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Fertility / Conceiving

Trouble conceiving? Real answers, without rushing to IVF.

Most couples who struggle to conceive do not need IVF. They need the cause found, and the simplest effective step taken first. That is exactly how Dr. Anshu Agarwal has helped 300+ women conceive — without IVF.

In short: Infertility means not conceiving after a year of trying (or six months if over 35). At Medifirst, Bariatu, Dr. Anshu Agarwal finds the cause with simple tests, then starts with the least invasive step that works — lifestyle, ovulation induction, or IUI — and has helped 300+ women conceive without IVF. IVF is discussed only when it is genuinely the right option for you.
300+ pregnancies without IVFFind the cause firstSimplest step firstHonest about IVF
Quick answers

Fertility care, in brief

What counts as infertility

Not conceiving after 12 months of trying — or 6 months if you are over 35.

First step

Finding the cause — simple tests for both partners before any treatment.

Treatment

Often ovulation support or IUI — the simpler steps, before IVF is ever considered.

When IVF

Only when it is genuinely the right option — and we’ll tell you honestly.

01 / Understanding it

Why “start simple” matters

If you have been trying for a while without success, the fear is often that IVF is the only answer. For most couples, it isn’t. The single most useful step is to find out why — and that starts with simple tests for both partners, because the cause lies with the man roughly as often as the woman.

Common, treatable causes include irregular ovulation (often PCOS), blocked tubes, hormonal or thyroid imbalance, and sperm-quality issues. Once the cause is clear, treatment can be targeted — and is often straightforward.

Dr. Agarwal’s approach is to take the least invasive effective step first: timing and lifestyle, then ovulation induction, then IUI (intra-uterine insemination). More than 300 women have conceived under her care without IVF. IVF is a good and sometimes necessary option — but it is discussed honestly, only when it is genuinely right for you, never as a default.

02 / Is treatment right for you?

Should you get checked?

Earlier is better — especially over 35 — because many causes are simpler to treat when found early.

See a fertility doctor if

  • You’ve tried to conceive for 12 months without success
  • You’re over 35 and have tried for 6 months
  • Your periods are irregular or absent
  • You have PCOS, endometriosis or a thyroid problem
  • You’ve had a previous miscarriage or pelvic surgery

The simple-first path

  • Tests for both partners to find the cause
  • Timing, lifestyle and weight guidance
  • Ovulation induction to release an egg reliably
  • IUI — a simpler, less invasive procedure
  • IVF — only when it is genuinely needed
Irregular periods or PCOS are among the commonest and most treatable causes — see our PCOS treatment.
03 / Your options

Fertility treatments, simplest first

The goal is a pregnancy with the least intervention necessary.

Fertility assessment

Tests for both partners — hormones, ovulation, tubes and semen analysis — to find the cause.

Lifestyle & timing

Weight, timing and health guidance that alone helps many couples conceive.

Ovulation induction

Medication to help the ovaries release an egg reliably — often all that is needed.

IUI (intra-uterine insemination)

A simple, less invasive procedure placing prepared sperm directly in the uterus at the right time.

Treating the cause

Correcting PCOS, thyroid, fibroids or endometriosis that is affecting fertility.

IVF referral

Honest guidance and onward referral if and when IVF is genuinely the right step.

04 / Recovery

The fertility journey

Unhurried and honest — the aim is the simplest path to a healthy pregnancy.

First visit
Your history, both partners’ tests arranged, and the likely direction discussed.
Finding the cause
Results reviewed together, and a clear, simple-first plan agreed.
Treatment cycles
Ovulation support or IUI, timed carefully — many conceive in these steps.
If more is needed
Honest discussion of IVF and referral, only when it is genuinely right.
Pregnancy
Once you conceive, your pregnancy care continues with the same doctor.
05 / Who treats you

Led by Dr. Anshu Agarwal

You see the same senior doctor from first consultation through treatment and follow-up — privately, and without judgment — at Medifirst, Bariatu.

4.8★4.8★ / 140+ Google reviews for Dr. Anshu Agarwal — real, verified reviews from women across Ranchi.
“After her treatment and guidance I conceived at once and successfully delivered a baby boy. She was always available by message and call. I recommend her to all couples struggling to conceive.”
Rajni Tigga · via Google →
“She was kind and caring. I was worried about my health, but she prescribed the right tests, checked the reports and handled it very practically.”
Varsha Choudhary · via Google →
06 / Transparent cost

What does fertility treatment cost?

Far less than you may fear simple steps first

Because care starts with the simplest steps, most couples spend far less than the cost of IVF. A fertility assessment and ovulation support are modest; an IUI cycle costs more but a fraction of IVF. You get a clear estimate at each step, and the team explains what insurance covers.

  • • Fertility assessment for both partners
  • • Ovulation-induction cycles and monitoring
  • • IUI procedure, if advised
  • • Treating the underlying cause (PCOS, thyroid, etc.)
  • • IVF only if genuinely needed (priced separately)
07 / Your questions, answered

Fertility & IUI questions

Do I need IVF to get pregnant?
Usually not. Most couples who struggle to conceive succeed with simpler help once the cause is found — ovulation support or IUI. Dr. Agarwal has helped 300+ women conceive without IVF. IVF is discussed only when it is genuinely the right option.
When should we see a fertility doctor?
After 12 months of trying without success, or 6 months if you are over 35. See a doctor sooner if your periods are irregular, or you have PCOS, endometriosis, a thyroid problem or a previous miscarriage.
What is IUI?
IUI (intra-uterine insemination) is a simple, less invasive procedure that places prepared sperm directly into the uterus at the time of ovulation, improving the chance of conception. It is far simpler and cheaper than IVF.
Will both partners be tested?
Yes. The cause lies with the man roughly as often as the woman, so testing both partners is essential — and often the quickest route to an answer.
Can PCOS-related infertility be treated without IVF?
Very often, yes. Irregular ovulation from PCOS is one of the most treatable causes, usually with ovulation induction — many women conceive this way.
How much does fertility treatment cost compared to IVF?
Because care starts simple, most couples spend a small fraction of IVF costs. You receive a clear estimate at every step.

Trying for a baby?

Start with answers, not IVF. Book a private, unhurried fertility consultation with Dr. Agarwal — on WhatsApp, or call us at Medifirst, Bariatu.