Fertility Testing Men/Women

Fertility Testing Men/Women

What is Infertility?

Fertility is the ability to conceive and produce offspring. Infertility is the inability to conceive after a year of unprotected intercourse. Infertility can affect men and women of all ages. 

Fertility Evaluation

When couples are not able to conceive even after having unprotected sex over a long period of time, it is important for both partners to be checked by their physician. Infertility evaluation includes a series of tests and exams to determine the reason for infertility and develop a treatment plan designed to address the specific cause of infertility.

When to get Help

You may be considered for infertility evaluation if

  • You have been trying to get pregnant for at least one year
  • You are older than 35 years and have been trying to get pregnant for six months or longer
  • Your periods are irregular
  • You or your partner has a known history of fertility problems

Fertility Testing in Women

Your doctor diagnoses or evaluates infertility with the help of the following tests:

  • Medical history
  • Complete physical examination
  • Blood tests measure your hormone levels and determines if you are ovulating.
  • Biopsies may be obtained to evaluate the inner lining of your uterus.
  • Ovarian reserve testing may be performed to determine the number and quality of eggs ready for ovulation.
  • Imaging studies such as a pelvic ultrasound or hysterosonography may be performed to obtain a detailed view of your fallopian tubes and uterus.
  • Hysterosalpingography involves obtaining an X-ray image after injecting a contrast material into your cervix, which travels up to your fallopian tubes. This can help identify any blockages in your fallopian tubes.
  • Laparoscopic evaluation involves inserting a thin tube fitted with a tiny camera through an incision in your abdomen, to detect any abnormalities in your reproductive organs, such as the ovaries, uterus and fallopian tubes.

Fertility Testing in Men

Male infertility is a common reproductive problem affecting men, where the male is unable to contribute to a pregnancy. Up to 1 out of 3 infertility cases are linked partly to issues with the male partner. 

Your doctor will diagnose male infertility based on the following:

  • Medical history
  • Complete physical examination
  • Semen analysis involves laboratory tests carried out to assess sperm count and quality.
  • Transrectal ultrasound of the prostate is an investigation carried out to evaluate the prostate gland and detect any obstruction of the ducts that transport the sperm
  • Scrotal ultrasound is an imaging test to diagnose abnormalities of the scrotum or testicles.
  • Testicular biopsy is a test where a small piece of tissue is removed from the testicle using a sterile needle and sent for evaluation under a microscope to help determine the cause of infertility. 
  • Anti-sperm antibody tests to trace the antibodies that attack sperm

Based on the test findings, your doctor will design an individual treatment plan.

royal-college-obstetricians-and-gynaecologists royal-australian-and-new-zealand-college-obgyn queens-university-belfast ivf-australia royal-australian-college-medical-adm unsw-sydney