Patient Background
A 31-year-old woman visited Nucleus IVF after trying to conceive for nearly three years. Despite regular menstrual cycles and no major health issues, pregnancy was not occurring naturally. The couple had already consulted multiple doctors and undergone basic fertility investigations.

Consultation with Dr. Pritam Sulakhe
During the initial consultation, Dr. Pritam Sulakhe reviewed the couple’s medical history and previous reports. While hormone levels appeared normal, Dr. Sulakhe explained that fertility assessment should include evaluation of the uterus and fallopian tubes.
He recommended an HSA test to check whether the fallopian tubes were open and functioning properly.
Diagnostic Findings
The HSA test revealed that one fallopian tube was partially blocked, while the second tube showed delayed dye spill. This explained why conception had been difficult despite otherwise normal fertility parameters.
Dr. Sulakhe carefully explained the findings and discussed the available treatment options.
Treatment Plan
Instead of immediately proceeding to advanced fertility treatments, Dr. Sulakhe recommended a structured fertility management plan that included:
- 1. Ovulation monitoring
- 2. Lifestyle modifications
- 3. Timed intercourse
- 4. Follow-up fertility assessment
The couple appreciated the transparent approach and personalized guidance.
Outcome
Within a few months of treatment and monitoring, the patient successfully conceived. Early pregnancy scans confirmed a healthy intrauterine pregnancy.
Key Takeaway
Many couples focus only on hormonal tests while overlooking tubal evaluation. An HSA test can reveal hidden issues affecting conception and help fertility specialists create a more accurate treatment strategy.
To understand the procedure in detail, read our guide on What is an HSA Test?
If you’re confused about the terminology, check HSA Test Full Form & Meaning.
Couples should also understand the difference between male and female fertility investigations through HSA Test vs Semen Analysis.
About Dr. Pritam Sulakhe
Dr. Pritam Sulakhe believes in identifying the root cause of infertility before recommending advanced treatments. His evidence-based approach helps couples make informed decisions and avoid unnecessary procedures.
Dr. Pritam Prakash Sulakhe
Dr. Pritam Prakash Sulakhe
author
Dr. Pritam Prakash Sulakhe has completed his MBBS from B J Government Medical College , Pune which is one of the top medical College in India. He continued his post-graduation as DGO at same institute. After that he opted for Diplomat Of national Board In Obstetrics and Gynecology from Kerala Institute Of Medical Sciences Trivandrum, which is one of the most prestigious institute from South India.
