Fertility Testing for Women
Female fertility challenges can stem from several overlapping structural, hormonal, and physiological factors. Therefore, to get a complete picture of your reproductive health, fertility evaluations often involve a combination of bloodwork, imaging, and physical exams.
Common fertility tests for women may include:
- AMH (Anti-Müllerian Hormone) Testing: A blood test used to estimate ovarian reserve by measuring levels of anti-Müllerian hormone.
- Transvaginal Ultrasound: Imaging that allows fertility specialists to evaluate the uterus and ovaries.
- Antral Follicle Count (AFC): Performed during an ultrasound, this assessment helps estimate the number of eggs that may develop during a treatment cycle.
- Hysterosalpingogram (HSG): An imaging procedure that evaluates whether the fallopian tubes are open and whether the uterus is normally structured.
- Saline Sonogram (Sonohysterogram): A specialized ultrasound used to identify uterine abnormalities such as polyps, fibroids, or scar tissue.
- Hormone Testing (FSH, LH, Estradiol, Progesterone, Thyroid): Bloodwork used to evaluate reproductive hormones involved in ovulation, ovarian function, and menstrual cycle regulation.
Many patients do not require every exam. Your fertility specialist will determine which of these tests are most relevant to your medical history, symptoms, and reproductive goals. For additional information, visit our Female Fertility Testing page.
Fertility Testing for Men
Male fertility contributes to a substantial percentage of infertility cases, making evaluations for male partners an essential component of fertility testing. At The Reproductive Medical Group, we provide a wide range of diagnostic testing designed to evaluate sperm health and reproductive function.
Male fertility testing may include:
- Complete Semen Analysis: A laboratory exam used to evaluate sperm count, motility (movement), morphology (shape), and overall semen quality.
- DNA Fragmentation Testing: A specialized laboratory test that measures the integrity of sperm DNA
- Retrograde Semen Analysis: A urine test designed to check for sperm in urine after ejaculation
- Semen Culture: A laboratory test used to check for male genital tract infections
Your reproductive specialist will recommend which tests are most applicable to your unique situation. Learn more on our Male Fertility page.
Genetic Testing
For patients moving ahead with fertility treatment, genetic testing can provide an additional layer of insight, helping identify chromosomal or inherited conditions that may affect treatment outcomes.
For patients creating embryos, genetic testing may include:
- PGT-A (Preimplantation Genetic Testing for Aneuploidy): Screening used to determine whether embryos have the correct number of chromosomes
- PGT-M (Preimplantation Genetic Testing for Monogenic Disorders): Screening that tests embryos for specific inherited conditions when there is a known family history or genetic risk.
- PGT-SR (Preimplantation Genetic Testing for Structural Rearrangements): Screening used to identify structural chromosomal abnormalities that may affect pregnancy outcomes
Preimplantation genetic testing often gives parents the best chances of having a healthy pregnancy and baby. For more information, visit our Preimplantation Genetic Testing page.
Your Fertility Evaluation: What to Expect
Your first fertility appointment is an opportunity to gather information, ask questions, and begin building a clearer understanding of your reproductive health and goals.
During your fertility evaluation, you can expect:
- A detailed review of your medical, reproductive, and family health history
- Discussion of your fertility concerns, timeline, and family-building goals
- Review of any previous fertility testing or treatment
- Initial diagnostic testing, which may include bloodwork, ultrasound imaging, or semen analysis
- Time to discuss questions, concerns, and potential next steps with your reproductive specialist
To prepare for your appointment, we recommend bringing:
- Relevant medical records or prior fertility testing results
- Information about your menstrual cycles or ovulation patterns, if applicable
- A list of current medications, supplements, and vitamins
- Insurance information and identification
- Your partner, if applicable and desired
Most importantly, your fertility evaluation is designed to be collaborative. The goal is not simply to perform a series of tests, but to gain a thorough understanding of your circumstances, so our team can make recommendations aligned with both your needs and goals.