The fallopian tube is where fertilization takes place, after the egg is released from the ovary it is picked up by the tube and is met by sperm. Full or partial blockage of the fallopian tubes will prevent fertilization.

Damage to the fallopian tubes can be caused by inflammation as a result of viral or bacterial infections, some types of sexually transmitted diseases, or complications of surgery such as adhesions or scarring. Most common causes of tubel damage is tuberculosis in India

Benign growths on the uterine wall, such as fibroids or polyps, can contribute to infertility as they interfere with the attachment of the embryo to the wall of the uterus.

Abnormalities in the shape of the cervix or changes in the texture of the cervical mucus can make it difficult for the sperm to move from the vagina into the uterus

Endometriosis is a condition where the lining of the uterus forms at inappropriate places within and outside of the reproductive tract. It can block the fallopian tubes and/or disrupt ovulation. It occurs in about 10 per cent of women.

The presence of antibodies to sperm in cervical mucus can cause infertility. In other cases, the mother's immune system prevents the embryo from attaching to the wall of the uterus and so causes a miscarriage.

Polycentric ovaries contain lots of small cysts, making the ovary larger than normal. The condition, called polycystic Ovarian Disease (PCOD), is also associated with high levels of androgen and oestrogen. Women with PCOD have irregular periods and may not ovulate, resulting in infertility.

Ovarian failure can be a consequence of medical treatments (for ovarian tumours for instance), or the complete failure of the ovaries to develop or contain eggs in the first place (for example, Turner's Syndrome).

The treatment for ovarian tumours may involve surgical removal of all or part of the ovary. Ovarian failure can also occur as a result of treatments such as chemotherapy and pelvic radiotherapy for cancers in other body areas. These therapies destroy eggs in the ovary

Age is a critical factor affecting the fertility of a woman and many women today are delaying having children. Some of the common reasons include education and career demands, financial stability, second marriages and relationships, and waiting for a suitable partner.

Reproductive function declines as a woman ages, particularly after the age of 35. Women are born with a finite number of eggs, unlike men who produce sperm most of their adult life. In the years approaching menopause, there are fewer and fewer eggs left in the ovary. The quality of eggs also diminishes as a woman gets older. By the late thirties, there is an increase in chromosome abnormalities that can result in birth defects like Down's syndrome.

Ageing can also affect other reproductive organs and functions, such as the uterus, hormone production, and ovulation. There is also a higher incidence of miscarriage in women in their late thirties.

Delaying children isn't always avoidable, but infertility treatments cannot reverse the ageing process and should not be thought of as a safeguard that will ensure a pregnancy at some point in the future. The success rates of IVF for women over 35 are much lower than for younger women.

In approximately 10 per cent of couples, both partners may appear fine but are still unable to become pregnant. While it is easier to treat couples where the cause of infertility is obvious, couples with unexplained infertility can also be treated.

We start the process of IUI with tablets or gonadotropins injection which are prescribed to the female partner as it stimulates the growth of follicles and cause ovulation.

Due to effect of drug number of eggs are produced. The monitoring of above drug effects is done by tracking the development of follicles by Ultrasound. Many follicles will produce too many eggs and sometimes increase the risk of multiple pregnancy.

As one or two follicles have reached their maximum size, ovulation is again induced with another hormone injection contains (HCG) / Decapeptyl .

A fresh sample of sperm is collected just before the IUI procedure from male partner by masturbation and then sperm is washed and highly motile sperms are obtained and kept ready for the insemination.

Then washed sperms are released high into the uterus of the female partner through a fine Catheter. The procedure is painless and hardly take 15 to 20 minutes .

After completion of IUI procedure You will be given instructions on how long to abstain from intercourse, and any resting periods. In general after the IUI one can enjoy the general life without any restriction.

IUI is typically performed in women receiving ovarian stimulation with clomiphene citrate or follicle stimulating hormone (FSH). These treatments require close monitoring with ultrasound, estradiol levels, and physical examination to optimize the chances of pregnancy, and to avoid hyperstimulation and multiple pregnancy.

Studies have demonstrated that infertile couples treated with IUI will at least double their chances of conception when compared to timed intercourse or intracervical insemination.

Frequently, the IUI procedure is performed in combination with ovulation induction. This may be done using an oral medication called clomiphene citrate, or with daily injections of gonadotropins (follicle stimulating hormone [FSH]).

The IUI procedure works by concentrating the healthiest sperm in the ejaculate, and placing the "washed" sperm into the uterus adjacent to the fallopian tube. This bypasses any potential cervical factor problems, and removes the sperm that are less likely to fertilize the egg.