Consultation & Examination at Your Infertility Visit

Your first infertility visit is not just about medical tests — it’s about listening to your story, understanding your unique journey, and creating a personalised fertility plan.

During your appointment, our consultant will take time to explore your history, assess potential causes, and guide you through the right investigations. The aim is to build a clear picture of your fertility health and support you with a tailored approach moving forward.

Famale Examination

A focused physical and gynaecological exam may include:

  • General exam – weight, BMI, signs of hormonal imbalance (excess hair, acne, thyroid changes)

  • Breast exam – to check for galactorrhoea or hormonal signs

  • Abdominal & pelvic exam – tenderness, masses, enlarged uterus, ovarian cysts

  • Speculum & bimanual exam – cervix, vaginal health, uterine size, adnexa.

Male Examination

A basic male exam may include:

  • General exam – weight, BMI, hair distribution, breast development

  • Genital exam – testicular size and consistency, presence of varicocele, absence of vas deferens, penile abnormalities

Initial Consultation

Your fertility specialist will take a detailed history from both partners, including:

  • Duration of infertility and whether it is primary or secondary

  • Menstrual history – cycle length, regularity, ovulation patterns

  • Past pregnancies or miscarriages

  • Medical history – thyroid disease, diabetes, PCOS, endometriosis, pelvic infections

  • Surgical history – pelvic, abdominal, or reproductive tract surgery

  • Medication use and allergies

  • Lifestyle factors – smoking, alcohol, weight, exercise, stress

  • Sexual history – frequency and timing of intercourse, erectile or ejaculation problems

  • Family history of fertility issues or genetic conditions

After the Consultation

  • You’ll receive a personalised plan for investigations (blood tests, imaging, semen analysis, etc.)

  • Our consultant will discuss next steps and possible treatment pathways

  • Emotional support and counselling options will also be offered

Infertility Investigations

When a couple struggles to conceive, a thorough evaluation helps identify the underlying cause and guide the most appropriate treatment. Investigations usually involve both partners, since infertility can arise from female, male, or combined factors. Below is a list of the most common investigations that may be recommended. In most cases, only the routine tests are needed initially. Investigations should not be unnecessarily repeated — if you have had tests done previously, please bring the results with you to your consultation. Not every couple needs every test. Your fertility specialist will recommend a personalised plan based on your history, symptoms, and previous treatments.

Female Partner investigations

1. Blood Tests

  • Hormone profile (FSH, LH, AMH, Prolactin, TSH, Estradiol, Progesterone)

  • Ovarian reserve assessment (AMH, Day-3 FSH/LH, Antral follicle count)

2. Ovulation Assessment

  • Mid-luteal phase progesterone

  • Ultrasound follicle tracking

3. Imaging Tests

  • Pelvic ultrasound → uterus, ovaries, endometrium

  • HSG (Hysterosalpingogram) → X-ray test to check fallopian tube patency

  • Sonohysterography / Saline scan → uterine cavity assessment

  • Hysteroscopy → direct visualisation of the womb cavity

4. Other Special Tests

  • Laparoscopy (for endometriosis, tubal disease)

Male Partner Investigations

1. Semen Analysis

  • Sperm count, motility, morphology, vitality

2. Hormonal Profile

  • Testosterone, FSH, LH, Prolactin

3. Imaging

  • Scrotal or transrectal ultrasound (if varicocele or obstruction suspected)

4. Other Advanced Tests

  • Sperm DNA fragmentation test

  • Genetic tests (if very low sperm count or azoospermia)

Combined / Additional Investigations

  • Infection screening (STIs, chronic infections)

  • Genetic testing (karyotyping, screening for inherited disorders)

  • Immune and clotting profile (in recurrent miscarriage or implantation failure)