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General Fertility TestGeneral Fertility Test

History Review, Physical and Gynaecological Examination

  • Doctor will review your social, sexual, medical, gynaecological and obstetrical history
  • Physical Examination
    • a thorough examination will be done to assess your overall health and wellness
    • examination of pelvic organs e.g. vagina, cervix, uterus and ovary
  • Gynaecological Investigation
    • Chlamydia test ~ Chlamydia infection can damage the tubes and result in pelvic inflammatory disease which can cause infertility

Transvaginal Ultrasound Scan

  • Evaluate your ovarian reserve by checking the antral follicle count (AFC) on day 2-5 of your cycle
  • Evaluate the condition of uterus including the uterine lining as well as for any fibroids, polyps etc
  • Evaluate the condition of ovaries for any abnormal ovarian cysts e.g. endometrioma, polycystic ovaries
  • Evaluate the fallopian tubes for any hydrosalpinx

Hormone Tests

Assessment of ovarian reserve
  • Cycle Day 2-5 follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2) OR
  • Anti-Mullerian Hormone (AMH) ~ check at any time
Assessment of ovulation
  • Progesterone (P4) ~ 7 days after ovulation

Other Blood Tests

  • Complete blood picture ~ to rule out thalassemia
  • Infectious screening ~ VDRL, HIV, Anti-HCV, HbsAg
  • Thyroid stimulating hormone, prolactin and/or female androgen profile if applicable
  • Rubella antibody ~ need vaccination if not immuned before trying to get pregnant

Urine Test for Ovulation

  • The test detects a rise in lutenising hormone (LH) in the urine. A rise in this hormone signals the ovary to release the egg.
  • If the test is positive, it suggests that ovulation will occur in the next 24-36 hrs. This gives you an idea of the best timing to have sex.

Basal Body Temperature (BBT)

  • BBT is your temperature immediately after wake up before getting off the bed. Women can track their BBT to determine whether they are ovulating or not. Ovulation may cause a slight increase in BBT and they are most fertile 2-3 days before this temperature rise.