Fertility Health Check for Women

At Eva IVF & Women’s Centre, we believe that knowing your fertility status is the first step toward a healthy pregnancy. If you’re planning to conceive now or in the future, a Fertility Health Check for Women helps assess ovarian reserve, hormone levels, and overall reproductive health.
This guide is specifically for women considering a fertility evaluation. We’ll walk you through the process, diagnostic tests, pre-evaluation preparations, and post-checkup recommendations to help you make an informed decision.

What is a Female Fertility Health Check and Who Needs It?

A female fertility health check is a comprehensive evaluation of reproductive hormones, ovarian function, and uterine health to determine a woman’s ability to conceive naturally.

Who Should Consider a Female Fertility Check-Up?

✔ Women who have been trying to conceive for 6-12 months without success
✔ Women over 30-35 years old who want to assess their ovarian reserve
✔ Women with irregular or absent periods (PCOS, hormonal imbalances)
✔ Women with a history of miscarriages or failed IVF cycles
✔ Women who have undergone chemotherapy, radiation, or ovarian surgery
✔ Women planning to freeze their eggs for future pregnancy

💡 Did You Know? A woman’s fertility naturally declines after the age of 30, making early testing essential for family planning.

Step-by-Step Female Fertility Health Check Process

1. Initial Consultation & Medical History Assessment

✔ A fertility specialist will review menstrual cycle history, lifestyle factors, and any previous medical conditions.
✔ Discussion of hormonal issues, endometriosis, PCOS, or history of recurrent miscarriages.

2. Hormone Blood Tests

✔ Done on Day 2 or 3 of the menstrual cycle to assess ovarian reserve and hormonal balance.
✔ Key hormones tested:
• Anti-Müllerian Hormone (AMH): Measures ovarian reserve (egg count).
• Follicle-Stimulating Hormone (FSH): Indicates how well the ovaries respond to stimulation.
• Luteinizing Hormone (LH): Regulates ovulation and reproductive function.
• Estradiol (E2): Checks estrogen levels and ovarian activity.
• Prolactin: High levels may indicate hormonal imbalances affecting ovulation.
• Thyroid-Stimulating Hormone (TSH): Ensures proper thyroid function, which is essential for pregnancy.

3. Transvaginal Ultrasound – Checking Ovarian & Uterine Health

✔ Performed on Day 2-5 of the menstrual cycle to assess:
• Antral Follicle Count (AFC): The number of small follicles in the ovaries (indicates egg supply).
• Endometrial Lining Thickness: Ensures the uterus is prepared for implantation.
• Detection of Cysts, Fibroids, or Endometriosis: Identifies any abnormalities affecting fertility.

4. Ovulation Tracking (If Needed)

✔ In some cases, ovulation monitoring is done using ultrasounds and LH surge tests.
✔ Helps confirm whether ovulation is occurring regularly.

5. Hysterosalpingography (HSG) or Sonohysterography (If Needed)

✔ HSG Test: An X-ray with contrast dye checks if fallopian tubes are open or blocked.
✔ Sonohysterography: Uses ultrasound to check for uterine abnormalities (fibroids, polyps, scar tissue).

💡 Blocked fallopian tubes can prevent natural conception and may require IVF.

Female Fertility Check-Up Results & What They Mean

📊 Understanding Your Fertility Test Results

✔ AMH Levels (Ovarian Reserve Indicator):

• High AMH (>3.5 ng/mL): Indicates PCOS or excessive ovarian reserve.
• Normal AMH (1-3.5 ng/mL): Healthy ovarian reserve.
• Low AMH (<1 ng/mL): Suggests diminished ovarian reserve, may require fertility preservation or IVF.

✔ FSH & LH Levels:

• High FSH (>10 IU/L): May indicate ovarian aging.
• High LH: Could be a sign of PCOS.

✔ Ovulation Status:

• Regular Ovulation: Indicates normal fertility.
• Irregular or Absent Ovulation: May suggest PCOS, hormonal imbalance, or ovarian dysfunction.

💡 If abnormalities are detected, further lifestyle changes or fertility treatments may be recommended.

Pre-Test Preparation – How to Get the Most Accurate Results?

✔ Schedule blood tests on Day 2-3 of the menstrual cycle for accurate hormone levels.
✔ Avoid caffeine, alcohol, and smoking 48 hours before the test.
✔ Stay hydrated and get adequate sleep – Reduces hormonal fluctuations.
✔ Inform your doctor of any medications or supplements you are taking.
✔ Avoid stress & practice relaxation techniques before testing.

💡 Following these steps ensures accurate test results and helps identify the best fertility treatment plan.

Post-Fertility Checkup Recommendations – What’s Next?

✔ If results are normal: You can continue trying to conceive naturally or plan for the future with fertility preservation.
✔ If mild irregularities are found: Lifestyle changes, hormone therapy, or ovulation induction may be recommended.
✔ If significant fertility issues are detected: IVF, IUI, or egg donation may be suggested.
✔ Regular follow-ups: Women over 35 or those with irregular cycles may need repeated testing every 6-12 months.

💡 Many fertility concerns can be treated with proper medical guidance and lifestyle changes.

Benefits of a Female Fertility Health Check – Why Get Tested?

🌟 Detects Fertility Issues Early & Improves Pregnancy Planning
🌟 Identifies Causes of Irregular Menstrual Cycles or Hormonal Imbalances
🌟 Guides the Best Treatment Approach (Natural, IUI, IVF, or Egg Freezing)
🌟 Provides Peace of Mind When Planning for Future Parenthood