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Personalised Fertility and Women’s Health Care — Because Not Every Couple Needs IVF.
Fertility is a very private conversation for a couple, and often a confusing one. Between well-meaning family advice, a flood of online information, and a medical field that sometimes rushes toward complex procedures before simpler options have been properly considered, it is easy for couples to lose their bearings.
Spashta Healthcare was built to restore clarity. Our fertility and women’s health practice is led by Dr. Keerthana Ravipati — a Gold Medallist in Obstetrics and Gynaecology and a Fellowship-trained Reproductive Medicine Specialist — who brings to every couple a rare combination of technical expertise and the willingness to tell a patient the honest truth: including, sometimes, the truth that they do not need the procedure they thought they did.
Dr. Keerthana Ravipati is a Consultant Reproductive Medicine Specialist (MS OBG, FNB Reproductive Medicine). She is a Gold Medallist in her MS in Obstetrics and Gynaecology from Guntur Medical College, and completed her Fellowship (FNB) in Reproductive Medicine at Bangalore Assisted Conception Centre (BACC), a well-known fertility training institution.
In addition to her practice at Spashta Healthcare, Dr. Keerthana is available for consultations by prior appointment at Milann Fertility Centre.
Her clinical expertise spans the full range of reproductive medicine — IVF and IUI, ART outcomes in challenging cases, genetic profiling in unexplained infertility, complex reproductive surgery, and high-risk obstetrics. She is trained in 2D and 3D ultrasonography and brings a detail-oriented, evidence-based approach to every patient she sees.
MS (OBG), FNB Reproductive Medicine Consultant Fertility & Women’s Health Specialist
Guntur Medical College — Gold Medallist
Bangalore Assisted Conception Centre (BACC)
NRI Medical College
IVF | IUI | ART in Challenging Cases | Genetic Profiling in Unexplained Infertility | Reproductive Surgery | High-Risk Obstetrics
2D and 3D Ultrasonography
Milann Fertility Centre, Bengaluru
The fertility industry has a reputation problem in India, and it is not entirely undeserved. Many couples walk into a fertility clinic assuming they need IVF, or are moved toward IVF much faster than the evidence supports. Dr. Keerthana’s approach is different — and deliberately so.
Her first question is never which procedure to use. It is whether a procedure is needed at all. For many couples, the path to conception turns out to be far simpler than they feared. Sometimes what is actually needed is a clearer understanding of the menstrual cycle and the fertile window. Sometimes it is a conversation about the right frequency and timing of intercourse — a conversation that in India is often avoided even in the clinic, because of the cultural discomfort around speaking openly about sex. Sometimes it is stress, sleep, or the quality of communication between partners.
A significant number of couples who come to Dr. Keerthana thinking they need assisted reproduction end up not needing it at all. A smaller number do need IVF or IUI, and when they do, they receive the full depth of modern reproductive medicine. Both groups benefit from the same foundation: honest assessment, unhurried explanation, and a plan that fits them — not a plan pulled off a shelf.
Before any advanced fertility procedure is recommended, Dr. Keerthana will first establish whether it is actually needed. For many couples, the answer is simpler than they expected. For others, the answer is IVF or IUI, and they receive it with full clinical rigour. The difference is in the diagnosis, not the default.
A cancer diagnosis in a young adult changes many things — and for many patients, a painful realisation is that cancer treatment itself can affect future fertility. Chemotherapy, radiation, and certain surgeries can reduce or eliminate the ability to conceive in the future. For many years, this was accepted as an unavoidable cost of treatment. It no longer has to be.
Onco-fertility is the field that sits between oncology and reproductive medicine — offering fertility preservation options to patients before cancer treatment begins, and supporting reproductive planning afterwards.
Dr. Keerthana provides comprehensive onco-fertility care, including egg freezing and embryo freezing ahead of cancer therapy, and works closely with oncologists to ensure that fertility considerations are built into the treatment plan from the start rather than raised as an afterthought.
After treatment is complete, she provides post-cancer fertility evaluation and planning — assessing ovarian reserve, screening for treatment-related reproductive effects, and guiding patients through the safest possible path to parenthood when they are ready.
Infertility is not a female condition, a male condition, or even always a medical condition — it is a couple’s condition, and it deserves to be approached that way. Dr. Keerthana’s infertility evaluations are couple-focused by design. Both partners are assessed, both are supported, and the plan is built around the specific combination of findings rather than defaulting to the common assumption that the answer must lie with the woman.
Infertility has many possible causes, often more than one in the same couple. Hormonal imbalances, ovulation disorders, tubal issues, endometriosis, fibroids, uterine factors, age-related egg quality decline, male factor issues like low sperm count or motility, structural problems, and unexplained infertility all appear regularly in clinical practice. Lifestyle factors — weight, stress, sleep, smoking, and alcohol — play a larger role than most patients realise. And in some cases, there is no identifiable medical cause at all, which is its own category and requires its own approach.
