Female Fertility Testing UK: Ultrasound, AMH, Hormones & Fertility Checks | UKSONO Healthcare<\/title><meta name=\"description\" content=\"A detailed evidence-based guide to female fertility, pelvic ultrasound, AMH, ovarian reserve, hormone tests and UK fertility assessment. 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ultrasound assess?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"It assesses the uterus, endometrium, ovaries and surrounding pelvic structures.\"}},{\"@type\":\"Question\",\"name\":\"When should I seek fertility advice?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"NHS advice is to seek help after one year of regular unprotected sex without conception, or sooner at age 36 or over or where other concerns exist.\"}}]}\r\n]\r\n}\r\n<\/script>\r\n<\/head><body>\r\n<div class=\"topbar\"><div><b>UKSONO<\/b> HEALTHCARE<\/div><div>Private fertility screening \u00b7 Pelvic ultrasound \u00b7 Blood testing \u00b7 GP review options<\/div><\/div>\r\n<nav><a class=\"logo\" href=\"https:\/\/www.uksono.com\/\">UKSONO <span>Healthcare<\/span><\/a><a class=\"navbtn\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book a fertility check<\/a><\/nav>\r\n\r\n<header class=\"hero\">\r\n<div class=\"hero-copy\"><span class=\"eyebrow\">Evidence-based fertility education<\/span><h1>Understanding <span>female fertility<\/span><\/h1><p>A comprehensive UK guide to conception, age, ovulation, ovarian reserve, pelvic ultrasound, fertility blood tests, tubal assessment, male-factor testing and treatment pathways.<\/p><div class=\"actions\"><a class=\"btn primary\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book online<\/a><a class=\"btn secondary\" href=\"#guide\">Read the complete guide<\/a><\/div><\/div>\r\n<div class=\"hero-media\"><img decoding=\"async\" src=\"https:\/\/uksono.com\/home\/wp-content\/uploads\/2024\/12\/women-pelvic-scan.png\" alt=\"Women's fertility pelvic ultrasound at UKSONO Healthcare\"><div class=\"floatcard\"><strong>One in six people experience infertility<\/strong><span>WHO estimates that approximately one in every six people of reproductive age experience infertility during their lifetime.<sup><a href=\"#ref1\">1<\/a><\/sup><\/span><\/div><\/div>\r\n<\/header>\r\n\r\n<main id=\"guide\">\r\n<div class=\"toc\"><h2>In this guide<\/h2><div class=\"toclinks\"><a href=\"#definition\">What fertility means<\/a><a href=\"#conception\">How conception happens<\/a><a href=\"#age\">Age and fertility<\/a><a href=\"#causes\">Common causes<\/a><a href=\"#when\">When to seek help<\/a><a href=\"#assessment\">Complete assessment<\/a><a href=\"#ultrasound\">Pelvic ultrasound<\/a><a href=\"#bloods\">Hormones and AMH<\/a><a href=\"#male\">Male fertility<\/a><a href=\"#treatment\">Treatment pathways<\/a><a href=\"#packages\">UKSONO packages<\/a><a href=\"#references\">References<\/a><\/div><\/div>\r\n\r\n<section class=\"sec\" id=\"definition\"><span class=\"eyebrow\">The starting point<\/span><h2>What do fertility and infertility mean?<\/h2><p class=\"lead\">Fertility is the biological capacity to achieve a pregnancy and live birth. Infertility is defined by the World Health Organization as failure to achieve pregnancy after 12 months or more of regular unprotected sexual intercourse, although UK referral and treatment pathways vary by age, history and local commissioning arrangements.<sup><a href=\"#ref1\">1<\/a><\/sup><\/p>\r\n<div class=\"grid4\"><div class=\"stat\"><b>1 in 6<\/b><span>people experience infertility during their lifetime globally.<sup><a href=\"#ref1\">1<\/a><\/sup><\/span><\/div><div class=\"stat\"><b>8 in 10+<\/b><span>couples where the woman is under 40 conceive within one year with regular unprotected sex.<sup><a href=\"#ref4\">4<\/a><\/sup><\/span><\/div><div class=\"stat\"><b>1 in 4<\/b><span>couples may have no single cause identified after assessment.<sup><a href=\"#ref5\">5<\/a><\/sup><\/span><\/div><div class=\"stat\"><b>Both partners<\/b><span>should be assessed because fertility factors can affect either or both partners.<sup><a href=\"#ref4\">4<\/a><\/sup><\/span><\/div><\/div>\r\n<div class=\"notice\"><strong>Screening is not a guarantee.<\/strong> A reassuring ultrasound or blood result cannot confirm that natural conception will occur. Fertility depends on age, ovulation, egg and sperm quality, tubal patency, uterine factors, timing and chance.<\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"conception\"><span class=\"eyebrow\">The reproductive pathway<\/span><h2>How conception happens<\/h2>\r\n<div class=\"anatomy\">\r\n<svg viewBox=\"0 0 760 520\" role=\"img\" aria-label=\"Simplified female reproductive anatomy diagram\"><defs><linearGradient id=\"uterus\" x1=\"0\" y1=\"0\" x2=\"0\" y2=\"1\"><stop offset=\"0\" stop-color=\"#f3a7bd\"\/><stop offset=\"1\" stop-color=\"#c85f83\"\/><\/linearGradient><\/defs><path d=\"M330 145 C300 150 270 190 280 245 C287 286 316 315 345 335 L345 400 L415 400 L415 335 C444 315 473 286 480 245 C490 190 460 150 430 145 C405 160 355 160 330 145Z\" fill=\"url(#uterus)\" stroke=\"#8b3657\" stroke-width=\"6\"\/><path d=\"M335 150 C285 110 235 104 185 132 C150 152 127 184 112 216\" fill=\"none\" stroke=\"#c85f83\" stroke-width=\"18\" stroke-linecap=\"round\"\/><path d=\"M425 150 C475 110 525 104 575 132 C610 152 633 184 648 216\" fill=\"none\" stroke=\"#c85f83\" stroke-width=\"18\" stroke-linecap=\"round\"\/><ellipse cx=\"100\" cy=\"226\" rx=\"38\" ry=\"48\" fill=\"#e7a76f\" stroke=\"#9b6239\" stroke-width=\"5\"\/><ellipse cx=\"660\" cy=\"226\" rx=\"38\" ry=\"48\" fill=\"#e7a76f\" stroke=\"#9b6239\" stroke-width=\"5\"\/><path d=\"M345 400 C350 448 410 448 415 400\" fill=\"#d77898\" stroke=\"#8b3657\" stroke-width=\"6\"\/><text x=\"380\" y=\"240\" text-anchor=\"middle\" font-size=\"28\" font-weight=\"700\" fill=\"#fff\">Uterus<\/text><text x=\"100\" y=\"300\" text-anchor=\"middle\" font-size=\"23\" font-weight=\"700\" fill=\"#062f5f\">Ovary<\/text><text x=\"660\" y=\"300\" text-anchor=\"middle\" font-size=\"23\" font-weight=\"700\" fill=\"#062f5f\">Ovary<\/text><text x=\"200\" y=\"85\" text-anchor=\"middle\" font-size=\"22\" font-weight=\"700\" fill=\"#062f5f\">Fallopian tube<\/text><text x=\"560\" y=\"85\" text-anchor=\"middle\" font-size=\"22\" font-weight=\"700\" fill=\"#062f5f\">Fallopian tube<\/text><text x=\"380\" y=\"485\" text-anchor=\"middle\" font-size=\"23\" font-weight=\"700\" fill=\"#062f5f\">Cervix<\/text><\/svg>\r\n<div><h3>Several steps must align<\/h3><ol><li>An egg develops and is released.<\/li><li>Sperm travel through the cervix and uterus.<\/li><li>At least one fallopian tube allows egg and sperm to meet.<\/li><li>Fertilisation usually occurs in the tube.<\/li><li>The embryo travels to the uterus and implants.<\/li><li>Early pregnancy continues through complex hormonal and developmental stages.<\/li><\/ol><p>No single screening test examines every step. A structured assessment may require ultrasound, hormone tests, semen analysis, tubal-patency testing and specialist review.