If you're struggling to get pregnant and concerned issues with your fertility may be responsible, you may well be looking to get your fertility checked. Researching the wide range of options and methods through which you can test fertility can be confusing and overwhelming. In this article, we'll break down the 'getting your fertility checked' process into some very simple steps and guide you through how you can get your fertility checked, whether that be in a fertility clinic or the comfort of your own home. 

1. Schedule a preconception checkup

If you're planning to start a family, it can be useful to have a preconception checkup with your GP or healthcare provider. They can assess your overall health, review your medical history, and provide guidance on optimising your fertility.

2. Discuss your concerns openly

Have an open and honest conversation with your healthcare provider about your fertility concerns. It can feel uncomfortable sharing personal information such as irregular menstrual cycles, previous health conditions, or any previous difficulty in conceiving, but doing so will give your doctor the best chance of helping you!

3. Basic fertility testing

Every fertility journey is unique, however there are some 'standard' initial tests your doctor may recommend. These can include hormone level blood tests designed to detect both male and female infertility:

Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) which controls the release of eggs during the menstrual cycle. An excess of FSH can indicate a decline in ovarian function and your fertility.

Semen analysis can evaluate sperm count, motility, and morphology.

Progesterone test is a straightforward test that checks if you have released an egg during your menstrual cycle. 

PCOS test for Polycystic Ovary syndrome can affect the release of eggs for fertilisation, and therefore contribute to female infertility. These are often recommended for women experiencing irregular periods

Pituitary hormones test is a test that analyses a blood sample to measure the levels and detect imbalances of hormones released by the pituitary gland, responsible for the growth of ovarian follicles. 

4. Additional tests to check your fertility as a female

Pelvic ultrasounds tests assess the health of your reproductive organs.

A Hysterosalpingogram (HSG) checks the condition of your fallopian tubes and uterus

Anti-mullerian hormone (AMH) test. AMH is a protein found in the ovaries, the amount of which your body is producing usually a reflection of your ovarian reserve, and ability to produce eggs. A lack of AMH in the body The test analyses a finger-prick blood sample to measure AMH levels in the body. From this, a healthcare professional can estimate the health of your ovarian reserve: your ovary's capacity to provide eggs capable of fertilisation.

Book in a consultation with a fertility specialist. If your test results indicate fertility issues, or if you've been actively trying to conceive without success for a significant period, your healthcare provider may refer you to a fertility specialist or reproductive endocrinologist. These specialists have expertise in diagnosing and treating fertility problems and can provide you with personalised recommendations based on your specific situation.

5. At home fertility tests

If you want a fertility test but don't want an in person consultation, there are a number of tests you can do in the comfort of your home. These include:

Ovulation predictor kits. These kits help track ovulation by recording surges in hormone levels, usually luteinizing hormone (LH) which can be found in urine samples. By letting you know at what point during the menstrual cycle you are most fertile, an ovulation predictor allows you to time intercourse and maximise your chances of conceiving. 

Sperm analysis kits. These provide a basic evaluation of the three main sperm parameters: count, motility, and morphology. They typically involve collecting a semen in a small container and following simple delivery instructions.

Fertility hormone level tests. Some at-home hormone tests listed above such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), or anti-Müllerian hormone (AMH) can also be done at home and sent off to a lab.

Fertility tracking apps and devices. Today, we have access to mobile apps like Clue Period and Fertility Friend that can track menstrual cycles, body temperature, and other fertility-related data. They allow you to see when your fertile "windows" are, so you can time intercourse to get the best results with just a few taps on your phone!

Remember, looking into your fertility or thinking about fertility testing doesn't necessarily mean there's a problem or that you're ready to have a baby right away. It's just a step towards a better understanding of your fertility status and knowledge of what's happening inside your body, so you can make more informed decisions.

Remember, you don't have to go and see a fertility expert for a consultation if you are looking to get your fertility checked. Speak to your doctor or Fertifa Patient Advisor who will answer any questions or queries you may have and guide you through the testing process and what's best for you.

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