Trying to conceive is a shared journey, and so is the check-up. Dr. Sanjana L, gynaecologist in HSR Layout & Attibele, explains the fertility tests for both partners.
Fertility Is a Couple Matter
When conceiving is taking longer than hoped, it is natural to worry — and just as natural to assume the "issue" lies with the woman. In reality, fertility factors are shared: a significant proportion of cases involve the male partner, either alone or alongside female factors. That is why a proper fertility check-up evaluates both partners together.
Dr. Sanjana L guides couples across HSR Layout and Attibele through this, as part of fertility treatment, with a calm, practical approach.
When to Seek a Check-up
Consider a fertility assessment if you have been trying to conceive for:
- 12 months, if the woman is under 35
- 6 months, if the woman is 35 or older
- Sooner, if there are known issues such as irregular periods, PCOS, endometriosis, previous pelvic surgery or infection
Tests for Her
- Hormone blood tests — to assess ovulation and ovarian reserve, including AMH
- Thyroid and other checks — as these affect fertility
- Pelvic ultrasound — to assess the uterus and ovaries
- Tubal assessment — a test to check the fallopian tubes are open, where indicated
Tests for Him
- Semen analysis — the key male fertility test, checking sperm count, movement and shape
- Further tests — hormonal or other tests if the semen analysis is abnormal
A semen analysis is simple and should be part of the very first round of tests, not an afterthought.
What Happens Next
Results guide the plan. Many couples need only simple support — timing, ovulation help, or treating an underlying issue like PCOS or thyroid. Others benefit from IUI or IVF. The aim is to find the cause and match the least intensive effective treatment.
Frequently Asked Questions
When should a couple see a doctor about fertility?
After 12 months of trying if the woman is under 35, or 6 months if she is 35 or older — and sooner if there are known issues like irregular periods or PCOS.
Should the man be tested too?
Yes, always. A large share of fertility issues involve the male partner, so a semen analysis should be part of the first round of tests.
What is the main test for male fertility?
A semen analysis, which checks sperm count, movement and shape. It is simple and central to the couple's assessment.
Does a fertility problem always mean IVF?
No. Many couples conceive with simpler help such as ovulation support or treating an underlying condition. IVF is one option among several.
Consult Dr. Sanjana L
Dr. Sanjana L (MBBS, MS — OBG, Gold Medalist) evaluates couples together and matches treatment to the actual cause. Learn more about Dr. Sanjana, see her HSR Layout and Attibele clinics, or book an appointment.
Dr. Sanjana L
MBBS MS ( OBG) Gold Medalist FRM ( RGUHS) FMAS
Gynaecologist & Obstetrician at Health Nest, HSR Layout & Raghava Hospital, Attibele, Bangalore
Dr. Sanjana L has over 10 years of experience in obstetrics and gynaecology. She is known for her compassionate, patient-centred approach and consults in English, Hindi, Kannada, and Telugu. She serves patients from HSR Layout, Attibele, Sarjapura, Electronic City, Koramangala, BTM Layout, Chandapura, and Hosur.