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Fertility evaluation

Start here. Tests for both partners, and what each one tells us.

Reviewed by

Dr. Hardik Vansjaliya
GMC Reg. G/24936 · Updated August 2026

Nearly everyone should start here. An evaluation looks at both partners and answers three questions: are eggs being released, is there a clear path for them, and is the sperm able to reach and fertilise one. Until those are answered, any treatment is a guess.

01

First consultation — both partners

Your history, previous pregnancies or losses, periods, surgeries, and anything already tested elsewhere. Bring every old report you have, even if you think it is out of date.

1 visit
02

Blood tests and a scan

Hormone levels, thyroid, and a scan to look at the ovaries and the lining of the uterus. Some of these are timed to specific days of your cycle.

2–3 visits
03

Semen analysis

Count, movement and shape. This is done on site. If the first sample is abnormal it is repeated after a few weeks — one poor sample on its own does not mean much.

1 visit
04

Checking the tubes, if needed

An HSG or a similar test to see whether the fallopian tubes are open. Not everyone needs this, and we will tell you if you do.

1 visit
05

Sitting down with the results

Everything together, explained, with the options set out and written down — including the option of waiting, where that is reasonable.

1 visit

Why we will not skip it

Couples sometimes arrive asking for IVF directly, often after a long wait and a lot of advice from other people. We understand the impulse. But IVF is the answer to some problems and not others, and starting it without knowing which problem you have means spending a great deal of money on something that may not be the thing you needed.

An evaluation takes about three weeks. In a fair number of couples it finds something simpler and cheaper to treat than IVF.

What is tested, and why

Some tests are timed to a particular day of your cycle, which is why the three weeks cannot be compressed much. We will tell you at the first visit which day to come back on.

What it costs

Fertility evaluation — charges
ItemCostNotes
Evaluation — consultation, blood tests and scan₹5,000Both partners. Covers the visits, the tests and the written plan.
Semen analysis₹500Repeated free of charge if the first sample is abnormal.
Tubal test (HSG), if needed₹5,000Not everyone needs this.

Charges at Pearl Women's Super Speciality Hospital and IVF/ICSI Center as of September 2026. You are told what anything costs before it is done, and nothing is billed that you have not agreed to.

Questions we are asked most

Does my husband need to come?

For the first and the last visit, yes. About half of fertility problems involve the male partner and a semen analysis is one of the simplest, cheapest and most informative tests there is. It is not optional if you want an answer worth acting on.

How long before we know something?

Most couples have a clear picture within three weeks. Some tests must fall on particular days of the cycle, so occasionally it stretches to five or six weeks.

What if the evaluation finds nothing?

That happens in roughly one in five couples and it is a real finding, not a failure of the tests. It changes what we would suggest next, and we will talk you through what the options are when nothing specific is wrong.

Will you push us towards IVF?

No. If a simpler treatment is likely to help you, we will say so, and we will tell you plainly when we think IVF is not the right step.

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