1. Initial Evaluation & Diagnosis

• Medical history review (menstrual cycle, past pregnancies, lifestyle)

• Physical exams

• Hormone testing (FSH, LH, AMH, prolactin, thyroid, etc.)

• Ultrasound (to assess ovaries, uterus, follicles)

• Hysterosalpingography (HSG) – checks for blocked fallopian tubes

• Semen analysis for male fertility

• Genetic testing if necessary

2. Ovulation Induction & Hormonal Therapy

Used when ovulation is irregular or absent:

• Clomiphene citrate (Clomid)

• Letrozole (Femara)

• Gonadotropin injections (FSH, HMG)

• hCG trigger shots to release eggs

• Progesterone supplements to support early pregnancy

3. Intrauterine Insemination (IUI)

• Process where washed and concentrated sperm is inserted directly into the uterus during ovulation.

• Often combined with fertility medications.

• Typically used for mild male infertility or unexplained infertility.

4. In Vitro Fertilization (IVF)

• Eggs are retrieved from the ovaries.

• Fertilized with sperm in a lab.

• One or more embryos are transferred into the uterus.

• May include:

  • ICSI (intracytoplasmic sperm injection) for male factor

  • Embryo freezing

  • PGT (preimplantation genetic testing)

5. Other ART (Assisted Reproductive Technology) Options

• Donor eggs or sperm

• Gestational surrogacy

• Frozen embryo transfer (FET)

6. Surgical Interventions

• Laparoscopy or hysteroscopy for:

  • Endometriosis

  • Fibroids

  • Polyps

  • Blocked tubes

  • Uterine anomalies

7. Male Infertility Treatments

• Hormone therapy (if testosterone/FSH/LH imbalanced)

• Varicocele repair

• Testicular sperm extraction (TESE or PESA)

• Erectile dysfunction treatment

8. Lifestyle & Support Services

• Weight management

• Dietary counseling

• Stress reduction

• Smoking/alcohol cessation

• Counseling/psychological support

Let me know if you want details about cost, insurance coverage, or clinic procedures related to these services.