Fertility Testing

Fertility Treatment

If you’ve been trying to conceive without success, fertility testing can offer the answers—and direction—you’ve been searching for. It’s the foundation of any fertility journey, helping identify why conception hasn’t happened and guiding couples toward the right treatment.

When Should You Consider Fertility Testing?

You may want to talk to a fertility specialist if:

  • You’ve been trying to get pregnant for over 12 months (or 6 months if you’re 35 or older)

  • You have irregular or absent periods

  • You’ve been diagnosed with conditions like PCOS or endometriosis

  • You’ve had multiple miscarriages

  • You’ve had pelvic surgeries or infections

  • You or your partner have low libido or signs of hormonal imbalances

Early testing can take the guesswork out of the process and offer clarity and confidence.

For Women: What Tests Might Be Done?

Ovulation Testing

Blood tests like LH, FSH, and estradiol, along with ultrasound scans, help determine whether you’re ovulating regularly and how well your ovaries are functioning.

Ovarian Reserve Testing

A blood test for AMH (Anti-Müllerian Hormone) and an antral follicle count via ultrasound provide insight into how many eggs you have and their potential quality.

Pelvic Ultrasound

This imaging test checks your uterus, ovaries, and endometrial lining for any issues like fibroids, cysts, or polyps that might affect fertility.

HSG (Hysterosalpingography)

A special X-ray that checks whether your fallopian tubes are open and if your uterus is shaped normally.

Thyroid and Prolactin Tests

Hormones play a big role in fertility. These tests check for imbalances that could disrupt your cycle or ovulation.

For Men: Key Fertility Tests

Semen Analysis

The most important test for male fertility. It checks sperm count, movement (motility), and shape (morphology) to assess the chances of natural conception or the need for assisted methods.

Hormonal Testing

Blood tests for FSH, LH, and testosterone help identify if hormone levels are affecting sperm production.

Genetic Testing

In cases of very low or absent sperm count, testing may reveal genetic issues like Y-chromosome deletions or Klinefelter syndrome.

Scrotal Ultrasound

A simple imaging test to detect varicocele (enlarged veins), blockages, or abnormalities in the reproductive tract.

Shared Testing for Both Partners

Infectious Disease Screening

Both partners may be tested for HIV, hepatitis B/C, and STDs, which can impact treatment and pregnancy outcomes.

Genetic Screening and Karyotyping

Important for couples with a history of miscarriages, unexplained infertility, or known genetic conditions.

Pre-Implantation Genetic Testing (PGT)

Used during IVF, PGT checks embryos for chromosomal abnormalities before they’re transferred to the uterus—especially recommended for couples with known risks or previous failed IVF cycles.

Why Early Fertility Testing Matters

Fertility testing can feel like a big step—but it’s often simple, quick, and minimally invasive. Many tests are done during your initial consultation, and results can save time, reduce emotional stress, and help avoid unnecessary delays in your treatment journey.

Most importantly, testing should involve both partners. Infertility is not just a “women’s issue”—it’s a shared experience, and teamwork is key to success.

Remember: Testing Is the Start of Clarity—Not the End of Hope

Getting tested doesn’t mean something is wrong. It means you’re taking control, understanding your body, and getting one step closer to your dream of becoming a parent.

Frequently Asked Questions

While gynecology deals with the medical care of women’s health issues, obstetrics is related to care during pregnancy, childbirth, and immediate post-delivery. An obstetrician performs the delivery of babies via vaginal birth and caesarean section. Gynecologist does the treatment of issues related to reproductive organs like vaginal or uterine infections, infertility issues, etc..

Yes, gynecologists do perform various surgeries. Some of the common gynecologic surgeries are:

  • Removal of ovarian cysts.
  • Removal of fibroids in the uterus.
  • Surgical treatment of gynecological cancers such as cervical, uterine, and ovarian.
  • Removal of the uterus, ovaries, or other parts of a woman’s reproductive system.

There are also other procedures performed by gynecologists to help them look inside the urinary tract and uterus to check for any abnormalities.

Ideally, girls should schedule their first visit to a gynecologist between the ages of 13-15 years. It might just be a general talk with the doctor and know what to expect from your future visits. It is advisable to visit gynecologists annually for the check-up and at any other time when there is a concerning issue.

The first visit might only be a conversation between you and the doctor. This will also set a schedule for your future visits and advice from the doctor to stay healthy and take any precautions if needed. The doctor can ask you numerous questions regarding your health and medical issues to understand your case better. In some cases, few tests are also done on the first visit.

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