Infertility Specialist & Advanced Gynecological Endoscopic Surgeon
Female Infertility Evaluation & Treatment
Accurate Diagnosis, Personalized Care, Real Pathways to Parenthood
From ovulation and hormonal balance to uterine and tubal health, female fertility depends on several interconnected factors. Dr. Mostafa Al-Tarique (Ronee) combines detailed hormonal and structural evaluation with fertility-conscious surgery to build a treatment plan around your specific diagnosis — not guesswork.
Comprehensive Hormonal Workup
AMH, FSH, TSH & more
Advanced Pelvic Imaging
Ultrasound, HSG & hysteroscopy
Fertility-Preserving Surgery
Laparoscopic & hysteroscopic care
European Trained
France, Italy, Germany & Belgium
Top Infertility Specialist
DR
Dr. Mostafa Al-Tarique (Ronee)
Consultant, Reproductive Endocrinology & Infertility
Bangladesh Medical University (Ex-PG Hospital)
- Advanced surgical fellowships across leading centers in France, Italy, Germany & Belgium.
- Specialist in advanced laparoscopic and hysteroscopic treatment of female fertility conditions.
- Integrated care spanning diagnostic workup, fertility-conscious surgery, and IUI/ICSI/IVF planning.
"Female infertility care should never be reduced to a single test or a single number. It's about understanding the whole picture — hormones, anatomy, age and the couple's goals — before recommending a path forward."
Understanding The Condition
What Is Female Infertility?
Female infertility refers to difficulty conceiving that stems from ovulation problems, structural issues in the uterus or fallopian tubes, hormonal imbalances, or a decline in ovarian reserve related to age. Because these factors often overlap, a proper evaluation looks at the full reproductive picture — not just one test in isolation.
Comprehensive Hormonal & Ovarian Assessment
Blood tests such as AMH, FSH, LH, TSH and prolactin, alongside an antral follicle count on ultrasound, reveal ovulatory function and ovarian reserve.
Structural Evaluation
Pelvic ultrasound, HSG (hysterosalpingogram), hysteroscopy or laparoscopy assess the uterus, uterine cavity and fallopian tubes when indicated.
Fertility-Focused, Age-Aware Planning
Age and ovarian reserve directly influence how urgently treatment should proceed — the plan is built around your specific timeline, not a generic protocol.
Not every case needs IVF straightaway. Many women conceive with ovulation induction, lifestyle correction, or minor surgical correction alone. The right pathway depends entirely on your specific diagnosis.
Diagnostic Benchmark
When Should You Seek A Fertility Evaluation?
General guidance on timing, based on widely followed reproductive medicine recommendations — your specific situation may call for earlier evaluation.
| Situation | Suggested Time Before Evaluation | Why It Matters |
|---|---|---|
| Under 35 years | 12 months of regular, unprotected intercourse | Natural fertility is generally higher, so a longer trial window is reasonable. |
| 35 to 39 years | 6 months | Ovarian reserve and egg quality decline more meaningfully in this range. |
| 40 years and above | Seek evaluation right away | Time-sensitivity means delay can meaningfully narrow treatment options. |
| Any age with risk factors | Seek evaluation immediately | Irregular cycles, known endometriosis, prior pelvic surgery/infection or family history may need earlier attention regardless of age. |
This is general guidance, not a diagnosis. If you're unsure whether your situation warrants earlier evaluation, it's always reasonable to book a consultation and ask.
Clinical Expertise
Causes We Diagnose & Treat
Explore the range of female-factor conditions addressed through a structured, evidence-based evaluation.
Ovulatory
PCOS (Polycystic Ovary Syndrome)
A common hormonal condition causing irregular or absent ovulation, often alongside irregular cycles and other metabolic features. It's one of the most treatable causes of female infertility.
Often responds to ovulation induction
Structural
Tubal Factor (Blocked Fallopian Tubes)
Blockage from prior infection, surgery or endometriosis can prevent the egg and sperm from meeting. An HSG or laparoscopy helps confirm tubal status.
May need surgical repair or IVF
Structural
Uterine Conditions
Fibroids, polyps, a uterine septum, or intrauterine adhesions can affect implantation. Many of these are correctable through hysteroscopic surgery.
Often correctable via hysteroscopy
Structural
Endometriosis
Tissue resembling the uterine lining growing outside the uterus, which can affect the ovaries, tubes and pelvic anatomy. Treatment is individualized based on severity and fertility goals.
