Fertility Tests For Women: Types & Cost

by | Jun 22, 2023 | Fertility

What is a Fertility Test for Women?

A fertility test for women is a series of examinations and assessments that aim to evaluate a woman’s reproductive health. These tests help to determine her ability to conceive and identify any potential obstacles that might be affecting her fertility. Fertility tests can be conducted at different stages of a woman’s menstrual cycle to provide a comprehensive analysis.


Why Fertility Tests are Done?

  1. Assessing Overall Reproductive Health: Fertility tests are performed to evaluate a woman’s overall reproductive health. By examining hormone levels, egg quality, and uterine health, these tests can provide valuable insights into any potential issues that may be hindering conception.
  2. Identifying Underlying Conditions: Fertility tests can help identify underlying conditions that may contribute to infertility. Conditions such as polycystic ovary syndrome (PCOS), endometriosis, or hormonal imbalances can affect a woman’s ability to conceive. By detecting these conditions, healthcare professionals can develop appropriate treatment plans.
  3. Planning for the Future: Fertility tests allow women to plan for the future and make informed decisions about their reproductive health. By understanding their fertility status, women can explore options such as fertility preservation or alternative pathways to parenthood.


How is Infertility Diagnosis for Women Conducted?

Diagnosing infertility in women involves a series of tests and evaluations that aim to identify the root causes of fertility issues. Let’s explore some common methods used in infertility diagnosis:

  1. Medical History and Physical Examination: A comprehensive medical history and physical examination are the initial steps in infertility diagnosis. The healthcare provider will discuss the patient’s menstrual cycle, sexual history, previous pregnancies, and any existing medical conditions. A physical examination may involve an assessment of the reproductive organs to check for abnormalities.
  2. Ovulation Testing: Ovulation testing helps determine whether a woman is ovulating regularly and producing healthy eggs. This can be done through various methods, including tracking basal body temperature, using ovulation predictor kits, or undergoing blood tests to measure hormone levels.
  3. Hormone Level Evaluation: Hormone level evaluation involves measuring the levels of key reproductive hormones, such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrogen, and progesterone. Abnormal hormone levels can indicate underlying issues affecting fertility.
  4. Imaging Tests: Imaging tests, such as ultrasound or hysterosalpingography, provide visual information about the reproductive organs. These tests can detect structural abnormalities, uterine fibroids, or blockages in the fallopian tubes that may be impeding conception.
  5. Ovarian Reserve Testing: Ovarian reserve testing assesses a woman’s egg quantity and quality. This is typically done through blood tests that measure anti-Müllerian hormone (AMH) and follicle-stimulating hormone (FSH) levels. These tests can help determine the remaining egg supply and potential reproductive lifespan.


Who Should Consider Fertility Testing?

Fertility testing is recommended for women who have been actively trying to conceive for one year without success, especially if they are over 35 years old. However, there are certain situations where it’s advisable to seek fertility testing earlier:

  • Women with irregular or absent menstrual cycles
  • Those with a history of pelvic inflammatory disease or sexually transmitted infections
  • Individuals with known reproductive conditions or disorders
  • Couples who have experienced multiple miscarriages
  • Women who are planning to undergo fertility treatments or procedures


Symptoms of Female Infertility: Understanding the Signs

While infertility is often characterized by the inability to conceive after a year of trying, there are several symptoms and indicators that may suggest an underlying fertility issue. It’s essential to recognize these signs to seek timely medical intervention and support. Some common symptoms of female infertility include:

  1. Irregular Menstrual Cycles: Irregular menstrual cycles, characterized by significant variations in cycle length or the absence of periods, may indicate hormonal imbalances or other reproductive issues.
  2. Painful or Heavy Periods: Experiencing severe pain or unusually heavy menstrual bleeding could be a symptom of conditions such as endometriosis or uterine fibroids, which can impact fertility.
  3. Hormonal Imbalances: Hormonal imbalances, often manifested through symptoms like acne, excessive hair growth, or weight gain, may affect ovulation and fertility.
  4. Recurrent Miscarriages: Experiencing multiple miscarriages could be an indication of underlying fertility problems that require medical attention and evaluation.
  5. 5. Pelvic Pain or Discomfort: Persistent pelvic pain or discomfort, especially during intercourse, may suggest conditions such as pelvic inflammatory disease (PID) or endometriosis, which can interfere with fertility.


Types of Fertility Tests for Women:

Basic Fertility Assessment:

  • This includes a thorough medical history review, discussing menstrual cycles, contraceptive use, and any previous pregnancies or miscarriages.
  • Blood tests are conducted to check hormone levels like follicle-stimulating hormone (FSH), luteinizing hormone (LH), and anti-Mullerian hormone (AMH).
  • Ultrasound scans may be performed to evaluate the ovaries, uterus, and fallopian tubes.


