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My approach

Not every journey needs IVF.

Many people arrive already sure they need IVF. Often they don’t. Below is the sequence I walk in clinic — so you can see where you are before anyone pushes the catalogue.

Dr. Chandini Sree Lalitha Chinta explaining reproductive anatomy with a teaching model

This page

The clinical sequence, drawn as a map.

This page shows the order of care Dr. Chandini Sree Lalitha Chinta uses in clinic — not a shopping list of treatments. Enter where you are arriving from, see the workup both partners need, then the first-line ladder, when IVF earns a place, and the parallel paths (preservation, donor, surrogacy).

Tap any step to open the full guide. It orients you for a consult; it is not a personal diagnosis. Your history, your tests, and your time decide the plan with her in the room.

Walk the map

General information for orientation. Your plan depends on your history, tests, and time — decided with you in consult, not by a webpage.

Enter here

Where are you arriving from?

Trying to conceive Why am I not pregnant? Browse the conditions directory Cancer, surgery, or timing I need to preserve fertility A parallel path — not the IVF list After pregnancy Recurrent pregnancy loss When pregnancy doesn’t hold After IVF or transfer Implantation failure When good embryos never stick

Step 1

Evaluate both partners

Before choosing a treatment, name the bottleneck: ovulation, tubes, uterus, semen, and how much time you have.

Ovulating? → PCOS Tubes open? → Tubal block Uterus OK? → Hysteroscopy Semen OK? → Male factor Egg supply → Reserve The clock → Age All normal? → Unexplained Pain / tissue → Endometriosis Lining / ovary → PRP

Step 2

First-line ladder

Least invasive effective step first. Count the cycles in advance. Escalate when the trial is honest and complete.

  1. 1 Ovulation induction Especially PCOS / anovulation
  2. 2 IUI (± induction) Unexplained, mild male factor, patent tubes
  3. 3 Step up to IVF when indicated Failed simpler steps, or biology already points here

Step 3

IVF & selective lab tools

IVF for tubal factor, severe male factor, failed stepwise care, or a clock that won’t wait. Add-ons only with a real indication.

IVF The cycle itself ICSI When sperm / fertilisation needs it PGT When genetics is the question ERA Refractory implantation failure

Other paths

Preserve, donor, or surrogacy

Not only “after IVF fails.” Use these when timing, gametes, or carrying requires a different plan.

Fertility preservation Freeze eggs or embryos Donor programs Egg, sperm, or embryo Surrogacy support When carrying isn’t possible or safe

Find the bottleneck. Fix what is reversible. Use the least invasive effective step. Escalate with a clock in mind. Use lab add-ons only when indicated. Change the path when biology says so.

Book a consult to map your path Book a consult on WhatsApp Browse all treatments