Fertility Testing & Diagnosis
378 clinics offering this service
What is Fertility Testing?
Fertility testing is a comprehensive diagnostic workup to identify potential causes of infertility. Both partners should be evaluated, as factors can be female, male, or a combination.
How It Works
Initial Consultation
Review medical history, lifestyle factors, and conception timeline with a fertility specialist.
Female Testing
Blood tests (AMH, FSH, estradiol), transvaginal ultrasound (AFC), HSG (tubal patency), and thyroid panel.
Male Testing
Semen analysis evaluating count, motility, morphology. Additional hormone testing if needed.
Results & Plan
Your doctor reviews all results and creates a personalized treatment plan.
Who Is It For?
Fertility testing is recommended for couples who have been trying to conceive for 12 months (6 months if over 35), anyone with known risk factors (irregular periods, endometriosis, PCOS), or those who want a baseline assessment before trying.
Who It May Not Be Right For
Fertility testing is recommended for virtually anyone struggling to conceive. However, extensive testing may not be necessary for couples who have been trying for fewer than 6-12 months (depending on age) without risk factors.
Success Factors
A thorough evaluation identifies the cause of infertility in about 85% of cases, allowing for targeted treatment. The remaining 15% are classified as unexplained infertility.
Timeline
Most testing can be completed within 1–2 menstrual cycles (4–8 weeks).
Risks & Side Effects
- HSG test can cause cramping and mild discomfort
- Very small risk of infection from HSG or other invasive tests
- Emotional impact of receiving a difficult diagnosis
- Cost of testing can add up without insurance
Insurance Reality
Most diagnostic fertility testing is covered by insurance as a medical workup, even in states without fertility treatment mandates. Blood tests, ultrasounds, and semen analysis are usually coded as diagnostic. HSG may require prior authorization.
Alternatives to Consider
At-home fertility tests
OTC tests for AMH and sperm count exist but are less comprehensive than clinical testing. They can be a starting point but should not replace a full evaluation.
Expectant management
For young couples with no risk factors, trying naturally for 12 months before testing is reasonable — but not recommended if the woman is over 35 or there are known risk factors
Frequently Asked Questions
When should I get fertility testing?
After 12 months of trying if under 35, after 6 months if over 35, or immediately if you have known risk factors (irregular periods, endometriosis, PCOS, prior cancer treatment, or known male factor issues).
What does a basic fertility workup include?
For women: blood tests (AMH, FSH, estradiol, thyroid), transvaginal ultrasound (AFC), and HSG (tubal patency test). For men: semen analysis. This covers about 85% of identifiable causes.
How much does fertility testing cost?
A basic workup costs $250-$2,000 depending on which tests are needed. Most diagnostic testing is covered by insurance as it's categorized as medical evaluation, not fertility treatment.
Estimated Cost
Typically includes: Initial consultation, bloodwork, ultrasound, semen analysis
Diagnostic workup
Cost estimates based on national averages from multiple sources. Actual costs vary by clinic, location, and individual treatment plan. Always confirm pricing directly with your clinic.
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Read more →Top Clinics for Fertility Testing
Arbor Fertility ✓
Chesterfield, MO
GENESIS Fertility & Reproductive Medicine ✓
Brooklyn, NY
California Fertility Clinic
Los Angeles, CA
West Coast Fertility Centers
Los Angeles, CA
GenPrime Fertility Los Angeles / 珍盼洛杉矶试管生殖中心
Anaheim, CA
Joy Wellness + Fertility
Phoenix, AZ
Southern California Fertility Center
La Jolla, CA
Fertility Specialists Medical Group
Carlsbad, CA
IVF Florida Reproductive Associates in Jacksonville
Jacksonville, FL
Sy Le, MD – Fertility Specialist
Irving, TX
Vera Health and Fertility
Westminster, CO
Washington Fertility Center
Fredericksburg, VA
The Center for Reproductive Counseling
Nashville, TN
