Ovarian Reserve
- AMH (anti-Müllerian hormone) — estimates remaining follicular pool.
- Antral follicle count (AFC) — ultrasound count of resting follicles.
- Day-3 FSH and estradiol — historical baseline hormones.
Anatomy
- Transvaginal ultrasound — uterus, ovaries, fibroids, cysts, endometrium.
- Hysterosalpingogram (HSG) / HyCoSy — evaluates uterine cavity and tubal patency.
- Saline infusion sonogram / hysteroscopy — cavity detail.
Male Factor
Semen analysis assesses volume, concentration, motility, morphology, and vitality. Repeat testing and DNA fragmentation assessment may be indicated depending on results.
Other Assessments
- Thyroid function, prolactin, and general endocrine screening.
- Genetic carrier screening.
- Immune, thrombophilia, or endometrial testing in selected cases.
Interpreting Results
No single number determines outcome. Clinicians interpret results in the context of your age, history, and goals to discuss reasonable next steps.
When Endometriosis Is a Consideration
When symptoms, imaging, or prior surgery raise the possibility of endometriosis or endometriomas, additional condition-specific evaluation may inform fertility planning. For deeper patient education on endometriosis, endometriomas, and ovarian reserve, an independent resource is available. See our Network & Editorial Disclosure for how external references are selected.