Advanced, compassionate, and globally recognized care under the direction of international IVF pioneer Prof. (Dr.) Abha Majumdar and her expert clinical team.
If your periods are irregular, delayed, or if you are facing difficulties conceiving due to hormonal imbalances—please remember that you are not alone. Prof. (Dr.) Abha Majumdar and her expert team provide gentle, highly effective, and personalized care to guide you safely toward a successful pregnancy.
PCOS is a very common condition where a minor hormonal imbalance disturbs your normal monthly cycle. Because of this imbalance, the ovaries struggle to mature and release a healthy egg on time. Instead, multiple small, harmless, fluid-filled nests (follicles) form inside the ovaries.
Everyday Symptoms: This usually leads to late or skipped periods. Patients may also experience stubborn acne, unexpected weight gain, or fine facial hair growth. With simple medical adjustments and lifestyle guidance, PCOS can be easily managed.
When a young girl gets her very first period (menarche), it is completely normal for her cycles to be a bit unpredictable for the first year or two while her body grows. However, if patterns continue past this phase, an early check-up is important to protect her future well-being.
When to Seek Guidance: You should consult a specialist if a young girl has not started her periods by age 16-17, if her periods which were regular suddenly stop for more than two months, if she experiences severe menstrual pain, or if her bleeding regularly last longer than 7 to 8 days or the bleeding does not stop.
PMOS and PCOS are the exact same medical condition. In May 2026, a landmark consensus published in The Lancet officially renamed Polycystic Ovary Syndrome (PCOS) to Polyendocrine Metabolic Ovarian Syndrome (PMOS). The update was established by 56 global health organizations to fix a decades-long misnomer that caused delayed diagnoses and fragmented patient care.
1. Targeted Testing ➔ 2. Balancing Hormones & Weight ➔ 3. Encouraging Egg Growth ➔ 4. Real-Time Scan Monitoring ➔ 5. A Safe, Healthy Pregnancy
If you have been diagnosed with blocked fallopian tubes or internal pelvic scar tissue—please remember that successful motherhood is still fully within your reach. Prof. (Dr.) Abha Majumdar and her expert clinical team provide advanced reproductive surgeries and personalized IVF protocols to safely help you bypass these structural blockages.
What is a Fallopian Tube Blockage? The fallopian tubes are two delicate, narrow pathways where the egg and sperm naturally meet for fertilization. A tubal blockage (tubal occlusion) creates a physical barrier that stops sperm from reaching the egg or prevents a fertilized egg from travelling safely down into the uterus. While it can sometimes be performed intentionally as a sterilization procedure (tubal ligation), blockages often occur involuntarily due to underlying diseases, leading to fertility delays.
What Causes These Issues? Involuntary tubal blocks and adhesions typically develop due to pelvic inflammatory disease (PID), infections like salpingitis or pelvic peritonitis, advanced endometriosis, abdominal-pelvic tuberculosis, previous abdominal surgeries (like an appendix removal).
If your fallopian tubes are structurally sound outside of the blockage, micro-surgical or laparoscopic reconstruction performed by specialized gynecologic reproductive surgeons can help restore your natural fertility, allowing you to conceive naturally afterward.
When our fallopian tubes are severely damaged, heavily scarred, or blocked on both sides, attempting surgical repair may not be fruitful or increase risks of ectopic or tubal pregnancy. In Vitro Fertilization (IVF) serves as an exceptionally reliable solution because it replaces the need of the fallopian tubes entirely for fertilization.
For an embryo to plant securely and grow into a healthy baby, the inner layer of your womb (the uterine cavity) must be entirely smooth, spacious, and free of obstructions. Prof. (Dr.) Abha Majumdar utilizes state-of-the-art diagnostic mapping by 3D Ultrasound and hysteroscopic reconstructive procedures to restore your womb’s natural shape, helping into successful pregnancies.
What is Uterine Cavity Reconstruction? The uterine cavity is the inner biological layer of the uterus designed to implant, feed and protect your baby during pregnancy for 9 months. If this room is misshapen or crowded by abnormal tissue growths, embryos cannot attach properly, resulting in implantation failure or repeated early miscarriages. Cavity Reconstruction involves advanced, scarless procedures to clean, widen, and smoothen this inner space, ensuring optimal blood flow and structural support.