Individualized surgical & fertility plan
Age-Related
Diminished Ovarian Reserve
A natural, age-related decline in egg quantity and quality, assessed through AMH levels and antral follicle count. This finding directly shapes treatment urgency.
Guides urgency & treatment choice
Hormonal
Thyroid & Prolactin Disorders
Abnormal thyroid function or elevated prolactin can disrupt ovulation and menstrual regularity. These are usually correctable with targeted medical therapy.
Correctable with medical therapy
Evidence-Based Approach
Why A Complete Diagnostic Picture Matters
1
Complete Diagnostic Picture First
Hormonal panels, ovarian reserve markers and structural imaging are reviewed together before any treatment is recommended.
2
Time-Sensitive, Individualized Planning
Age and ovarian reserve directly affect how quickly to move between treatment steps — plans are paced to your actual biological timeline.
3
Couple-Centered Treatment Pathway
Female-factor findings are considered alongside the partner's fertility evaluation, so the plan reflects the couple's actual chances of conception.
Female fertility evaluation should never rest on a single hormone level or a single ultrasound. The right treatment plan depends on correlating ovulatory, hormonal, structural and age-related findings together. Dr. Mostafa reviews each case individually before recommending a treatment pathway, whether that's ovulation induction, surgical correction, or assisted reproduction.
This page describes general clinical principles and does not state specific success or pregnancy rates. Ask Dr. Mostafa about what's realistic for your individual case.
Clear & Transparent Protocol
Your Female Fertility Evaluation Journey
Step-by-step overview of what to expect from your first visit onward.
Step 01
Initial Evaluation
- History & Exam: Menstrual, medical, surgical and reproductive history, plus a focused pelvic examination.
- Baseline Hormonal Panel: Day 2–3 FSH, LH, AMH, TSH and prolactin as indicated.
- Pelvic Ultrasound: Assesses the uterus, ovaries and antral follicle count.
Step 02
Targeted Diagnostics & Treatment
- Further Imaging: HSG, hysteroscopy or laparoscopy used selectively based on findings so far.
- Targeted Treatment: Ovulation induction, hormonal correction, or surgical treatment as appropriate.
- Ongoing Monitoring: Cycle tracking to assess response to treatment.
Step 03
Fertility Pathway & Follow-Up
- Pathway Planning: Natural conception guidance, IUI, or ICSI/IVF integration with your partner's plan.
- Follow-Up Testing: Repeat hormonal or imaging assessment to track progress.
- Ongoing Support: Adjustments to the plan as results come in.
Patient Guidance
Frequently Asked Questions
Female infertility generally refers to difficulty conceiving after 12 months of regular, unprotected intercourse (or 6 months if you're 35 or older), most often linked to ovulatory, hormonal, structural or age-related factors.
Evaluation typically starts with a hormonal panel (AMH, FSH, LH, TSH, prolactin) and a pelvic ultrasound. Depending on findings, an HSG, hysteroscopy or laparoscopy may follow to assess the uterus and fallopian tubes.
Yes. Egg quantity and quality decline with age, more noticeably after the mid-30s. This is why timing recommendations become shorter as age increases — earlier evaluation preserves more treatment options.
In many cases, yes. PCOS-related ovulation problems often respond well to lifestyle changes and ovulation induction medication, though the right approach depends on your specific hormonal picture.
Not always. Depending on the location and extent of blockage, surgical repair may restore natural fertility in select cases. When repair isn't appropriate or hasn't worked, IVF bypasses the tubes entirely.
No. These are considered only when there's a specific indication — such as suspected endometriosis, uterine abnormality, or unexplained findings — not as a routine step for every patient.
Once the underlying cause is addressed as far as possible, the next step — natural conception, IUI, or IVF/ICSI — is chosen based on your diagnosis, age, ovarian reserve and how you've responded to treatment so far.
Take The First Step
Schedule Your Female Fertility Evaluation Today
If you've been trying to conceive without success, a structured fertility evaluation is often the fastest way to understand what's happening — and what your realistic options are.
Direct Helpline: 01789-732601, 01789-732639
Chamber 01
BMU (Ex-PG Hospital) Chamber
Department of Reproductive Endocrinology & Infertility, Dhaka
Chamber 02
Comfort Dhanmondi / Green Road
Dhaka, Bangladesh
Chamber 03
Regional Consultation Chambers
Khulna & Jessore / Jhenaidah