Step 1: Detailed Consultation Understanding how long the couple has been tryingMenstrual historyPrevious pregnancies or miscarriagesPast medical and surgical historyLifestyle and general health review
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Step 2: Couple Evaluation Infertility is a couple’s issue, so both partners should be evaluatedCycle and ovulation review for the womanSemen analysis for the husbandBasic fertility-related tests as advised
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Step 3: Ultrasound and Basic Fertility Assessment Pelvic ultrasoundOvarian and uterine assessmentAdditional tests depending on symptoms and history
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Step 4: Identifying the Cause Possible causes may include ovulation problem, PCOS, male-factor issue, low ovarian reserve, tubal factor, unexplained infertility, or hormonal imbalance
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Step 5: Personalized Treatment Plan Treatment is planned according to the actual problem, age, duration of infertility, and the couple’s goalsCycle guidanceOvulation supportLifestyle correctionHormonal treatmentTiming-based conception advice
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Step 6: Advanced Fertility Support if Needed When simpler steps are not enough, next options may be discussed such as IUI, advanced fertility planning, or referral for IVF where appropriate
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Step 7: Follow-Up and Reassessment Treatment response reviewCycle trackingTimely plan changes if neededEmotional support and counseling
