Trying to Conceive? Let’s Talk about female infertility treatment in Gurugram.

Medically Reviewed

By Dr. Puneet Rana Arora : Founder & Director, CIFAR — Centre for Infertility & Assisted Reproduction, Gurugram FRCOG (Royal College of Obstetricians & Gynaecologists, UK) | MSc Reproduction & Development, University of Bristol, UK

Last Review Date : 05 August, 2026

CIFAR – Centre for Infertility & Assisted Reproduction, Gurugram

If you’re reading this at 2 a.m. after another disappointing month, or quietly Googling between appointments, we want you to know something first: you are not broken, and you are not alone.

About 1 in 6 couples trying to have a baby face this same struggle. It’s common, it’s medical, and — most importantly — it’s usually treatable. This page is here to walk you through what female infertility actually means, gently and honestly, so you can feel a little more in control of what happens next.

First, Take a Breath

Struggling to conceive brings up so many feelings — frustration, guilt, grief, even anger at your own body. All of that is valid. But here’s what years of helping patients at CIFAR have taught us: the sooner you understand what’s going on, the less scary it becomes. Knowledge really does replace fear here.

So let’s start with the basics.

What Do Doctors Mean by “Female Infertility“?

In simple terms, it means you haven’t been able to get pregnant after:

• 12 months of regular, unprotected sex if you’re under 35, or
• 6 months if you’re 35 or older

That’s it. It’s not a life sentence — it’s a signal that it’s time to check in with your body and find out why.

Think of conception like a relay race: an egg needs to be released, travel down an open tube, meet a healthy sperm, and land in a uterus ready to welcome it. If any one handoff in that race is disrupted, pregnancy becomes harder. The good news? Once we find where the handoff is getting stuck, we can usually help fix it.

What Might Be Going On? 

“My periods are irregular or I don’t know when I ovulate.” 

This is often linked to PMOS (PCOS) or a thyroid imbalance. It’s one of the most common — and most treatable — causes of infertility.

“I’m in my late 30s or 40s.” Egg quantity and quality naturally decline with age. This doesn’t mean pregnancy is impossible, but it does mean timing matters more.

“I’ve had a pelvic infection, surgery, or endometriosis.” These can sometimes affect your fallopian tubes or how your uterus functions.

“I have fibroids or polyps.” These are common, often harmless growths — but depending on size and location, they can sometimes get in the way of implantation.

“Everything looks ‘normal’ but I’m still not pregnant.” This is called unexplained infertility, and it can feel like the most frustrating diagnosis of all. But normal test results don’t mean no options — they simply guide us toward a different treatment approach.

When Should You Come In?

You don’t need to wait until you’re desperate or out of options. Come talk to us if:

• You’ve been trying for 12 months (or 6, if you’re 35+)
• Your periods are irregular, painful, or absent
• You’ve had a miscarriage — even one
• You’ve had pelvic surgery, infections, or a history of endometriosis
• Something just feels “off” and you want peace of mind

A consultation is not a commitment to treatment. It’s simply a conversation.

What Actually Happens During Testing?

We know “getting tested” can sound intimidating, so here’s what to expect, step by step:

1. A detailed conversation about your cycle, history, and lifestyle — no judgment, just listening
2. Blood tests to check your hormones, ovarian reserve, and thyroid
3. An ultrasound — quick, non-invasive, and gives us a clear picture of your ovaries and uterus
4. A tubal check (HSG or sonohysterography) if needed, to see if your fallopian tubes are open
5. Your partner’s semen analysis — because fertility is always a two-person conversation

Most of this can be done within one menstrual cycle.

Your Options, Explained Simply

Not everyone needs the same treatment — and definitely not everyone needs IVF. Depending on what we find, your path might include:

• Simple lifestyle and hormonal adjustments to restore regular ovulation
• Ovulation induction — medication that helps your body release an egg on schedule
• IUI (Intrauterine Insemination) — a simple, low-intervention procedure where prepared sperm is placed directly in the uterus
• Minor surgery (laparoscopy/hysteroscopy) to correct a structural issue
• IVF/ICSI — for more complex cases, where eggs and sperm are combined in the lab and the embryo is carefully placed back
• Egg freezing — if you want to protect your future fertility, including before cancer treatment

We always start with the least invasive, most appropriate option — and walk you through every step before moving forward.