<\/p><\/div><\/div>\r\n<div class=\"cycle\"><div class=\"phase\"><b>Menstruation<\/b><span>Cycle day 1 is the first day of full menstrual bleeding.<\/span><\/div><div class=\"phase\"><b>Follicular phase<\/b><span>Follicles develop under hormonal stimulation.<\/span><\/div><div class=\"phase\"><b>Ovulation<\/b><span>A mature follicle releases an egg; timing varies.<\/span><\/div><div class=\"phase\"><b>Luteal phase<\/b><span>Progesterone supports the endometrium.<\/span><\/div><\/div><p class=\"small\">A \u201cday 14\u201d ovulation model applies only to some 28-day cycles.<\/p><\/section>\r\n\r\n<section class=\"sec\" id=\"age\"><span class=\"eyebrow\">The strongest biological predictor<\/span><h2>Age, egg quantity and egg quality<\/h2><p class=\"lead\">Female age is one of the most important determinants of reproductive potential. Egg number declines over time, and the proportion of eggs with chromosomal abnormalities increases with age.<\/p>\r\n<div class=\"grid2\"><div class=\"chart\"><h3>2024 UK IVF birth rate per embryo transferred<\/h3><div class=\"barrow\"><span>Age 18\u201334<\/span><div class=\"track\"><div class=\"fill\" style=\"width:95%\"><\/div><\/div><strong>38%<\/strong><\/div><div class=\"barrow\"><span>All ages<\/span><div class=\"track\"><div class=\"fill\" style=\"width:75%\"><\/div><\/div><strong>30%<\/strong><\/div><div class=\"barrow\"><span>Age 43\u201344<\/span><div class=\"track\"><div class=\"fill rose\" style=\"width:20%\"><\/div><\/div><strong>8%<\/strong><\/div><p class=\"small\">HFEA preliminary UK data, reported per embryo transferred; this is not the same as chance per treatment cycle or natural conception.<sup><a href=\"#ref3\">3<\/a><\/sup><\/p><\/div>\r\n<div class=\"card\"><div class=\"icon\">\u231b<\/div><h3>Age and testing are not interchangeable<\/h3><p>AMH and antral follicle count estimate ovarian reserve and can help predict response to ovarian stimulation, but they do not measure egg quality.<\/p><div class=\"warning\"><strong>NICE 2026:<\/strong> do not use AMH to predict clinical pregnancy through spontaneous conception. AMH or AFC may help predict ovarian response in assisted conception.<sup><a href=\"#ref2\">2<\/a><\/sup><\/div><\/div><\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"causes\"><span class=\"eyebrow\">A multi-factor condition<\/span><h2>Common causes and contributors<\/h2>\r\n<div class=\"grid3\">\r\n<article class=\"card\"><div class=\"icon\">\u25cc<\/div><h3>Ovulation disorders<\/h3><p>PCOS, thyroid disease, raised prolactin, weight change, hypothalamic dysfunction or premature ovarian insufficiency.<sup><a href=\"#ref5\">5<\/a><\/sup><\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u25ce<\/div><h3>Tubal factors<\/h3><p>Damage or blockage after pelvic inflammatory disease, infection, endometriosis or pelvic surgery.<sup><a href=\"#ref1\">1<\/a><\/sup><\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u25c7<\/div><h3>Uterine factors<\/h3><p>Fibroids, polyps, congenital anomalies or adhesions may affect implantation in selected cases.<\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u2727<\/div><h3>Endometriosis<\/h3><p>May affect ovaries, tubes, pelvic anatomy and inflammation. Normal ultrasound does not exclude superficial disease.<\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u219f<\/div><h3>Age-related decline<\/h3><p>Egg number and chromosomal competence decline with age.<\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u2642<\/div><h3>Male factor<\/h3><p>Low concentration, impaired motility, abnormal morphology, obstruction or hormonal causes.<sup><a href=\"#ref1\">1<\/a><\/sup><\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u2695<\/div><h3>General health<\/h3><p>Diabetes, thyroid disease, obesity, undernutrition, chronic illness and selected medicines.<\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u2601<\/div><h3>Lifestyle and exposure<\/h3><p>Smoking, alcohol, recreational drugs, heat exposure, anabolic steroids and toxins.<\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">?<\/div><h3>Unexplained infertility<\/h3><p>In around one-quarter of couples, standard tests do not identify a clear cause.<sup><a href=\"#ref5\">5<\/a><\/sup><\/p><\/article>\r\n<\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"when\"><span class=\"eyebrow\">When to seek advice<\/span><h2>Do not delay when time may matter<\/h2><div class=\"grid2\"><div class=\"card\"><h3>NHS advice<\/h3><p>See a GP after one year of regular unprotected sex without conception. Seek advice sooner if the female partner is 36 or over, there has been cancer treatment, possible STI exposure or another fertility concern.<sup><a href=\"#ref4\">4<\/a><\/sup><\/p><p>NICE advises intercourse every 2\u20133 days to optimise the chance of pregnancy.<sup><a href=\"#ref6\">6<\/a><\/sup><\/p><\/div><div class=\"card\"><h3>Consider earlier review for<\/h3><ul><li>Absent or very irregular periods<\/li><li>Previous ectopic pregnancy or PID<\/li><li>Known endometriosis, fibroids or ovarian surgery<\/li><li>Recurrent miscarriage<\/li><li>Previous chemotherapy or pelvic radiotherapy<\/li><li>Known sperm or testicular problems<\/li><li>Severe pelvic pain<\/li><li>Fertility-preservation concerns<\/li><\/ul><\/div><\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"assessment\"><span class=\"eyebrow\">A complete work-up<\/span><h2>What a proper fertility assessment may include<\/h2><div class=\"pathway\"><div class=\"path\"><b>History<\/b><span>Cycles, pregnancies, symptoms, surgery and lifestyle<\/span><\/div><div class=\"path\"><b>Ovulation<\/b><span>Cycle pattern and correctly timed tests<\/span><\/div><div class=\"path\"><b>Ultrasound<\/b><span>Uterus, ovaries and follicles<\/span><\/div><div class=\"path\"><b>Tubes<\/b><span>HyCoSy, HSG or laparoscopy<\/span><\/div><div class=\"path\"><b>Semen<\/b><span>Count, motility and morphology<\/span><\/div><div class=\"path\"><b>Plan<\/b><span>Advice, treatment or referral<\/span><\/div><\/div><div class=\"notice\"><strong>Pelvic ultrasound does not prove that the fallopian tubes are open.<\/strong> Formal tubal assessment generally requires HyCoSy, HSG or laparoscopy when clinically indicated.<sup><a href=\"#ref4\">4<\/a><\/sup><\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"ultrasound\"><span class=\"eyebrow\">The role of imaging<\/span><h2>What fertility pelvic ultrasound can assess<\/h2><div class=\"picture-band\"><img decoding=\"async\" src=\"https:\/\/uksono.com\/home\/wp-content\/uploads\/2024\/12\/women-pelvic-scan.png\" alt=\"Fertility pelvic ultrasound examination\"><div class=\"picture-copy\"><h3>High-resolution pelvic assessment<\/h3><ul><li>Uterine size, shape and orientation<\/li><li>Endometrial appearance and thickness<\/li><li>Fibroids and cavity distortion<\/li><li>Ovarian size, morphology, cysts and endometriomas<\/li><li>Antral follicle count where appropriate<\/li><li>Features suggesting adenomyosis or deep endometriosis<\/li><li>Adnexal masses, hydrosalpinx or free fluid<\/li><\/ul><\/div><\/div><div class=\"grid2\" style=\"margin-top:28px\"><div class=\"card\"><h3>What ultrasound does well<\/h3><p>It gives real-time anatomical information without ionising radiation and may identify structural findings relevant to fertility planning.