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Home > Female fertility checkup
  

Female fertility testing

Gain clarity about your fertility, with our insightful, comprehensive and confidential testing for women.
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Are you curious about your fertility health or planning to start a family? Our female fertility tests are designed to provide a clear understanding of your current fertility status and potential to conceive

We understand that this journey can be filled with questions and emotions. That’s why our experienced team is here to guide and support you every step of the way.

Our fertility testing approach

Our tailored testing processes are designed with you at the centre; we ensure you are provided with a service that is discrete, professional and comfortable at every stage, and which leaves you well informed.

Step 1: Personalised consultation

Your journey begins with a one-on-one consultation with one of our qualified fertility specialists. This is a safe space for you to discuss your medical history, lifestyle, and any concerns you may have.
 
We'll gather information about your menstrual cycle, previous pregnancies, and any relevant family history. This helps us tailor the check-up to your specific needs and ensure you receive the most relevant information and recommendations

Step 2: Hormone blood tests

We'll conduct a series of blood tests to assess key hormone levels that play a crucial role infertility.

Both levels of testing include:
  • Anti-Mullerian Hormone (AMH):This hormone gives us insights into your ovarian reserve, or the number of eggs remaining in your ovaries

If you are actively trying to conceive and have opted for the comprehensive female fertility check-up, the following tests will also be performed:

  • Follicle-Stimulating Hormone (FSH): This hormone helps us evaluate your ovarian function and egg quality.

  • Estradiol (E2): This hormone is essential for egg maturation and the development of the uterine lining.

  • Luteinizing Hormone (LH): This hormone triggers ovulation and is important for egg release.

  • Prolactin: High levels of this hormone can interfere with ovulation.

  • Thyroid Profile (Free T4, TSH): Thyroid function plays a role in overall hormonal balance and can impact fertility.

  • Vitamin D: Adequate vitamin D levels are important for reproductive health.

Step 3: Ultrasound scan

A pelvic ultrasound scan will be performed to assess your ovarian reserve and the overall health of your uterus and ovaries. This painless procedure allows us to visualize your reproductive organs and identify any potential issues, such as fibroids or cysts.

Step 4: Follow-up consultation

Approximately one week after your initial tests, you'll have a follow-up consultation with your fertility specialist. We'll discuss your results in detail, explaining what they mean for your fertility health. Based on your results, we'll provide personalised recommendations, which may include:

  • Lifestyle changes: We may suggest modifications to your diet, exercise routine, or stress management techniques to optimise your fertility.

  • Further investigations: In some cases, we may recommend additional tests. The most common is the Triple Test. This includes a further pelvic scan, 3D saline infusion scan (SIS), and tubal patency test to examine the fallopian tubes for abnormalities.

  • Fertility treatments: If necessary, we'll discuss the various treatment options available to help you achieve your dream of starting a family.

Understanding your results

Your fertility check-up results will provide valuable insights into your reproductive health. Here's what you can expect:
Normal results: If your results are within the normal range, we'll discuss ways to optimise your chances of conception naturally.
Potential issues: If we identify any potential fertility concerns, we'll explain them clearly and discuss the most appropriate next steps.
Personalised recommendations: Regardless of your results, we'll provide you with individualised advice and support to help you on your fertility journey.
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Why choose us?

Our clinic provides compassionate, expert care to individuals and couples facing fertility challenges. We offer: 
  

Expert fertility specialists:

Our team of highly skilled specialists has extensive experience in diagnosing and treating fertility issues.

 

Personalised approach:

We understand that each patient is unique, and we tailor our approach to individual needs.

 

State-of-the-art technology:

We utilise the latest technology and techniques to ensure accurate diagnoses and effective treatments.

Supportive environment:

We strive to create a warm and welcoming environment where you feel comfortable and supported throughout your fertility journey
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Expertise that reassures

With Harley Street Fertility Clinic, you’ll benefit from unmatched expertise, cutting-edge technology, and personalised care. Discover why our leading treatment success rates and comprehensive approach make us the right choice for fertility services.
See our story

What is female fertility testing?

Female fertility testing is a series of medical examinations and procedures designed to assess a woman's reproductive health and ability to conceive. These tests evaluate various aspects of fertility, including hormone levels, ovarian function, and the condition of the reproductive organs.

How is women's fertility tested?

Women's fertility is typically tested through a combination of methods, including: 

  • Blood tests to measure hormone levels
  • Transvaginal ultrasound to assess ovarian reserve and uterine health
  • Hystero Contrast Sonography (HyCoSy) to check fallopian tube patency
  • Pelvic examination to detect any physical abnormalities

When should I get tested for fertility?

You should consider fertility testing if: 

  • You're under 35 and have been trying to conceive for a year without success
  • You're 35 or older and have been trying for 6 months
  • You have irregular or absent periods
  • You have a known medical condition that may affect fertility
  • You're planning to delay childbearing and want to assess your ovarian reserve

What are the main types of tests for female fertility?

