IVF & Fertility
IVF and Fertility Treatment in PCMC | Shrusti Total Womens Care Clinics
Shrusti Total Womens Care Clinics in Thergaon, PCMC, offers fertility treatment under Dr. Nikhil A. Mahadar, MRCOG (UK), covering IVF, IUI, ICSI, male and female infertility evaluation and advanced tests such as DFI and ERA, with every result discussed personally to guide the couple’s next decision.
Fertility treatment involves more acronyms than almost any other area of medicine and couples researching it in PCMC are often handed a list of terms with no explanation. Shrusti Total Womens Care Clinics starts from the opposite direction: every test and procedure below is explained in plain language before it is recommended.
Advanced Genetic and Endometrial Testing
PGT-A / PGS (Pre-implantation Genetic Testing)
PGS, now more precisely called PGT-A, screens embryos for chromosomal abnormalities before transfer. It is generally discussed for women over 35 or after repeated IVF failure, since it can help identify the embryo most likely to implant successfully. Dr. Mahadar discusses whether it is appropriate for a couple’s plan and helps them weigh the decision.
ERA (Endometrial Receptivity Analysis)
The ERA test checks whether the uterine lining is at the right stage to receive an embryo, which can help explain repeated implantation failure despite good-quality embryos. Dr. Mahadar discusses the result with the couple to plan the exact timing of a future embryo transfer.
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Surgical and Regenerative Support
Hysteroscopy
Before an embryo transfer, a hysteroscopy lets Dr. Mahadar examine the uterine cavity directly and correct problems such as polyps, adhesions or a uterine septum that can lower the chance of implantation.
Ovarian PRP Therapy
Ovarian PRP therapy injects a concentration of the patient’s own platelets into the ovaries, an approach explored for women with diminished ovarian reserve who want to improve their response to stimulation. Evidence for this therapy is still developing. Dr. Mahadar discusses realistic expectations before offering it as an option.
Our Core Fertility Treatments
Each condition below is evaluated through a clinical history, examination and, where relevant, an on-site ultrasound at the same visit.
IVF (In Vitro Fertilisation)
IVF involves fertilising an egg and sperm outside the body and transferring the resulting embryo into the uterus. Dr. Mahadar guides couples through the IVF pathway from initial evaluation through embryo transfer, discussing each stage so the couple can make the right decision together.
IUI (Intrauterine Insemination)
IUI places specially prepared sperm directly into the uterus around the time of ovulation. It is often the first option considered for mild male-factor or unexplained infertility. Dr. Mahadar times each cycle using the same-visit ultrasound to track ovulation accurately.
ICSI (Intracytoplasmic Sperm Injection)
ICSI involves injecting a single sperm directly into an egg rather than leaving fertilisation to happen on its own. It is generally recommended for significant male-factor infertility or after a previous IVF cycle with poor fertilisation. Dr. Mahadar advises whether it fits a couple's wider IVF plan.
IVM and CAPA-IVM (In Vitro Maturation)
IVM matures eggs outside the body before fertilisation, which can reduce the hormone stimulation a patient needs compared with conventional IVF. CAPA-IVM is a refined IVM protocol used in select cases. Dr. Mahadar discusses whether either approach fits a patient's fertility profile before referring for the laboratory stage.
Ovulation Induction
Ovulation induction uses medication to stimulate egg release in women who ovulate irregularly or not at all. Cycles are monitored with the same-visit ultrasound and, where needed, blood tests, so the timing of treatment or intercourse is based on real data rather than a calendar estimate.
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Male and Female Infertility Evaluation
Male Infertility
Male factors contribute to a significant share of infertility cases and are evaluated through semen analysis alongside a clinical history. Dr. Mahadar's assessment covers sperm count, motility and morphology and identifies which further tests or treatments, from IUI to ICSI, are appropriate.
Female Infertility
Female infertility can stem from ovulation problems, tubal blockage, endometriosis or an age-related decline in egg reserve. Dr. Mahadar's evaluation includes ultrasound, ovarian reserve testing and a review of menstrual history to identify the underlying cause before recommending treatment.
