Taking the first step in your fertility journey can feel a little overwhelming and unfamiliar. At Alpha IVF Singapore, we’re here to walk this journey with you, to guide you through each test and help you understand how it fits into your personal plan, whether you’re exploring IVF or elective egg freezing.
Here is a simple overview of the tests and scans commonly done during a first fertility assessment, and how each one supports your reproductive health. We hope this roadmap helps you feel a little more assured, informed, and confident as you take your first step forward.
1. Semen Analysis
For couples, fertility involves both partners, so a semen analysis is an essential part of the assessment for the male partner.
What this test helps with:
- Measures sperm count
- Assesses how well sperm move
- Evaluates sperm shape and structure
- Helps identify possible male-factor fertility issues
- This test provides valuable information about sperm health of the male partner.
2. AMH Test (Anti-Müllerian Hormone)
The AMH test is a blood test that provides information about your ovarian reserve (egg count). Ovarian reserve refers to the estimated number of eggs you may have left.
What this test helps with:
- Gives insight into your reproductive timeline
- Helps the doctor understand how your ovaries may respond to fertility medication
- Supports personalised planning for your fertility treatment
- This test is fast, does not require fasting, and can be done at any time of the menstrual cycle.
3. Transvaginal Ultrasound
A transvaginal scan provides a more detailed and clearer view of the reproductive organs. It is commonly used in fertility assessments because it gives the most accurate information.
What this scan helps with:
- Evaluates ovarian follicles
- Includes Antral Follicle Count (AFC) — this refers to the number of small resting follicles seen in each ovary. AFC helps indicate your ovarian reserve and is often assessed together with the AMH test.
- Checks the endometrial (uterine) lining
- Detects small fibroids, cysts or other subtle conditions
- Assesses whether there may be factors affecting ovulation or implantation
This scan is usually well-tolerated and is performed gently by our well-trained specialists.
For single women undergoing elective egg freezing:
If you have never had intercourse before, a transvaginal scan may not be suitable. In such situations, our doctor may recommend a rectal scan instead. This approach allows the specialist to obtain the same important information safely and comfortably, while avoiding entry into the vaginal canal. Many women find this option reassuring, especially during their first fertility assessment.
A common concern: “Which scan will be done?”
It is very normal to feel unsure about what type of scan you will undergo. However, not every patient requires the same scan.
The choice of scan depends on:
- Your symptoms
- Your medical history
- The clarity needed for diagnosis
- Your fertility treatment plan (IVF or EEF)
- Our specialist will guide you through the options and explain why a particular scan is recommended, so you feel cared for and supported every step of the way.
4. Consultation with a Fertility Specialist
After the tests and scans, you will meet with our fertility specialists for a detailed review.
What this consultation helps with:
- Understanding your test results
- Learning what the findings mean for your fertility
- Receiving personalised treatment plan
- Asking questions and clarifying concerns
- Planning next steps that feel right for your situation
This conversation helps you and your partner understand your reproductive health clearly and comfortably.
Your First Visit: A Step Toward Clarity and Confidence
A fertility assessment is more than just a series of tests. It is an opportunity to understand your body better and gain insight into the factors that may influence your reproductive plans. Just like your annual health checkups, caring for your fertility health is an important part of looking after your overall wellbeing.
Ready for fertility assessment? Click here to schedule an appointment.
