If you’re thinking about trying for a baby, it helps to start with a health check – not just for peace of mind, but also to make sure your body is ready. Many couples assume they only need tests after they’ve struggled to conceive, but in reality, a few simple investigations early on can make the journey smoother. The first thing doctors usually do is take a general physical exam. This covers basics like blood pressure, pulse, weight, and blood sugar. It might seem routine, but issues like high sugar or thyroid problems can affect fertility more than we realise.
This article is authored by Dr. Astha Jain, Fertility Specialist, Birla Fertility & IVF, Indore
A pelvic exam is sometimes advised too. It’s optional, but in many cases, it helps the doctor get a better sense of your reproductive health.
One of the most useful tests is a transvaginal ultrasound (TVS). This allows the doctor to look at your uterus and ovaries in detail. It can show how many follicles you have, called the antral follicle count (AFC), and show anything unusual like cysts or fibroids.
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Another important one is the tubal patency test. This checks whether your fallopian tubes are open. Even if ovulation is happening, a blocked tube can prevent fertilisation.
For men, a semen analysis is just as important. It tells us how many sperm are present, how well they move, and whether they are healthy.
In some situations like repeated miscarriages or early menopause, the doctor might suggest genetic testing of the embryos as well.
You may not need to undertake every test but that’s why it’s imperative that you take a proactive consultation with a fertility specialist to understand your reproductive health and gauge your options. The goal is simple: to give yourself the best possible chance before you even start trying.
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