Fertility Assessments
Fertility has become a growing concern worldwide, with up to one in six couples experiencing difficulties conceiving. The causes of infertility can be complex and varied, ranging from underlying health conditions to lifestyle and stress.
A thorough fertility health screening can help pinpoint the root cause of any issues and provide peace of mind.
We understand your challenges when trying to conceive or wanting to understand your own fertility and the importance of seeking professional advice and guidance. Taking a fertility test is a wise first step if you have been trying to conceive naturally without success.
Fertility assessment offers an excellent starting point for evaluating your fertility health and identifying any underlying issues causing infertility. Our licensed healthcare partners provide comprehensive screening designed to provide valuable insights into your reproductive health.
Fertility Test is suitable for:
- Couples who are preparing for marriage
- Couples who have been trying to conceive for 1-2 years without success
- Couples over the age of 35 who are interested in having a baby
- Singles who want to understand their own reproductive health
For women:
- Medical history discussion: Check for ovulation or menstrual cycle issues
- Pelvic examination
- 8 comprehensive blood tests
To check your hormone levels and ovarian reserve (the number of potential eggs remaining in a woman’s ovaries).– Follicle-Stimulating Hormone (FSH) Test
– Luteinizing Hormone Test
– Prolactin Hormone Test
– E2 Test
– Thyroid Function Test
– Egg Reserve (AMH) Test
– Rubella Antibody Test
– Full Blood Count Test - Transvaginal ultrasound scan
Check the health of the endometrium (uterine lining) for fibroids and fallopian tubes to ensure they aren’t inflamed and will examine your ovarian volume (the size of your ovaries).
For men:
- Semen test
- Review with a fertility specialist
Upon the availability of results, you will have a review with a fertility specialist. This is an important step to understanding the results and implications on your fertility health.The specialist will explain the results in detail, discuss any underlying issues that may cause infertility and recommend any necessary next steps.
The fertility specialist will provide guidance and support to help you achieve your goals and ease any concerns you may have.
Excludes
- Any additional tests and follow-up consultations recommended by the specialists
$370-$500*
* Pricing varies by location and final treatment plan determined your fertility specialist.
The Zora Difference
- List of questions to ask your specialists
Zora Health does not provide medical advice or administer treatments. We connect clients with appropriate clinics for relevant care.
Who Should Get a Fertility Assessment?
Trying to conceive for 6-12 months without success.
If one has been attempting unsuccessfully for a consistent period of time, taking a diagnostic test may indicate where the problem lies and what treatment options are available before more time is wasted.
Women over 35 planning pregnancy.
As women grow older, their ovarian reserve will decline, and understanding the state of their ovarian reserve will help them make informed decisions.
Irregular menstrual cycles.
Unpredictable cycle length may indicate an absence of ovulation, which can easily be treated once it is identified.
Recurrent miscarriage.
Having two or more unsuccessful pregnancies means both partners should undergo a thorough medical examination to find the underlying causes to prevent any further recurrences.
Diagnosis of PCOS or endometriosis.
Each condition affects fertility in important ways diagnosis helps to know exactly what the issue is so you can begin treatment based on it.
Male fertility concerns.
The male partner should always be tested together with the female partner, as male factors are responsible for approximately half of all infertility.
Before egg freezing or IVF steps.
Knowing your ovarian reserve, hormone levels, and health of the uterus will help to shape your treatment, prevent complications, and increase chances of success.
Being proactive in fertility planning.
Single women and women in same-sex marriages should be tested for fertility using the appropriate approach before going for IVF.
Fertility Assessment Process
Initial Consultation
Timeframe: Day 1 – 45 – 60 minutes
A fertility specialist will take a look at your medical history, your menstrual cycle, prior pregnancy history, lifestyle factors, and any medical conditions that you may already have. It’s best if both members of the couple can attend that meeting.
1
Medical & Lifestyle review
Timeframe: Same appointment as Step 1
You will need to go through a checklist of health factors affecting your fertility, such as weight, sleep habits, stress levels, smoking, drinking, medications, and work-related issues. Making small adjustments in those areas can produce great results even before treatment starts.
2
Hormone blood tests
Timeframe: Days 2-5 of your next period – results within 2 to 7 days
A blood test performed in the morning will provide information about your AMH, FSH, LH, estradiol, TSH, and prolactin levels, giving you the most complete hormonal profile related to your ovarian reserve and ovulation process.
3
Pelvic Ultrasound & AFC
Timeframe: Day 2 – 6 of your cycle – same-day results
The transvaginal ultrasound accurately measures the resting follicle count and checks for any other possible structural issues, such as polyps, endometriosis, and fibroids. It is one of the earliest ways to check the ovarian reserve.
4
Semen Analysis
Timeframe: Any day – results within 2 to 3 days
For the male partner, a semen analysis is conducted. Its objective is to identify sperm count, motility, morphology, volume, and pH. Male factor infertility is one of the leading causes why couples experience difficulties in conception. Semen analysis is part of the routine evaluation process.
