Female Infertility Test

We understand that struggling to conceive can be a deeply emotional and stressful experience. The uncertainty of “why” is often the hardest part. At Ferty9, our first and most important goal is to find the cause of your fertility challenges.

Female infertility testing is a process of discovery. It’s not just a set of procedures; it’s the first step toward creating a personalized and successful treatment plan for you. Our compassionate team is here to guide you through this process with clarity, empathy, and expertise, ensuring you feel supported every step of the way.

Our Step-by-Step Approach to Diagnosis

Your journey is unique, which is why we don’t believe in a “one-size-fits-all” testing approach. Our fertility specialists at Ferty9 create a diagnostic plan that is tailored specifically to you. We always begin with the simplest, most essential tests first and only proceed to more advanced investigations if needed.

The entire process is designed to be as comfortable and stress-free as possible, giving you clear answers in a timely manner.

1. The First Step: Consultation and Basic Scans

Your journey begins with a conversation. This is the foundation of your entire treatment.

• Initial Consultation: You will have a detailed, confidential discussion with one of our fertility experts. We will talk about your medical history, your menstrual cycle (regularity, flow, pain), any past pregnancies, your lifestyle, and any concerns you may have.
• Basic Pelvic Ultrasound (Transvaginal Scan): This is a simple, painless, and vital first test. A small, sterile probe is gently placed to give us a clear, high-definition view of your reproductive organs. This scan helps us check:
  • The Uterus: We look at its shape, size, and position.
  • The Uterine Lining (Endometrium): We check its thickness, which is crucial for an embryo to implant.
  • The Ovaries: We look for any cysts and perform an Antral Follicle Count (AFC). This involves counting the small, resting follicles (potential eggs) in your ovaries, giving us an instant idea of your “egg reserve.”
  • Obvious Issues: We can immediately spot potential issues like fibroids or ovarian cysts.

2. Tests for Your Ovarian Reserve

These tests help us understand the quantity (reserve) of your remaining eggs.

• AMH (Anti-Müllerian Hormone) Test: This is a simple blood test that has become the gold standard for measuring your ovarian reserve.
  • What it is: AMH is a hormone produced by the small follicles in your ovaries.
  • What it tells us: A normal or high level is a good sign of a healthy egg reserve (high levels are often seen in PCOS). A low AMH level suggests a Diminished Ovarian Reserve (DOR), meaning we may need to be more proactive with your treatment.
• Day 2 / Day 3 Hormone Panel: This is another key blood test, taken on the 2nd or 3rd day of your period. It checks the hormones that control your cycle:
  • FSH (Follicle-Stimulating Hormone): This hormone tells your ovaries to grow an egg. A high level can mean your ovaries are working harder to produce an egg, which can be a sign of a lower reserve.
  • LH (Luteinizing Hormone): This hormone triggers ovulation. Its level, especially in relation to FSH, is important.
  • Estradiol (E2): This is a form of estrogen produced by your ovaries.
• Other Key Hormone Tests: We will also check your Thyroid (TSH) and Prolactin levels. These “master hormones” are produced outside the ovaries but can completely disrupt your menstrual cycle and prevent ovulation if they are out of balance.

3. Tests for Your Fallopian Tubes

Your fallopian tubes are the vital pathways where the sperm meets the egg for fertilization. If these tubes are blocked, pregnancy cannot happen naturally.

• HSG (Hysterosalpingography): This is the most common and effective test for checking your tubes.
  • What it is: It is a special X-ray test done after your period but before ovulation.
  • How it works: A safe, liquid dye is gently passed through your cervix. We then use an X-ray to watch the dye fill your uterus and move into your fallopian tubes.
  • What it tells us: If the dye spills out the ends of the tubes, we know they are open. If the dye stops, it shows us exactly where the blockage is.
• Laparoscopy (Keyhole Surgery): This is a surgical procedure, but it is the “gold standard” for diagnosing certain conditions.
  • When it’s used: It’s recommended if we strongly suspect a condition like endometriosis or if your HSG test is unclear.
  • How it works: A tiny camera (laparoscope) is placed through a small incision near your navel. This allows the doctor to look directly at the outside of your uterus, ovaries, and fallopian tubes to find and often treat scar tissue or endometriosis.

4. Tests for Your Uterus

The uterus must be a healthy and receptive home for the embryo to implant and grow. These tests look inside the uterus.

• Hysteroscopy: This is the best way to see the inside of your uterus.
  • What it is: A very thin, flexible tube with a camera on the end is gently passed through your cervix into your uterus. No cuts are needed.
  • What it tells us: It gives us a direct, high-definition view of the uterine cavity. We can find and often remove problems at the same time, such as:
    • Polyps (small growths)
    • Fibroids (non-cancerous tumors)
    • Scar Tissue (Asherman’s syndrome)
    • A Septum (an abnormal wall of tissue)
• SIS (Saline Infusion Sonography): This is an advanced ultrasound.
  • How it works: It’s similar to a regular transvaginal scan, but a small amount of sterile saline (salt water) is gently passed into your uterus.
  • What it tells us: The water outlines the uterine lining, making it very easy to spot issues like polyps or small fibroids that might be “hiding” on a regular scan.

5. Advanced Tests (For Recurrent Issues)

If you have experienced recurrent miscarriages or multiple failed IVF cycles, our specialists may recommend advanced blood tests to look for underlying causes, such as genetic or immune system issues.