Fertility testing for women

A fertility examination is an important step when planning to start a family or when you want to ensure there are no obvious factors affecting your ability to conceive. The goal is to confirm whether ovulation is occurring, assess ovarian reserve (egg quantity), and evaluate egg quality. Based on these initial tests, a fertility specialist can recommend any further examinations or treatment options if needed.

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What does a fertility examination include?

Fertility examinations may be performed to support attempts to conceive or to investigate possible causes of infertility. The process usually begins with a medical consultation, a basic gynecological examination, and laboratory testing. These tests assess ovarian function, hormone balance, and the structure and condition of the reproductive organs. This provides a comprehensive picture of your fertility status and helps identify possible reasons if pregnancy has not occurred as expected.

How is female fertility evaluated?

Several methods are used to assess fertility, with blood tests and ultrasound scans being the most important. Additional diagnostic information may also be obtained during fertility treatments.

Blood tests

Blood tests measure hormone levels to assess ovarian function, confirm ovulation, and estimate the chances of becoming pregnant. Below are the most common fertility-related values examined through blood testing:

AMH (Anti-Müllerian Hormone): Indicates ovarian reserve by estimating the number of remaining follicles. This is the most important test for evaluating egg quantity.
FSH and LH: Hormones produced by the pituitary gland that regulate ovarian function and ovulation. These values reflect how well the ovaries are responding.
TSH: Evaluates thyroid function, which plays an important role in menstrual regularity and fertility. Both underactive and overactive thyroid function can interfere with ovulation.
Prolactin: Elevated prolactin levels may suppress ovarian function and prevent ovulation.
Progesterone: Measured during the luteal phase (around one week after ovulation) to confirm that ovulation has occurred. Progesterone levels are also monitored during fertility treatment, especially prior to embryo transfer.
Ferritin: Assesses iron stores in the body. Adequate iron levels are important for fertility and pregnancy, as pregnancy increases iron demand. Severe iron deficiency may negatively affect fertility.

Ultrasound examinations

Ultrasound examinations allow assessment of the reproductive organs and monitoring of follicle development and endometrial growth. Common fertility-related findings that can be evaluated include:

Follicle monitoring: Tracks the development of ovarian follicles and measures the number of available follicles (Antral follicle count, AFC).
Reproductive anatomy: Identifies structural abnormalities in the uterus, ovaries, or surrounding tissues.
Fallopian tube patency testing: Procedures such as hydrosonography or salpingosonography determine whether the fallopian tubes are open and allow normal movement of eggs and embryos.

How to book an examination

You can book a female fertility examination at Ovumia directly without a referral.

Appointments can be made easily online or by calling your nearest clinic. The examination is quick, confidential, and painless. Results and their meaning are always reviewed personally with a fertility specialist, who can also evaluate whether additional tests are needed and interpret any previous findings you may have.

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Fertility assessment options

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