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22nd January 2024

Female Fertility Test

Female Fertility Test

Female Fertility Test

When it comes to overall well-being, reproductive health is often overlooked. Understanding and taking care of your fertility is paramount if you are planning to start a family. While you may hear of numerous cases where couples conceive without any problems, the truth is that many couples struggle, so if you are at that stage, don’t feel that you are alone. In this blog we aim to give you some useful information to help you stay in the driving seat of your own reproductive health and this is where a female fertility test comes into play.

The First Step: Fertility Assessment

When planning to start a family, it’s very worthwhile to consider a fertility check-up. If you are experiencing difficulties in getting pregnant or simply want to understand your fertility status, a female fertility test is the right step. Fertility testing is recommended for all women, regardless of age or personal circumstances.

When planning to start a family, it’s very worthwhile to consider a fertility check-up.

Your GP can offer initial tests and depending upon results you may then be referred to a fertility clinic. Some NHS hospitals have their own fertility and reproductive medicine clinics, so if tests at GP level find that you are eligible for fertility treatment, you may be offered this via NHS funding. Otherwise, there are many private fertility clinics around the country.

When choosing a fertility specialist, do some research and look for a reputable clinic with plenty of experience and success rates in fertility diagnostics and treatment. A trusted specialist will guide you through the assessment process and provide necessary and valuable support.

The Basics of Female Fertility Testing

What is a Female Fertility Test?

A female fertility test is a comprehensive evaluation that aims to assess your reproductive function. It includes a series of tests and analyses that measure fertility markers and hormone levels, providing crucial insights into fertility health. It's important to note the distinction between fertility evaluation and fertility screening. While fertility evaluation is a more in-depth analysis, fertility screening offers you a general overview. By empowering yourself with this knowledge, fertility testing allows you to do some strategic planning and make informed decisions.

Understanding the Menstrual Cycle

Menstrual cycle analysis is a major part of female fertility testing. By examining the length and regularity of menstrual cycles, along with hormone levels, healthcare professionals can gain insights into a woman's fertility. Hormone levels, including the follicle stimulating hormone (FSH), luteinizing hormone (LH), oestrogen, and progesterone, play a significant role in determining fertility potential.

Types of Female Fertility Tests

Starting with an initial consultation, a fertility specialist will discuss your medical history, concerns, and goals.

Fertility Testing Plan

This information helps develop a personalised fertility testing plan and will involve various methods, such as blood tests to assess hormone levels and ultrasound scans to measure follicle and egg count.

These tests provide valuable information about fertility markers and give vital information for the analysis of test results:

  • Fertility Blood Test
    • This is where samples of your blood are tested for traces of a hormone called progesterone. This is an indication of whether you’re ovulating.
    • If you have a problem with irregular periods, you may be offered a flood test to measure gonadotrophins. These are hormones which stimulate egg production.
  • Fertility Ultrasound Scan
    • This may be used to check the condition of your ovaries, womb (uterus), and fallopian tubes. There are certain conditions which may affect the womb, such as endometriosis and fibroids and these make pregnancy difficult and, in some cases, may prevent it.
    • Scans are also used to check for signs that your fallopian tubes may be blocked, preventing eggs from reaching the womb.
  • X-ray
    • There is a special type of x-ray where dye is injected to shown up any blockages in your fallopian tubes. This is called a hysterosalpingogram.
  • Laparoscopy
    • This is a minimally invasive surgical procedure, also known as keyhole surgery. For gynaecological purposes it involves the surgeon making a small incision in your lower tummy so a thin tube with a camera at the end can be inserted to examine your womb, fallopian tubes, and ovaries.
    • This procedure is usually reserved for when it has already been established that you have a problem, such as pelvic inflammatory disease or if scans have indicated a possible blockage.

Ovulation Tests

Ovulation tests are a common component of fertility testing. They help determine reproductive potential by assessing ovulation regularity and timing. These tests can be performed at home using ovulation predictor kits or conducted in a medical setting through blood tests and ultrasounds.

Hormonal Profiling

This is another crucial aspect of female fertility testing. It involves evaluating fertility hormones to assess overall reproductive function. By analysing hormone levels, medical professionals can diagnose hormonal imbalances or irregularities that may affect fertility.

