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Demystifying Fertility Tests

After months of trying to unsuccessfully conceive naturally, you will want to find out what is wrong and what can be done. At first this decision may feel a little scary. As well as being afraid of what the doctors might find, you are also likely to be pretty terrified as to what the tests involve.

I have no idea

As an OvuSense user, you can book a free consultation with me, the OvuSense Fertility Nurse. One of the things I advise you are on which fertility tests are right for you based on your individual situation. This blog carries on from my last, that looked in-depth at fertility blood tests. Here, I touch on the initial blood tests but then move on to demystify the next level of fertility tests, giving you the opportunity to take one step at a time and feel prepared before you start along the road to testing.

Initial Tests

Test 1: Blood Tests –To detect hormonal imbalances. The main ones here are FSH, Oestradiol, LH, prolactin, progesterone and Thyroid. These tests often need to be taken at different times in the cycle so talk to your doctor to make sure you get the timings correct.

Test 2: AMH Blood Tests – To test ovarian reserve. Best used in combination with a scan to check the number of follicles on each ovary. This may only be available to you through private healthcare.

Test 3: Male examination – On your partners first visit, your doctor will check the testicles for any evidence of physiological problems like undescended testes or variocele.

Test 4: Sperm test – A sample of sperm is tested for appearance, volume, motility and morphology. This test often is the cause of great anxiety for your partner, both the act of producing the sample and waiting for the results.

Hospital Tests


Test 5: Hysterosalpingogram – Used to identify blockages in the fallopian tubes. Dye is inserted via a small tube that is inserted through your cervix into your uterus. X-rays are then taken to show any blockages or scarring.

Test 6: Laproscopy – If indicated, this minor surgery allows your specialist to inspect your uterus and fallopian tubes closely for fibroids or endometriosis etc. Generally undertaken by general anaesthetic.

Test 7: Hysteroscopy – If required, this minor surgery looks at your uterus in detail to check for any irregularities. Often done under sedation.

Test 8: Male hormone assessment - Although not used frequently. Male hormones can be assessed for the healthy development of sperm.

Specialist Tests


Test 8: Immunology screening – Recommended if you have a history of miscarriage or unidentified infertility. Blood tests taken to check for abnormal antibody levels.

Test 9: - Damage to testes or genetic defects – further investigation may be recommended to determine any problem with the testes. This may involve a scan, biopsy or DNA fragmentation chromosome testing.

If you have any concerns about your fertility it is crucial that you contact your doctor for advice.

Book your FREE consultation with the OvuSense Fertility Nurse, Kate -  to assess your fertility potential, answer your burning fertility questions, get recommendations on how to optimize your fertility and have your charts analysed.

If you are an OvuSense customer you are entitled to a FREE 1 hour consult, if you are not currently using OvuSense you can book a FREE 15 minute consultation. Consultations are held by Skype or Telephone. Don't see a time that suits you? Email Kate on kate.davies@fertility-focus.com