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How Fertile Am I?
(Fertility MOT And Egg Counting)

If you’ve decided to start trying for a baby, one of the first questions you might ask is “How quickly can I expect to get pregnant?” If you’re planning to get pregnant you may ask how fertile you and your partner areAfter all, you’ll be excited and curious to know when you might need to prepare for pregnancy, and eventually your new arrival.

Having sex in your most fertile time – during ovulation – is best, and will play an essential role, as will the frequency of lovemaking. However a big factor involved is how fertile both partners are, and you may well want to investigate further.

When should I seek out help?
It’s frustrating if after months – even years of trying you’re faced with the possibility of needing outside assistance, especially as inevitably over time, fertility naturally decreases in both men and women.

Women are most fertile in their 20’s, with problems tending to increase after the age of 35 and for men, healthy sperm declines from age 50.

If you’ve reached a point where you suspect that something’s wrong, you might question the best course of action and wonder what can be done to help?

The first step is to seek out a Fertility MOT from a professional expert, to determine if there’s an underlying condition making conception more of a challenge.

Seeking advice from a professional will help and inform you

How is fertility assessed?
Naturally there are different ways to evaluate the fertility of both men and women.

If you are interested in speaking to a private fertility consultant, please see our list of leading fertility clinics both within the UK and internationally. These carefully selected clinics can provide you with any and all information you may need in beginning your journey towards parenthood.

Fertility Tests for women

The Transvaginal Ultrasound Scan is a very common and accurate test for women experiencing problems getting pregnant. It looks for abnormalities in the reproductive system, including:

  • The walls and position of the uterus – this is where the embryo grows. The lining of the uterus can grow too thick or too thin, hindering implantation. Some women will experience polyps and fibroids – benign tumours that cause unevenness in the uterine lining, again making it difficult for an embryo to implant and grow into a baby.
  • The ovaries – where the eggs are held. This helps determine your ovarian reserves through Antral Follicle Count. Complications in the ovaries can vary – from problematic attachment to other organs, conditions such as Polycystic Ovarian Syndrome, scarring or cysts. Ovarian size, position and structure are examined for abnormalities.
  • The fallopian tubes – linking the ovaries to the uterus. The Transvaginal Ultrasound can determine if the fallopian tubes are scarred or twisted, or if there is any abnormal growth of endometrial tissue – a condition known as endometriosis, blocking the egg from ever meeting the sperm cells.

A Saline Hysterography
Also called a Saline Installation Hysterography (SIS), or Aqua Scan, sterile saline is placed in the uterine cavity, and it is examined by an ultrasound scan. This technique allows for better visualisation of any potential conditions found in the Vaginal Ultrasound Scan. Implantation failure of miscarriage can be down to blocked fallopian tubes or abnormalities such as polyps, adhesions or scar tissue, and this examination will effectively pick these up.

Egg Counting
A blood test will measure levels of Anti-Mullerian HormoneA blood test measuring the levels of Anti-Mullerian Hormone can help determine how many eggs you have left. Anti-Mullerian is a hormone produced by follicles in the ovaries, and the levels of this hormone are linked to a woman’s ability to produce eggs for fertilization, resulting in a healthy and successful pregnancy. Essentially, the lower the AMH level, the lower the ovarian reserve is. In post-menopausal women the AMH hormone reaches undetectable levels.

Additionally, if you would like to speak to a private gynaecologist, please see our list of highly respected private clinics and hospitals for all of your gynaecological needs.

And what about men?
Of course it’s not only women that have a part to play in making babies, and approximately half of infertility issues are attributed to male reproductive problems. This includes a lack or sperm (low sperm count), sperm motility or abnormal sperm.

50% of infertility issues are due to male reproductivity and sperm problems

Additionally, as with women, men’s fertility naturally declines over time, too. A semen analysis and investigation will help to determine if any of these issues transpire.

Having a fertility MOT offers massive clarity on where you are in your journey towards conception, as well as straight answers to what, if anything needs to be done to assist the process.

So, whether you’re actively trying to get pregnant, or you simply want to avoid a long process when you do decide to have a baby, or even want to postpone having a family. understanding how fertile you are is useful knowledge, and will let your know how quickly you can expect to see those two blue lines!

Understanding how fertile you are can indicate how quickly you might have a baby

Related Video: Know Your Fertility Potential – From Egg Counting To IVF

We thank Dr Gorgy from The Fertility and Gynaecology Academy, for providing specialist knowledge for this article.

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