What Is a Fertility Evaluation?
A fertility evaluation is a structured medical assessment of both partners. It combines a review of your medical history, blood tests, ultrasound scans, a tubal test and a semen analysis. Its purpose is to find out whether the cause lies with ovulation, egg reserve, the tubes, the uterus, the sperm, or a combination, so that treatment can be chosen on evidence rather than by trial and error.
Why test early?
- To find correctable problems (thyroid, PCOS, blocked tubes, low sperm count)
- To avoid months of unnecessary waiting
- To choose the right first treatment (lifestyle care, ovulation induction, IUI or IVF)
- To plan ahead if age or egg reserve is a concern
Fertility evaluation is a comprehensive assessment of male and female reproductive health using medical tests and imaging. It helps identify infertility causes early and guides personalized treatment options such as lifestyle care, IUI, or IVF.
When Should You Get a Fertility Test?
Trying to conceive without success
- 12 months of regular unprotected intercourse if the woman is under 35
- 6 months if the woman is 35 or older
Test sooner if you have
- Irregular or absent periods, or PCOS
- Thyroid problems or other hormonal conditions
- Two or more miscarriages
- Known endometriosis, a pelvic infection or earlier pelvic surgery
- A male partner with a low sperm count, past testicular surgery or a varicocele
Planning pregnancy later in life
An AMH test and a scan can show your egg reserve early, which helps if you’re thinking about delaying pregnancy or freezing your eggs.
Understanding the key female fertility tests
AMH test: shows roughly how many eggs remain in your ovaries. A low AMH doesn’t mean you can’t conceive, but it can mean you have less time, and it helps decide between IUI and IVF.
Hormone tests (FSH, LH, E2): show how well the ovaries respond to brain signals. A high FSH on day 2–3 may suggest reduced reserve, while an imbalanced LH:FSH ratio is common in PCOS.
Pelvic ultrasound and AFC: count the small follicles in each ovary and check the uterus for fibroids, polyps or cysts.
Follicular study: a series of scans that confirms whether an egg grows and releases. It’s essential for timing natural conception, IUI or IVF. Learn Follicular Study
HSG or SSG: dye or saline is passed through the cervix to see whether the tubes are open. Blocked tubes rule out IUI and usually point to IVF.
Hysteroscopy or laparoscopy: used only when a scan or HSG suggests a problem inside the uterus or pelvis. Hysteroscopy page ·
When Should You Consider Fertility Evaluation?
Difficulty Conceiving
If pregnancy has not occurred after:
a fertility evaluation is recommended to assess underlying causes.
Irregular Cycles or Health Concerns
Women with irregular menstrual cycles, hormonal imbalances, thyroid disorders, PCOS, or a history of pelvic infections should consider early fertility evaluation, as these conditions can impact ovulation and conception.
Age-Related Fertility Planning
Age plays a significant role in fertility. Fertility evaluation is especially important for individuals or couples planning pregnancy later in life, as it helps assess ovarian reserve and reproductive potential early.
Fertility Tests for Women
The tests below are generally prescribed:
Upon these assessments, experts at Janisthaa, one of the best IVF Hospital Bengaluru, can determine underlying causes and recommend suitable interventions.
Fertility Tests for Men
Male fertility testing aims to evaluate sperm count, quality, and the reproductive system as a whole.
Infertility Diagnosis Process
Reviewing Test Results
Once fertility tests are completed, specialists carefully review results from both partners together. This combined evaluation provides a clearer picture of fertility challenges.
Identifying Underlying Causes
Infertility may be due to:
Female factors
Male factors
Combined causes
Unexplained infertility
Accurate diagnosis ensures appropriate treatment planning.
Creating a Personalized Plan
Based on findings, fertility specialists create a personalized fertility plan, which may include lifestyle guidance, medication, IUI, IVF, or further monitoring depending on individual needs.
What Happens After Fertility Evaluation?
Treatment Options Explained
After evaluation, patients receive clear explanations of:
This empowers couples to make informed decisions.
When Assisted Fertility Treatments Are Advised
If natural conception is unlikely or delayed, assisted treatments such as IUI or IVF may be recommended. Fertility evaluation ensures that the chosen treatment is appropriate and not premature.
Your Fertility Evaluation – Step by Step
| Step | What happens | When |
|---|
| 1. Consultation | Dr Shwetha reviews both partners’ medical history and earlier reports | Any day |
| 2. Blood tests | Female fertility profile | Day 2–3 of the period |
| 3. Ultrasound + AFC | Uterus and ovaries checked | Day 2–5 |
| 4. Semen analysis | Male partner’s sample tested | Any day, after 2–5 days of abstinence |
| 5. Tube test (HSG/SSG) | Checks whether the tubes are open | Day 7–10 |
| 6. Results & plan | All reports reviewed together, with a personalised treatment plan | Usually within one cycle |
Book a Fertility Evaluation Consultation
What to Expect During Consultation
During your fertility evaluation consultation:
Medical history is reviewed
Required tests are explained
Treatment pathways are discussed
Questions and concerns are addressed
The consultation is designed to provide clarity, not pressure.
Fertility Evaluation Appointment Process
Booking a fertility evaluation appointment is simple. Once scheduled:
Tests are planned based on cycle timing
Reports are reviewed systematically
Follow-up guidance is provided clearly
Early evaluation often improves outcomes and reduces uncertainty.
Meet Our Doctor
Dr. Shwetha Y Baratikkae
Dr Shwetha Y Baratikkae, MBBS, DGO, DNB (OBG), Fellowship in Reproductive Medicine, is a fertility specialist and obstetrician-gynaecologist in Bangalore with over 20 years of experience. She personally reviews every couple’s fertility tests and explains a realistic, report-based treatment plan, whether that’s simple lifestyle care, ovulation induction, IUI or IVF.
Why Choose Janisthaa for Fertility Testing in Bangalore?
Our Happy Parents
What Our Clients Say
We hope that these testimonials will provide you with the confidence and inspiration to trust us with your journey towards parenthood
Dr. Shwetha is amazing doctor I have ever consulted, am very happy with her treatment. I had consulted her for gynic issue, now am very much fine, i recommend her to my family and friends. Thank you doctor.
Doctor Shwetha mam is very polite, much experienced and provides good treatment. Treats the patient nicely. She always suggests a best treatment according to case. Staff and facilities available here are good.
Doctor Shwetha mam is very polite, much experienced and provides good treatment. Treats the patient nicely. She always suggests a best treatment according to case. Staff and facilities available here are good.