Treatments

Fertility care, personalised.

Every patient. Every protocol. Designed by Dr. Parul Katiyar — Yale & Valencia trained — for couples across India, Fiji, Bangladesh, Ethiopia and beyond.

Treatment overview

Choosing the right fertility treatment — a clinical guide

How fertility treatments are matched to patients

Fertility medicine offers a spectrum of treatments — from very simple (ovulation tracking with timed intercourse) to highly advanced (IVF with preimplantation genetic testing and donor gametes). The right treatment is not the most expensive or the most advanced one available — it is the one that matches your specific diagnosis, age, ovarian reserve, partner's sperm parameters, and history of previous attempts. At Blessings Fertility, Dr. Parul Katiyar's clinical philosophy is to start with the least invasive treatment that gives a meaningful chance of success — and to escalate only when the evidence supports it. We do not push couples to IVF when IUI has a real chance of working. Equally, we do not waste valuable fertility time on IUI cycles for couples whose data clearly point to IVF.

The treatment escalation ladder

Treatment typically escalates through four levels. Level 1 — Lifestyle, ovulation induction with oral medication (Letrozole) and timed intercourse: appropriate for young patients with ovulation disorders, particularly PCOS. Level 2 — Intrauterine Insemination (IUI): for couples with mild male factor, mild endometriosis, or unexplained infertility in women under 35. Level 3 — IVF with conventional fertilisation or ICSI: for tubal disease, severe endometriosis, recurrent IUI failure, advanced maternal age, severe male factor, or unexplained infertility past 35. Level 4 — IVF with PGT-A genetic testing, surgical sperm retrieval, donor gametes, or fertility preservation: reserved for specific clinical indications. The right level for you is decided in consultation after a complete diagnostic workup.

Diagnostic workup before treatment

We never recommend treatment without an evidence-based diagnosis. A complete fertility workup includes: hormonal profile (AMH, FSH, LH, oestradiol, prolactin, TSH, testosterone where indicated), transvaginal ultrasound with antral follicle count, ovarian reserve assessment, tubal patency assessment (HSG or saline sonography), uterine cavity assessment (hysteroscopy if indicated), and a comprehensive semen analysis for the male partner including DNA fragmentation testing where relevant. Most workups are completed within 7–10 days of the first consultation. We then have a follow-up consultation where Dr. Katiyar walks you through findings and recommended treatment with realistic success rates.

Understanding success rates honestly

Every fertility clinic publishes success rates — and most of them are presented misleadingly. We report live-birth rate per transfer (the only metric that matters to a family), stratified by female age and diagnosis. For IVF at Blessings, indicative live-birth-per-transfer rates are: under 35 → 55–65%; 35–37 → 45–55%; 38–40 → 35–45%; 41–42 → 20–30%; 43+ → 5–15%. Donor-egg IVF runs 60–70% per transfer largely independent of recipient age. PGT-tested euploid embryo transfers achieve 60–70% across all ages. These are honest numbers — not marketing claims. Your personal probability depends on your specific situation, which we discuss transparently during consultation.

Cost transparency

We publish cost ranges openly because financial transparency matters. Indicative INR pricing for Indian patients (USD figures for international): IUI cycle — ₹20,000–35,000 (USD 240–420). IVF cycle — ₹1,50,000–3,00,000 (USD 1,800–3,600). IVF with ICSI — ₹1,75,000–3,30,000 (USD 2,100–4,000). IVF with PGT-A (per embryo tested) — adds ₹40,000–60,000 (USD 480–720) to the cycle. Donor-egg programme — ₹3,50,000–5,50,000 (USD 4,200–6,600) all-inclusive. Egg-freezing cycle — ₹1,30,000–2,00,000 (USD 1,550–2,400) plus annual storage. Medications are billed separately and typically add ₹50,000–1,00,000 (USD 600–1,200) per cycle. We do not bundle add-ons you don't need.

What makes a fertility clinic actually good

When evaluating any fertility clinic — including ours — assess four things. First, doctor experience and academic credentials (not just years, but training pedigree). Second, embryology laboratory quality — the single biggest predictor of outcomes. Look for time-lapse incubators, single-air-handling systems, and trained senior embryologists. Third, honesty: does the clinic publish live-birth rates by age cohort, or just headline pregnancy rates? Does it tell you when not to do IVF? Fourth, individualisation: are protocols templated or genuinely customised? Ask to see the proposed protocol in writing — not just verbal claims. We invite you to apply these four tests to Blessings, and to any other clinic you consider.

Frequently asked questions

Common questions