Clear guidance on appointments, fertility treatment and menopause care. Your own medical history and investigations guide individual decisions.
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WhatsApp about paymentBook a video consultation through Dr. Sana's Superprofile booking page, where available dates, times and fees are shown. For an in-clinic appointment at Apollo Fertility, Kondapur, check the available clinic appointments there. Clinic hours are Monday to Thursday and Saturday, 1:00–6:00 PM IST. No referral is needed. WhatsApp is available if you have difficulty completing a booking.
Yes. Video consultations are available to patients anywhere in India and internationally, subject to local rules on remote care and prescribing. Relevant investigations can be arranged locally and reviewed during your appointment. Examination and procedures require an appropriate in-person visit; treatment at Apollo Fertility takes place in Kondapur, Hyderabad.
Please try booking through Superprofile first. If an international card or payment method is not accepted, use the WhatsApp payment-help link below to ask about alternative payment options. No payment details should be sent in a WhatsApp message.
A first consultation lasts about 45 minutes: a structured history, a line-by-line review of your existing reports, an explanation of the likely diagnosis, and a written plan with the recommended pathway and timeline. The written plan is shared after the call so you have it in writing.
Yes, and it is one of the commonest reasons patients make contact. Share the proposed plan with your investigations and you will receive a candid assessment of whether it fits the diagnosis, which parts are essential and which are optional. Where the existing plan is sound, that is confirmed.
Send hormone reports, a recent pelvic ultrasound or antral follicle count, semen analysis where relevant, discharge summaries from any previous cycles or surgery, and a current medication list. PDFs are preferred to photographs. Sharing records in advance keeps the consultation focused on decisions rather than data collection.
If you cannot complete your booking on Superprofile, contact us on WhatsApp and describe the problem. For clinical advice or a review of results, please book a consultation rather than sending medical questions by message. Severe pain, heavy bleeding, chest pain, breathlessness or acute mental-health concerns need urgent local medical attention.
Prescribing follows a documented consultation, your medical history, individual risk assessment and applicable Indian telemedicine guidance. Some medicines can be prescribed remotely with agreed monitoring; others require examination or investigations first. Dr. Sana will state clearly which applies to your situation.
Dr. Sana practises as a Consultant at Apollo Fertility, Kondapur, Hyderabad. Examination, ultrasound, hysteroscopy, laparoscopy, egg retrieval and embryo transfer take place there. Video consultations are booked through Superprofile.
Dr. Munawwer Sana, personally. She is a Consultant in Reproductive Medicine (MBBS, MRCOG UK, FACOG, FRM, MSc). She reviews your reports and discusses your treatment plan with you. Clinical procedures take place at Apollo Fertility, Kondapur, Hyderabad.
Choose an available appointment through Dr. Sana's Superprofile booking page. Video consultations are available to patients in India and internationally, subject to local rules; in-clinic consultations take place at Apollo Fertility, Kondapur, Monday to Thursday and Saturday, 1:00–6:00 PM IST. If you cannot complete your booking or payment from abroad, contact us on WhatsApp for assistance and alternative payment options. No referral is required.
A 45-minute video consultation covering a structured history from both partners, a line-by-line review of your existing investigations, an explanation of the diagnosis, and a written treatment plan with the recommended pathway, expected timeline, realistic success range for your profile and an indicative cost. The written plan is shared after the call.
Consultations, report reviews, second opinions and follow-ups can be completed online. Transvaginal ultrasound and follicular monitoring, blood investigations, hysteroscopy or laparoscopy, oocyte retrieval and embryo transfer require attendance in person at Apollo Fertility, Hyderabad. Monitoring scans and blood tests may be done at an accredited centre near your home and reviewed remotely.
Please send, in advance: semen analysis, AMH, TSH and prolactin reports, a recent pelvic ultrasound or antral follicle count, discharge summaries of any previous IUI or IVF cycles with the stimulation chart and embryology sheet, and a current medication list. PDFs are preferred to photographs. Sharing records beforehand allows the consultation to be spent on decisions rather than data collection.
A second-opinion or report-review consultation can be booked through Superprofile. Interpreting an AMH result, choosing between IUI and IVF, or reviewing a previous cycle requires clinical context and should not be decided over WhatsApp.