<\/p><\/div><div class=\"card\"><h3>What it cannot confirm<\/h3><p>It cannot measure egg quality, guarantee ovulation, prove natural-conception potential, exclude all endometriosis or reliably confirm both tubes are open without a dedicated contrast study.<\/p><\/div><\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"bloods\"><span class=\"eyebrow\">Hormones and ovarian reserve<\/span><h2>Fertility blood tests: what they can and cannot tell you<\/h2><div style=\"overflow-x:auto\"><table><thead><tr><th>Test<\/th><th>What it may assess<\/th><th>Important limitation<\/th><\/tr><\/thead><tbody>\r\n<tr><td>AMH<\/td><td>Ovarian reserve and likely response to stimulation<\/td><td>Does not predict spontaneous pregnancy or directly measure egg quality.<sup><a href=\"#ref2\">2<\/a><\/sup><\/td><\/tr>\r\n<tr><td>FSH<\/td><td>Ovarian or pituitary function in context<\/td><td>NICE advises not using FSH to predict ovarian response or assisted-conception outcome.<sup><a href=\"#ref2\">2<\/a><\/sup><\/td><\/tr>\r\n<tr><td>LH<\/td><td>Ovulatory or endocrine patterns<\/td><td>Strongly influenced by cycle timing.<\/td><\/tr>\r\n<tr><td>Oestradiol<\/td><td>Follicular activity<\/td><td>Varies substantially across the cycle.<\/td><\/tr>\r\n<tr><td>Progesterone<\/td><td>Evidence of ovulation when correctly timed<\/td><td>Should be timed to the cycle, not automatically called \u201cday 21\u201d.<sup><a href=\"#ref4\">4<\/a><\/sup><\/td><\/tr>\r\n<tr><td>Prolactin<\/td><td>Hyperprolactinaemia in selected patients<\/td><td>Affected by stress, medicines and sampling conditions.<\/td><\/tr>\r\n<tr><td>TSH \/ thyroid<\/td><td>Thyroid dysfunction affecting cycles or pregnancy<\/td><td>Requires clinical interpretation.<\/td><\/tr>\r\n<tr><td>Androgens \/ SHBG<\/td><td>Hyperandrogenism or PCOS assessment<\/td><td>PCOS is not diagnosed from one blood result or scan alone.<\/td><\/tr>\r\n<\/tbody><\/table><\/div><div class=\"warning\"><strong>Timing matters.<\/strong> Some tests are best in the early follicular phase; progesterone is usually timed about seven days before the expected next period. AMH can often be measured at any cycle stage, but remains age- and context-dependent.<\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"male\"><span class=\"eyebrow\">A couple-based assessment<\/span><h2>Male fertility should be assessed early<\/h2><div class=\"grid2\"><div class=\"card\"><h3>Semen analysis commonly assesses<\/h3><ul><li>Volume<\/li><li>Concentration and total count<\/li><li>Progressive and total motility<\/li><li>Morphology<\/li><li>Other laboratory findings<\/li><\/ul><\/div><div class=\"card\"><h3>Why repeat testing may be needed<\/h3><p>Semen parameters vary and can be affected by fever, illness, abstinence interval, collection issues, heat, medication and lifestyle. Abnormal results may require repeat sampling or specialist review.<\/p><\/div><\/div><p>The NHS lists semen analysis as a core test and advises assessment of both partners where applicable.<sup><a href=\"#ref4\">4<\/a><\/sup><\/p><\/section>\r\n\r\n<section class=\"sec\" id=\"treatment\"><span class=\"eyebrow\">From diagnosis to management<\/span><h2>Possible fertility treatment pathways<\/h2><div class=\"grid3\"><div class=\"card\"><div class=\"icon\">\u2661<\/div><h3>Optimised natural conception<\/h3><p>Cycle understanding, intercourse every 2\u20133 days and management of health factors.<\/p><\/div><div class=\"card\"><div class=\"icon\">\u25d4<\/div><h3>Ovulation induction<\/h3><p>Medication to induce or regulate ovulation in selected conditions.<\/p><\/div><div class=\"card\"><div class=\"icon\">\u219d<\/div><h3>IUI<\/h3><p>Prepared sperm is introduced into the uterus in selected situations.<\/p><\/div><div class=\"card\"><div class=\"icon\">\u25c7<\/div><h3>IVF<\/h3><p>Ovarian stimulation, egg collection, fertilisation, embryo culture and transfer.<\/p><\/div><div class=\"card\"><div class=\"icon\">\u25ce<\/div><h3>ICSI<\/h3><p>A single sperm is injected into an egg, often for significant male-factor infertility.<\/p><\/div><div class=\"card\"><div class=\"icon\">\u2744<\/div><h3>Fertility preservation<\/h3><p>Egg, sperm or embryo freezing may be considered. Egg freezing is not a guarantee; age at freezing is important.<sup><a href=\"#ref7\">7<\/a><\/sup><\/p><\/div><\/div><p class=\"lead\" style=\"margin-top:28px\">Around 53,000 patients had IVF in the UK in 2024, with an average birth rate of 30% per embryo transferred; outcomes varied substantially by age and other factors.<sup><a href=\"#ref3\">3<\/a><\/sup><\/p><\/section>\r\n\r\n<section class=\"sec\" id=\"packages\"><span class=\"eyebrow\">UKSONO Healthcare fertility checks<\/span><h2>Choose the assessment level that matches your needs<\/h2><p class=\"lead\">UKSONO Healthcare performs the pelvic ultrasound and coordinates the pathway. Blood testing and online GP consultation, where included, are provided through trusted clinical partners.<\/p>\r\n<div class=\"package-grid\">\r\n<article class=\"package\"><img decoding=\"async\" src=\"https:\/\/uksono.com\/home\/wp-content\/uploads\/2024\/12\/women-pelvic-scan.png\" alt=\"UKSONO Fertility Check\"><div class=\"package-body\"><span class=\"tag\">Baseline fertility<\/span><h3>Fertility Check<\/h3><div class=\"price\">\u00a3300<\/div><p>Pelvic ultrasound plus a Female Hormone Test covering 11 biomarkers.<\/p><ul><li>Pelvic ultrasound<\/li><li>11 biomarkers<\/li><li>Structural and hormonal insight<\/li><\/ul><a class=\"btn primary\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book Fertility Check<\/a><\/div><\/article>\r\n<article class=\"package\"><img decoding=\"async\" src=\"https:\/\/uksono.com\/home\/wp-content\/uploads\/2026\/04\/Screenshot-2026-04-17-132632.png\" alt=\"UKSONO Fertility Check Premium\"><div class=\"package-body\"><span class=\"tag\">Most popular<\/span><h3>Fertility Check Premium<\/h3><div class=\"price\">\u00a3500<\/div><p>Pelvic ultrasound, 10-biomarker Fertility Insight Blood Test including AMH, plus a 15-minute online GP consultation.<\/p><ul><li>Pelvic ultrasound<\/li><li>AMH included<\/li><li>10 biomarkers<\/li><li>Online GP review<\/li><\/ul><a class=\"btn primary\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book Premium<\/a><\/div><\/article>\r\n<article class=\"package\"><img decoding=\"async\" src=\"https:\/\/uksono.com\/home\/wp-content\/uploads\/2026\/04\/Screenshot-2026-04-17-133041.png\" alt=\"UKSONO Fertility Check Super Premium\"><div class=\"package-body\"><span class=\"tag\">Most complete<\/span><h3>Fertility Check Super Premium<\/h3><div class=\"price\">\u00a3600<\/div><p>Pelvic ultrasound, 50-biomarker Ultimate Female Fertility Blood Test and a 15-minute online GP consultation.