Female Fertility Tests: Complete List of Blood Tests, Hormone Tests & Egg Count Tests

Fertility testing is used to detect hormonal, structural, or medical factors that may prevent conception. Fertility may gradually start to decline with age. Early female fertility test allows efficient treatment and informed decisions related to family planning.

Female fertility test assesses the health of reproductive organs, hormonal balances, egg reserve, and ovulation. The major tests include blood and hormone tests, egg count test, ovarian reserve test, ovulation, and structural tests. The fertility test panel offers the most accurate picture of female fertility.

A fertility test for women is primarily recommended when the couples are trying to conceive for 6 months or more. Moreover, healthcare professionals recommend fertility testing to women over 35 years, those with irregular menstrual cycles, existing hormonal conditions, pelvic surgeries, and recurrent miscarriages.

What to know about how to check female fertility? In this blog, we will explore the female fertility tests, including blood tests, imaging tests, egg quality tests, infertility diagnosis tests, costs, and all you need to know.

A female fertility test involves a medical evaluation of the reproductive system. Fertility tests check the fallopian tubes, uterus health, ovaries, egg reserve, ovulation, and hormonal levels. These tests analyze the major factors that affect a woman’s ability to conceive.

Here's what fertility testing majorly checks for:

Ovulation: to ensure regular production of eggs.

Hormonal levels: to detect imbalances that influence menstruation and fertility.

Egg levels: to check the quality and quantity of remaining eggs.

Uterine health: to detect any structural problems that may interfere with implantation and pregnancy.

Here’s the table showing the complete list of commonly recommended fertility tests for women:

Here are the commonly recommended female fertility blood tests in an infertility profile:

FSH checks for ovarian activity and egg reserve. Higher levels suggest decreased ovarian reserve, while lower levels suggest hormonal balance issues.

LH is involved in fertility hormone tests as it is mainly responsible for ovulation. High LH-FSH ratio and irregular LH levels suggest ovulation-related issues as seen in PCOS.

Estradiol shows follicle development and estrogen production in the body. It helps evaluate ovarian activity and understand FSH levels. Abnormal levels may influence ovulation and endometrial function.

AMH evaluates ovarian reserve by showing the remaining egg count. It doesn’t depend on the cycle and is commonly used for IVF and fertility planning.

Progesterone checks if ovulation has happened and assesses the luteal phase. Low progesterone levels may indicate implantation problems and early pregnancy loss.

Thyroid panel hormones control ovulation and menstrual cycles. Minor thyroid imbalances can affect fertility, pregnancy, and increase the risk of miscarriages.

Prolactin plays an important role in the regulation of ovulation and the menstrual cycle. Increased prolactin levels are associated with irregular periods and suppressed ovulation.

The androgen test checks for hormonal imbalances including adrenal disorders and PCOS. Androgens may affect ovulation and cause irregular cycles, acne, and excessive hair growth.

Here’s the list of common tests that are used to evaluate egg count and egg quality:

• Estimate ovarian reserve
• Shows the number of remaining eggs
• Lower levels indicate reduced egg quantity
• Higher levels indicate better ovarian reserve

• Identifies small ovarian follicles with potential to grow into eggs.
• Offers a visual evaluation of egg reserve.

• Assesses ovarian function
• High FSH levels
• High FSH and abnormal estradiol levels indicate poor ovarian reserve.

Here are the uterus and fallopian tube tests used for structural fertility investigations:

HSG test is usually ordered for the initial infertility diagnosis to analyze the egg and sperm meet up and implantation.

• Assess structural causes of infertility in females
• Checks for uterine shape and blockages in the fallopian tubes
• Involves X-ray testing

It is an imaging test that is used to check the follicles, ovaries, and the uterus lining. A pelvic ultrasound is performed for infertility evaluation to check reproductive health and structural abnormalities.

SHG during infertility diagnosis involves an ultrasound that directly assesses the uterine cavity. A sterile saline is inserted into the uterus for clear visuals of:

• Uterine cavity concerns
• Uterine shape abnormalities
• Endometrial polyps
• Submucosal fibroids
• Intrauterine adhesions

The procedure is performed to assess the uterus, which helps detect structural causes of infertility. Hysteroscopy checks for:

• Uterine cavity defects
• Congenital uterine abnormalities
• Asherman’s syndrome
• Endometrial polyps

When it comes to the diagnosis of infertility in females, here are the common tests used for infertility diagnosis:

PCOS is a major cause of infertility in females. The diagnosis involves imaging and hormonal testing.