Dr. Keerthana's evaluation for female infertility includes detailed history-taking, menstrual cycle assessment, hormonal profiling, ovarian reserve testing, and structural assessment of the uterus, fallopian tubes, and ovaries through imaging — including 2D and 3D ultrasonography. Where needed, further investigation may include laparoscopy or hysteroscopy to evaluate and treat issues like endometriosis, fibroids, or tubal disease.
Male factor contributes to approximately half of all infertility cases — but is often under-investigated. Dr. Keerthana ensures that the male partner is fully evaluated alongside the female partner, including semen analysis, hormonal profiling, and where needed, urological assessment for structural or hormonal causes. Treatment is directed at the specific findings, which may include lifestyle intervention, medical therapy, or referral for surgical management.
Infertility puts stress on a relationship in ways that are rarely spoken about. Dr. Keerthana's consultations include both partners wherever possible, with clear explanations that are accessible to both — and emotional support that acknowledges the weight of the journey. This is not a side-consideration; it is part of good fertility care.
Two of the most common conditions affecting fertility and women’s health in India — and two that are often mismanaged.
PCOS is a hormonal and metabolic condition that affects ovulation, weight, skin, hair, mood, and long-term health. Its impact on fertility is real but often misunderstood — many women with PCOS conceive without intervention, others need help with ovulation induction, and a smaller group benefit from more advanced reproductive medicine. Dr. Keerthana approaches PCOS comprehensively — addressing the hormonal, metabolic, and reproductive dimensions together — and designs fertility support that matches the individual phenotype rather than applying a generic PCOS protocol.
Endometriosis is a condition in which tissue similar to the uterine lining grows outside the uterus, causing pain, inflammation, and often fertility problems. It is significantly under-diagnosed in India — many women live for years with symptoms dismissed as normal period pain. Dr. Keerthana evaluates suspected endometriosis with careful clinical assessment and imaging, and manages it with medical therapy, minimally invasive surgery where appropriate, and fertility-focused treatment where relevant.
Where surgical intervention is needed — for endometriosis, fibroids, ovarian cysts, or tubal disease — Dr. Keerthana offers minimally invasive laparoscopic procedures that minimise recovery time and preserve reproductive function. The goal of reproductive surgery is always to improve fertility outcomes, not just to operate.
For couples who need assisted reproduction, Dr. Keerthana provides both IUI and IVF with full clinical rigour and transparent communication throughout the process. But the decision about which procedure — and whether any procedure — is the right step, is made carefully and honestly based on the specific clinical picture. Not every couple benefits from IVF. Many benefit from IUI. Many benefit from neither.
IUI is a simpler, lower-cost fertility treatment in which processed sperm is placed directly into the uterus at the time of ovulation. It is appropriate for certain couples — particularly those with mild male factor issues, unexplained infertility, or cervical factor problems — but only when the woman has healthy, patent fallopian tubes. Dr. Keerthana evaluates whether IUI is the right step, explains the realistic success rates, and monitors the cycle carefully from ovulation induction through insemination and follow-up.
IVF is an advanced assisted reproduction treatment available today. It involves stimulating the ovaries to produce multiple eggs, retrieving them, fertilising them with sperm in the laboratory, and transferring the resulting embryo into the uterus. For couples with tubal blockage, severe male factor infertility, advanced maternal age, certain genetic conditions, or failed IUI cycles, IVF offers a path that other treatments cannot.
Dr. Keerthana’s IVF practice is built on personalised protocols — the stimulation regimen is customised based on the woman’s hormonal profile, ovarian reserve, and individual history. Each step is explained in detail, success rates are communicated honestly, and emotional support is built into the process rather than tacked on at the end.
For couples who have undergone multiple IVF cycles without a successful pregnancy, the question becomes not just what to try next, but why implantation keeps failing. Recurrent implantation failure is a complex challenge in reproductive medicine — and one that requires thorough, specialised investigation rather than simply repeating the same protocol. Dr. Keerthana's evaluation includes detailed uterine assessment, immune and genetic investigation, endometrial receptivity testing, and careful review of embryo quality from previous cycles. Based on what is found, she creates individualised strategies to improve implantation outcomes — whether that means optimising endometrial receptivity, adjusting the embryo transfer timing, addressing immune factors, or modifying the embryo selection process.
The loss of a single pregnancy is devastating. Repeated losses — usually defined as two or more consecutive miscarriages — compound the grief with fear, self-blame, and an urgent need for answers. Recurrent pregnancy loss has multiple possible causes: hormonal, anatomical, genetic, immunological, and clotting-related. Many of them are treatable once identified. Dr. Keerthana's approach is multidisciplinary — combining reproductive endocrinology, genetics, immunology, and careful anatomical assessment. Her goal is to identify the underlying cause, restore confidence in the possibility of a healthy pregnancy, and provide targeted treatment with ongoing emotional support through what is often a long and painful journey.