<\/p><ul><li>Pelvic ultrasound<\/li><li>AMH and hormones<\/li><li>Blood count, vitamins and iron<\/li><li>Thyroid, glucose, liver and kidney markers<\/li><li>Online GP review<\/li><\/ul><a class=\"btn primary\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book Super Premium<\/a><\/div><\/article>\r\n<\/div><div class=\"notice\"><strong>Accurate positioning:<\/strong> these are fertility screening packages, not a complete infertility diagnosis or guarantee of reproductive potential. Semen analysis, tubal-patency testing or specialist consultation may still be needed.<\/div><\/section>\r\n\r\n<section class=\"sec faq\"><span class=\"eyebrow\">Questions patients ask<\/span><h2>Frequently asked questions<\/h2><details open><summary>Can a normal fertility ultrasound confirm that I am fertile?<\/summary><p>No. A scan assesses visible anatomy, but fertility also depends on age, ovulation, egg quality, sperm, tubal patency and implantation.<\/p><\/details><details><summary>Is AMH an egg-quality test?<\/summary><p>No. AMH is principally an ovarian-reserve and ovarian-response marker. It does not directly measure egg quality or predict spontaneous pregnancy.<sup><a href=\"#ref2\">2<\/a><\/sup><\/p><\/details><details><summary>When is the best time for a fertility scan?<\/summary><p>Timing depends on the question. Early-cycle scanning may support antral follicle count and baseline assessment; other questions may require different timing.<\/p><\/details><details><summary>Does ultrasound show whether my tubes are open?<\/summary><p>Routine pelvic ultrasound does not reliably confirm tubal patency. HyCoSy, HSG or laparoscopy may be required.<\/p><\/details><details><summary>Do I need a GP referral?<\/summary><p>No. UKSONO fertility checks can be self-booked. Abnormal findings may require GP, gynaecology or fertility-specialist follow-up.<\/p><\/details><details><summary>Should my partner be assessed?<\/summary><p>Yes, where applicable. Fertility problems may affect either or both partners, and semen analysis is a core part of complete assessment.<sup><a href=\"#ref4\">4<\/a><\/sup><\/p><\/details><\/section>\r\n\r\n<section class=\"booking\"><div><span class=\"eyebrow\" style=\"background:rgba(255,255,255,.1);border-color:rgba(255,255,255,.2);color:#a7f0c0\">Start with clarity<\/span><h2>Book your Women\u2019s Fertility Check<\/h2><p>Private pelvic ultrasound with blood-test and online GP-review options, coordinated by UKSONO Healthcare.<\/p><p><strong>Website:<\/strong> www.uksono.com<br><strong>Telephone:<\/strong> 01892 251532<\/p><\/div><a class=\"bookbtn\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book online now<\/a><\/section>\r\n\r\n<section class=\"sec\" id=\"references\"><h2>References and clinical sources<\/h2><div class=\"refs\"><ol>\r\n<li id=\"ref1\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/infertility\" target=\"_blank\" rel=\"noopener\">World Health Organization. Infertility fact sheet. Updated 28 November 2025.<\/a><\/li>\r\n<li id=\"ref2\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng257\/chapter\/Investigation-of-fertility-problems-and-management-strategies\" target=\"_blank\" rel=\"noopener\">NICE NG257. Fertility problems: assessment and treatment\u2014investigation and ovarian reserve testing. 31 March 2026.<\/a><\/li>\r\n<li id=\"ref3\"><a href=\"https:\/\/www.hfea.gov.uk\/about-us\/publications\/research-and-data\/fertility-treatment-2024-trends-and-figures\" target=\"_blank\" rel=\"noopener\">HFEA. Fertility treatment 2024: trends and figures. Published 16 June 2026.<\/a><\/li>\r\n<li id=\"ref4\"><a href=\"https:\/\/www.nhs.uk\/conditions\/infertility\/diagnosis\/\" target=\"_blank\" rel=\"noopener\">NHS. Diagnosis of infertility.<\/a><\/li>\r\n<li id=\"ref5\"><a href=\"https:\/\/www.nhs.uk\/conditions\/infertility\/causes\/\" target=\"_blank\" rel=\"noopener\">NHS. Causes of infertility.<\/a><\/li>\r\n<li id=\"ref6\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng257\/chapter\/Initial-advice-to-people-concerned-about-delays-in-conception\" target=\"_blank\" rel=\"noopener\">NICE NG257. Initial advice to people concerned about delays in conception.<\/a><\/li>\r\n<li id=\"ref7\"><a href=\"https:\/\/www.hfea.gov.uk\/about-us\/media-centre\/egg-freezing-a-factsheet\/\" target=\"_blank\" rel=\"noopener\">HFEA. Egg freezing: a factsheet. Updated 31 July 2025.<\/a><\/li>\r\n<li id=\"ref8\"><a href=\"https:\/\/www.eshre.eu\/-\/media\/sitecore-files\/Guidelines\/UI\/UI-guideline_-Final.pdf\" target=\"_blank\" rel=\"noopener\">ESHRE. Evidence-based guideline: unexplained infertility. 2023.<\/a><\/li>\r\n<li id=\"ref9\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/polycystic-ovary-syndrome\" target=\"_blank\" rel=\"noopener\">WHO. Polycystic ovary syndrome fact sheet. 2026.<\/a><\/li>\r\n<li id=\"ref10\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/endometriosis\" target=\"_blank\" rel=\"noopener\">WHO. Endometriosis fact sheet. 2025.<\/a><\/li>\r\n<\/ol><p><strong>Medical disclaimer:<\/strong> This article is educational and does not replace personalised medical advice, diagnosis or treatment. Fertility screening cannot guarantee conception or exclude every cause of infertility. Severe pelvic pain, collapse, heavy bleeding or possible ectopic-pregnancy symptoms require prompt medical assessment.<\/p><p class=\"small\">Clinical content reviewed and updated: 2 August 2026. HFEA 2024 outcome data are preliminary where stated by the regulator.<\/p><\/div><\/section>\r\n<\/main>\r\n<footer><div><strong>UKSONO Healthcare<\/strong><br>Private diagnostic ultrasound and preventive health screening.<\/div><div>Canary Wharf \u00b7 Orpington \u00b7 Tunbridge Wells<br><strong>www.uksono.com<\/strong><\/div><\/footer>\r\n<\/body><\/html>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Female Fertility Testing UK: Ultrasound, AMH, Hormones & Fertility Checks | UKSONO Healthcare UKSONO HEALTHCAREPrivate fertility screening \u00b7 Pelvic ultrasound \u00b7 Blood testing \u00b7 GP review options UKSONO HealthcareBook a fertility check Evidence-based fertility education Understanding female fertility A comprehensive UK guide to conception, age, ovulation, ovarian reserve, pelvic ultrasound, fertility blood tests, tubal assessment, […]<\/p>\n","protected":false},"author":5,"featured_media":997,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"full-width","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-6507","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/posts\/6507","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/comments?post=6507"}],"version-history":[{"count":7,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/posts\/6507\/revisions"}],"predecessor-version":[{"id":6518,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/posts\/6507\/revisions\/6518"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/media\/997"}],"wp:attachment":[{"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/media?parent=6507"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/categories?post=6507"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/tags?post=6507"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