Ovarian Reserve Testing:

  • This test assesses the quantity and quality of a woman’s eggs.
  • It includes blood tests for AMH and FSH levels, which provide an indication of ovarian reserve.
  • An antral follicle count (AFC) ultrasound may be conducted to estimate the number of follicles in the ovaries.


Hormonal Evaluation:

  • Blood tests help evaluate hormone levels, including progesterone, estrogen, thyroid-stimulating hormone (TSH), and prolactin.
  • These tests help identify hormonal imbalances that could affect fertility.


Ovulation Assessment:

  • Ovulation tests may be recommended to determine if a woman is releasing eggs regularly.
  • This can be done through at-home urine tests or blood tests to measure luteinizing hormone (LH) surge.
  • Charting basal body temperature (BBT) and monitoring cervical mucus changes can also provide clues about ovulation.


Hysterosalpingography (HSG):

  • HSG is an X-ray procedure to examine the shape and health of the uterus and fallopian tubes.
  • A contrast dye is injected into the uterus, and X-ray images are taken to check for blockages or abnormalities.



  • In certain cases, laparoscopy may be recommended to diagnose conditions like endometriosis, pelvic adhesions, or ovarian cysts.
  • A small incision is made near the navel, and a thin tube with a camera is inserted to visualize the reproductive organs.


Genetic Testing:

  • Genetic screening may be offered to identify any inherited conditions that could affect fertility or increase the risk of passing on genetic disorders to offspring.
  • This can include carrier testing for conditions like cystic fibrosis or chromosomal analysis for genetic abnormalities.


Infectious Disease Testing:

  • Screening for sexually transmitted infections (STIs) like chlamydia and gonorrhea is important as they can lead to infertility if left untreated.
  • Blood tests for HIV, hepatitis B and C, syphilis, and rubella immunity may also be performed.


Fertility Counseling:

  • Fertility tests can be emotionally challenging, and counseling provides support and guidance throughout the process.
  • A fertility specialist can explain the test results, discuss treatment options, and address any concerns or questions.


Follow-Up And Treatment:

  • Once the fertility tests are complete, the results will guide the appropriate treatment plan.
  • Treatment options may include lifestyle changes, medications to regulate hormones or induce ovulation, surgery to correct abnormalities, or assisted reproductive technologies (ART) like In vitro fertilization (IVF).



Cost of Fertility Tests for Women in India:

Fertility Test Approximate Cost in India (INR)
Hormone Level Evaluation 2,000 – 6,000
Ovulation Testing 500 – 2,000
Pelvic Ultrasound 2,500 – 5,000
Hysterosalpingography 6,000 – 10,000
Laparoscopy 15,000 – 25,000
Anti-Müllerian Hormone (AMH) 1,500 – 3,000
Genetic Testing 10,000 – 20,000

The cost of fertility tests may include various procedures such as hormone level evaluations, ultrasound imaging, and specialized tests like hysterosalpingography or laparoscopy. Additionally, consultation fees and follow-up visits should be taken into account when estimating the overall cost of fertility testing in India.

While the cost of fertility tests may seem significant, it’s crucial to view them as an investment in understanding and addressing potential fertility issues. Seeking medical advice and undergoing these tests can provide valuable insights into your reproductive health and guide you toward appropriate treatments or interventions.


Where Can I Get a Fertility Test Done?

If you’re considering fertility testing, numerous healthcare facilities in India offer specialized services to diagnose and address female infertility. Here are some options to consider:

  1. Fertility Clinics: Fertility clinics are dedicated centers that specialize in providing comprehensive fertility assessments and treatments. These clinics have experienced doctors and state-of-the-art facilities to conduct various fertility tests.
  2. Reproductive Medicine Departments in Hospitals: Many hospitals have dedicated reproductive medicine departments that offer fertility testing and treatment options. These departments have specialized doctors and advanced laboratories to perform the necessary tests and evaluations.
  3. Gynecology Clinics: Gynecology clinics often provide a range of women’s health services, including fertility testing. Consulting a gynecologist can be a good starting point to discuss your concerns and explore the appropriate fertility



Fertility tests for women are crucial in assessing reproductive health and identifying any underlying issues that may affect fertility. By undergoing these tests, women can make informed decisions about family planning and seek appropriate treatment if necessary.

Consulting with a fertility specialist can provide guidance and support throughout the testing and treatment process. Genetic testing is important for identifying any inherited conditions that may affect fertility or increase the risk of passing on genetic disorders to offspring. It may include carrier testing for conditions like cystic fibrosis or chromosomal analysis for genetic abnormalities. Infectious disease testing is conducted to screen for sexually transmitted infections (STIs) such as chlamydia and gonorrhea, which can lead to infertility if left untreated. Blood tests for HIV, hepatitis B and C, syphilis, and rubella immunity may also be performed to ensure a woman’s reproductive health.

