Fertility Services
Fertility care is not one treatment. It is a sequence of decisions, and the right first step depends entirely on what the assessment finds. The services below are grouped the way they are usually reached: assessment first, then treatment, then the more specialised care that some situations need.
Dr Munaganuru Niharika is the treating specialist across these services. Where a step requires laboratory or theatre facilities, it is carried out by the hospital team she works with, and what that involves is explained before anything is scheduled.
Assessment and preparation
Fertility Evaluation and Comprehensive Care
A full assessment of both partners, so that any plan starts from a diagnosis.
Read more →Preconception Counselling
Health assessment and risk review before trying to conceive.
Discussed at consultationOvulation Induction and Cycle Optimisation
Monitored ovulation induction where cycles are irregular or absent.
Discussed at consultationAssisted reproduction
Intrauterine Insemination (IUI)
Timed insemination with cycle monitoring and prepared sperm. Often the first treatment step.
Read more →IVF and ICSI
Assisted reproduction including egg retrieval, embryo transfer and frozen embryo transfer.
Read more →Fertility Preservation
Egg, sperm and embryo freezing, whether planned or medically indicated.
Read more →Specialised and advanced care
Recurrent Pregnancy Loss
Structured investigation and management after repeated miscarriage.
Discussed at consultationRecurrent Implantation Failure
Assessment after repeated unsuccessful embryo transfers.
Discussed at consultationEndometriosis and Adenomyosis Fertility Care
Treatment planning where endometriosis or adenomyosis is affecting conception.
Discussed at consultationFertility-Sparing Surgery
Laparoscopic and hysteroscopic surgery planned around preserving reproductive potential.
Discussed at consultationBenign Conditions Affecting Fertility
Fibroids, polyps and ovarian cysts, where they affect conception.
Discussed at consultationHow treatment is decided
No two situations are the same, so the sequence above is not a ladder everyone climbs. Some people need one cycle of a simple treatment. Some need surgery before assisted reproduction is worth attempting. Some need investigation rather than treatment. What determines the path is the assessment, not a standard protocol.
Where treatment takes place
Dr Munaganuru Niharika consults at BirthRight Fertility by Rainbow Hospitals, Financial District, Nanakramguda, Hyderabad.