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\n\t\t\t\t\tFemale Fertility Testing UK: Ultrasound, AMH, Hormones & Fertility Checks | UKSONO Healthcare<\/title><meta name=\"description\" content=\"A detailed evidence-based guide to female fertility, pelvic ultrasound, AMH, ovarian reserve, hormone tests and UK fertility assessment. 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ultrasound assess?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"It assesses the uterus, endometrium, ovaries and surrounding pelvic structures.\"}},{\"@type\":\"Question\",\"name\":\"When should I seek fertility advice?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"NHS advice is to seek help after one year of regular unprotected sex without conception, or sooner at age 36 or over or where other concerns exist.\"}}]}\r\n]\r\n}\r\n<\/script>\r\n<\/head><body>\r\n<div class=\"topbar\"><div><b>UKSONO<\/b> HEALTHCARE<\/div><div>Private fertility screening \u00b7 Pelvic ultrasound \u00b7 Blood testing \u00b7 GP review options<\/div><\/div>\r\n<nav><a class=\"logo\" href=\"https:\/\/www.uksono.com\/\">UKSONO <span>Healthcare<\/span><\/a><a class=\"navbtn\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book a fertility check<\/a><\/nav>\r\n\r\n<header class=\"hero\">\r\n<div class=\"hero-copy\"><span class=\"eyebrow\">Evidence-based fertility education<\/span><h1>Understanding <span>female fertility<\/span><\/h1><p>A comprehensive UK guide to conception, age, ovulation, ovarian reserve, pelvic ultrasound, fertility blood tests, tubal assessment, male-factor testing and treatment pathways.<\/p><div class=\"actions\"><a class=\"btn primary\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book online<\/a><a class=\"btn secondary\" href=\"#guide\">Read the complete guide<\/a><\/div><\/div>\r\n<div class=\"hero-media\"><img decoding=\"async\" src=\"https:\/\/uksono.com\/home\/wp-content\/uploads\/2024\/12\/women-pelvic-scan.png\" alt=\"Women's fertility pelvic ultrasound at UKSONO Healthcare\"><div class=\"floatcard\"><strong>One in six people experience infertility<\/strong><span>WHO estimates that approximately one in every six people of reproductive age experience infertility during their lifetime.<sup><a href=\"#ref1\">1<\/a><\/sup><\/span><\/div><\/div>\r\n<\/header>\r\n\r\n<main id=\"guide\">\r\n<div class=\"toc\"><h2>In this guide<\/h2><div class=\"toclinks\"><a href=\"#definition\">What fertility means<\/a><a href=\"#conception\">How conception happens<\/a><a href=\"#age\">Age and fertility<\/a><a href=\"#causes\">Common causes<\/a><a href=\"#when\">When to seek help<\/a><a href=\"#assessment\">Complete assessment<\/a><a href=\"#ultrasound\">Pelvic ultrasound<\/a><a href=\"#bloods\">Hormones and AMH<\/a><a href=\"#male\">Male fertility<\/a><a href=\"#treatment\">Treatment pathways<\/a><a href=\"#packages\">UKSONO packages<\/a><a href=\"#references\">References<\/a><\/div><\/div>\r\n\r\n<section class=\"sec\" id=\"definition\"><span class=\"eyebrow\">The starting point<\/span><h2>What do fertility and infertility mean?<\/h2><p class=\"lead\">Fertility is the biological capacity to achieve a pregnancy and live birth. Infertility is defined by the World Health Organization as failure to achieve pregnancy after 12 months or more of regular unprotected sexual intercourse, although UK referral and treatment pathways vary by age, history and local commissioning arrangements.<sup><a href=\"#ref1\">1<\/a><\/sup><\/p>\r\n<div class=\"grid4\"><div class=\"stat\"><b>1 in 6<\/b><span>people experience infertility during their lifetime globally.<sup><a href=\"#ref1\">1<\/a><\/sup><\/span><\/div><div class=\"stat\"><b>8 in 10+<\/b><span>couples where the woman is under 40 conceive within one year with regular unprotected sex.<sup><a href=\"#ref4\">4<\/a><\/sup><\/span><\/div><div class=\"stat\"><b>1 in 4<\/b><span>couples may have no single cause identified after assessment.<sup><a href=\"#ref5\">5<\/a><\/sup><\/span><\/div><div class=\"stat\"><b>Both partners<\/b><span>should be assessed because fertility factors can affect either or both partners.<sup><a href=\"#ref4\">4<\/a><\/sup><\/span><\/div><\/div>\r\n<div class=\"notice\"><strong>Screening is not a guarantee.<\/strong> A reassuring ultrasound or blood result cannot confirm that natural conception will occur. Fertility depends on age, ovulation, egg and sperm quality, tubal patency, uterine factors, timing and chance.<\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"conception\"><span class=\"eyebrow\">The reproductive pathway<\/span><h2>How conception happens<\/h2>\r\n<div class=\"anatomy\">\r\n<svg viewBox=\"0 0 760 520\" role=\"img\" aria-label=\"Simplified female reproductive anatomy diagram\"><defs><linearGradient id=\"uterus\" x1=\"0\" y1=\"0\" x2=\"0\" y2=\"1\"><stop offset=\"0\" stop-color=\"#f3a7bd\"\/><stop offset=\"1\" stop-color=\"#c85f83\"\/><\/linearGradient><\/defs><path d=\"M330 145 C300 150 270 190 280 245 C287 286 316 315 345 335 L345 400 L415 400 L415 335 C444 315 473 286 480 245 C490 190 460 150 430 145 C405 160 355 160 330 145Z\" fill=\"url(#uterus)\" stroke=\"#8b3657\" stroke-width=\"6\"\/><path d=\"M335 150 C285 110 235 104 185 132 C150 152 127 184 112 216\" fill=\"none\" stroke=\"#c85f83\" stroke-width=\"18\" stroke-linecap=\"round\"\/><path d=\"M425 150 C475 110 525 104 575 132 C610 152 633 184 648 216\" fill=\"none\" stroke=\"#c85f83\" stroke-width=\"18\" stroke-linecap=\"round\"\/><ellipse cx=\"100\" cy=\"226\" rx=\"38\" ry=\"48\" fill=\"#e7a76f\" stroke=\"#9b6239\" stroke-width=\"5\"\/><ellipse cx=\"660\" cy=\"226\" rx=\"38\" ry=\"48\" fill=\"#e7a76f\" stroke=\"#9b6239\" stroke-width=\"5\"\/><path d=\"M345 400 C350 448 410 448 415 400\" fill=\"#d77898\" stroke=\"#8b3657\" stroke-width=\"6\"\/><text x=\"380\" y=\"240\" text-anchor=\"middle\" font-size=\"28\" font-weight=\"700\" fill=\"#fff\">Uterus<\/text><text x=\"100\" y=\"300\" text-anchor=\"middle\" font-size=\"23\" font-weight=\"700\" fill=\"#062f5f\">Ovary<\/text><text x=\"660\" y=\"300\" text-anchor=\"middle\" font-size=\"23\" font-weight=\"700\" fill=\"#062f5f\">Ovary<\/text><text x=\"200\" y=\"85\" text-anchor=\"middle\" font-size=\"22\" font-weight=\"700\" fill=\"#062f5f\">Fallopian tube<\/text><text x=\"560\" y=\"85\" text-anchor=\"middle\" font-size=\"22\" font-weight=\"700\" fill=\"#062f5f\">Fallopian tube<\/text><text x=\"380\" y=\"485\" text-anchor=\"middle\" font-size=\"23\" font-weight=\"700\" fill=\"#062f5f\">Cervix<\/text><\/svg>\r\n<div><h3>Several steps must align<\/h3><ol><li>An egg develops and is released.<\/li><li>Sperm travel through the cervix and uterus.<\/li><li>At least one fallopian tube allows egg and sperm to meet.<\/li><li>Fertilisation usually occurs in the tube.<\/li><li>The embryo travels to the uterus and implants.<\/li><li>Early pregnancy continues through complex hormonal and developmental stages.<\/li><\/ol><p>No single screening test examines every step. A structured assessment may require ultrasound, hormone tests, semen analysis, tubal-patency testing and specialist review.<\/p><\/div><\/div>\r\n<div class=\"cycle\"><div class=\"phase\"><b>Menstruation<\/b><span>Cycle day 1 is the first day of full menstrual bleeding.