If Superprofile does not accept your booking or international payment, contact us on WhatsApp for help or alternative payment options. Do not send card details or urgent medical concerns by message. Severe abdominal pain, breathlessness, heavy bleeding or fever require immediate medical care.
No. A significant proportion of couples do not require IVF. Depending on the diagnosis, the appropriate first step may be ovulation induction with timed intercourse, three to four cycles of IUI, correction of a polyp, septum, hydrosalpinx or endometrioma, or completion of the male workup before any female-side intervention. IVF is advised when the evidence indicates a meaningfully higher chance of live birth for the time and expenditure involved.
Yes. Second opinions are among the most frequent reasons patients make contact. Share the proposed plan together with your investigations, and you will receive a candid assessment of whether it matches the diagnosis, which components are essential, which add-ons are optional, and what outcome is realistic. Where the existing plan is sound, that will be confirmed.
Rarely. The previous cycle is reconstructed from the stimulation chart, trigger details, oocyte and fertilisation counts, day-3 and day-5 embryology grading, transfer notes and any genetic testing, to identify whether the limiting factor was protocol, laboratory, endometrium or embryo selection. Most patients then require only a focused additional workup and a six to eight week interval before the next attempt.
Through a structured five-domain assessment rather than an open-ended panel of tests: embryo factor (extended culture, selective PGT-A); uterine cavity (3D ultrasound, operative hysteroscopy where indicated); endometrial receptivity (selective ERA, screening for chronic endometritis); immunological and thrombophilia screening (antiphospholipid antibodies, lupus anticoagulant, thyroid antibodies); and male factor (sperm DNA fragmentation, advanced sperm preparation). A test is included only where the result would alter management.
Yes. The diagnostic phase is planned online and investigations are completed locally, so travel is required only for procedures. Where travel is necessary, the workup and procedures are compressed into as few days as possible, and post-cycle follow-up is conducted by video.
The online consultation fee is displayed on Superprofile before you book. Treatment at Apollo Fertility is billed separately by the hospital; the amount depends on the investigations, medicines and procedures appropriate to your care. An itemised estimate is discussed after assessment. If you have trouble paying from abroad, WhatsApp us for alternative payment options.
All treatment is undertaken at Apollo Fertility, a centre registered under India's ART (Regulation) Act, 2021 and the Surrogacy (Regulation) Act, 2021, with consent documented in a language you understand and copies provided. Online consultations follow the Telemedicine Practice Guidelines. WhatsApp messages are end-to-end encrypted, records shared are used solely for your clinical care, no information is shared with third parties, and deletion of your chat and records can be requested at any time.
Perimenopause is the transition during which ovarian hormone patterns and periods begin to change. Menopause is confirmed after twelve consecutive months without a period, provided there is no other medical explanation. Symptoms can begin years before that point and may continue afterwards.
Population studies suggest the average is earlier in India than in many Western populations, but an individual woman's timing varies. Menopause before 40 needs a specific assessment for premature ovarian insufficiency; symptoms or cycle changes at any age should not be dismissed without context.
Often, no. In women over 45, symptoms and menstrual history are usually more useful than a single fluctuating hormone result. Tests may be appropriate when symptoms begin unusually early, periods stop unexpectedly, pregnancy is possible, or thyroid and other conditions need to be excluded.
Many consultations, symptom reviews and follow-ups can be completed online. I may ask for a blood pressure reading and relevant investigations. Examination, imaging or procedures require an appropriate in-person setting, and I will explain clearly when that is necessary.
Prescribing depends on a documented consultation, medical history, individual risks and applicable telemedicine guidance. I will not recommend hormone therapy from a message alone. Where remote prescribing is clinically appropriate, monitoring and follow-up are agreed at the same time.
An in-person review may be needed for concerning bleeding, examination, imaging, procedures or findings that cannot be assessed safely by video. Dr. Sana practises at Apollo Fertility, Kondapur, Hyderabad. Video consultations are available to patients in India and internationally, subject to local rules.
The balance of benefit and risk differs by age, timing, symptoms, medical history, formulation and route. A past or current hormone-sensitive cancer requires specialist coordination. The safest answer is an individual risk assessment, not a universal yes or no.
Costs vary by formulation, brand, dose, monitoring and pharmacy availability. I discuss the practical options after assessment so the decision is clinically appropriate and financially sustainable. A current itemised estimate can be confirmed before treatment begins.