Uterine Fibroids: Symptoms & Types
Fibroids (rasoli) are benign muscular growths that can alter the womb’s structure depending on where they develop:
Endometrial Polyps & Asherman’s Syndrome (Scar Tissue)
2D or 3D Ultrasound / Hysteroscopy ➔ Locating Growths, Walls or Scar Tissue ➔ Scarless Natural-Path Correction hysteroscopically ➔ Rebuilding a Clean, Healthy Womb Room
Living with endometriosis can be physically exhausting and emotionally overwhelming, especially when it disrupts your plans for a family. Prof. (Dr.) Abha Majumdar provides a deeply empathetic, world-class approach to navigating these complex pelvic environments through a balance of precision micro-surgeries and highly specialized IVF protocols.
How Endometriosis Alters Fertility: Endometriosis is a condition where tissue similar to the inner lining of our womb begins to grow in places outside of it—most commonly on our ovaries, fallopian tubes, and pelvic walls. Every month, this displaced tissue responds to our regular hormonal cycle by breaking down and bleeding internally. Because this blood has no way to escape our body, it triggers chronic inflammation, dense internal scars where all the internal organs which move such as intestine, omentum (The curtain like layer attached to intestines all across), fallopian tubes, all get stuck to each other and to the uterus, sometimes making the condition where no structure can be separated from each other and is known as frozen pelvis. In such cases a pregnancy does not occur due to complete mechanical obstruction for the egg to enter the tube. Even mild endometriosis can lead to and localized inflammatory changes that can compromise egg quality and interfere with fertilization.
Key Forms of Complex Pelvic Pathology:
1. Symptom & AMH Assessment ➔ 2. Deep Mapping (Ultrasound/MRI) ➔ 3. Medical options to reduce disease only if conception not desired immediately ➔ 4. Surgery important if the cyst are very large, or the woman is in a lot of pain, or the diagnosis of endometriotic cyst in doubt ➔ 5. IVF is the only non-surgical option where one can go directly for IVF ➔ 6. If a pregnancy happens, the cyst does not harm the growing pregnancy and within the 9 months of no ovulation and menstruation the cyst generally resolves on its own.
Learning that your egg count is lower than expected can be deeply overwhelming, but it is not the end of your parenting dreams. Prof. (Dr.) Abha Majumdar and her specialized team at Sir Ganga Ram Hospital use advanced protocols to help women with low reserves attain successful, healthy pregnancies.
1. Precise AMH & AFC Testing ➔ 2. Quality Improvement Therapies ➔ 3. Repeated Ovarian Stimulation ➔ 4. Advanced Lab Fertilization ➔ 5. Receptive Embryo Transfer
Yes, absolutely! PCOS simply means your eggs need a little medical assistance to mature and release on a regular schedule. With proper hormonal balancing, lifestyle changes, and simple ovulation medications, the vast majority of women with PCOS conceive very successfully.
When your ovaries encounter a monthly ovulation delay, your body can produce slightly higher levels of natural male hormones (androgens). This is what triggers acne or fine hair growth. Once we balance your hormones with daily therapy, these symptoms naturally fade away.
Primary Amenorrhea means a young girl has reached the age of 16 or 17 and has not yet experienced her very first period. Secondary Amenorrhea occurs when a woman who previously had normal periods experiences an abrupt stop in her cycle for more than 3 consecutive months or for six or more months in those with previously irregular periods. Both are easy to treat once the root hormonal cause is identified.
Yes, sometimes mild shifts in thyroid hormones can increase the risk of miscarriage. “Subclinical hypothyroidism” (slightly elevated TSH with normal T4) are established risk factors for early miscarriage. Balancing your thyroid with a simple daily tablet before conceiving ensures a safe and secure environment for your baby.
We recommend scheduling a consultation if your periods are highly irregular or skipped completely, if you experience debilitating monthly pelvic pain, or facing continuous bleeding or spotting over weeks. Furthermore, you may need help if you have been trying to conceive naturally for over a year or for 6 months if you are over the age of 35, without success.
Tubal blockages typically have no visible or physical symptoms. Most women experience normal monthly cycles and feel completely healthy, only discovering the blockage during a formal infertility check-up or when facing an unexpected ectopic pregnancy.
Yes. If you have one open, structurally healthy tube and your ovaries are ovulating normally on that side, natural conception or simple options like IUI remain completely possible. If both tubes are blocked, corrective surgery or IVF will be needed.
Yes. If a tube is partially blocked or structurally scarred, a fertilized egg which is called embryo can become physically trapped inside the narrow pathway instead of reaching the womb. This causes a dangerous tubal (ectopic) pregnancy. This is why evaluating your tubal health safely before conceiving is so critical.
