Fertility Screening

Male & Couple
Fertility Screening

Uncover potential fertility concerns with comprehensive screening for couples in Singapore, from hormone testing to semen analysis.

Dr Seng providing consultation at Seng's OG Practice Singapore

Fertility Screening & Testing

Assessing both partners' reproductive health

Hormone Testing

Semen Analysis

Ultrasound Evaluation

Couple Fertility
Screening

Introduction

What Does Fertility Screening Do?

Fertility specialist reviewing medical information during a consultation

Fertility screening helps identify factors that may affect your ability to conceive by assessing the reproductive health of both partners. At Seng's OG Practice, we offer comprehensive male fertility screening and couple fertility screening to help uncover potential fertility concerns and provide personalised recommendations.
Our fertility screening for couples may include hormone assessments, semen analysis, ultrasound evaluations, and other investigations where appropriate. The results provide valuable insights into your fertility health and help guide the most suitable next steps.

Whether you are planning to start a family, have been trying to conceive, or are exploring fertility treatment options, fertility screening can help you make informed decisions about your reproductive health.

Fertility specialist reviewing medical information during a consultation

Female and Male Fertility Screening

Fertility Screening & Fertility Tests:
What's Included?

Fertility screening is a comprehensive assessment of reproductive health designed to identify factors that may be affecting your ability to conceive. At Seng's OG Practice, our fertility screening for couples evaluates both male and female fertility factors to provide a clearer understanding of your fertility health.

Female Fertility Screening

Blood tests to assess reproductive hormones, including FSH, LH, estradiol, and progesterone

Thyroid-stimulating hormone (TSH) and prolactin testing to identify hormonal imbalances

AMH (Anti-Müllerian Hormone) testing to evaluate ovarian reserve

Transvaginal ultrasound to assess antral follicle count and uterine health

Male Fertility Screening

Semen analysis to assess sperm count, motility, and morphology

Physical examination where indicated

Hormone testing if abnormalities are identified

Additional investigations, such as scrotal ultrasound, when required

The results of your fertility screening help guide the most appropriate treatment recommendations. Depending on the findings, your fertility specialist may recommend timed intercourse, lifestyle modifications, IUI treatment, IVF treatment, or other fertility treatment options tailored to your needs.

Learn more about IVF treatment options and egg freezing options during your consultation.

PATIENT ELIGIBILITY

Fertility Check in Singapore – Who Should Consider It and When

A fertility screening assessment can help identify potential factors affecting conception and provide clarity on your reproductive health.

In general, couples should consider a fertility screening if they have been trying to conceive for more than one year without success, or after six months if the female partner is aged 35 or above.

Couple discussing whether to arrange fertility screening

At Seng's OG Practice, we recommend considering a fertility screening for couples if you have:

  • Irregular menstrual cycles, which may indicate ovulation disorders or polycystic ovary syndrome (PCOS)
  • A history of recurrent miscarriages or previous difficulty conceiving
  • Known male fertility concerns, such as erectile dysfunction, previous testicular injury, or abnormal semen analysis results
  • Age-related fertility concerns, particularly for women over 35, as fertility naturally declines with age
  • Medical conditions that may affect fertility, including thyroid disorders and hormonal imbalances

Both partners should undergo fertility screening, as male factors contribute to a significant proportion of infertility cases. Comprehensive male fertility screening and female fertility screening can help identify underlying issues and guide the most appropriate next steps.

Preparation

Fertility Screening for Couples in Singapore: His & Hers Checklist

Couple fertility screening evaluates both partners at the same time, providing a comprehensive assessment of reproductive health and fertility potential. By assessing both male and female fertility factors together, couples can gain a clearer understanding of any issues affecting conception and receive more targeted recommendations for the next steps in their fertility journey.

