Basic fertility testing

Basic Fertility Testing

When the time comes to run some tests, your GP can get things started. If you would prefer to see a specialist privately from the start, you can contact us directly.

It is rare that there is one single reason why pregnancy is not happening. The most common causes are:

  • blocked or damaged fallopian tubes
  • irregular monthly cycles (infrequent or absent egg release/ovulation) e.g. Polycystic Ovary Syndrome
  • reducing ovarian (egg) reserve (natural ageing, endometriosis, past surgery)
  • sperm problems (quantity and/or quality)

For men

Basic fertility tests are:

Sperm analysis - This is always done as part of the investigations process. You will be asked to provide a sample on site in a discrete private room, by masturbation into a small sterile pot.

Sexual health screening urine test (chlamydia and gonorrhoea testing).

For women

Basic fertility tests are:

Blood tests

Day 1-3 of a cycle (whilst bleeding) to check for certain types of hormone levels. 

Rubella (German measles) immunity confirmation: you must have a record (with your GP) of receiving 2 doses of the rubella vaccine (MMR) OR have a blood test to check you are immune to rubella. Contact with rubella in pregnancy for a woman who is not immune could infect the baby and cause blindness and other disabilities.

Vitamin D blood level.

Vaginal examination tests

Sexual health screening vaginal swab (chlamydia and gonorrhoea testing).

Up to date cervical screening smear.

Pelvic ultrasound baseline scan -  This is performed internally (vaginally) to make sure there are no interfering factors such as fibroids (swellings in the muscle of the womb), polyps (overgrowths of womb lining), ovarian cysts (such as endometriosis) or swollen fallopian tubes.

The scan will also assess ovarian (egg) reserve by looking for egg sacs (follicles) that are getting ready to develop mature eggs in the coming months.