Normally, the tests to assess female fertility are similar for most women. The first step is a gynaecological examination to assess the state of the ovaries and uterus, followed by a hormone analysis.
In this analysis the values of the hormones FSH, LH, oestradiol, AMH, prolactin and progesterone will be determined. It should be noted that the hormone analysis should be done on day 3-5 of the menstrual cycle, except for progesterone, which will be evaluated on day 21.
It is increasingly common to request a karyotype at the first consultation to assess whether there are genetic alterations that may be influencing the desired pregnancy.
Occasionally, it is necessary to perform additional tests such as hysterosalpingography to assess the patency of the fallopian tubes and hysteroscopy. There are also women who should undergo an endometrial biopsy if they have had previous unsuccessful cycles.