Fertility screening tests for female and male partners
Partner Test Purpose
Female AMH blood test Measures ovarian reserve (egg quantity indicator)
Female AFC ultrasound scan Counts antral follicles to assess remaining egg supply
Female Hormone panel (FSH, LH, Estradiol) Evaluates baseline ovarian function and hormonal balance
Female Progesterone (mid-cycle) Confirms ovulation occurrence
Female TSH, Prolactin Identifies thyroid or hormonal imbalances affecting fertility
Male Semen analysis test Assesses sperm count, sperm motility, morphology, and semen volume
Male Physical examination Identifies varicocele or structural concerns
Male Hormone tests (if indicated) Evaluates testosterone, FSH, and LH levels

Your Appointment

What to Bring to Your Appointment

Bringing these documents can help your fertility specialist better understand your reproductive health and recommend the most appropriate next steps.

To help us provide a comprehensive fertility assessment, please bring the following where available:

Previous fertility test results or hormone test reports

A list of current medications and supplements

Menstrual cycle tracking information

Records of previous pregnancies or miscarriages

Previous imaging reports, such as ultrasound scans or fallopian tube dye test (HSG) results

Fertility screening services

Understanding Fertility Screening & Fertility Tests

From AMH testing and ovarian reserve assessment to semen analysis and preconception checkups – comprehensive fertility screening for women, men, and couples.

AMH Test in Singapore - What It Indicates (and What It Doesn't)

The AMH test (Anti-Müllerian Hormone test) is an important part of female fertility screening. It measures the level of anti-Müllerian hormone produced by small follicles in the ovaries and provides an indication of a woman's ovarian reserve, or the estimated number of remaining eggs.

While AMH testing provides valuable information about egg quantity, it does not measure egg quality. Women with lower AMH levels may still conceive naturally, while higher AMH levels do not guarantee fertility. In some cases, very high AMH levels may be associated with polycystic ovary syndrome (PCOS).

One advantage of the AMH test is that it can be performed on any day of the menstrual cycle, making it a convenient component of a comprehensive fertility screening assessment.

What an AMH Test Can Indicate

  • Your ovarian reserve compared with women of a similar age
  • How you may respond to ovarian stimulation during IVF treatment
  • Whether fertility preservation options, such as egg freezing, may be worth considering

What an AMH Test Cannot Determine

  • Whether you can conceive naturally
  • Egg quality, which is influenced primarily by age
  • Your exact fertility potential or chances of pregnancy
  • The precise timing of menopause

Ovarian Reserve Test in Singapore – Ultrasound + Lab Assessment

An ovarian reserve test helps evaluate the number of eggs remaining in the ovaries and is an important part of female fertility screening. At Seng's OG Practice, we perform a comprehensive ovarian reserve assessment by combining AMH testing with an Antral Follicle Count (AFC) ultrasound.

During the AFC ultrasound, performed early in the menstrual cycle, your fertility specialist counts the small follicles present in both ovaries. This provides a visual assessment of your ovarian reserve and potential response to fertility treatment.

Together, these tests provide complementary information:

  • AMH testing measures ovarian reserve through a blood test
  • AFC ultrasound provides a visual assessment of follicle count and ovarian health

This combined ovarian reserve test is particularly useful for women over 35, those with endometriosis, previous ovarian surgery, or a history of medical treatments that may affect fertility. The results help guide fertility treatment planning and discussions about options such as IVF treatment, egg freezing, and other fertility preservation strategies.

Preconception Checkup in Singapore (For couples Planning Pregnancy)

A preconception checkup is designed for couples who are planning for pregnancy and want to optimise their health before trying to conceive. Unlike fertility screening, which investigates potential fertility issues, a preconception assessment focuses on preparing both partners for a healthy pregnancy.

Key areas assessed during a preconception checkup may include:

  • Health optimisation, including the management of conditions such as diabetes, thyroid disorders, and hypertension
  • Nutritional preparation, including folic acid and other essential micronutrients
  • Lifestyle factors such as smoking, alcohol consumption, exercise, and weight management
  • Reproductive health and menstrual cycle assessment
  • Screening for sexually transmitted infections (STIs) and sexually transmitted diseases (STDs)

For men, a preconception checkup may include a general health assessment and, where appropriate, a baseline semen analysis. Ideally, couples should schedule a preconception consultation around three months before trying to conceive to allow time to address any identified health concerns.

