If you are trying to get pregnant and have not been successful after a year, it is time to get checked. The fertility tests are a series of tests involving both partners to look for the most common causes of infertility. All these tests can generally be completed within a period of four to six weeks. The results may indicate the problem, and treatment can then be directed to improve the chances of conception.
What to Expect During Your First Fertility Test Consultation
When a couple with an infertility problem first visits a gynaecologist, the doctor will need to assess the situation and decide where the problem may lie. Your doctor will initially go through with the history, checking relevant details such as regularity of menstrual cycles, previous pelvic infections or operations, frequency of intercourse (sex) etc. A gynaecological examination is next to pick up any abnormality.
Subsequently both partners will be tested to check their respective fertility.
What Do You Need For A Successful IVF Treatment?
Basically, to get pregnant you need good sperm, good eggs, a healthy uterus and healthy Fallopian tubes (at least one) so the tests are designed to check these. Sometimes it can feel as though the tests are taking ages to complete and patients can get frustrated. With a little planning, there is no reason why this should be the case as all these can be completed within one menstrual cycle (approx one month).
Understanding the Fertility Testing Journey
Most fertility specialists start with an ultrasound scan of the pelvis (internal organs) to directly visualize the uterus and ovaries. Any abnormalities of these will easily be seen and if relevant, be acted upon. This scan is usually performed during the woman’s menstruation, along with a blood test, to assess hormonal imbalances that can contribute to infertility. The combination of these two tests gives us a good idea of the ovarian reserve, a term used to describe her fertility potential.
Subsequently, another ultrasound scan around the time of ovulation may be performed to assess the receptivity of the endometrium (lining of the uterus) to an embryo and exclude any problems that may decrease this e.g. polyps or fibroids.
At any time, and after 2-5 days of abstinence from sexual intercourse, a check of the husband’s sperm count and quality can be performed.
These three simple tests would have checked the quality of sperm, egg and uterus and can all be completed within the first two weeks of the period.
Fallopian Tube Evaluation & Suggested Methods
Now all that’s left is a check of the fallopian tubes, if the doctor deems it necessary. This is slightly less easy than the above tests, so it is usually left for last. One of two methods may be suggested: either a hysterosalpingogram (HSG) or a laparoscopy.
There are advantages & disadvantages to each procedure and your doctor will recommend the one most suitable for you.
Only after the tests are complete can a treatment plan be formulated, but with a little planning, everything can be completed within a month and you’re ready to commence on your road to a baby!
FAQs About Fertility Tests in Malaysia
1. How do we test a woman’s fertility?
Female fertility assessment typically includes an ultrasound scan to check ovarian reserve (antral follicle count), uterine abnormalities (fibroids or cysts), and endometrial receptivity. Blood tests are also conducted to assess hormone levels. Additionally, our Fertility Specialist may recommend an HSG or Saline Infusion Sonography (SIS) test to check for fallopian tube blockages.
2. Which type of scan does our Fertility Specialist use to examine the uterus and ovaries?
For a precise visualization of the uterus and ovaries, our Fertility Specialists perform transvaginal ultrasound scans.
3. When should you book an appointment to see a Fertility Specialist?
You can book an appointment to see a Fertility Specialist during two specific times in your menstrual cycle:
- During your period: Either on day 2, 3, 4, or 5 of your cycle.
- After your period: Either on day 9, 10, 11, or 12 of your cycle.
The bleeding pattern considered as Day 1 of your period is the first day of full menstrual bleeding, not including any spotting. Spotting, which is light bleeding or spotting that occurs before the period, is not counted as Day 1. Day 1 marks the start of consistent, noticeable menstrual flow that typically requires a pad or tampon.
If your periods are irregular; you can schedule your first visit anytime, and our Fertility Specialist will advise you what to do next.
4. How does age affect fertility?
Age is a key factor in fertility, especially for women. Female fertility starts to decline in the late 20s and drops more rapidly after age 35 due to a decrease in egg quality and quantity.
Men also experience a gradual decline in fertility with age, though the effects are generally less pronounced. During your consultation, we will discuss how age factors into your specific situation and recommend appropriate fertility tests.
5. How soon can you get the fertility testing results?
Semen analysis report is typically available about one hour after you submit your sperm sample to our laboratory. Most blood test results are available within a few days. Some specialised tests, such as genetic screening, may take longer to process.
Our Fertility Specialist will schedule a follow-up appointment to review your results in detail and discuss treatment recommendations, usually within one week of completing your tests.
6. Does it hurt to receive a fertility test?
Most fertility tests are non-invasive or cause only mild discomfort. Blood tests and semen analysis are straightforward, while some women may feel slight discomfort during ultrasound scans or procedures like HSG. Our Fertility Specialist will explain each step and help ensure your comfort throughout the process.
7. How much does a fertility test cost in Malaysia?
The cost of a fertility test in Malaysia varies depending on the clinic and the tests required. Basic fertility screening packages may start from a few hundred ringgit, while more comprehensive or specialised tests may be priced higher. Our patient care coordinators will provide a detailed breakdown of costs during your initial consultation. You may consider our Fertility Assessment Package @ RM799 to start your fertility journey with us.
8. If you have PCOS (PolyCystic Ovary Syndrome), which causes your periods to be irregular, when to book an appointment?
Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder in women of reproductive age characterized by irregular or absent menstrual periods, elevated levels of male hormones (androgens), and enlarged ovaries containing many small follicles or cysts. It often leads to symptoms such as irregular periods, excess hair growth, acne, weight gain, and fertility difficulties due to irregular ovulation or lack of ovulation
If your periods are irregular; you can schedule your first visit anytime, and our Fertility Specialist will advise you what to do next.
9. Does everyone need to take the AMH (Anti-Mullerian Hormone) test?
An AMH (Anti-Müllerian Hormone) test is a blood test that measures the level of AMH hormone produced by small follicles in the ovaries. It provides an estimate of a woman’s ovarian reserve, or the number of eggs remaining, helping to assess fertility potential and ovarian function. Unlike other fertility markers, AMH levels remain relatively stable throughout the menstrual cycle, making this test convenient to perform at any time. It is commonly used to evaluate reproductive health, predict ovarian response in IVF, and assess conditions like diminished ovarian reserve or early menopause.
Not everyone requires an AMH test. Its necessity is determined by the Fertility Specialist based on your specific situation and overall fertility profile.