Fertility testing

Fertility testing is used to determine if fertility treatment is required and what type of treatment is most appropriate, so rapid testing that provides the crucial  information quickly is therefore highly beneficial.

Bourn Hall provides comprehensive fertility testing, available as a suite of tests or individually, to assist diagnosis. It is highly recommended that both partners are checked at the same time. This may reveal a male fertility issue or influence the decision of which person in a same-sex relationship should provide sperm or carry the baby.

Testing includes:

  • screening for infection
  • blood tests for hormone levels and ovarian reserve
  • ultrasound scans
  • tubal patency assessment
  • Semen analysis

Female fertility tests 

Blood tests  – blood is tested for a hormone called progesterone to check whether you’re ovulating (releasing an egg each month). The timing of the test is based on how regular your periods are. If you have irregular periods, you’ll be offered a test to measure hormones called gonadotrophins, which stimulate the ovaries to produce eggs.

AMH – A blood test called Anti-Mullerian Hormone (AMH) gives an indication of your egg store and also your potential response to medication that is aimed at stimulating the ovaries to release eggs.

Ultrasound scan – a scan can check your ovaries, womb (uterus) and see if your fallopian tubes (the tubes that connect the ovaries and the womb) are blocked. This may be stopping eggs from travelling along the tubes and into the womb.

Tubal patency assessment – a HyCoSy ultrasound diagnostic test may also be used to check the fallopian tubes. A dye is injected into the tube and its progress followed on the ultrascan.

What fertility tests can tell men

A semen test can show if you have one of these common reasons for failure to conceive:

  • Too few sperm (low sperm count) or no sperm
  • Abnormally shaped sperm, which are unable to move normally or fertilise an egg (poor morphology)
  • Sperm that don’t swim well (poor motility)

Semen analysis. This is a thorough test performed by an embryologist it looks at shape, number and movement of the sperm and also other factors such as anti-bodies or white blood cells that might indicate an immune response or damage. More about male infertility.