What a fertility assessment is
A fertility assessment is a set of simple checks that look at the three things a pregnancy needs: healthy eggs released on time, healthy sperm, and an open path where the two can meet and an embryo can implant. Most of these checks are done in the clinic in one or two short visits.
Dr. Prachi starts with conversation, not tests. How long you have been trying, how regular your periods are, past pregnancies, surgeries, thyroid or sugar issues, work stress, sleep and travel all matter. Many couples find that this first talk alone answers questions they had for months.
When to book one
- You are under 35 and have been trying for 12 months without success.
- You are 35 or older and have been trying for six months.
- Your periods are irregular, very painful, or have stopped.
- You have PCOS, endometriosis, thyroid disease or past pelvic surgery.
- Your partner has had a low count, a groin surgery or a testicular problem.
- You have had two or more miscarriages.
If any of the points above apply to you, it is reasonable to come in early. A few tests now can save months of uncertainty later.
Tests that are commonly used
Not every couple needs every test. Dr. Prachi chooses the ones that answer your specific questions.
How the assessment runs with Dr. Prachi
- First consultationA full history for both partners and a scan if the timing in your cycle is right. You leave with a short, clear list of tests.
- Tests at the right timeSome blood tests are done on day 2 or 3 of the period. Tubal tests are done after the period ends. The team helps you plan the dates.
- Results visitEvery report is explained in plain language. You will know what is normal, what is not, and what it means for your chances.
- Your planThis might be timed intercourse, ovulation support, IUI, IVF, or simply treating a thyroid or vitamin issue first. The plan is agreed together.
What if everything looks normal?
Around one in four couples gets this answer. It is called unexplained infertility. It does not mean nothing can be done. It means the cause is not visible on routine tests. Depending on age and how long you have been trying, options range from a few more months of well-timed trying to IUI or IVF. Dr. Prachi has a short video on this topic, and she will walk you through the choices in person.
Questions couples ask
Do both partners need to come for the first visit?
It helps a lot. Male factors play a part in close to half of all cases, so seeing you together means both sides are checked from day one.
Is the AMH test enough to know my fertility?
No. AMH shows egg quantity, not egg quality, and it cannot predict natural pregnancy on its own. It is read alongside your age, scan and history.
Are the tests painful?
Most are blood tests and a scan. A tubal test such as an HSG can cause cramps for a few minutes. Simple pain relief before the test usually helps.
How long does the whole assessment take?
Most couples finish the key tests within one menstrual cycle. Results are then reviewed together in a follow-up visit.
This page gives general information only. Dr. Prachi will advise on what suits you after reviewing your history and reports.
Medically reviewed by Dr. Prachi Benara, MS, DNB, MRCOG (London). Last updated October 2026.