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Women’s Fertility Test
Updated on August 25, 2022
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At Home Health
Women’s Fertility Test

If you’ve been trying to get pregnant and haven’t had any success, you might be concerned you have a fertility issue.

Women’s infertility can be caused by:

  • Problems with the uterus or cervix — abnormal growths inside the uterus or along the cervix can prevent a fertilized egg from implanting. These include adhesions, fibroids, polyps, scar tissues, and tumors.
  • Blocked or damaged fallopian tubes — sometimes caused by deformities, tumors, or a pelvic inflammatory disease due to chlamydia and gonorrhea. It prevents the egg from reaching the uterus.
  • Low egg count (ovarian insufficiency) — ovaries have a limited supply of eggs that decrease with every menstrual cycle. This supply can run out before menopause, making it difficult or impossible to conceive.
  • Poor egg quality — eggs that are immature or contain the wrong number of chromosomes cannot fertilize or grow into a healthy baby.
  • Hormonal imbalances — having too much or too little of certain hormones can prevent the release of eggs or affect your menstrual cycle.
  • Endometriosis — the condition causes endometrial tissue or the innermost lining of the uterus to form outside of it. It affects the function of your ovaries, fallopian tubes, and uterus.

However, just because you’ve found it challenging to get pregnant doesn’t mean there is a serious problem. Stress, diet, too much exercise, and medications may also cause temporary infertility in women.

Most experts say that you should try for at least six months to get pregnant before you speak to your doctor about fertility. If you are over 35, it can take up to a year to conceive even if you are perfectly healthy.

Women’s Fertility Test 5

But for many, six months or a year is longer than they want to wait.

If you are curious about your fertility but your doctor isn’t ready to look into whether there is a problem, an at-home fertility test can shed light on your ability to conceive.

Meet the Expert

Dr. Harshi Dhingra has an M.D. in Pathology.

She is a registered pathologist with over a decade of experience in diagnostic, clinical, research, and teaching work. She manages all aspects of pathology laboratory, including histopathology, cytology, hematology, and clinical pathology.

Currently, Dr. Dhingra is employed as faculty in a medical school and research center.

Fertility Tests for Women

Female fertility testing checks for issues that cause infertility in women. The process usually involves several steps:

1. Medical history

The doctor will take your complete medical history and ask questions about:

  • Your menarche (onset of menstruation)
  • How often you menstruate
  • Any changes in menstrual cycle patterns
  • Signs of female hormonal imbalance
  • Past pregnancies and pregnancy loss, if any
  • Previous infections and health problems
  • Your diet and lifestyle (e.g., alcohol, tobacco, and drug use)
  • Physical activities you engage in
  • Nature of your work
  • Medications you are taking
  • Use of contraceptives
  • History of tubal ligation

Doctors can use this information to determine the type of infertility you have and what is causing it.

2. Physical examination

After taking your history, the doctor will examine you for physical signs of hormonal imbalance and other clues that can help them identify possible causes of infertility.

During a physical exam, they will:

  • Take your blood pressure, heart rate, and temperature
  • Measure your height and weight
  • Calculate your body mass index (BMI)
  • Check for signs of thyroid problems
  • Perform a breast exam
  • Inspect your abdomen for palpable masses

3. Gynecological exam

A gynecological examination can be performed as part of routine physical exam, or it can be done separately by a doctor.

Doctors use it to evaluate visible structures of your reproductive system:

  • Pubic hair distribution
  • Size of your clitoris
  • Bartholin glands
  • Labia majora and minora

Unusual lesions, odors, and vaginal mucosa can suggest the presence of hormone problems or sexually transmitted disease (STD).

4. Pelvic examination

Also known as a bimanual exam, it is when doctors examine the size and position of your cervix and uterus. It can help them detect tenderness or masses that are indicative of infection or other problems.

5. Hormone testing

Depending on your medical history and examination results, the doctor will ask you to take hormone tests. They usually test for female hormones, such as:

  • Estrogen, especially estradiol
  • Prolactin
  • Progesterone
  • Testosterone
  • Luteinizing hormone (LH)
  • Follicle-stimulating hormone (FSH)

“Some diseases such as diabetes, thyroid dysfunction, and polycystic ovarian syndrome may cause other hormonal imbalances that affect your fertility, thus making it difficult to conceive,” says Dr. Harshi Dhingra.

If your doctor suspects these health problems, they might order a diabetes test, a thyroid hormone test, or a PCOS test in addition to female hormone testing.

6. Ovarian reserve test

Women who have ovarian problems may be asked to take an ovarian reserve test. The test measures your anti-Mullerian hormone (AMH) and estimates the number of eggs left in each or both ovaries.

7. Imaging tests

Doctors may request further tests to check for abnormalities in your reproductive system. These include:

  • Hysterosalpingogram (HSG)
  • Transvaginal ultrasound
  • Hysteroscopy
  • Laparoscopy

At-Home Female Fertility Tests

An at-home fertility test is a type of hormone test that you can take from the comfort of your home. You can order these tests from reputable testing companies such as LetsGetChecked and Everlywell.

At-home testing kits are delivered to your home in discrete packaging, ensuring your privacy. These kits come with a sample collection guide.

