Fertility Test – How Fertile Am I?



If you are a woman in your thirties or forties who wants to get pregnant or delay having a family, you may be feeling apprehensive. It can be daunting to embark upon a journey towards conception (or delay conception) without knowing quite what your chances are or whether you’ll need any assistance. Many couples have used up valuable time ‘trying’ on their own, when they actually needed some kind of treatment, only to discover the issue later on when fertility was becoming ever more problematic as time passed by.


To make things as simple as possible for couples, here at The Fertility & Gynaecology Academy we offer patients a comprehensive Fertility Check, including egg counting check to make sure all is well. Then, if we discover any potential stumbling blocks, we can help to guide you forward.

For one upfront fee, you will receive a comprehensive assessment of your fertility potential, as well as guidance on the next steps. Here’s how the process works:

Women’s Fertility Check

1. Initial consultation

Starting with a consultation with one of our esteemed fertility specialists, we’ll explain you the whole series of necessary tests, throughout which you’ll have an expert consultant as your port of call. You’ll also have the chance to have your questions answered during this meeting.

2. Transvaginal Ultrasound Scan

A Transvaginal Ultrasound Scan is an important means of checking for any possible causes of infertility. It is a pain free procedure that looks at the female reproductive system and is a common test for women experiencing problems getting pregnant. The scan involves assessment of the uterus, ovaries (Antral Follicle Count for ovarian reserve) and fallopian tubes. It is a more accurate means of making assessments than an abdominal ultrasound and does not require a full bladder.

3. Saline Hysterography, also called Saline Installation Hysterography “SIS” or Aqua Scan: for integrity of uterine cavity and patency of the tubes.

In this investigation, a sterile saline is placed into the uterine cavity through a thin catheter. The integrity of the uterine cavity is then examined by an ultrasound scan. Implantation failure or miscarriage can sometimes happen due to blocked fallopian tubes or uterine abnormalities such as polyps, adhesions or scar tissue, or even a septum that you were born with. An Aqua Scan provides a better visualisation of the uterine cavity and fallopian tubes for potential obstructions.

4. Egg counting blood test for Anti-Mullerian Hormone

This test helps determine the number of eggs you have by measuringes your levels of a hormone known as the Anti-Mullerian Hormone. This hormone is produced by follicles in the ovaries and levels of AMH are associated with a woman’s ‘ovarian reserve’. A high ovarian reserve suggests good fertility potentials while low reserve is associated with low potentials. Generally as a woman ages, her levels of AMH decline, reaching undetectable levels in post-menopausal women. Therefore, AMH levels reflect declining function of the ovaries and so generally, the lower your AMH levels, the lower your ovarian reserve is taken to be. AMH level of > 20 indicate good reserves while levels < 3 indicate very low reserves. AMH test can be done at any time of the cycle. The level is fairly consistent in different cycles and is also not dependent on the time of the cycle.

5. Consultation to explain the results

Here at the Academy we take the proper time and care to ensure that you are informed and fully understand the implications of any test results. You will have the opportunity to ask any questions and receive comprehensive answers in plain English so you’re never kept in the dark.

6. Written report with a conclusion and advice

It is important that you come out of this process not only with a good sense of what may be causing any problems with conception, but what can be done about it. We will present you with a detailed written report of all our findings and recommendations. Since our experts are among the best in their field, you can rest assured you’ll leave with advice you can trust. Having a report in writing also enables you and your partner to revisit this detailed information as many times as you need to, as you consider your options.

The cost of this package is £750

Couple’s Fertility Check

This package includes all the female investigations and reports as detailed above, with the addition of a Semen Analysis investigation for a cost of £900 in total.

Male problems account for around half of all infertility issues and may include:

  • Abnormal sperm
  • Lack of sperm itself or low sperm count
  • Low semen volume
  • Problems with sperm motility
  • Increased semen viscosity
  • Genital tract infection
  • Natural decline in fertility.

A semen analysis is non-invasive. After collection, the semen will be assessed to establish the mobility and shape, as well as the number of sperm and overall content of the seminal fluid.

These packages should be booked ahead and paid for in advance.

A Fertility MOT Check can help you and your partner achieve clarity as to where you are in your journey towards conception, as well as straight answers as to what, if anything, needs to be done to help you along. Here at The Fertility & Gynaecology Academy, we have years of experience in helping couples to create the family they’ve always dreamed of.

To find out more about how we can help, contact The Fertility & Gynaecology Academy.