<\/span><\/div><div class=\"phase\"><b>Follicular phase<\/b><span>Follicles develop under hormonal stimulation.<\/span><\/div><div class=\"phase\"><b>Ovulation<\/b><span>A mature follicle releases an egg; timing varies.<\/span><\/div><div class=\"phase\"><b>Luteal phase<\/b><span>Progesterone supports the endometrium.<\/span><\/div><\/div><p class=\"small\">A \u201cday 14\u201d ovulation model applies only to some 28-day cycles.<\/p><\/section>\r\n\r\n<section class=\"sec\" id=\"age\"><span class=\"eyebrow\">The strongest biological predictor<\/span><h2>Age, egg quantity and egg quality<\/h2><p class=\"lead\">Female age is one of the most important determinants of reproductive potential. Egg number declines over time, and the proportion of eggs with chromosomal abnormalities increases with age.<\/p>\r\n<div class=\"grid2\"><div class=\"chart\"><h3>2024 UK IVF birth rate per embryo transferred<\/h3><div class=\"barrow\"><span>Age 18\u201334<\/span><div class=\"track\"><div class=\"fill\" style=\"width:95%\"><\/div><\/div><strong>38%<\/strong><\/div><div class=\"barrow\"><span>All ages<\/span><div class=\"track\"><div class=\"fill\" style=\"width:75%\"><\/div><\/div><strong>30%<\/strong><\/div><div class=\"barrow\"><span>Age 43\u201344<\/span><div class=\"track\"><div class=\"fill rose\" style=\"width:20%\"><\/div><\/div><strong>8%<\/strong><\/div><p class=\"small\">HFEA preliminary UK data, reported per embryo transferred; this is not the same as chance per treatment cycle or natural conception.<sup><a href=\"#ref3\">3<\/a><\/sup><\/p><\/div>\r\n<div class=\"card\"><div class=\"icon\">\u231b<\/div><h3>Age and testing are not interchangeable<\/h3><p>AMH and antral follicle count estimate ovarian reserve and can help predict response to ovarian stimulation, but they do not measure egg quality.<\/p><div class=\"warning\"><strong>NICE 2026:<\/strong> do not use AMH to predict clinical pregnancy through spontaneous conception. AMH or AFC may help predict ovarian response in assisted conception.<sup><a href=\"#ref2\">2<\/a><\/sup><\/div><\/div><\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"causes\"><span class=\"eyebrow\">A multi-factor condition<\/span><h2>Common causes and contributors<\/h2>\r\n<div class=\"grid3\">\r\n<article class=\"card\"><div class=\"icon\">\u25cc<\/div><h3>Ovulation disorders<\/h3><p>PCOS, thyroid disease, raised prolactin, weight change, hypothalamic dysfunction or premature ovarian insufficiency.<sup><a href=\"#ref5\">5<\/a><\/sup><\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u25ce<\/div><h3>Tubal factors<\/h3><p>Damage or blockage after pelvic inflammatory disease, infection, endometriosis or pelvic surgery.<sup><a href=\"#ref1\">1<\/a><\/sup><\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u25c7<\/div><h3>Uterine factors<\/h3><p>Fibroids, polyps, congenital anomalies or adhesions may affect implantation in selected cases.<\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u2727<\/div><h3>Endometriosis<\/h3><p>May affect ovaries, tubes, pelvic anatomy and inflammation. Normal ultrasound does not exclude superficial disease.<\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u219f<\/div><h3>Age-related decline<\/h3><p>Egg number and chromosomal competence decline with age.<\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u2642<\/div><h3>Male factor<\/h3><p>Low concentration, impaired motility, abnormal morphology, obstruction or hormonal causes.<sup><a href=\"#ref1\">1<\/a><\/sup><\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u2695<\/div><h3>General health<\/h3><p>Diabetes, thyroid disease, obesity, undernutrition, chronic illness and selected medicines.<\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">\u2601<\/div><h3>Lifestyle and exposure<\/h3><p>Smoking, alcohol, recreational drugs, heat exposure, anabolic steroids and toxins.<\/p><\/article>\r\n<article class=\"card\"><div class=\"icon\">?<\/div><h3>Unexplained infertility<\/h3><p>In around one-quarter of couples, standard tests do not identify a clear cause.<sup><a href=\"#ref5\">5<\/a><\/sup><\/p><\/article>\r\n<\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"when\"><span class=\"eyebrow\">When to seek advice<\/span><h2>Do not delay when time may matter<\/h2><div class=\"grid2\"><div class=\"card\"><h3>NHS advice<\/h3><p>See a GP after one year of regular unprotected sex without conception. Seek advice sooner if the female partner is 36 or over, there has been cancer treatment, possible STI exposure or another fertility concern.<sup><a href=\"#ref4\">4<\/a><\/sup><\/p><p>NICE advises intercourse every 2\u20133 days to optimise the chance of pregnancy.<sup><a href=\"#ref6\">6<\/a><\/sup><\/p><\/div><div class=\"card\"><h3>Consider earlier review for<\/h3><ul><li>Absent or very irregular periods<\/li><li>Previous ectopic pregnancy or PID<\/li><li>Known endometriosis, fibroids or ovarian surgery<\/li><li>Recurrent miscarriage<\/li><li>Previous chemotherapy or pelvic radiotherapy<\/li><li>Known sperm or testicular problems<\/li><li>Severe pelvic pain<\/li><li>Fertility-preservation concerns<\/li><\/ul><\/div><\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"assessment\"><span class=\"eyebrow\">A complete work-up<\/span><h2>What a proper fertility assessment may include<\/h2><div class=\"pathway\"><div class=\"path\"><b>History<\/b><span>Cycles, pregnancies, symptoms, surgery and lifestyle<\/span><\/div><div class=\"path\"><b>Ovulation<\/b><span>Cycle pattern and correctly timed tests<\/span><\/div><div class=\"path\"><b>Ultrasound<\/b><span>Uterus, ovaries and follicles<\/span><\/div><div class=\"path\"><b>Tubes<\/b><span>HyCoSy, HSG or laparoscopy<\/span><\/div><div class=\"path\"><b>Semen<\/b><span>Count, motility and morphology<\/span><\/div><div class=\"path\"><b>Plan<\/b><span>Advice, treatment or referral<\/span><\/div><\/div><div class=\"notice\"><strong>Pelvic ultrasound does not prove that the fallopian tubes are open.<\/strong> Formal tubal assessment generally requires HyCoSy, HSG or laparoscopy when clinically indicated.<sup><a href=\"#ref4\">4<\/a><\/sup><\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"ultrasound\"><span class=\"eyebrow\">The role of imaging<\/span><h2>What fertility pelvic ultrasound can assess<\/h2><div class=\"picture-band\"><img decoding=\"async\" src=\"https:\/\/uksono.com\/home\/wp-content\/uploads\/2024\/12\/women-pelvic-scan.png\" alt=\"Fertility pelvic ultrasound examination\"><div class=\"picture-copy\"><h3>High-resolution pelvic assessment<\/h3><ul><li>Uterine size, shape and orientation<\/li><li>Endometrial appearance and thickness<\/li><li>Fibroids and cavity distortion<\/li><li>Ovarian size, morphology, cysts and endometriomas<\/li><li>Antral follicle count where appropriate<\/li><li>Features suggesting adenomyosis or deep endometriosis<\/li><li>Adnexal masses, hydrosalpinx or free fluid<\/li><\/ul><\/div><\/div><div class=\"grid2\" style=\"margin-top:28px\"><div class=\"card\"><h3>What ultrasound does well<\/h3><p>It gives real-time anatomical information without ionising radiation and may identify structural findings relevant to fertility planning.