5
Results review
Timeframe: 1 to 2 weeks after testing is complete
The doctor makes a comprehensive assessment of all results together, so no single test is considered to be valid on its own. The specialist determines what amount of each test corresponds to the fertility condition and what further investigations are necessary
6
Personalised Fertility plan
Timeframe: Same appointment as Step 6, or within one week
Depending on the results, age, and wishes of the patients, the doctor develops a specific plan, which can be either lifestyle changes, support for ovulation, egg freezing, IVF, or IUI.
7
Types of Fertility Tests
Test | What it measures | When it’s recommended |
FSH – Follicle-Stimulating Hormone | How hard your pituitary is working to stimulate egg development | High FSH suggests declining ovarian reserve – test on days 2-5 of your cycle |
LH – Luteinising Hormone | The hormone that triggers ovulation | An elevated LH: FSH ratio is a key marker of PCOS – test on days 2-5 of your cycle |
Prolactin | Hormone produced by the pituitary gland | Recommended when cycles are irregular, or ovulation is absent – always retest before acting on a high result |
E2 – Estradiol | Your main circulating oestrogen | Reflects follicle development and ovarian function – best tested alongside FSH on day 2-5 |
TSH (Thyroid Function) | How well your thyroid is producing hormones | Anyone with irregular cycles, fatigue, or unexplained infertility; thyroid dysfunction is one of the most commonly missed causes– can be tested on any cycle day |
AMH – Anti-Müllerian | Your remaining egg supply | The most stable ovarian reserve marker – can be tested on any cycle day |
Progesterone | Whether ovulation has actually occurred | Day 21 of your cycle – low levels confirm anovulation |
Testosterone | Androgen levels in women | Recommended when PCOS, excess hair growth, or acne is present – elevated testosterone drives anovulation |
Semen analysis | Sperm count, motility, morphology, volume, and pH | Both partners assessed concurrently from the first appointment – male factors contribute to around half of all infertility cases |
Pelvic ultrasound | Uterine structure, ovarian appearance, fibroids, polyps, and signs of endometriosis | Recommended at the start of any fertility assessment – provides immediate structural information |
AFC (antral follicle count) | Number of resting follicles visible in both ovaries on ultrasound | Day 2 – 6 of your cycle; directly reflects your remaining egg supply alongside AMH |
HSG (hysterosalpinography) | Whether your fallopian tubes are open and your uterine cavity is normal | Recommended when unexplained infertility is suspected or before IUI – a blocked tube identified here changes the treatment pathway entirely |
Genetic testing | Carrier status for inherited conditions – karyotyping, Y-chromosome microdeletions, CFTR mutations | Recommended when sperm count is very low or absent, recurrent miscarriage, or a known family history of genetic conditions exists |
Infectious disease screening | HIV, hepatitis B and C, syphilis, rubella immunity | Standard before any fertility treatment cycle – protects both you and any future pregnancy |
Benefits of early fertility assessment
Almost everyone wishes that they had begun early fertility assessment. Early testing provides clarity before urgent questions arise and gives you choices well before you are forced to make decisions. If you know your fertility status, you can now prepare for your pregnancy without much hassle, check possible treatments leisurely, and start your IVF or egg freezing process when it would be most suitable for your health. If you’re thinking of egg freezing, timing matters more than many people think. Many people experience stress due to uncertainty regarding what their next steps should be, which wouldn’t be the case if they went for a fertility assessment that gives them clarity.
FAQs About Fertility Assessments
What lifestyle factors can affect fertility or IVF success for women?
Your lifestyle and environment can have an impact on your fertility. Research consistently shows that numerous lifestyle factors can affect fertility in women, men, or both, including but not limited to:
- Nutrition, weight, sleep quality and exercise
- Physical and psychological stress
- Environmental and occupational exposures
- Cigarette smoking
- Substance and drug use and abuse
- Alcohol and caffeine consumption
- Medications
For instance, research has found that:
- Obesity is linked to lower sperm count and quality in men
- Women with polycystic ovary syndrome (PCOS) who have obesity can greatly improve their chances of ovulation and pregnancy by losing 5% of body weight
- Being underweight is linked to ovarian dysfunction and infertility in women
- Strenuous physical labour and taking multiple medications can reduce sperm count in males
- Excessive exercise can affect ovulation and fertility in women
- Using body-building medications or androgens can affect sperm formation
- Substance use, including smoking tobacco, using other tobacco products, marijuana use, heavy drinking, and using illegal drugs such as heroin and cocaine, can reduce fertility in both men and women
- High blood pressure can change the shape of sperm, thereby reducing fertility
- Radiation therapy and chemotherapy can cause infertility in females and males. Those who have to undergo these types of treatments may want to consider fertility preservation.
Lifestyle factors are modifiable habits and ways of life that can greatly influence overall health and well-being, including fertility.
What can I expect on my first visit?
During the first visit, your fertility specialist will meet you and your partner to understand your health and fertility history and current status.
We understand that you may have a list of questions in your mind, so we recommend you prepare them to ensure that you do not miss the chance to ask them.
How long is the fertility assessment?
Your blood or ultrasound test typically takes no more than 30-60 minutes. Once the test is done, the specialist will analyse the results carefully and aim to provide you with your report within 3-5 days.