Frequently Asked Questions

Does infertility mean something is “wrong” with me? No. Infertility is a medical condition — like high blood pressure or diabetes — not a personal failure. In many cases, the cause is something easily identifiable and manageable.

Will I definitely need IVF? Not necessarily. A large number of patients who come to us worried about IVF end up conceiving with simpler treatments like ovulation induction or IUI, once we understand the actual cause.

How long will testing take? Most initial evaluations — bloodwork, ultrasound, and a tubal check if needed — can be completed within a single menstrual cycle.

Is the testing painful? Most tests are quick and only mildly uncomfortable, similar to a routine gynaecological exam. We’ll always tell you honestly what to expect before any procedure.

My partner’s reports are normal — so why can’t we conceive? Fertility depends on both partners. Even with a completely normal semen analysis, female factors like ovulation, tubal health, or uterine conditions can still be the reason — which is exactly why a full evaluation matters.

I have PMOS(Formerly PCOS). Can I still get pregnant? Yes, in most cases. PCOS is one of the most treatable causes of infertility, often responding well to lifestyle changes and ovulation-inducing medication.

I have endometriosis. Does that mean I can’t conceive naturally? Not necessarily. Many women with endometriosis conceive naturally or with minimal intervention — it depends on the severity and your individual case.

How much does treatment cost, and is it a long process? Costs and timelines vary depending on what treatment you need — this is something we’ll discuss transparently at your first visit, along with EMI/financing options where applicable, so there are no surprises.

I’ve had a miscarriage. Does that mean I’m infertile? Not automatically. One miscarriage is common and doesn’t necessarily indicate an underlying problem. Recurrent miscarriage (two or more) is worth investigating.

What if I’m scared or anxious about coming in? That’s completely normal — most of our patients feel that way at first. Our team’s first goal is always to make you feel heard and comfortable, not overwhelmed.

CIFAR Point of View

At CIFAR, we’ve built our entire approach around one belief: you deserve a diagnosis before a treatment plan — not the other way around. So many couples arrive assuming IVF is inevitable. Often, it isn’t. As a NABH-accredited centre, we combine advanced reproductive technology with a careful, step-by-step approach: start with what’s least invasive and medically right for you, and escalate only when truly necessary. Fertility care, to us, isn’t transactional — it’s a partnership we build with every patient who walks through our doors.

Dr. Puneet Rana Arora’s Perspective

Dr. Puneet Rana Arora, Founder and Director of CIFAR, brings over two decades of experience in reproductive medicine — including more than ten years of clinical practice within the UK’s National Health Service (NHS) and specialist training in reproductive medicine from Bristol, UK. She is also recognised as a pioneer of oncofertility in India and co-founder of the Fertility Preservation Society of India, reflecting her long-standing commitment to giving patients options, even in the most complex circumstances.

Dr. Arora believes that every patient deserves to understand not just what treatment they’re being offered, but why. In her practice, she takes time to listen to each patient’s full story before recommending a path forward, and works to demystify a process that can otherwise feel overwhelming or clinical. Her guiding philosophy is simple: care should be built around the person in front of her — not a standard protocol applied to everyone.

You Don’t Have to Figure This Out Alone

Whatever stage you’re at — just starting to wonder, mid-way through testing, or years into this journey — the team at CIFAR is here to sit with you, answer your questions honestly, and help you find your next step.

Ready to talk? Book a consultation with CIFAR – Centre for Infertility & Assisted Reproduction, Gurugram. We’ll take it one conversation at a time.

For any queries, Call us: +91 8826539305 or email us at  helpdesk@cifarivf.com today to learn more about the training programs available at CIFAR.