Microfluidic Sperm Sorting
Microfluidic sperm sorting selects healthier, more motile sperm for use in IUI, IVF or ICSI without the physical stress that centrifuge-based sorting can place on sperm. It is considered for couples with high DNA fragmentation or repeated fertilisation failure. Dr. Mahadar discusses with the couple whether it is worth adding to their treatment plan.
MACS (Magnetic-Activated Cell Sorting)
MACS filters out sperm showing early signs of cell damage before they are used in IUI, IVF or ICSI. Dr. Mahadar considers MACS for couples with a history of poor embryo development or unexplained IVF failure and discusses with the couple whether it is worth adding to their plan.
DFI (DNA Fragmentation Index) Test
The DFI test measures the percentage of sperm with damaged DNA, which can affect fertilisation and early pregnancy loss even when a standard semen analysis looks normal. It is generally recommended after recurrent miscarriage or unexplained IVF failure. Dr. Mahadar walks the couple through what the result means for their next step.
Micro-TESE (Microscopic Testicular Sperm Extraction)
Micro-TESE surgically retrieves sperm directly from testicular tissue for men with azoospermia, using a microscope to identify the areas most likely to contain sperm. It is generally considered when no sperm is found in the ejaculate. Dr. Mahadar discusses the procedure and its likelihood of success with the couple before proceeding.
Advanced Genetic and Endometrial Testing
PGT-A / PGS (Pre-implantation Genetic Testing)
PGS, now more precisely called PGT-A, screens embryos for chromosomal abnormalities before transfer. It is generally discussed for women over 35 or after repeated IVF failure, since it can help identify the embryo most likely to implant successfully. Dr. Mahadar discusses whether it is appropriate for a couple’s plan and helps them weigh the decision.
ERA (Endometrial Receptivity Analysis)
The ERA test checks whether the uterine lining is at the right stage to receive an embryo, which can help explain repeated implantation failure despite good-quality embryos. Dr. Mahadar discusses the result with the couple to plan the exact timing of a future embryo transfer.
Why Choose Shrusti Total Womens Care Clinics
- Both partners evaluated. A fertility work-up looks at male and female factors together, not one in isolation.
- Same-visit ultrasound. Cycle monitoring and ovulation tracking performed personally by Dr. Mahadar
- Plain-language explanations. Every test and procedure explained before it is recommended, not just named.
- Reasonable treatment costs. Costs for any recommended test, procedure or treatment plan are discussed and confirmed before it begins.
- Local, bilingual access. Hindi and English consultations on Dange Chowk Road, Thergaon.
Frequently Asked Questions
Shrusti Total Womens Care Clinics in Thergaon offers fertility treatment under Dr. Nikhil A. Mahadar, MRCOG (UK), covering IVF, IUI, ICSI and both male and female infertility evaluation.
IUI places prepared sperm directly into the uterus around ovulation, while IVF fertilises an egg and sperm outside the body before transferring the embryo. IUI is generally tried first for mild or unexplained infertility, with IVF considered when IUI has not worked or is not suitable.
ICSI is generally recommended for significant male-factor infertility, such as very low sperm count or motility, or after a previous IVF cycle with poor fertilisation.
Yes. DFI testing and PGT-A (PGS) are offered as part of an advanced fertility work-up. Dr. Mahadar discusses each result with the couple to guide the right next step.
Micro-TESE surgically retrieves sperm from testicular tissue for men with azoospermia, when no sperm is found in a standard semen sample. Dr. Mahadar discusses the procedure and next steps with the couple before proceeding.
The consultation fee is ₹500 per visit. Call ahead to confirm whether the same fee applies to a follow-up visit.
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Serving Thergaon, Dange Chowk, Wakad and Pimpri-Chinchwad
Shop No 19, 19A, 20, Ground Floor, Metropole Building, Dange Chowk Road, opposite Runwal Heritage, Thergaon, Pimpri-Chinchwad, Maharashtra 411033
6:30 PM to 9:30 PM, Monday to Saturday
Morning consultation, by appointment: 9:00 AM to 11:00 AM, Monday to Sunday
7798019692 / 9075993329
₹500 per visit