It depends entirely on your specific body. Reconstructive surgery allows you the chance to conceive naturally multiple times afterward. However, if the tubal damage is severe or widespread, IVF is generally considered the faster, safer, and more successful option because it completely bypasses the fallopian tubes.
Yes, occasionally, for some women with tiny mucus plugs or very minor loose debris within the pathways, the gentle pressure applied during an HSG or SSG fluid dye test can naturally clear out the tube, leading to a slight increase in natural conception immediately following the test.
Sometimes, even a small polyp of under 1 cm can cause micro-inflammation within the lining, preventing an embryo from embedding securely. Removing a polyp is a brief, comfortable 15-minute natural-path procedure that significantly increases natural and IVF success rates. However, research has shown that very small polyps of less than a centimetres can sometimes be left alone and conception does happen.
Absolutely not. For women wishing to build a family, a hysterectomy should not be performed for fibroids. Dr. Abha Majumdar specializes in fertility-sparing Myomectomy, where only the fibroids are carefully removed while your uterus is left fully intact and beautifully reconstructed.
Genital TB can attack the inner lining of the womb, causing severe inflammation that leads to heavy scar tissue (Asherman’s Syndrome). This causes the walls of the womb to stick together, closing up the cavity. Through hysteroscopic adhesiolysis and targeted healing treatments, we can reopen and reconstruct the cavity room. However, in advanced cases of post tuberculosis adhesions sometimes it may be very difficult to reconstruct the uterine cavity and then surrogacy becomes the only method for conception.
Because hysteroscopic procedures utilize your body’s natural pathways without any cuts or incisions on your skin, recovery is exceptionally fast. Most patients walk home comfortably within 3 to 4 hours of the procedure and can resume routine daily activities the very next morning.
For simple hysteroscopic polyp or inner fibroid clearing, you can safely plan to conceive or start an IVF transfer within 1 to 2 normal menstrual periods. For deeper, large-muscle laparoscopic surgeries, we recommend giving the uterine wall 3 to 4 months to heal into maximum structural strength before carrying a baby.
No, not at all. While endometriosis can make conceiving more challenging due to internal inflammation or scar tissue, many women with mild forms of the condition conceive naturally. For moderate to severe cases, timely medical care, reproductive surgery, or tailored IVF protocols provide exceptionally high pregnancy success rates.
In most modern fertility frameworks, surgeries are approached with great caution. Removing a cyst can sometimes inadvertently remove healthy ovarian tissue, lowering your egg reserve (AMH). Dr. Abha Majumdar generally recommends leaving cysts under 4 cm alone during IVF egg collection, prioritizing surgery only if the cyst is very large, causing severe pain, or blocking safe access to your follicles.
Endometriosis involves tissue growing outside the womb on areas like the ovaries or pelvic walls. Adenomyosis occurs when that same type of tissue grows deep inside the muscular wall of the uterus itself, making the womb thick, swollen, and harder for an embryo to attach to successfully.
Because the displaced tissue deposits inside your pelvis bleeds silently along with your monthly period, the trapped blood has no outlet. This causes localized swelling, intense cramping, and irritation to neighbouring nerves, leading to severe pain during periods, ovulation, or intercourse.
While lifestyle adjustments cannot cure structural scar tissue or remove existing cysts, adopting a nutrient-rich anti-inflammatory diet (reducing processed sugars, red meat, and gluten) paired with regular low-impact exercise can help lower internal inflammatory markers and ease daily symptom discomfort.
Yes, natural pregnancy is still possible with low AMH, provided you are ovulating regularly or even intermittently and your fallopian tubes are healthy. AMH measures egg quantity, not quality. However, because a low AMH means your timeline is shorter, consulting a specialist early helps you map out a safe, proactive path.
Early menopause means your periods stop permanently before age 45, and the ovaries do not restart. With Premature Ovarian Failure (POF), the ovaries are underperforming but haven’t completely shut down forever. Women with POF can still have occasional, unpredictable periods and even conceive with the right clinical support.
A lower egg count does not mean your baby will have health issues. A baby’s development depends on the quality of the single egg and sperm that create the embryo. Our focus is purely on choosing and cultivating the highest quality eggs available in your reserve.
If multiple IVF cycles using your own eggs haven’t succeeded due to quality limitations, or if POF has fully depleted your available follicles, a donor egg is often the most successful and rewarding choice. Dr. Abha Majumdar provides gentle, confidential counselling with the help of her team to help you and your partner make the most comfortable decision for your family’s future.
