Why both partners are tested
Fertility problems can come from the woman, the man, or both. Testing both partners at the start saves time and avoids treatment that won't help.
- Hormone blood testsIncluding AMH (shows your egg reserve), thyroid tests, prolactin, and other hormones. Some are done on day 2–3 of your period.
- Pelvic ultrasoundA scan of the uterus and ovaries to look for fibroids, cysts, PCOS and to count small egg follicles.
- Follicle monitoringA series of scans during one cycle to see whether, and when, an egg is released.
- Tube test (HSG)An X-ray test with a special dye to check whether the fallopian tubes are open. It is done after your period ends and before ovulation.
- Hysteroscopy or laparoscopy (if needed)A small camera is used to look inside the uterus (hysteroscopy) or the pelvis (laparoscopy). Your doctor will suggest these only if needed.
- Semen analysisThe main test for men. It checks the number of sperm, how well they move and their shape. The sample is given privately at the clinic.
- Repeat test (if needed)Sperm counts can vary, so a second test is sometimes needed to confirm the result.
- Further tests (if needed)Depending on the result, your doctor may suggest hormone blood tests, a scrotal ultrasound or other tests.
How to prepare
- Semen sample: avoid ejaculation for 2–5 days before the test.
- Hormone tests: some are done on day 2 or 3 of your period. Call us when your period starts.
- Tube test (HSG): done after your period stops and before ovulation. Avoid pregnancy in that cycle until the test is done.
- Bring old reports: any earlier test results, scans and prescriptions for both partners.
- List of medicines you both take regularly.
What happens after the tests
Your doctor goes through the results with you both, explains them in simple words, and suggests the next step. Often it is a simple treatment such as ovulation induction or IUI.
Common questions
Are the tests painful?
Most are simple blood tests and scans. The tube test (HSG) can cause cramping for a short time. Your doctor will explain how to make it more comfortable.
How long do the tests take?
Most tests can be done within one or two menstrual cycles, because some need to be done on particular days.
Is the semen test private?
Yes. The sample is given in a private room, and results are shared only with you.
How much do the tests cost?
See our costs page for starting prices.