Fertility-related issues may be a concern even if the desire to become pregnant is not yet relevant. Discussing with a reproductive expert can then calm your mind.
During the appointment, you will receive information about factors affecting your fertility and planning for pregnancy. If you are interested in options for preserving fertility, you will also learn about proactive egg freezing. Fertility assessment at an earlier age is recommended, for example, if a woman’s mother experienced menopause earlier than usual, around ages 40–45. You can book a fertility assessment appointment either alone or together with your partner.
Human fertility is a sum of several factors. Studies have shown, that particularly women’s age plays a significant role in fertility – we know that fertility begins to decline as early as the age of 30 and that the chance of starting a pregnancy gets quickly smaller after woman turns 35. However, there is a big variation between individuals. Men’s age is also important, but its role is much more difficult to estimate. Healthy lifestyle also has a big impact in maintaining fertility. Weight problems (over or under weight), smoking, heavy drug use, or excessive physical activity are known to affect fertility in a negative way and decrease the chance of getting pregnant.
Many diseases and medications can affect fertility and make it hard to get pregnant. For instance polycystic ovaries, other menstrual disorders, endometriosis, many hormonal disorders, a history of eating disorder or childhood malignancy can lower the chance of becoming pregnant. There are several things that can affect semen quality of men. Testicular non-deposition, diseased testicular inflammation, testicular drops, or use of hormonal products can all decline semen’s cabability to fertilize eggs.
During a woman’s fertility assessment, the condition of the uterus and ovaries is evaluated alongside overall health. Fertility testing can assess existing fertility and identify potential challenges when planning for pregnancy. If the tests reveal factors that may reduce fertility, early identification provides valuable information to support family planning. This allows pregnancy planning or possible fertility treatments to begin earlier, if feasible. If a pregnancy is already being considered, the partner may choose to undergo a semen analysis, or the timing of this can be discussed with the doctor.
A woman’s ovarian function can be examined using a gynecological ultrasound and an AMH blood test. During the ultrasound, the number of small follicles in the ovaries, called antral follicles (AFC), is assessed. The health of the uterus is also evaluated at the same time.
The AMH test is a blood test that measures the level of a hormone called anti-Müllerian hormone in a woman’s blood. The AMH value indicates the number of early follicles in the ovaries. However, neither AFC nor AMH provides information about egg quality. For example, a younger woman may have a lower ovarian reserve for her age, but her egg quality may be good, which means her chances of conceiving are better than those of an older woman.
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At Ovumia Clinics, we understand that taking the first step in your fertility journey can raise many questions. Our experienced team is here to offer clear, compassionate, and expert answers — no pressure, just support.
Whether you’re exploring your options or preparing for your next step, send us your question. We’ll get back to you personally with the information and guidance you need.
