Tests Included: FSH , LH , Estradiol (E2) , Progesterone , Prolactin , AMH , TSH Ultra-sensitive , T3 Total , T4 Total
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Infertility means a pregnancy has not happened after a reasonable period of trying, or sooner when age or a known condition makes waiting unwise. Blood tests cover ovulation signals, ovarian reserve, thyroid, prolactin and male hormones. Semen analysis is a lab visit and can be arranged through the...
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Tests Included: FSH , LH , Estradiol (E2) , Progesterone , Prolactin , AMH , TSH Ultra-sensitive , T3 Total , T4 Total
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Infertility means a pregnancy has not happened after a reasonable period of trying, or sooner when age or a known condition makes waiting unwise. Blood tests cover ovulation signals, ovarian reserve, thyroid, prolactin and male hormones. Semen analysis is a lab visit and can be arranged through the prescription desk. These tests do not replace a fertility specialist.
Infertility affects both men and women. In about a third of couples the cause is linked to the woman, in about a third to the man, and in the rest to both or to no clear reason. Testing both partners early saves time.
For women, the main questions are whether ovulation is happening, how many eggs remain and whether the tubes and uterus are healthy. For men, a semen analysis is the first test, with hormones added when needed. Blood tests are one part of this picture, alongside ultrasound and a specialist's assessment.
Your doctor may suggest one test or a combination, depending on your symptoms, age and earlier reports. Each test answers a different question. Here are the main blood tests used to look at infertility:
FSH measures FSH. A pituitary hormone that talks to the ovaries or testes. Timing in the cycle matters for women. Read more about the FSH.
LH measures LH. Paired with FSH when cycles are irregular or fertility is being evaluated. Read more about the LH.
Prolactin measures Prolactin. Best drawn in a calm morning sample. Stress and some medicines can raise it. Read more about the Prolactin.
AMH measures AMH. A marker of ovarian reserve used in fertility planning. It does not predict natural pregnancy by itself. Read more about the AMH.
TSH Ultra-sensitive measures TSH Ultra-sensitive. A single screening marker. If it is off, the full thyroid profile is the usual next step. Read more about the TSH Ultra-sensitive.
Testosterone Total measures Testosterone Total. A morning sample is preferred. Doctors read it with symptoms, not as a standalone score. Read more about the Testosterone Total.
Some general signs that people in this group notice:
See a doctor after 12 months of trying, or after 6 months if the woman is 35 or older. Seek advice sooner if periods are very irregular or there is a known condition affecting fertility.
Some factors are linked with a higher chance of fertility difficulties.
A woman's fertility falls gradually from the early thirties and more quickly after 35. Male fertility also declines with age, more slowly.
Being significantly underweight or overweight can disturb ovulation and sperm quality.
Several conditions can affect fertility.
Smoking, alcohol, heat exposure to the testes and some body-building supplements can reduce fertility.
Many infertility problems develop quietly and are easier to manage when they are found early. A simple blood test, collected at home, is often the first step. Early testing helps in a few clear ways:
Blood markers often change before symptoms are strong enough to notice. Testing early gives you and your doctor more time to act, while the choices are still simple.
A report in hand helps a doctor decide whether you need a repeat test, a specialist visit, a scan, or only a follow-up date. It replaces guesswork with a number.
Your first report becomes the reference point. Later results are much easier to read when there is an earlier value to compare them with.
Home sample collection and a free report counselling call mean you do not have to take a day off or sit in a waiting room to get started.
Common tests include FSH, LH and estradiol early in the cycle, AMH, prolactin and TSH. A doctor may add other hormones depending on symptoms. Ultrasound and tests of the tubes are also part of the workup.
AMH reflects the number of eggs remaining in the ovaries. It helps with fertility planning and treatment decisions. It does not predict whether a natural pregnancy will happen in the coming months.
They are usually tested on day 2 to 5 of the menstrual cycle. Tell the collector which day of the cycle it is. AMH can be tested on any day.
A semen analysis is the first test. Blood tests such as testosterone, FSH, LH and prolactin are added if the semen result or history suggests a hormone cause. Bioline can arrange a semen analysis through the prescription desk.
Yes. Both underactive and overactive thyroid can disturb ovulation and periods. Treating a thyroid problem can improve the chance of pregnancy.
Yes. Testing both together avoids months of delay and gives the specialist a complete picture at the first visit.
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