Fertility testing

The most common fertility tests include: 

• Blood tests for hormones like FSH, LH and AMH
• Ultrasound scans of the reproductive organs
• Semen analysis for men
• Hysterosalpingo Contrast Sonography (HyCoSy) to check fallopian tube patency
• Ovarian reserve testing

You should consider fertility testing if you've been trying to conceive for more than 4 months without success. Testing may also be recommended earlier if you have irregular periods, you have been using contraception for a long period, a history of pelvic surgery, or other risk factors.

The cost of fertility tests will vary depending on the specific tests required, starting at £175 for a semen analysis to £650 for a standard couples check-up. Additional testing or recommended specialised procedures may increase costs.

For a full list of fertility testing prices with Harley Street Fertility Clinic, please refer to our pricelist page.

The duration of fertility testing can vary. Some tests, like blood draws or ultrasounds, may only take a few minutes. However, the entire process of fertility testing, should be completed within 4 – 6 weeks, depending on a woman’s cycle and the availability of the individuals being tested.

The timing of fertility tests can be important, especially for hormone tests. Some tests, like FSH and LH, are typically done on days 2-5 of your menstrual cycle. Please consult the doctor if you have an irregular cycle.

Preparation for fertility tests may include:

• Tracking your menstrual cycle
• Abstaining from sexual activity for a specified period before semen analysis
• Avoiding certain medications or supplements as advised by your doctor
• Staying hydrated before blood tests

For semen analysis, men are typically advised to abstain from ejaculation for 2-4 days before the test, and no more than 5 days. This ensures an accurate assessment of sperm count and quality.

The effectiveness of fertility treatments varies depending on the cause of infertility, the type of treatment, and the age of the patients. As a national average, IVF success rates can range from 20% to 35% per cycle for women under 35, but decrease with age.

At Harley Street Fertility Clinic, our success rates are above 45% for live births at any age, through IVF with PGT-A (pre-implantation genetic testing for aneuploidy).

Most fertility tests are low-risk procedures. Blood tests and ultrasounds are generally safe. Some tests, like HyCoSy, are somewhat invasive but generally safe. Your doctor will discuss any potential risks associated with specific tests.