painful — many women say it feels similar to a Pap smear, and anaesthesia is typically not needed.

Q4. Does assisted hatching improve my chance of pregnancy?

Ans. It may help in selected cases such as repeated implantation failure or advanced age, but it is not proven to help every patient and does not assure pregnancy. It should follow proper evaluation.

Q5. Are the IVF laboratory steps done at Vardaan Hospital?

Ans. No. Egg retrieval, embryo culture, ICSI, freezing, PGT and transfer are done at dedicated IVF/ART centres. At Vardaan, Dr. Doshi provides pre-IVF evaluation, counselling and treatment of correctable factors, then refers you.

Q6. Can I choose my baby’s sex through IVF?

Ans. No. In India, prenatal sex determination and sex selection are illegal under the PCPNDT Act and are never part of fertility treatment here.

Q7. IVF ki success kis par depend karti hai? (What does IVF success depend on?)

Ans. It depends on your age, ovarian reserve, egg and sperm quality, embryo quality and uterine health. Success is discussed as a realistic range for your situation — never as a certainty.

Q8. How can I improve my chance before IVF?

Ans. Correct treatable factors, keep a healthy weight, manage thyroid and prolactin, avoid smoking, and follow your pre-IVF plan. A prepared uterus and clear diagnosis support the whole journey.

Book a Pre-IVF Fertility Consultation with Dr. Dimple Doshi

Before starting IVF, a clear diagnosis and a prepared uterus can make the journey more confident. A detailed consultation helps you understand whether IVF is right for you and what to address first.