Top 5 Fertility Tests Couples Should Do Before Trying IVF

👋 Introduction

IVF (In Vitro Fertilization) is a powerful fertility treatment — but it’s not a magic button.

Too often, couples are pushed into IVF without proper pre-treatment testing, which leads to failed cycles, confusion, and emotional burnout.

At ISHA Fertility Clinic, we believe in preparing the body before entering any advanced treatment. Whether you're in India, the UK, or the Middle East, these 5 essential fertility tests should be done before starting IVF.

🔬 1. Semen Analysis

🎯 Who needs it: Every male partner — even if healthy
🔍 Why: Over 40% of fertility issues are male-related

This test checks:

• Sperm count

• Motility (movement)

• Morphology (shape)

• Volume and viscosity

💡 Tip: Repeat the test 2–3 weeks apart to confirm accuracy. Avoid ejaculation for 2–5 days before the test.

🧪 2. AMH (Anti-Müllerian Hormone) Test

🎯 Who needs it: All women considering IVF
🔍 Why: Measures ovarian reserve (how many eggs you have)

The AMH blood test helps your fertility doctor decide:

• How your ovaries will respond to stimulation

• Whether IVF is urgent or can be postponed

• How to tailor your medication dose

💡 High AMH = good reserve, Low AMH = act sooner

📊 3. Transvaginal Pelvic Ultrasound

🎯 Who needs it: All women
🔍 Why: To check uterus, ovaries, and follicles

This scan shows:

• Antral follicle count (predicts egg yield)

• Polycystic ovaries (PCOS)

• Fibroids or endometriosis

• Uterine lining health

💡 Ideal to do between Day 2–5 of your period

🧬 4. Hormonal Profile (Day 2/3 Blood Tests)

🎯 Who needs it: Women aged 25–45
🔍 Why: Reveals ovulation issues, egg quality & cycle balance

Essential hormones:

• FSH (egg health)

• LH (PCOS marker)

• TSH (thyroid)

• Prolactin (can block ovulation)

• Estradiol (E2)

💡 Even subtle hormone shifts can impact IVF outcomes

🩻 5. HSG or Saline Sonography (Uterine Cavity Check)

🎯 Who needs it: Women with failed IUI or no known cause
🔍 Why: Checks if fallopian tubes are blocked & uterus is clear

This imaging test can reveal:

• Polyps

• Septum

• Blocked tubes

• Adhesions from past infections

💡 HSG is best done after your period ends but before ovulation

👩‍⚕️ Dr. Dhaval Explains:

“Jumping into IVF without these basics is like building a house without checking the soil. These tests help us avoid trial-and-error medicine.”

💡 Bonus Tests (If Needed)

• DNA Fragmentation Test (Male) – for repeated IVF failures

• Karyotyping – for recurrent pregnancy loss

• Endometrial Receptivity Assay (ERA) – for embryo implantation planning

🌍 Whether You’re in Mumbai or Melbourne…

We offer Zoom consultations for couples worldwide. Share your reports, get them interpreted, and decide if IVF is truly the right step — or if you can conceive with simpler methods like IUI.

🟢 Book an Online Consultation with Dr. Dhaval
💬 Message Us on WhatsApp

❓Frequently Asked Questions

Can I do these tests before visiting a fertility clinic?
Yes. You can get most done locally and share results online.

Is AMH alone enough to decide on IVF?
No. It’s just one piece of the puzzle. Your scan, age, and hormones matter too.

How long after these tests can I start IVF or IUI?
In most cases, within 1 menstrual cycle — after analysis.

✍️ Final Word

Knowledge is power — especially in fertility care. Doing these 5 tests not only saves money but improves your chances of a successful outcome. Don’t rush. Prepare, test, consult… then act.