Fertility Screening in Singapore (Male & Couple Fertility Tests) at Seng OG Clinic

Fertility screening helps identify factors affecting your ability to conceive by evaluating reproductive health in both partners. At Seng OG Clinic, our assessments cover female, male, and couple fertility screening. These tests provide a clearer picture of your fertility health, and help guide informed decisions on the next steps-whether that involves timed intercourse, lifestyle adjustments, or assisted reproductive treatments.

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Fertility screening and fertility tests (what's included)

Fertility screening is a structured evaluation of reproductive health designed to uncover factors that may be affecting conception. Rather than guessing why pregnancy hasn't occurred, a comprehensive fertility evaluation examines both partners systematically.

Female screening typically includes:

• Blood tests measuring reproductive hormones (follicle-stimulating hormone (FSH), luteinising hormone (LH), estradiol, progesterone)
• Thyroid-stimulating hormone (TSH) and prolactin levels to identify hormonal imbalances
• Anti müllerian hormone (AMH) testing for ovarian reserve assessment
• Transvaginal ultrasound to assess antral follicle count and uterine structures

Male screening includes:

• Semen analysis assessing sperm count, sperm motility, and morphology
• Physical examination when indicated
• Hormone tests if abnormalities are detected
• Further tests, such as scrotal ultrasound, if structural concerns exist

Results from these assessments guide treatment decisions. Couples with normal findings may benefit from timed sexual intercourse during ovulation. When mild male factors or ovulation timing issues exist, IUI treatment may be recommended. For more complex fertility challenges-including poor sperm quality, diminished ovarian reserve, or blocked fallopian tubes-your doctor will advise on the most appropriate next steps based on your results. .

• Learn more about IVF treatment options
• Learn more about Egg freezing options

Fertility check in Singapore - who should consider it and when

A fertility check becomes relevant when conception isn't happening as expected. General guidance suggests seeking an assessment if you've been trying to conceive naturally with frequent intercourse for over a year without success, or after six months if the female is 35 or older.

At Seng OG Clinic we recommend you consider booking a fertility health check if you have:

• Irregular menstrual cycles may suggest potential ovulation issues or polycystic ovary syndrome
• History of recurrent miscarriages or difficulty conceiving in previous attempts
• Known male fertility concerns such as erectile dysfunction, previous testicular injury, or low semen analysis results
• Age-related planning - women over 35 experience a faster decline in egg quality and quantity
• Medical conditions affecting reproductive health, including thyroid disorders

Both partners should be evaluated together. Male factors contribute to approximately 40-50% of infertility cases, making male fertility testing equally important as female screening.

Fertility test for couples in Singapore (his + hers checklist)

Couple screening examines both partners simultaneously, saving time and providing a complete picture of your fertility potential.

Couple Screening Checklist

What to bring to your appointment :

• Previous fertility test results or hormone panels
• Records of past pregnancies or miscarriages
• List of current medications and supplements
• Menstrual cycle tracking information
• Any prior imaging reports (ultrasounds, dye test results)

AMH test in Singapore - what it indicates (and what it doesn't)

The anti-mullerian hormone (AMH) test measures a hormone produced by small follicles in the ovaries, providing insight into the ovarian reserve-essentially, how many eggs remain.

What AMH tells you:

• Relative quantity of remaining eggs compared to women of the same age
• Likely response to ovarian stimulation during assisted reproductive techniques
• Whether fertility preservation options may be relevant based on your timeline and results

What AMH does NOT tell you:

• Whether a female can conceive naturally-AMH measures quantity, not egg quality
• A female's fertility potential with certainty-women with low AMH do conceive
• How long a woman has before menopause with precision

Egg quality depends primarily on age, not AMH levels. A younger woman with lower AMH may have better quality eggs than an older woman with higher AMH. Very high AMH levels sometimes indicate polycystic ovary syndrome, which presents its own fertility challenges.

AMH can be tested on any day of your menstrual cycle, making it convenient to schedule alongside other blood tests.

Ovarian reserve test in Singapore - ultrasound + lab assessment

At Seng OG Clinic we conduct complete ovarian reserve assessment combining the AMH blood test with transvaginal ultrasound to count antral follicles (AFC).

The AFC ultrasound is performed early in your menstrual cycle. During this scan, the fertility specialist counts small follicles (2-10mm) visible in both ovaries. This count indicates how many follicles are available for potential stimulation.

