Pre-Treatment Fertility Tests

During your initial consultation with a fertility specialist, you will be required to undergo a series of specialized tests. These assessments will help determine your fertility status and guide the most suitable treatment plan for you.

Female Fertility Evaluation

The following tests are typically performed:

Medical & Reproductive History

✔ Review of personal and family medical history
✔ Recent Pap Smear
✔ Vaginal Swab Culture – Screening for Sexually Transmitted Infections (STIs)
✔ Transvaginal Ultrasound (Cycle Days 2-8) & 3D Ultrasound
✔ Hysterosalpingography (HSG) or HYCOSY – To check the fallopian tubes and uterine cavity

Hormonal & Blood Tests

✔ AMH (Anti-Müllerian Hormone) – Evaluates ovarian reserve
✔ FSH, LH, Estradiol (E2), Prolactin (Cycle Days 2-4) – Assess ovarian function
✔ Progesterone (Cycle Day 21) – Confirms ovulation
✔ TSH & Full Thyroid Panel – Checks thyroid function
✔ Hemoglobin Electrophoresis / Sickle Cell Test
✔ Complete Blood Count, Iron, Ferritin Levels
✔ Blood Type & Rhesus Factor

Additional Tests (if required)

✔ Thrombophilia Panel
✔ Genetic Testing: Cystic Fibrosis (CFTR mutations), Spinal Muscular Atrophy (SMA), 35delG mutation
✔ Infectious Disease Screening: Rubella, CMV, Toxoplasmosis (IgG & IgM Antibodies)
✔ Karyotype Testing
✔ If the cause of infertility remains unknown, further investigations such as hysteroscopy or laparoscopy may be recommended.

Male Fertility Evaluation

Standard Tests

✔ Semen Analysis – Assesses sperm count, motility, and morphology
✔ Oxidative Stress Test – Evaluates sperm health
✔ DNA Fragmentation Test – Measures sperm DNA integrity

Additional Tests (if required)

✔ Scrotal Ultrasound – To assess structural abnormalities
✔ Blood Tests:

• FSH, LH, Testosterone, Prolactin – Evaluates hormone levels
• TSH & Full Thyroid Panel – Assesses thyroid function

✔ Genetic Testing:

• Karyotype & Y-Chromosome Microdeletion Analysis
• Cystic Fibrosis Carrier Screening

These tests provide a comprehensive fertility evaluation and help determine the best treatment approach for each individual or couple. If needed, additional assessments may be recommended based on your medical history and test results.