Fertility Testing & Evaluation

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Fertility Testing Services in the Greater Philadelphia Area

If you have been trying to conceive for some time, are thinking about preserving your fertility for the future, or simply want a better understanding of your reproductive health, a fertility evaluation is often the most direct way to get meaningful answers.

Using a combination of blood tests, imaging, laboratory testing, and more, we build an accurate, detailed picture of your reproductive health and use it to shape a care plan designed specifically for you. At Main Line Fertility, our comprehensive fertility testing and evaluation services are available to both individuals and couples throughout Philadelphia and the greater Pennsylvania area. Depending on your situation and family-building goals, your specialist will recommend whether testing will focus on one or both partners, if applicable.

With more than 30 years serving the greater Philadelphia area, six clinic locations across Pennsylvania, and a team of award-winning specialists, Main Line Fertility has the depth of experience and accessibility to meet you wherever you are in this process. Schedule a fertility evaluation to turn your questions into a clear path forward.

Female Fertility Testing 

Female fertility testing examines several interconnected aspects of reproductive health, including ovulation, hormone health, ovarian reserve, and anatomy. At Main Line Fertility, our specialists take a thorough, individualized approach to female fertility testing, recommending only the evaluations that are relevant to your history and goals.

Fertility testing at Main Line Fertility may include: 

  • AMH (Anti-Müllerian Hormone) Testing: A blood test that measures the level of anti-Müllerian hormone, which helps estimate how many eggs remain in the ovaries 
  • Transvaginal Ultrasound: An imaging procedure that gives our specialists a detailed look at the ovaries and uterus, helping to identify structural concerns or assess follicle development.
  • Hysterosalpingogram (HSG): An X-ray-based exam used to evaluate the shape of the uterus and check whether the fallopian tubes are open and unobstructed.
  • Saline Sonogram (Sonohysterogram): A specialized ultrasound procedure that provides a detailed look within the uterine cavity 
  • Hormone Testing: Bloodwork that measures key reproductive hormones such as FSH, LH, estradiol, progesterone, and thyroid hormones. 

For a more detailed breakdown, visit our Female Fertility Testing page.

Male Fertility Testing

Male fertility contributes to a significant portion of infertility cases, and early testing can help ensure nothing is overlooked before moving forward with additional evaluations or treatment. 

Fertility tests for men at Main Line Fertility may include: 

  • Semen Analysis: A laboratory evaluation of a semen sample that analyzes sperm count, movement (motility), shape (morphology), and overall quality. 
  • Hormone Testing: Blood tests that measure testosterone, FSH, LH, and other hormones that regulate sperm production and overall reproductive function. 
  • Physical Examination: A clinical evaluation to identify anatomical factors, such as varicoceles, or other structural concerns that may be contributing to fertility challenges.
  • Genetic Testing: For patients with certain risk factors or medical histories, genetic screening may be recommended to identify inherited conditions that could affect sperm production or inform treatment decisions.

Not every test is appropriate for every patient. Your care team will recommend a personalized evaluation based on your medical history, symptoms, and family-building goals. To learn more about male fertility evaluation at Main Line Fertility, visit our Male Fertility Testing.

Genetic Testing

For patients who are creating embryos as part of their fertility treatment, preimplantation genetic testing (PGT) can provide meaningful insight before an embryo is transferred into the uterus. This type of testing examines the genetic makeup of embryos to identify chromosomal or inherited conditions that could impact whether a pregnancy develops successfully.

Preimplantation genetic testing (PGT) options may include:

  • PGT-A: Testing that screens embryos for the correct number of chromosomes to prevent pregnancy loss and identify chromosomal conditions such as Down syndrome or Turner syndrome.
  • PGT-M: Testing that screens embryos for specific, known inherited genetic disorders. This testing is often pursued by patients with a personal or family history of heritable conditions.
  • PGT-SR: Testing that screens embryos for chromosomal abnormalities that may result in pregnancy loss or inherited conditions. 

To learn more about how genetic testing may fit into your care plan, visit our Preimplantation Genetic Testing (PGT) page. 

Your Fertility Evaluation: What to Expect

Your first fertility evaluation at Main Line Fertility is designed to be informative and thorough. Our care team will take the time to understand your medical history and reproductive goals, and ensure you leave with a clear understanding of your path forward. 

