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Fertility Health Screening

Fertility Health Screening is not just about you, it’s about you and your partner’s health.
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Fertility Health Screening

Fertility health screening is not just about you, it is about you and your partner’s health. If you and your partner have been trying to conceive without success, fertility health screening may be a good starting point of investigation to determine any underlying cause of infertility.

Having said that, couples planning to conceive naturally can consider a fertility health screening. Fertility health screening is also suited for women who are above the age of 35 and attempting to conceive for the first time, or women with menstrual issues such as irregular periods, painful menstrual cramps, and other medical conditions that may affect their fertility.

What is fertility health screening?

Fertility health screening is a targeted health check focused on the fitness of the couple who wish to conceive.

The objective of fertility health screening is to pick up on any underlying medical condition or infectious diseases that may hinder pregnancy and ultimately to manage these issues accordingly.

Tests to consider for fertility health screening:




Structural screening

Ultrasound scrotum* (depending on patients’ individual medical history)

Ultrasound pelvis

Pap smear and HPV test

Hormone tests

Male hormonal blood test

  • Testosterone, etc. 

Female hormonal blood test 

  • Progesterone, etc.

Add on

Semen analysis

Ovarian reserve (AMH)

External factors/ STD screening

STI screening

-HIV, syphilis, herpes, chlamydia, gonorrhoea

STI screening

-HIV, syphilis, herpes, chlamydia, gonorrhoea 

Immune/ infectious screening


Hepatitis B, C screening

Rubella screening

Thalassaemia screening


Hepatitis B, C screening

Rubella screening

Thalassaemia screening

General wellbeing

Health screening

Health screening

As individual patients have different medical histories and medical risks, your doctor will guide you on the suitable tests to evaluate your fertility health.

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Should I go for fertility health screening?

You can consider fertility health screening if:

  • you and your partner have been trying to conceive for more than 12 months.
  • you are female, 35 or older, and have been trying to conceive for more than 6 months.

What do I expect when I see my doctor for a fertility health screening?

Your doctor will consult you and your partner regarding your overall medical history and fertility histories. Depending on individual risks, your doctor will guide you and your partner on the tests to consider for checkup.

Following the tests, your doctor will usually schedule another appointment to run through the results with you and your partner, and advise you further on preparation of conceiving.

As a male patient, my doctor has suggested that I undergo a semen analysis.

What is a semen analysis?

Semen analysis checks the quantity of and quality of a man’s sperm. It is conducted by collecting the semen sample from the male via masturbation, after 2 to 7 days of abstinence. The sample can be collected at the clinic or at home, as long as the sample is sent to the lab within 1 hour of production.

If I am a female, what are the risk factors of infertility?

Your chances of getting impregnated reduces if you:

  • are older in age– a woman’s fertility curve drops in the middle of her 30s
  • have low or raised BMI
  • are a smoker, or a heavy alcoholic drinker
  • have underlying gynaecological conditions such as endometriosis, polycystic ovarian syndrome (PCOS), or large fibroids

You are advised to discuss with your doctor if you have difficulty getting pregnant after having unprotected sex for 6-12 months. Your doctor may offer you further tests to check for any underlying causes of infertility.

When should I have intercourse to increase my chances of pregnancy?

To increase the chance of conceiving, on an average 28 days menstrual cycle, you are advised to have intercourse between day 10-18 of the menstrual cycle. As every woman’s menstrual cycle may vary,discuss with your doctor during the consultation to increase the probability of pregnancy.

How do I know if I am pregnant?

Most patients are asymptomatic in the early stages of pregnancy. Often, patients may also mistake pregnancy symptoms with other illnesses.

The signs and symptoms of pregnancy include:

  • Missed menses
  • Nausea and vomiting
  • Lethargy
  • Breast tenderness, and darkening of the areola of the breasts
  • Change in bowel habits
  • Frequent urination

If you have any doubts or concerns regarding a possible pregnancy, reach out to your doctor for a urine pregnancy test or blood test to confirm the conception.

If a couple is unable to conceive, is it the female’s issue?

Not necessarily. Infertility can be due to female or male factors. Male factors such as underlying medical conditions, hormonal issues, untreated infections, anatomical conditions – may contribute to failure to conceive.

If you are in a situation where you are unable to conceive with your partner, seek further advice from your doctor to screen for any potential fertility medical conditions.


Fertility health screening involves proper medical interpretation of each partner’s results, taking into account both male and female factors. Your doctor will assimilate all the results together and formulate management advice to aid you and your partner in your pregnancy journey.

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