By undergoing these various fertility tests, women can gain valuable insights into their reproductive health and make informed decisions regarding family planning. The results of these tests guide the appropriate treatment plan, which may involve lifestyle changes, medication, surgery, or assisted reproductive technologies (ART) such as in vitro fertilization (IVF). Seeking the guidance of a fertility specialist throughout the testing and treatment process is crucial for receiving the necessary support and addressing any concerns that may arise.



Q: What tests check female fertility?

A: There are several tests available to assess female fertility. These tests help identify any potential issues that may affect a woman’s ability to conceive and carry a pregnancy to term.

Q: What are 3 different tests a woman goes through to test for infertility?

A: When a woman undergoes fertility testing, she may undergo various examinations to evaluate her reproductive health. Three common tests include hormonal testing, ovarian reserve testing, and imaging tests such as ultrasound.

Q: Can I test fertility at home?

A: While there are some fertility tests available for home use, they typically provide limited information and may not be as accurate as tests conducted in a clinical setting. It is generally recommended to consult with a healthcare professional for a comprehensive fertility evaluation.

Q: What are the 4 causes of female infertility?

A: Female infertility can have several underlying causes. Four common factors contributing to infertility in women are hormonal imbalances, structural abnormalities in the reproductive system, ovulation disorders, and age-related decline in fertility.

Q: How to know if I’m fertile?

A: Assessing one’s fertility typically involves a comprehensive evaluation by a healthcare provider. This may include reviewing medical history, conducting physical examinations, analyzing hormonal levels, and performing imaging tests. Consulting with a healthcare professional is the best way to determine individual fertility status.

Q: What is a fertility test before marriage?

A: A fertility test before marriage refers to the assessment of a couple’s reproductive health and potential to conceive. It often involves examining both partners’ fertility to identify any potential obstacles and guide them in making informed decisions about family planning.

Q: What is the most painful fertility test?

A: Hysterosalpingography (HSG), which examines the fallopian tubes and uterus, is considered one of the more uncomfortable fertility tests. However, pain levels can vary from person to person, and healthcare providers may offer measures to minimize discomfort.

Q: How can a woman become more fertile?

A: While individual fertility is influenced by various factors, there are steps a woman can take to enhance her fertility. Maintaining a healthy lifestyle, including regular exercise and a balanced diet, managing stress levels, avoiding tobacco and excessive alcohol consumption, and having regular sexual intercourse during the fertile window can all contribute to optimizing fertility. Consulting with a healthcare professional can provide personalized guidance.

Q: Can I check if I’m infertile?

A: Yes, it is possible to undergo fertility testing to determine if you have any fertility issues. Consulting with a healthcare professional is the best way to assess your fertility and explore potential causes if you are having difficulty conceiving.

Q: How much does IVF cost?

A: The cost of in vitro fertilization (IVF) can vary depending on various factors, such as geographic location, the specific clinic or fertility center, and any additional procedures or treatments required. It is advisable to contact fertility clinics directly to inquire about their specific pricing and any available financial options.

Q: What is a modern fertility test?

A: A modern fertility test typically refers to advanced diagnostic methods that assess various aspects of reproductive health. These tests may include hormone level analysis, genetic testing, ovarian reserve testing, and other specialized evaluations to provide a comprehensive understanding of fertility potential.

Q: What decreases female fertility?

A: Female fertility can be affected by several factors. Some common factors that can decrease fertility include age, hormonal imbalances, ovulation disorders, structural abnormalities in the reproductive system, certain medical conditions (e.g., polycystic ovary syndrome), lifestyle factors (e.g., smoking, excessive alcohol consumption), and certain medications.

Q: Why is my wife not getting pregnant?

A: Infertility can have various causes, and it is essential to evaluate both partners’ reproductive health. There can be factors affecting either the man or the woman, or sometimes both. It is advisable for both partners to undergo fertility testing to identify any potential issues and consult with a healthcare professional for guidance.

Q: Can infertility be cured?

A: The possibility of curing infertility depends on the underlying cause. In some cases, infertility can be successfully treated through medical interventions, lifestyle modifications, or assisted reproductive technologies such as IVF. However, not all causes of infertility can be completely cured. Consulting with a fertility specialist can provide a better understanding of the specific situation and available treatment options.


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    Dr Mona Dahiya

    Dr Mona Dahiya

    IVF Specialist & Consultant

    Dr Mona Dahiya has performed over 5,000+ IVF cycles and is considered a global expert in IVF, ICSI, IUI and male fertility treatment. She is an eminent writer on Infertility Treatment and has over 100 Publications in both International and National Journals. Dr Mona Dahiya has immensely contributed to the field of infertility through her Research and articles.

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