During your evaluation, you can expect: 

  • A thorough review of your medical and reproductive history, including menstrual cycle patterns, any prior pregnancies or fertility treatments, relevant health conditions, and how long you've been trying to conceive (if applicable)
  • An open conversation about your family-building goals, whether that means you're ready to start a family now,  want to plan for the future, or just explore your options
  • Initial diagnostic steps, which may include bloodwork, imaging, or other testing based on your individual circumstances
  • Dedicated time to ask questions and talk through what comes next with your care team

To make the most of your visit, we suggest coming prepared with:

  • Any prior fertility test results or relevant medical records
  • Notes on your recent menstrual cycles, including any irregularities you've noticed
  • A complete list of current medications and supplements, including vitamins and herbal products
  • Your insurance card and a valid photo ID
  • Your partner or a support person, if you'd like someone to accompany you

The purpose of this visit is to organize the information available, identify what may be missing, and determine what comes next in a way that feels clear and manageable.

Understanding Fertility Testing Costs

The cost of fertility testing varies depending on which evaluations are recommended, whether one or both partners are being tested, and your insurance coverage. To help you plan ahead, our financial team will verify your benefits before your first appointment and walk you through what’s covered, what may be out-of-pocket, and any financing options that may be available. For more information, explore our pages on treatment costs, insurance coverage, and financing.

Fertility Testing FAQs

  • Fertility testing is a collection of diagnostic evaluations that may include bloodwork, imaging, and laboratory analysis. Results are used to understand how the reproductive system is functioning for one or both partners and identify factors that may impede the ability to conceive.

  • A common guideline is to seek a fertility evaluation after 12 months of trying to conceive without success, or after 6 months if you are 35 or older. However, if you have irregular cycles, a known reproductive health condition, a history of pregnancy loss, or are planning for the future, earlier testing may be worth discussing with a specialist.

  • A fertility evaluation typically begins with a comprehensive review of your medical history, followed by a discussion of your reproductive goals and current circumstances. From there, your physician will recommend initial testing, which may include hormone bloodwork, imaging of the reproductive organs, or a semen analysis if a male partner is involved. Every evaluation is built around the individual, so the specific tests recommended will depend on your unique history and what your care team needs to know.

  • The timeline depends on which tests are part of your evaluation. Some blood test results are available within a few days, while certain tests, such as those that need to align with specific points in the menstrual cycle, may take a few weeks. Your care team will walk you through the expected timeline for each evaluation so you always know what to expect.

  • The most helpful things you can do before your first appointment include gathering any prior test results or medical records, noting your recent cycle patterns and any irregularities, writing down all current medications and supplements, and jotting down any questions you may have. Also remember to bring your insurance card and a photo ID, and consider whether you'd like your partner or a support person to join you.

  • Coverage varies considerably by plan and provider. Some diagnostic testing may fall within your benefits, while other services may not. Our financial team will review your insurance ahead of your appointment to give you a clear picture of what's covered and what to expect out-of-pocket.

  • Yes, and in most cases, we recommend it. Both male and female factors contribute to fertility challenges in a significant share of cases, so evaluating both partners can provide a more complete picture of a couple's reproductive health, leading to faster, more targeted next steps.

  • Once your results are ready, your physician will review them with you in detail, answer your questions, and outline a recommended path forward. Depending on what the evaluation reveals, next steps might include additional testing, a specific treatment recommendation, monitoring, or lifestyle adjustments to support your goals. No matter what direction your journey takes, your care team will make sure the plan is clear and built around your needs.

  • Absolutely. Main Line Fertility provides fertility testing and evaluation services for LGBTQ+ individuals and couples, with care plans shaped around your specific path to parenthood. Whether your journey involves donor eggs, donor sperm, gestational surrogacy, or fertility preservation ahead of gender-affirming care, we'll build an evaluation that reflects your needs. Our team is committed to providing a welcoming, affirming environment for every patient who walks through our doors. To learn more, visit our LGBTQ+ Family Building page to learn more. 

  • Yes. Before pursuing egg freezing, sperm banking, or embryo freezing, testing is typically used to assess your current reproductive health and determine the most effective preservation approach.

Schedule a Fertility Evaluation in Pennsylvania

If you're ready to get answers, Main Line Fertility offers comprehensive fertility evaluations for individuals and couples across Philadelphia, the Main Line, and South Jersey, with convenient clinic locations in Bryn Mawr, Philadelphia, West Chester, Havertown, Reading, and Fort Washington. Whether you're just starting to ask questions or have been navigating this process for a while, we'll meet you where you are. Reach out today to schedule your fertility evaluation and take the next step toward building your family.

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