Fertility Testing | Understanding Your Reproductive Health

Fertility Testing

Fertility testing is a key first step in understanding reproductive potential and creating an informed plan for trying to conceive. Whether you’re planning ahead or already trying, early assessment can save time and avoid unnecessary stress.

When to Consider Fertility Testing

  • You want clarity on your current fertility status before delaying childbearing.
  • You’ve been trying to conceive for 6–12 months.
  • You’re over 35 years of age.
  • You have irregular periods or known gynaecological concerns.
  • You or your partner have a known medical condition or past surgery.

What’s Included in Fertility Testing

For Women:

  • Anti-Müllerian Hormone (AMH) test to estimate egg reserve.
  • Pelvic ultrasound to evaluate ovaries and uterus.
  • Hormone blood tests: FSH, LH, oestradiol, prolactin, thyroid function.
  • Ovulation tracking and menstrual cycle history.
  • HyCoSy testing may be warranted depending on your history and plans.

For Men:

  • Semen analysis for sperm count, motility, morphology, and volume.
  • Sperm DNA fragmentation and anti-sperm antibody testing.
  • Hormone testing and other blood tests as required.

Couples may also undergo:

  • Genetic carrier screening.
  • Lifestyle and risk factor review.
  • Preconception and epigenetic counselling.

Source: RACGP. Fertility and preconception.

Frequently Asked Questions

How long does fertility testing take?

Most results are available within 1–2 weeks, with the exception of genetic testing which takes longer.

Is fertility testing painful?

No. Most tests involve blood draws or ultrasounds, which may be unpleasant but are not usually painful. Some women do describe the HyCoSy test as painful, but this may not be necessary for all women, depending on their situation.

Should both partners be tested?

Yes. Fertility is a shared responsibility, with approximately equal proportions of infertility being due to male and female factors, and both partners should be assessed.

What happens after the tests?

We’ll arrange a follow-up meeting to review your results together and discuss evidence-based options tailored to your goals.

Is fertility testing covered by Medicare?

Some investigations may be rebated; others may depend on your clinical situation and provider.

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