The main types of female fertility tests include: 

  • Anti-Müllerian Hormone (AMH) test
  • Follicle Stimulating Hormone (FSH) test
  • Luteinizing Hormone (LH) test
  • Estradiol test
  • Progesterone test
  • Transvaginal ultrasound
  • Hysterosalpingogram (HSG)
  • Hystero Contrast Sonography (HyCoSy)
  • Laparoscopy (in some cases)

What is an ovarian reserve test?

An ovarian reserve test assesses the quantity and quality of a woman's remaining eggs. The most common methods are: 

  • Anti-Müllerian Hormone (AMH) blood test
  • Antral Follicle Count (AFC) via transvaginal ultrasound 

These tests help predict how well the ovaries may respond to fertility treatments

How accurate are female fertility tests?

While fertility tests provide valuable information, they are not 100% predictive of a woman's ability to conceive. AMH and AFC tests are considered reliable indicators of ovarian reserve, but they don't assess egg quality. Other factors, such as age and overall health, also play crucial roles in fertility. 

What does each hormone level indicate?

  • AMH: Indicates ovarian reserve
  • FSH: High levels may suggest diminished ovarian reserve
  • LH: Helps determine ovulation timing
  • Estradiol: Assesses ovarian function and egg development
  • Progesterone: Confirms ovulation and assesses luteal phase adequacy

What causes low fertility in females?

Common causes of low fertility in females include:

  • Age-related decline in egg quality and quantity
  • Ovulation disorders (e.g., PCOS)
  • Fallopian tube blockage
  • Uterine abnormalities
  • Endometriosis
  • Hormonal imbalances
  • Lifestyle factors (e.g., smoking, extreme weight, stress)

What is considered a "normal" AMH level, and what do other hormone levels mean?

AMH levels vary by age. For women aged 25-34, a typical range is 6.8 - 47.8 pmol/L. Other hormone levels are interpreted based on the specific day of the menstrual cycle when tested. Your doctor will explain what your individual results mean in the context of your overall fertility assessment.

Is a fertility test painful?

Most fertility tests, such as blood draws and transvaginal ultrasounds, cause minimal discomfort. Some procedures may cause temporary cramping. Your healthcare provider can discuss pain management options if needed.

Can conditions like endometriosis or fibroids affect my fertility test results?

Yes, conditions like endometriosis and fibroids can affect fertility test results and overall fertility. These conditions may impact hormone levels, ovarian function, and the uterine environment. It's important to discuss any known or suspected conditions with your fertility specialist.

How does my menstrual cycle length and regularity affect my fertility?

Regular menstrual cycles (typically 21-35 days) usually indicate regular ovulation, which is crucial for fertility. Irregular or very long/short cycles may suggest ovulation problems. Tracking your cycle can provide valuable information about your fertility.

Does the timing of my cycle matter for certain fertility tests?

Yes, the timing of certain tests is crucial. For example: 

  • FSH and estradiol are typically tested on day 2-4 of the menstrual cycle
  • Progesterone is usually tested 7 days before the expected period
  • AMH can be tested at any time during the cycle

Why is it important to be on between days 2 – 5 of my cycle during the initial check-ups?

There are a few reasons why this specific timing is important:

Baseline hormone levels

Days 2-5 of the menstrual cycle, (the early follicular phase), provide the most stable and representative baseline levels for several crucial reproductive hormones:

  • Follicle-Stimulating Hormone (FSH): FSH levels are most stable at this time, allowing for an accurate assessment of ovarian function and egg supply.
  • Estradiol (E2): Testing E2 during this period helps evaluate ovarian function and egg quality.
  • Luteinizing Hormone (LH): Early cycle LH testing can help diagnose hormonal imbalances like PCOS.

Ovarian reserve assessment

Testing during this period provides the most accurate picture of a woman's ovarian reserve:

  • The Anti-Müllerian Hormone (AMH) test, while not strictly day-dependent, is often conducted alongside these other tests to provide a comprehensive evaluation of egg reserve.
  • These early cycle tests help predict how a woman might respond to fertility treatments like IVF.

Diagnostic accuracy

Conducting tests during this specific window ensures the most clinically meaningful results:

  • Hormone levels fluctuate significantly throughout the menstrual cycle. Testing outside this window could lead to misinterpretation of results.
  • Reference ranges used by doctors are based on hormone levels during this early follicular phase, making comparisons and diagnoses more accurate.

What treatment options are available if an issue is found?

Treatment options depend on the specific issue identified and may include: 

  • Fertility medications to stimulate ovulation
  • Intrauterine insemination (IUI)
  • In vitro fertilization (IVF)
  • Surgery for conditions like endometriosis or fibroids
  • Lifestyle modifications 

Your fertility specialist will recommend the most appropriate treatment based on your individual circumstances.

Take the next step towards growing your family

Ready to take control of your fertility health? Book a consultation with our fertility specialiststoday and embark on your journey to parenthood with confidence.

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