Abby C Eblen MD
Nashville, TN
Precision IVF | El Paso | Sushila Arya, MD Fertility Specialist
El Paso, TX
Terra Fertility
Dedham, MA
CNY Fertility Norfolk
Norfolk, VA
Arbor Fertility
Columbia, MO
Atlanta Horizon Fertility Center
Atlanta, GA
Carolina Conceptions Fertility – North Raleigh
Raleigh, NC
Carolina Conceptions Fertility – Holly Springs
Holly Springs, NC
Santa Monica Fertility Miami
Coral Gables, FL
IVF Options
Miami Beach, FL
Center for Reproductive Medicine
Orlando, FL
Radiance Fertility
Mars, PA
Arbor Fertility
Fenton, MO
Arbor Fertility
Creve Coeur, MO
Path Fertility
Salt Lake City, UT
Awaken and Bloom
Salt Lake City, UT
Center for Advanced Reproductive Services Middlebury
Middlebury, CT
Yale Medicine Reproductive Endocrinology and Infertility
Westport, CT
West Virginia Fertility Institute
Charleston, WV
Delaware Institute for Reproductive Medicine - Chadds Ford Office
Chadds Ford, PA
Positive Steps Fertility
Gulfport, MS
Boston IVF
Portsmouth, NH
Tree of Life Center - TLC Fertility
Tarzana, CA
IVFLA Fertility: IVF Clinic & Infertility Specialists Beverly Hills
Beverly Hills, CA
Shady Grove Fertility in Spring-Woodlands
Shenandoah, TX
Center for Reproductive Medicine and Fertility
Voorhees, NJ
C.R.E
Dallas, TX
Dallas - Fort Worth Fertility, Medical City
Dallas, TX
Peak Fertility
Plano, TX
Precision IVF | Frisco | Sushila Arya, MD Fertility Specialist
Frisco, TX
Collab Fertility
Walnut, CA
Advanced Reproductive Specialists of Panama City
Panama, FL
Precision IVF | Fort Worth | Sushila Arya, MD Fertility Specialist
North Richland Hills, TX
Austin Area Obstetrics, Gynecology, and Fertility
Austin, TX
RMA Southern California - Laguna Hills
Laguna Hills, CA
Ember Fertility Center
Laguna Hills, CA
Tarantino Jr Samuel MD
Temple Terrace, FL
Conceptions Fertility Center
Provo, UT
Alabama Center for Reproductive Medicine (ACRM) - Montgomery
Montgomery, AL
Shady Grove Fertility in Newark
Newark, DE
CCRM Fertility of Newport Beach
Newport Beach, CA
West Coast Fertility Centers
Fountain, CA
RMA Houston
Houston, TX
Pinnacle Fertility Arizona - Chandler
Chandler, AZ
New Direction Fertility Centers, Scottsdale
Scottsdale, AZ
Shady Grove Fertility in Solana Beach
Solana, CA
Male Fertility & Sexual Medicine Specialists
San Diego, CA
DFW Center for Fertility & IVF
Allen, TX
NOVA IVF
Mountain, CA
Midwest Fertility Specialists
Fort Wayne, IN
Pacific Fertility Center
Greenbrae, CA
Think Fertility - Bellevue
Bellevue, WA
STL Fertility
St. Louis, MO
Pinnacle Fertility Georgia - Atlanta
Atlanta, GA
Carolinas Fertility Institute - Wilmington
Wilmington, NC
Boca Fertility IVF Center
Boca Raton, FL
Coastal Fertility Specialists
Myrtle Beach, SC
RADfertility
Newark, DE
Positive Steps Fertility
Madison, MS
California Dream Fertility Center-Fangyin Meng MD
Aliso Viejo, CA
Reproductive Fertility Center
Los Angeles, CA
Reproductive Partners Medical Group
Long Beach, CA
Chicago IVF - Munster Fertility Clinic
Munster, IN
Shady Grove Fertility in Houston - Memorial City
Houston, TX
Pinnacle Fertility Arizona - Scottsdale
Scottsdale, AZ
Main Line Fertility
Havertown, PA
Fertility Center Of San Antonio
San Antonio, TX
Texas Fertility Center - San Antonio
San Antonio, TX
Fertility Institute of San Diego - IVF & Fertility Treatment Center
San Diego, CA
Gen 5 Fertility Center
San Diego, CA
RMA San Diego - Fertility Clinic
San Diego, CA
Dallas Fort Worth Fertility Associates - Southlake Clinic
Southlake, TX
Advanced Reproductive Specialists of Gainesville
Gainesville, FL
IVFMD Fertility Clinic
Arlington, TX
The Turek Clinic - Dr. Paul Turek
San Francisco, CA
Northwest Fertility Center
Portland, OR
Nevada Fertility Center
Las Vegas, NV
Mississippi Reproductive Medicine
Flowood, MS
Pinnacle Fertility Arizona - Tucson
Tucson, AZ
Carolina Conceptions Fertility – Wilmington
Wilmington, NC
CCRM Fertility of Miami
Miami, FL
Shady Grove Fertility in Wesley Chapel
Wesley Chapel, FL
The Reproductive Medicine Group
Wesley Chapel, FL
The IVF Center
Orlando, FL
Shady Grove Fertility in Bethlehem
Bethlehem, PA
Fertility Institute of Hawaii
Honolulu, HI
Alabama Center for Reproductive Medicine (ACRM) - Birmingham
Homewood, AL