Unexplained infertility is a frustrating diagnosis for a couple to receive. All the standard tests come back normal — and yet pregnancy does not happen. For some of these couples, the answer lies at the genetic level. Dr. Keerthana has specific expertise in genetic profiling for unexplained infertility, using advanced testing to identify contributing factors that conventional investigation misses. This additional layer of diagnosis often changes the treatment plan entirely — and provides couples with something more important than a procedure: an explanation.
For most healthy couples under 35, conception typically happens within a year of trying regularly. If you have been trying for a year without success, a fertility evaluation is appropriate. If you are 35 or older, the threshold is shorter — around six months — because fertility declines more rapidly with age. Earlier evaluation is also reasonable if you have known conditions like PCOS, endometriosis, irregular periods, or a history of pelvic surgery. Many couples who come in worried actually conceive naturally after a simple consultation that clarifies timing and approach.
The most common causes in Indian couples include ovulation disorders (often linked to PCOS), tubal factor infertility (frequently due to prior infection), endometriosis, male factor infertility (low sperm count, motility issues, or quality problems), age-related egg quality decline, and unexplained infertility. Lifestyle contributors — weight, stress, sleep, smoking, alcohol — play a larger role than many couples realise. Often there is more than one factor at play in the same couple.
This is exactly the question Dr. Keerthana’s consultations are designed to answer honestly. For many couples, the answer is that simple adjustments — understanding the fertile window, improving timing, addressing stress, making lifestyle changes, or sometimes just better communication between partners — are enough. For others, medical intervention is genuinely needed. The only way to know which category you fall into is a proper evaluation. You will not be pushed into treatment you do not need.
Ovulation induction medications are used to stimulate the ovaries to develop and release eggs. The most commonly used are Clomiphene Citrate (Clomid), Letrozole, and in more advanced treatment cycles, injectable gonadotrophins (FSH and LH-based hormones). The choice of medication, dose, and monitoring protocol depends on your specific hormonal profile, ovarian response, and the type of treatment being planned. These medications are not something to source independently or start without proper specialist supervision — dose and monitoring are critical for both safety and effectiveness.
IUI involves preparing and processing sperm in the laboratory, then placing it directly into the uterus at the time of ovulation using a thin catheter. The procedure itself takes only a few minutes, does not require anaesthesia, and causes minimal discomfort. Success rates per cycle are typically in the range of 10–20%, depending on the cause of infertility, the woman’s age, and other factors. It is generally reasonable to attempt 3 cycles of IUI before considering IVF, if IUI has been the right choice in the first place.
IVF involves several stages across approximately four to six weeks: ovarian stimulation using injectable medications for about 10–14 days, egg retrieval under light sedation, fertilisation of the eggs with sperm in the laboratory, embryo development over 3–5 days, and embryo transfer into the uterus. A pregnancy test is done about two weeks after transfer. Success rates depend significantly on the woman’s age, the cause of infertility, embryo quality, and the clinical protocol used — and Dr. Keerthana will discuss realistic numbers specific to your situation.
IVF is not typically described as painful, though it is physically demanding. The injections for ovarian stimulation may cause mild bruising or bloating. Egg retrieval is done under sedation, so the procedure itself is not felt, though there may be some discomfort afterwards. Embryo transfer is usually quick and largely painless. The emotional intensity of the process is often greater than the physical discomfort.
A gynaecologist is trained in general women’s health, reproductive organ conditions, and obstetrics. A reproductive medicine specialist has additional fellowship training specifically in fertility, assisted reproduction, and complex reproductive conditions. For fertility concerns beyond straightforward situations — and especially for IVF, recurrent loss, or unexplained infertility — specialist care makes a meaningful difference.
Absolutely. Fertility care requires discussing intimate details of your life, your relationship, and your body, and confidentiality is non-negotiable. Your records, your conversations, and your treatment are entirely private.
Dr. Keerthana strongly prefers to consult with both partners together, where possible. Infertility is a couple’s condition, and evaluation, explanation, and support work well when both partners are part of the conversation. If your partner cannot be present at a particular visit, that is not a barrier — but over the course of an evaluation, both partners will need to be seen.
Spashta Healthcare is a super speciality OPD clinic where Dr. Keerthana offers consultations, fertility evaluations, and treatment planning. IVF and IUI cycles themselves are conducted at Milann Fertility Centre, where Dr. Keerthana also practises, with seamless coordination between the two settings. For many patients, the majority of consultations, follow-ups, and planning conversations happen at Spashta — which is closer to home and offers unhurried, private consultation.
Our fertility clinic is in BTM Layout, off Bannerghatta Road. It is easy to reach from HSR Layout, Jayanagar, JP Nagar, Koramangala, Bommanahalli, Hongasandra, Bilekahalli, Hulimavu, Arekere and Sarjapur Road, and from across South and Central Bengaluru.
Morning and evening appointments are available. Every consultation is private and made for both partners.