Availability changes and the correct product depends on whether oestrogen, progesterone or local vaginal treatment is appropriate. I discuss current regulated options during consultation rather than recommending a brand without reviewing your history.
If the ovaries remain, hormone production can continue even though periods have stopped, making the timing less obvious. If both ovaries were removed, surgical menopause begins immediately. The operation details and symptoms determine the right assessment.
It may have several causes, including pregnancy, thyroid or prolactin disorders, hypothalamic amenorrhoea and premature ovarian insufficiency. Because loss of ovarian function before 40 affects fertility, bone and cardiovascular health, it deserves prompt assessment rather than watchful waiting.
There are non-hormonal approaches for hot flushes, sleep and genitourinary symptoms, but choices should be coordinated with your oncology team. The plan depends on the cancer type, current medication and the symptom that matters most to you.
Yes. Ovulation becomes less predictable but does not stop immediately, so pregnancy remains possible until menopause is established. If pregnancy is desired, age and ovarian reserve make timely advice important; if not, contraception is still needed.
Usually yes, until menopause is established according to your age and clinical circumstances. Hormone therapy is not contraception. The most suitable method depends on bleeding, medical risks and whether hormone therapy is also being considered.
Choose an online appointment on Dr. Sana's Superprofile booking page. Video consultations are available from anywhere in India and internationally, subject to local rules on remote care. If payment from abroad does not work, use the WhatsApp payment-help link below to request an alternative. Severe pain, heavy bleeding, chest pain, breathlessness or acute mental-health concerns require urgent local medical attention.
Common early changes are a shift in cycle length or flow, disturbed sleep, night sweats, hot flushes, new anxiety or low mood, and difficulty concentrating. Symptoms often begin while periods are still regular, which is why perimenopause is frequently missed or attributed to stress.
In most cases, yes. Assessment relies on symptom history, menstrual pattern, medical history and risk factors, supported by a blood-pressure reading and selected investigations. Examination, imaging or procedures require an in-person appointment, and Dr. Sana will say plainly when that is necessary.
Duration varies considerably between women. Vasomotor symptoms such as hot flushes commonly persist for several years after the final period, and genitourinary symptoms such as dryness tend to continue or worsen without treatment. Individual duration should be discussed against your own history.
Yes. Falling oestrogen accelerates bone loss and changes the lipid profile, which is why bone and cardiovascular risk deserve active attention around and after menopause. Early or surgical menopause increases the importance of that assessment. Screening is chosen according to your individual risk.
Premature ovarian insufficiency means ovarian function declines before the age of 40. It is not simply early menopause: it affects fertility, bone and cardiovascular health, and it requires a specific diagnostic assessment and long-term plan rather than watchful waiting.
Current online consultation fees are shown on Dr. Sana's Superprofile booking page before payment. Treatment costs at Apollo Fertility are separate and depend on the care plan agreed after assessment. If you are booking from abroad and cannot complete payment, use the WhatsApp payment-help link below.
A quotation depends on the diagnosis, the medicines and dose needed, the number of monitoring scans, whether laboratory procedures such as ICSI or freezing are involved, and hospital charges on the day. Quoting before assessment produces a number that changes later, which is worse than a delayed answer.
Cover varies widely by insurer and policy. Many Indian policies exclude assisted reproduction while covering diagnostic surgery or complications. Menopause consultations and investigations are sometimes covered. Check your policy wording, and ask for an itemised estimate you can submit to your insurer.
The Assisted Reproductive Technology (Regulation) Act 2021 governs how ART clinics and banks operate in India, including registration, consent, record-keeping and donor arrangements. Treatment is provided within that framework. Dr. Sana will explain which provisions affect your specific pathway during consultation.
No. Indian regulations restrict advertising success rates, and headline percentages are misleading because outcomes depend on age, diagnosis and ovarian reserve. Instead, you receive a realistic, individual outlook during consultation, based on your own reports rather than a clinic average.
Reports shared for a consultation are used for your clinical care. The menopause symptom checker keeps your answers in your browser during your session; they are not transmitted unless you choose to share them. Please avoid sending sensitive records through booking-help messages.
Written and medically reviewed by Dr. Munawwer Sana, MBBS, MRCOG (UK), FACOG · Consultant in Reproductive Medicine & Menopause · Last reviewed
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