<\/p><\/div><div class=\"card\"><h3>What it cannot confirm<\/h3><p>It cannot measure egg quality, guarantee ovulation, prove natural-conception potential, exclude all endometriosis or reliably confirm both tubes are open without a dedicated contrast study.<\/p><\/div><\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"bloods\"><span class=\"eyebrow\">Hormones and ovarian reserve<\/span><h2>Fertility blood tests: what they can and cannot tell you<\/h2><div style=\"overflow-x:auto\"><table><thead><tr><th>Test<\/th><th>What it may assess<\/th><th>Important limitation<\/th><\/tr><\/thead><tbody>\r\n<tr><td>AMH<\/td><td>Ovarian reserve and likely response to stimulation<\/td><td>Does not predict spontaneous pregnancy or directly measure egg quality.<sup><a href=\"#ref2\">2<\/a><\/sup><\/td><\/tr>\r\n<tr><td>FSH<\/td><td>Ovarian or pituitary function in context<\/td><td>NICE advises not using FSH to predict ovarian response or assisted-conception outcome.<sup><a href=\"#ref2\">2<\/a><\/sup><\/td><\/tr>\r\n<tr><td>LH<\/td><td>Ovulatory or endocrine patterns<\/td><td>Strongly influenced by cycle timing.<\/td><\/tr>\r\n<tr><td>Oestradiol<\/td><td>Follicular activity<\/td><td>Varies substantially across the cycle.<\/td><\/tr>\r\n<tr><td>Progesterone<\/td><td>Evidence of ovulation when correctly timed<\/td><td>Should be timed to the cycle, not automatically called \u201cday 21\u201d.<sup><a href=\"#ref4\">4<\/a><\/sup><\/td><\/tr>\r\n<tr><td>Prolactin<\/td><td>Hyperprolactinaemia in selected patients<\/td><td>Affected by stress, medicines and sampling conditions.<\/td><\/tr>\r\n<tr><td>TSH \/ thyroid<\/td><td>Thyroid dysfunction affecting cycles or pregnancy<\/td><td>Requires clinical interpretation.<\/td><\/tr>\r\n<tr><td>Androgens \/ SHBG<\/td><td>Hyperandrogenism or PCOS assessment<\/td><td>PCOS is not diagnosed from one blood result or scan alone.<\/td><\/tr>\r\n<\/tbody><\/table><\/div><div class=\"warning\"><strong>Timing matters.<\/strong> Some tests are best in the early follicular phase; progesterone is usually timed about seven days before the expected next period. AMH can often be measured at any cycle stage, but remains age- and context-dependent.<\/div><\/section>\r\n\r\n<section class=\"sec\" id=\"male\"><span class=\"eyebrow\">A couple-based assessment<\/span><h2>Male fertility should be assessed early<\/h2><div class=\"grid2\"><div class=\"card\"><h3>Semen analysis commonly assesses<\/h3><ul><li>Volume<\/li><li>Concentration and total count<\/li><li>Progressive and total motility<\/li><li>Morphology<\/li><li>Other laboratory findings<\/li><\/ul><\/div><div class=\"card\"><h3>Why repeat testing may be needed<\/h3><p>Semen parameters vary and can be affected by fever, illness, abstinence interval, collection issues, heat, medication and lifestyle. Abnormal results may require repeat sampling or specialist review.<\/p><\/div><\/div><p>The NHS lists semen analysis as a core test and advises assessment of both partners where applicable.<sup><a href=\"#ref4\">4<\/a><\/sup><\/p><\/section>\r\n\r\n<section class=\"sec\" id=\"treatment\"><span class=\"eyebrow\">From diagnosis to management<\/span><h2>Possible fertility treatment pathways<\/h2><div class=\"grid3\"><div class=\"card\"><div class=\"icon\">\u2661<\/div><h3>Optimised natural conception<\/h3><p>Cycle understanding, intercourse every 2\u20133 days and management of health factors.<\/p><\/div><div class=\"card\"><div class=\"icon\">\u25d4<\/div><h3>Ovulation induction<\/h3><p>Medication to induce or regulate ovulation in selected conditions.<\/p><\/div><div class=\"card\"><div class=\"icon\">\u219d<\/div><h3>IUI<\/h3><p>Prepared sperm is introduced into the uterus in selected situations.<\/p><\/div><div class=\"card\"><div class=\"icon\">\u25c7<\/div><h3>IVF<\/h3><p>Ovarian stimulation, egg collection, fertilisation, embryo culture and transfer.<\/p><\/div><div class=\"card\"><div class=\"icon\">\u25ce<\/div><h3>ICSI<\/h3><p>A single sperm is injected into an egg, often for significant male-factor infertility.<\/p><\/div><div class=\"card\"><div class=\"icon\">\u2744<\/div><h3>Fertility preservation<\/h3><p>Egg, sperm or embryo freezing may be considered. Egg freezing is not a guarantee; age at freezing is important.<sup><a href=\"#ref7\">7<\/a><\/sup><\/p><\/div><\/div><p class=\"lead\" style=\"margin-top:28px\">Around 53,000 patients had IVF in the UK in 2024, with an average birth rate of 30% per embryo transferred; outcomes varied substantially by age and other factors.<sup><a href=\"#ref3\">3<\/a><\/sup><\/p><\/section>\r\n\r\n<section class=\"sec\" id=\"packages\"><span class=\"eyebrow\">UKSONO Healthcare fertility checks<\/span><h2>Choose the assessment level that matches your needs<\/h2><p class=\"lead\">UKSONO Healthcare performs the pelvic ultrasound and coordinates the pathway. Blood testing and online GP consultation, where included, are provided through trusted clinical partners.<\/p>\r\n<div class=\"package-grid\">\r\n<article class=\"package\"><img decoding=\"async\" src=\"https:\/\/uksono.com\/home\/wp-content\/uploads\/2024\/12\/women-pelvic-scan.png\" alt=\"UKSONO Fertility Check\"><div class=\"package-body\"><span class=\"tag\">Baseline fertility<\/span><h3>Fertility Check<\/h3><div class=\"price\">\u00a3300<\/div><p>Pelvic ultrasound plus a Female Hormone Test covering 11 biomarkers.<\/p><ul><li>Pelvic ultrasound<\/li><li>11 biomarkers<\/li><li>Structural and hormonal insight<\/li><\/ul><a class=\"btn primary\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book Fertility Check<\/a><\/div><\/article>\r\n<article class=\"package\"><img decoding=\"async\" src=\"https:\/\/uksono.com\/home\/wp-content\/uploads\/2026\/04\/Screenshot-2026-04-17-132632.png\" alt=\"UKSONO Fertility Check Premium\"><div class=\"package-body\"><span class=\"tag\">Most popular<\/span><h3>Fertility Check Premium<\/h3><div class=\"price\">\u00a3500<\/div><p>Pelvic ultrasound, 10-biomarker Fertility Insight Blood Test including AMH, plus a 15-minute online GP consultation.<\/p><ul><li>Pelvic ultrasound<\/li><li>AMH included<\/li><li>10 biomarkers<\/li><li>Online GP review<\/li><\/ul><a class=\"btn primary\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book Premium<\/a><\/div><\/article>\r\n<article class=\"package\"><img decoding=\"async\" src=\"https:\/\/uksono.com\/home\/wp-content\/uploads\/2026\/04\/Screenshot-2026-04-17-133041.png\" alt=\"UKSONO Fertility Check Super Premium\"><div class=\"package-body\"><span class=\"tag\">Most complete<\/span><h3>Fertility Check Super Premium<\/h3><div class=\"price\">\u00a3600<\/div><p>Pelvic ultrasound, 50-biomarker Ultimate Female Fertility Blood Test and a 15-minute online GP consultation.