LH: FSH ratio: Elevated levels indicate ovulation disruptions.

Androgens: Check testosterone levels and associated hormones to diagnose hyperandrogenism.

Ultrasound: Detects polycystic ovarian morphology.

Endometriosis is another major cause of pelvic pain and infertility in females. Diagnosis testing involves a series of tests.

Ultrasound: First step to detect pelvic defects and ovarian endometriomas.

MRI: Offers comprehensive mapping of extensive endometriosis.

Diagnostic laparoscopy: A gold standard test procedure that allows direct visualization and an accurate treatment plan.

Ovulation-related fertility problems are usually caused by hormonal imbalances that affect egg development.

• FSH & LH (ovulatory signaling and ovarian response)
• Thyroid Function (Disrupts ovulation)
• Prolactin (higher levels may suppress ovulation)
• Progesterone (confirms ovulation)
• AMH (ovarian reserve and irregular ovulation)

Thyroid dysfunction may affect ovulation, menstruation, and implantation that are responsible for female fertility.

• TSH (Primary screening)
• Free T3 and T4 (thyroid hormone levels)
• Anti-TPO antibodies (autoimmune thyroid disease)

The infertility profile test for females includes:

Ovarian reserve: AMH, FSH, LH, Estradiol

Ovulation confirmation: Progesterone (mid-luteal)

Hormonal balance: Prolactin, TSH (± Free T3/T4)

Androgens (if indicated): Total/free testosterone, DHEAS

Imaging (often paired): Pelvic ultrasound (baseline/antral follicle count)

• Couples who are trying to conceive (unexplained infertility).
• Females with irregular periods, hormonal symptoms, and risk of PCOS.
• Couples seeking an initial fertility assessment.
• Couples planning for IVF
• Females above 30 years of age
• Females with a history of miscarriage

The infertility diagnosis test panel cost may vary depending on the city, laboratory, or diagnostic center accreditation, and other inclusions.

Basic fertility panel: ₹3,000–₹5,000

Comprehensive panel (with AMH): ₹5,000–₹8,000

With ultrasound/AFC: ₹7,000–₹12,000

Here are the various methods to check female fertility issues at home:

Offers insights into the estimated ovarian reserve. A finger-prick blood sample is required as the AMH test is not dependent on the cycle. It helps understand the egg quantity.

These strips are used to detect LH surge in the urine that usually happens hours before ovulation. It may not be very reliable for females with irregular cycles and PCOS.

Home kits are used to measure hormones, including LH, FSH, TSH, progesterone, estradiol, and prolactin. These kits use saliva or blood samples. At-home fertility tests are convenient but may have some limitations.

Home testing may be insufficient in case of irregular or missed periods, recurrent pregnancy loss. Home tests are not enough if infertility lasts for more than 12 months, and in cases of endometriosis, uterine abnormalities, and tubal blockage.

Fertility tests for women may vary by lab quality, location, and other factors.

• FSH, LH, and Estradiol cost typically ranges between INR 300 and INR 1500.
• AMH cost ranges between INR 800 and INR 3000
• The complete hormone panel cost typically ranges between INR 2500 and INR 6000

Pelvic ultrasound cost ranges between INR 1500 and INR 5000.

Hysterosalpinogram cost ranges from INR 2000 to INR 10000.

A full infertility workup test costs between INR 7000 and INR 20000.

When pricing is a concern, MyDiagnostics offers female fertility testing and total health testing starting at affordable prices, along with reliable results and utmost convenience.

Fertility testing is recommended based on age, cycle regularity, symptoms, and reproductive plans:

• Under 35 (after 12 months trying)
• Over 35 (after 6 months)
• Women with irregular cycles
• Women with PCOS symptoms
• Women planning pregnancy or fertility preservation

Female fertility evaluation targets ovulation, hormonal balance, ovarian reserve, and reproductive structure. Key tests used for fertility evaluation include hormone blood tests, ovarian reserve testing, ovulation assessment, imaging, and uterus and fallopian tube evaluation. Healthcare providers may recommend fertility blood tests and more to get a detailed picture. At-home testing kits can be considered if you seek convenience. These tests offer a quick overview of ovulation and ovarian reserve.

***Medical Disclaimer - The following information is for educational purposes only. No information provided on this website, including text, graphics, and images, is intended as a substitute for professional medical advice. Please consult with your doctor about specific medical advice about your condition(s).