There are two types of at-home hormone tests:

You can choose based on your comfort level. However, we recommend blood tests because they can measure more hormones.

After taking saliva and/or blood samples, you can send them back to the testing company. Results are usually available within a few days.

Below are the best at-home tests for women with infertility:

1

LetsGetChecked — Female Hormone Test

best at-home fertility test for women

The hormone test from LetsGetChecked provides a comprehensive picture of female hormones, including:

  • Follicle stimulating hormone (FSH)
  • Luteinizing hormone (LH)
  • Prolactin
  • Estradiol
Women’s Fertility Test 6

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According to Dr. Dhingra, this type of test can assess your fertility status.

“It’s mainly advised if you have failure to conceive, have irregular or absent menstruation, or if menopause is suspected."

Elevated FSH and estradiol may suggest poor ovarian function and low ovarian reserves. Increased prolactin interferes with ovulation, which might explain your infertility.

“LH testing is very useful when looking for a fertile window to conceive," she adds. A spike usually indicates that you are about to ovulate.

Thus, low levels of LH may prevent you from ovulating and make it difficult to get pregnant.

2

LetsGetChecked — Ovarian Reserve Test

best at-home test for ovarian reserve

LetsGetChecked offers this at-home Anti-Mullerian hormone (AMH) test. It is a great option for women who want to know how how many eggs they have left.

Women’s Fertility Test 7

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The test uses a finger prick method to collect your blood sample. Dr. Dhingra says that blood AMH levels can help with several things, including:

  • Finding out the number of eggs remaining in your ovaries
  • Predicting how your ovaries will respond to treatment (ovarian stimulation)
  • Identifying the best in vitro fertility (IVF) treatment method

Women who are approaching menopause may also have low AMH values. Hence, an ovarian reserve test can help diagnose it.

Overall, ovarian reserve testing is the most important assessment of female fertility. It can determine your reproductive lifespan.

“Women can learn about their reproductive potential and take appropriate steps that would protect their fertility. If you have a low egg count for your age, the doctor might suggest that you freeze your eggs,” says Dr. Dhingra.

3

LetsGetChecked — Progesterone Test

best at-home ovulation test

This at-home progesterone test confirms if you are ovulating or not.

Women’s Fertility Test 8

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With repeated testing, it can determine if you are ovulating regularly. Dr. Dhingra explains this can be useful when you’re receiving hormone therapy and are trying to conceive.

“When an egg is released from the follicle, it becomes a corpus luteum and produces progesterone,” she says.

Otherwise, the test can tell your doctor if you have:

  • Ovulation problems
  • Recent miscarriage
  • Polycystic ovary syndrome (PCOS)
  • Endometriosis
  • Menopause

Why At-Home Tests are Helpful for Women’s Fertility Issues

Health insurance plans are rarely proactive when it comes to fertility issues. 

Most insurance companies only cover fertility testing after months of trying to conceive without success. So unless you want to pay for a professional test out-of-pocket, you might be stuck waiting six months or longer for tests that sometimes cost $1000 or more.

At-home tests are available for much less money and give you complete control over when to begin testing. It’s still important to discuss your options with your doctor. But if you want to move the investigative process along a bit faster, these tests are an option.

There are at-home tests available for:

  • Anti-Mullerian hormone
  • Follicle-stimulating hormone
  • Luteinizing hormone
  • Thyroid-stimulating hormone
  • Estradiol
  • Testosterone
  • Free thyroxine
  • Prolactin

Pros and Cons of At-Home Women’s Fertility Testing

At-home tests for fertility can be valuable, but they don’t tell you everything. They can’t even give you a clear answer on whether you are fertile or infertile.

They’ll provide you with a base of information that acts as a starting point for further investigation.

At-home fertility tests are also all hormone-based. These don't give you a complete picture of the health of your reproductive system.

They are a good supplement to an annual examination, but if your fertility issues aren’t hormone-driven, these tests don’t clear up anything for you. An at-home test provides information about:

  • General hormone levels
  • Amount of eggs
  • Whether you are menopausal
  • Whether you should consider IVF or egg freezing
  • If you’re at risk of PCOS

These are all important factors in your fertility, but they are only part of the big picture. It’s always best to work with your doctor and discuss your options.

Some of the most popular at-home women’s fertility tests include:

  • EverlyWell
  • Modern Fertility
  • Let’s Get Checked
Dr. Dhingra
Dr. Harshi Dhingra
Medical Reviewer
Dr Harshi Dhingra is a licensed medical doctor with a specialization in Pathology. Dr. Dhingra has of over a decade in diagnostic, clinical, research and teaching work, including managing all sections of Pathology laboratory including histopathology, cytology, hematology and clinical Pathology.
Kelly Jamrozy
Kelly Jamrozy
Content Contributor
Kelly has experience working with clients in a variety of industries, including legal, medical, marketing, and travel. Her goal is to share important information that people can use to make decisions about their health and the health of their loved ones. From choosing the best treatment programs to improving dental and vision health to finding the best method for helping anyone who is struggling with health issues, she hopes to share what she learns through informative content.
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