<\/p><ul><li>Pelvic ultrasound<\/li><li>AMH and hormones<\/li><li>Blood count, vitamins and iron<\/li><li>Thyroid, glucose, liver and kidney markers<\/li><li>Online GP review<\/li><\/ul><a class=\"btn primary\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book Super Premium<\/a><\/div><\/article>\r\n<\/div><div class=\"notice\"><strong>Accurate positioning:<\/strong> these are fertility screening packages, not a complete infertility diagnosis or guarantee of reproductive potential. Semen analysis, tubal-patency testing or specialist consultation may still be needed.<\/div><\/section>\r\n\r\n<section class=\"sec faq\"><span class=\"eyebrow\">Questions patients ask<\/span><h2>Frequently asked questions<\/h2><details open><summary>Can a normal fertility ultrasound confirm that I am fertile?<\/summary><p>No. A scan assesses visible anatomy, but fertility also depends on age, ovulation, egg quality, sperm, tubal patency and implantation.<\/p><\/details><details><summary>Is AMH an egg-quality test?<\/summary><p>No. AMH is principally an ovarian-reserve and ovarian-response marker. It does not directly measure egg quality or predict spontaneous pregnancy.<sup><a href=\"#ref2\">2<\/a><\/sup><\/p><\/details><details><summary>When is the best time for a fertility scan?<\/summary><p>Timing depends on the question. Early-cycle scanning may support antral follicle count and baseline assessment; other questions may require different timing.<\/p><\/details><details><summary>Does ultrasound show whether my tubes are open?<\/summary><p>Routine pelvic ultrasound does not reliably confirm tubal patency. HyCoSy, HSG or laparoscopy may be required.<\/p><\/details><details><summary>Do I need a GP referral?<\/summary><p>No. UKSONO fertility checks can be self-booked. Abnormal findings may require GP, gynaecology or fertility-specialist follow-up.<\/p><\/details><details><summary>Should my partner be assessed?<\/summary><p>Yes, where applicable. Fertility problems may affect either or both partners, and semen analysis is a core part of complete assessment.<sup><a href=\"#ref4\">4<\/a><\/sup><\/p><\/details><\/section>\r\n\r\n<section class=\"booking\"><div><span class=\"eyebrow\" style=\"background:rgba(255,255,255,.1);border-color:rgba(255,255,255,.2);color:#a7f0c0\">Start with clarity<\/span><h2>Book your Women\u2019s Fertility Check<\/h2><p>Private pelvic ultrasound with blood-test and online GP-review options, coordinated by UKSONO Healthcare.<\/p><p><strong>Website:<\/strong> www.uksono.com<br><strong>Telephone:<\/strong> 01892 251532<\/p><\/div><a class=\"bookbtn\" href=\"https:\/\/online-booking.semble.io\/?token=fd6a312cb6cd81fa67aab3b6bc7ca20c8d0ab176\" target=\"_blank\" rel=\"noopener\">Book online now<\/a><\/section>\r\n\r\n<section class=\"sec\" id=\"references\"><h2>References and clinical sources<\/h2><div class=\"refs\"><ol>\r\n<li id=\"ref1\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/infertility\" target=\"_blank\" rel=\"noopener\">World Health Organization. Infertility fact sheet. Updated 28 November 2025.<\/a><\/li>\r\n<li id=\"ref2\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng257\/chapter\/Investigation-of-fertility-problems-and-management-strategies\" target=\"_blank\" rel=\"noopener\">NICE NG257. Fertility problems: assessment and treatment\u2014investigation and ovarian reserve testing. 31 March 2026.<\/a><\/li>\r\n<li id=\"ref3\"><a href=\"https:\/\/www.hfea.gov.uk\/about-us\/publications\/research-and-data\/fertility-treatment-2024-trends-and-figures\" target=\"_blank\" rel=\"noopener\">HFEA. Fertility treatment 2024: trends and figures. Published 16 June 2026.<\/a><\/li>\r\n<li id=\"ref4\"><a href=\"https:\/\/www.nhs.uk\/conditions\/infertility\/diagnosis\/\" target=\"_blank\" rel=\"noopener\">NHS. Diagnosis of infertility.<\/a><\/li>\r\n<li id=\"ref5\"><a href=\"https:\/\/www.nhs.uk\/conditions\/infertility\/causes\/\" target=\"_blank\" rel=\"noopener\">NHS. Causes of infertility.<\/a><\/li>\r\n<li id=\"ref6\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng257\/chapter\/Initial-advice-to-people-concerned-about-delays-in-conception\" target=\"_blank\" rel=\"noopener\">NICE NG257. Initial advice to people concerned about delays in conception.<\/a><\/li>\r\n<li id=\"ref7\"><a href=\"https:\/\/www.hfea.gov.uk\/about-us\/media-centre\/egg-freezing-a-factsheet\/\" target=\"_blank\" rel=\"noopener\">HFEA. Egg freezing: a factsheet. Updated 31 July 2025.<\/a><\/li>\r\n<li id=\"ref8\"><a href=\"https:\/\/www.eshre.eu\/-\/media\/sitecore-files\/Guidelines\/UI\/UI-guideline_-Final.pdf\" target=\"_blank\" rel=\"noopener\">ESHRE. Evidence-based guideline: unexplained infertility. 2023.<\/a><\/li>\r\n<li id=\"ref9\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/polycystic-ovary-syndrome\" target=\"_blank\" rel=\"noopener\">WHO. Polycystic ovary syndrome fact sheet. 2026.<\/a><\/li>\r\n<li id=\"ref10\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/endometriosis\" target=\"_blank\" rel=\"noopener\">WHO. Endometriosis fact sheet. 2025.<\/a><\/li>\r\n<\/ol><p><strong>Medical disclaimer:<\/strong> This article is educational and does not replace personalised medical advice, diagnosis or treatment. Fertility screening cannot guarantee conception or exclude every cause of infertility. Severe pelvic pain, collapse, heavy bleeding or possible ectopic-pregnancy symptoms require prompt medical assessment.<\/p><p class=\"small\">Clinical content reviewed and updated: 2 August 2026. HFEA 2024 outcome data are preliminary where stated by the regulator.<\/p><\/div><\/section>\r\n<\/main>\r\n<footer><div><strong>UKSONO Healthcare<\/strong><br>Private diagnostic ultrasound and preventive health screening.<\/div><div>Canary Wharf \u00b7 Orpington \u00b7 Tunbridge Wells<br><strong>www.uksono.com<\/strong><\/div><\/footer>\r\n<\/body><\/html>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Female Fertility Testing UK: Ultrasound, AMH, Hormones & Fertility Checks | UKSONO Healthcare UKSONO HEALTHCAREPrivate fertility screening \u00b7 Pelvic ultrasound \u00b7 Blood testing \u00b7 GP review options UKSONO HealthcareBook a fertility check Evidence-based fertility education Understanding female fertility A comprehensive UK guide to conception, age, ovulation, ovarian reserve, pelvic ultrasound, fertility blood tests, tubal assessment, […]<\/p>\n","protected":false},"author":5,"featured_media":997,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"full-width","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-6507","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/posts\/6507","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/comments?post=6507"}],"version-history":[{"count":7,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/posts\/6507\/revisions"}],"predecessor-version":[{"id":6518,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/posts\/6507\/revisions\/6518"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/media\/997"}],"wp:attachment":[{"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/media?parent=6507"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/categories?post=6507"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/uksono.com\/home\/wp-json\/wp\/v2\/tags?post=6507"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}