Fertility Assessment

A fertility assessment includes exams and tests to try to find the reason why you or your partner may not be pregnant. If a cause is found, treatment may be possible. In many cases, fertility issues can be successfully treated even if no cause is found.

Experts recommend a fertility evaluation if you have not become pregnant after 1 year of having regular without using . If you are older than 35, an evaluation is recommended after 6 months of trying. If you are older than 40, talk with your doctor now.

The most common cause of female fertility issues is a problem with . The most common cause of male fertility issues is a problem with cells and how they function. Other factors that may affect fertility include age, lifestyle, and health conditions.

Sometimes no cause of infertility is found. This is called unexplained infertility.

Frequently Asked Questions

The first visit usually involves a detailed medical history and a exam. You will be asked questions about your menstrual period, abnormal vaginal bleeding or discharge, pelvic pain, and disorders that can affect reproduction, such as thyroid disease. You and your partner will be asked about health concerns, including:

  • Medications (both prescription and over-the-counter) and herbal remedies

  • Illnesses, including STIs and past surgery

  • Birth defects in your family

  • Past pregnancies and their outcomes

  • Use of tobacco, alcohol, and illegal drugs


You and your partner also will be asked questions about your sexual history, including:

  • Methods of birth control

  • How long you have been trying to get pregnant

  • How often you have sex and whether you have difficulties

  • Past sexual relationships

Testing for a man often involves a semen analysis (sperm count). This is done to assess the amount of sperm, the shape of the sperm, and the way that the sperm move. Blood tests for men measure levels of male reproductive hormones. Too much or too little of these hormones can cause problems with making sperm or with having sex. In some cases, an of the may be done to look for problems in the testicles.

Women who are underweight, overweight, or exercise too much may have a harder time getting pregnant. In women, drinking alcohol at moderate or heavy levels and smoking may reduce fertility. In men, smoking, heavy drinking, and using marijuana can reduce sperm count and movement.

Choose the Ava Fertility 5 Step Pathway

We have developed our 5 Step Pathway to fertility care that streamlines your experience and care

Step 1

See your GP for referrals. (if you have a partner to get one for them, so we can consult them!)

Step 2

Meet with us to discuss your concerns, assist you and offer advice

Step 3

We'll arrange necessary tests and investigations to help guide you

Step 4

Let's review and advise you on a suitable plan for your care

Step 5

You're on your way!

Get to know Dr Elgey

Have a listen to our podcast with Lola Berry where we discuss all things IVF

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Bartholin’s Cyst




How What You Eat Can Impact Your Cycle


Understanding Male Infertility

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