Semen Analysis in Singapore (Male Semen Test/Sperm Test)

A semen analysis is one of the most important tests in male fertility screening, providing valuable information about sperm health and reproductive potential. This male fertility test evaluates several key parameters from a semen sample to help identify factors that may affect conception.

A typical semen analysis assesses:

  • Sperm count – the number of sperm present in the sample
  • Sperm motility – the ability of sperm to move effectively
  • Sperm morphology – the percentage of sperm with a normal shape
  • Semen volume – the total volume of the ejaculate
  • Sperm vitality – the proportion of live sperm present
  • pH and white blood cell levels – indicators of possible infection or inflammation

Preparing for a Semen Analysis

To ensure accurate results, patients are generally advised to:

  • Maintain an abstinence period of 2–5 days before testing
  • Avoid lubricants that may affect sperm quality
  • Provide the semen sample according to the clinic's instructions

Male infertility

Male Infertility in Singapore
Next Steps after an Abnormal Semen Test

An abnormal semen analysis does not necessarily mean you have male infertility. Further evaluation is often required to identify the underlying cause and determine the most appropriate treatment approach.

Next steps after an abnormal semen analysis

Step 1 of 5

Repeat Semen Analysis

01

A repeat semen analysis may be recommended to confirm the findings, as sperm quality can be affected by illness, stress, medications, and lifestyle factors

STEP 2 OF 5

02

Male Fertility Assessment

Your doctor will review your medical history, current medications, previous infections, and lifestyle habits that may affect sperm production and overall reproductive health.

STEP 3 OF 5

03

Physical Examination

A physical examination may be performed to assess for conditions associated with male infertility, including varicocele, testicular abnormalities, or other structural concerns. Additional imaging, such as a scrotal ultrasound, may be recommended where indicated.

STEP 4 OF 5

04

Additional Fertility Testing

Further investigations may include hormone testing, such as testosterone, FSH, and LH levels, to identify potential hormonal causes of abnormal sperm production. In selected cases, genetic testing may also be recommended.

STEP 5 OF 5

05

Male Infertility Treatment Options

Depending on the cause of the abnormal results, treatment options may include:

  • Lifestyle modifications, such as smoking cessation, reducing alcohol intake, weight management, and avoiding excessive heat exposure
  • Medical treatment for infections or hormonal imbalances
  • Surgical treatment for conditions such as varicocele or reproductive tract obstruction
  • Assisted reproductive treatments, including IUI or IVF, where appropriate

Your fertility specialist will discuss the most suitable male infertility treatment options based on your individual test results and fertility goals.

What to expect

What to Expect During Your Fertility Screening Consultation

Your first fertility screening consultation at Seng's OG Practice is designed to provide a comprehensive assessment of your reproductive health and identify any factors that may affect conception.

Step 1

Initial Fertility Assessment

During your consultation, your fertility specialist will:

  • Review your medical, surgical, and reproductive history
  • Discuss menstrual cycle patterns, conception history, and lifestyle factors
  • Review any previous fertility test results
  • Perform a physical examination where indicated

Step 2

Personalised Fertility Screening Plan

Based on your history and fertility goals, a customised fertility screening plan will be recommended. This may include male fertility screening, female fertility screening, hormone testing, ultrasound assessments, and semen analysis.

Step 3

Fertility Testing Timeline

  • Blood tests – results are typically available within a few days
  • Semen analysis – results are usually available within 1–2 days
  • Ultrasound scans – performed and reviewed during your visit
  • Complete fertility screening – generally completed within 2–4 weeks, depending on the tests required

Step 4

Results Review and Next Steps

Once all fertility screening results are available, a follow-up consultation will be arranged to review the findings and discuss appropriate treatment options, including lifestyle recommendations, IUI, IVF, or other fertility treatments where necessary.