Hormone imbalances are very common but as well as affecting fertility, they can result in heavy periods and mood swings. Checking out your hormonal profile will help you identify and deal with unpleasant symptoms as well as possible fertility issues.

Hormones which control ovulation and egg implantation are:

  • Oestradiol – stimulates follicles and helps prepare the uterine lining for implantation of a fertilised egg.
  • Follicle - stimulating hormone (FSH) – causes the stimulation which results in the development of the egg.
  • Luteinising hormone (LH) – stimulates the ejection of the egg from the follicle (process known as ovulation).
  • Progesterone – prepares and stabilises the lining of the womb ready for implantation of a fertilised egg.

Hormones which can interfere with ovulation are:

  • Androgens – all women naturally have small quantities of androgens consisting of testosterone and dehydroepiandrosterone sulphate (DHEAS). In cases where an excess of androgen hormones exist there may be a negative impact on development of follicles, ovulation, and cervical mucus production.
  • Prolactin – This is a hormone which stimulates milk production. The blood levels of prolactin may be elevated due to certain disorders such as an under-active thyroid or if you are taking certain medication.

An ovarian reserve test gives an indication of the quantity of viable eggs you have in your ovaries.

Ovarian Reserve Test

This is a test to give an indication of the quantity of viable eggs you have in your ovaries. This is known as your ovarian reserve and is determined by measuring the amount of anti-Mullerian hormone (AMH) in your blood. AMH is produced by the follicles, or egg sacs, which hold all your immature eggs.

Levels of AMH relate to the number of eggs you have, or in other words, your ovarian reserve. A higher AMH level suggests more eggs and a higher ovarian reserve, and a lower AMH means fewer eggs, so a lower ovarian reserve.

Having this knowledge can help you to plan the timing of your pregnancy. For instance, if your ovarian reserve test proves to be lower than expected, you will have the option to bring forward your plans to conceive. It will also give you the time to seek further help from a fertility specialist.

The ovarian test is a simple blood test which can be taken at any time during your menstrual cycle. Your GP will discuss your results and, if necessary, give you choices on fertility treatments.

This AMH test doesn’t predict your likelihood of becoming pregnant, nor does it give information on egg quality. It simply measures your ovarian reserve.

Interpreting Test Results

Understanding fertility markers is necessary for fully comprehending your test results and assessing fertility health accurately. Results will help identify potential issues, such as hormonal imbalances, irregularities, reduced ovarian reserve, or poor egg quality. Your GP or fertility nurse should explain how to interpret your results.

The Benefits of Female Fertility Testing

Early Identification of Potential Issues

Early identification is one of the main benefits of female fertility testing. Because these tests can detect hormone imbalances, irregularities, and ovarian reserve issues early on, you get to be able to make choices to help with your fertility.

Strategic Planning for Conception

Female fertility testing equips you with information about your own fertility status, helping you to plan for conception. Armed with the knowledge from test results, healthcare professionals can tailor fertility treatments to address specific issues. This personalised approach empowers you to make informed decisions and increases the chances of a successful conception. It is just as important for your partner to have a fertility test. See our blog entitled Male Fertility Test.

Fertility Supplements

There are ways of helping to care for your own reproductive health. Good lifestyle choices such as eating a wholefood or Mediterranean diet, alcohol moderation, not smoking, getting plenty of exercise, are all crucial factors, and fortunately there are evidence-based natural supplements that may support and boost fertility. Some of these include:

  • Ashwagandha
  • Moringa
  • Maca
  • Raspberry Leaf
  • Agnus Castus
  • CoQ10
  • Omega 3

For an in-depth look at supplements for Women’s fertility read Fertility Supplements for Women.

Ten Key Takeaways:

  • Female fertility testing assesses various aspects of reproductive function.
  • The menstrual cycle analysis and hormone levels play a significant role in fertility evaluation.
  • Ovulation tests assess ovulation regularity and timing.
  • Hormonal profiling evaluates fertility hormones and overall reproductive function.
  • Evaluating ovarian reserve involves measuring egg quantity and quality.
  • Blood tests and ultrasounds are common fertility testing options.
  • Understanding fertility markers is crucial for interpreting test results accurately.
  • Female fertility testing enables early identification of potential issues.
  • Strategic planning for conception is empowered by female fertility testing.
  • Evidence based natural supplements can support reproductive health and fertility.

Further Reading

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