Together, AMH and AFC provide complementary information:

• AMH offers a laboratory test measurement of ovarian reserve
• AFC provides visual confirmation and identifies any surrounding structures or concerns

This combined approach is particularly recommended for women over 35, those with a history of ovarian surgery, endometriosis, or previous chemotherapy. Results help determine whether you're likely to respond well to fertility treatments and inform discussions about treatment options.

Preconception checkup in Singapore (for couples planning pregnancy)

A preconception checkup differs from fertility screening-it's designed for couples planning before actively trying to conceive, rather than those experiencing difficulty conceiving. At Seng OG Clinic we offer comprehensive couple fertility screening. Goals of preconception screening include:

• Health optimisation - managing medical conditions like diabetes, thyroid disorders, or hypertension before pregnancy
• Nutritional preparation - ensuring adequate folic acid and micronutrient levels
• Lifestyle factors assessment - addressing smoking, alcohol consumption, and maintaining a healthy weight
• Reproductive readiness - reviewing menstrual cycle regularity and basic hormone levels
• Sexually Transmitted Infections (STIs) and Sexually Transmitted Diseases (STDs)- checking for infections that could affect pregnancy

For men, a preconception checkup may include a general wellness assessment and, sometimes, a baseline semen analysis to identify any concerns early.

Ideally, you should make an appointment with us for preconception checkups approximately three months before you begin trying to conceive, allowing time to address any underlying issues, if any.

Semen analysis in Singapore (male semen test/sperm test)

Semen analysis is the primary laboratory test for assessing male fertility. This male fertility test evaluates several parameters from a semen sample:

• Sperm count - concentration of sperm per millilitre and total sperm per ejaculate
• Sperm motility - percentage of live sperm that are moving, including how many sperm show progressive movement
• Morphology - percentage of sperm with normal shape under strict criteria
• Semen volume - total volume of ejaculate
• Vitality - proportion of live sperm in the sample
• pH and white blood cells - indicators of infection or inflammation

Preparation guidelines:

• Abstinence window of 2-5 days before providing the semen sample
• Avoid lubricants that may affect sperm quality
• Sample ideally produced at the clinic or transported within 1-2 hours

Sperm production varies based on lifestyle factors, illness, stress, and recent sexual activity. Therefore, a single abnormal result doesn't necessarily indicate male infertility. Repeat testing after 2-3 months is often recommended to confirm findings.

Male Infertility in Singapore - Next Steps After an Abnormal Semen Test

If your semen analysis test shows abnormal results, the evaluation pathway typically follows these steps:

When these approaches aren't sufficient, assisted reproductive treatments become relevant. Compare IUI vs IVF to understand which approach may suit your situation.

What to expect at your first screening consultation (process + timeline)

Your first fertility assessment appointment at Seng OG Clinic follows a structured approach:

Initial consultation (both partners):

• Review of medical, surgical, and reproductive history
• Discussion of menstrual cycle patterns and sexual intercourse frequency
• Assessment of lifestyle factors and any previous test results
• Physical examination if indicated

Personalised test plan: Based on your history, specific tests are recommended. Some tests are cycle-dependent (like day-3 hormone panels), while others (AMH, semen analysis) can be scheduled flexibly.

Testing timeline:

• Blood tests: results typically within a few days
• Semen analysis: usually reported within 1-2 days
• Ultrasound scans: performed and interpreted during your visit
• Full screening completion: generally 2-4 weeks, depending on scheduling

Results review: A follow-up appointment reviews all fertility test results, discusses findings, and outlines appropriate treatments or next steps.

Book a fertility screening consultation to begin your fertility journey with clarity about your reproductive health.

Fees and what affects costs (screening)

Fertility screening costs in Singapore vary based on several factors:

• Which specific tests you need - a basic assessment costs less than a comprehensive evaluation
• Laboratory requirements - hormone panels, AMH testing, and specialised semen analysis tests
• Ultrasound scans - transvaginal ultrasound for AFC and structural assessment
• Follow-up consultations - results review and ongoing monitoring
• Additional tests - genetic testing or advanced sperm function analysis if indicated

Discuss your specific circumstances during your consultation with us. This will help us understand which tests are most relevant for your situation and brief you on the associated investment.

Take the first step towards understanding your reproductive health and planning your family with confidence. Our medical team at Seng OG Clinic is here to guide you through every stage of the process, ensuring personalised care tailored to your needs.

Ready to start?

Book a fertility screening consultation and gain clarity on your fertility journey now.