Book a fertility screening consultation today to gain a clearer understanding of your fertility health and explore your options for starting or growing your family.

Fees and Costing

Fees and What Affects Costs (Screening)

The cost of fertility screening in Singapore varies depending on the type and number of tests required. Every individual and couple has unique fertility needs, so the most appropriate investigations will be recommended based on your medical history and fertility goals.

During your fertility screening consultation, our team will discuss the most relevant tests for your situation and provide a clear explanation of the associated costs.

Contact Seng's OG Practice at (65) 6472 7988 to learn more about egg freezing and schedule a consultation.

Factors that may affect fertility screening costs include:

  • The scope of your fertility screening assessment
  • Hormone testing, including AMH testing and other fertility blood tests
  • Semen analysis and additional male fertility investigations
  • Ultrasound examinations, including Antral Follicle Count (AFC) assessments
  • Follow-up consultations to review fertility screening results
  • Additional investigations, such as genetic testing or advanced fertility assessments where indicated

FAQ

Frequently Asked Questions

General Fertility Screening

Female Fertility Tests

Male Fertility Tests

General Fertility Screening
Female Fertility Tests
Male Fertility Tests

What is fertility screening in Singapore?

Fertility screening is a comprehensive assessment of reproductive health for individuals and couples who are planning a pregnancy or experiencing difficulty conceiving. It helps identify factors affecting fertility through blood tests, imaging, and clinical evaluation.

What's included in a fertility screening at Seng's OG Practice?

Our fertility screening includes female hormone testing, AMH testing, ovarian reserve assessment, ultrasound evaluation, and male fertility screening through semen analysis. Additional tests may be recommended based on your medical history and results.

When should I book a fertility check?

Consider a fertility screening consultation if you have been trying to conceive for 12 months (or 6 months if the woman is over 35), have irregular menstrual cycles, recurrent miscarriages, or known reproductive health concerns.

What is fertility screening for couples?

Fertility screening for couples evaluates both partners' reproductive health. This typically includes female hormone testing, ovarian reserve assessment, uterine evaluation, and male fertility screening through semen analysis.

Do we need to test both partners?

Yes. Fertility screening for couples is recommended because male factors contribute to a significant proportion of fertility issues. Assessing both partners provides a more complete understanding of reproductive health.

What should I bring to my fertility screening appointment?

Bring any previous fertility test results, scan reports, medication lists, menstrual cycle records, and relevant pregnancy or miscarriage history. These documents help your doctor plan the most appropriate fertility screening assessment.

What is an AMH test and what does it tell me?

This explains how AMH testing estimates ovarian reserve.

What is an ovarian reserve test?

This explains the combination of AMH testing and an Antral Follicle Count ultrasound.

What is a preconception check-up and who should have one?

This covers health assessment before trying to conceive.

When should I book a fertility check?

This covers irregular menstrual cycles, recurrent miscarriages, age and difficulty conceiving.

What is a semen analysis?

A semen analysis is a key component of male fertility screening. It evaluates sperm count, sperm motility, sperm morphology, semen volume, and other factors affecting male fertility.

Is a sperm test the same as a semen analysis?

Yes. A sperm test, semen test, and semen analysis all refer to the same laboratory assessment used in male fertility screening.

What happens if semen analysis results are abnormal?

Abnormal semen analysis results may require repeat testing, further investigations, and a comprehensive male fertility assessment. Treatment options may include lifestyle modifications, medical therapy, or assisted reproductive treatments.

BOOK A CONSULTATION

Ready to Start Your Fertility Journey?

Understanding your reproductive health is the first step towards informed family planning. At Seng's OG Practice, we provide personalised fertility screening for couples, male fertility screening, and female fertility screening to help you make confident decisions about your fertility care.

Book a fertility screening consultation today and take the next step towards achieving your family-building goals.

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