Female Fertility Test in Lahore

A fertility assessment starts with your history: your cycles, previous pregnancies or miscarriages, medical conditions, surgery, medicines and lifestyle. The tests that follow are chosen to answer the questions that history raises, so two women can have quite different sets of tests.

• You have been trying to conceive for 12 months, or 6 months if you are over 35
• Your periods are irregular, very infrequent or absent
• You have a known gynaecological condition such as PCOS, endometriosis or fibroids
• You have had a miscarriage or complications in a previous pregnancy
• You have had pelvic infection, pelvic surgery or an ectopic pregnancy
• You want to understand your fertility before planning pregnancy or freezing eggs

• Consultation and examination: your cycle, history, medicines and lifestyle
• Hormone tests: AMH, FSH, LH, estradiol, prolactin, TSH and others where indicated
• Ovulation test: whether, and when, you ovulate
• Pelvic ultrasound: the uterus, the ovaries and the count of small follicles
• Fallopian tube test (HSG): whether the tubes are open and the uterine cavity is normal
• Blood investigations: for example blood count, blood sugar and infection screening where appropriate
• STI/STD screening: where clinically indicated
• Genetic or immune tests: only after recurrent miscarriage or repeated treatment failure

Read the detailed guides: hormonal analysis and ovulation test.

• Ovulation disorders, including PCOS, thyroid disease, high prolactin and hypothalamic causes
• Reduced ovarian reserve or premature ovarian insufficiency
• Blocked or damaged fallopian tubes, including hydrosalpinx
• Uterine problems such as fibroids, polyps, adhesions or a uterine septum
• Endometriosis and adenomyosis, suspected from symptoms and scans
• Pelvic infection damage
• Causes of recurrent miscarriage, such as antiphospholipid syndrome, thyroid disease or uterine problems
• Unexplained infertility, when all tests are normal

PCOS is diagnosed when at least two of three features are present: irregular or absent ovulation, signs of high androgens (on examination or blood tests), and polycystic-appearing ovaries on ultrasound, once other causes have been excluded. Hormone tests and a scan are the core of what is sometimes called the PCOS fertility test.

If PCOS is confirmed, treatment is tailored to your goals. See ovulation induction & PCOS.

Painful periods, pain with intercourse and chronic pelvic pain raise the suspicion of endometriosis. An ultrasound can show cysts of endometriosis and many uterine problems, and MRI or laparoscopy is used when the picture is unclear or surgery is being planned.

Fibroids, polyps and a uterine septum can be seen on ultrasound or during a tube test. Whether they matter depends on their size and position, and not every fibroid needs treatment.

• Days 2 to 4 of the period: FSH, LH and estradiol, and an early scan with a follicle count
• Any day: AMH, TSH and prolactin
• Around mid-cycle: follicle tracking or an ovulation kit to confirm the fertile window
• About 7 days before your next period: progesterone, to confirm ovulation
• After your period stops and before ovulation, roughly days 6 to 12: tube test (HSG) if advised

Some women need only a few simple tests, while others benefit from a fuller assessment. If your periods are regular and nothing else points to a problem, a full hormone panel may add little. Testing is recommended only when it is likely to change what happens next.

Results are explained in plain language and a written next-steps plan follows. Depending on the findings, that may mean reassurance, ovulation treatment, IUI, IVF or ICSI only where clinically indicated. You can also ask for an independent second opinion.

The consultation fee is shown before you confirm your booking. Recommended tests such as hormone panels, ultrasound and tube tests are priced separately and ordered only when clinically appropriate. You can ask for an itemised estimate first.

Other parts of a fertility assessment: Male Fertility Test, Ovulation Test and Hormonal Analysis.