Do both partners need to be assessed?

Yes, fertility is usually considered in both partners, because relevant factors can involve either or both. A semen analysis is a routine part of a couple's assessment.

Does an assessment mean I will need treatment?

No. An assessment is about understanding your situation. Some people need no intervention; for others, a range of options may be discussed. Any decision is made together with your clinician.

What is ovarian reserve?

Ovarian reserve refers to the number of eggs remaining. Tests such as AMH and an ultrasound can give a general sense of it, but they do not predict whether or when you will conceive naturally.

Fertility Assessment: What to Expect

Name: Fertility Assessment: What to Expect | Gynaec.com.au
Creator: Dr Priya Sivadas
Published: 2026-07-05

When to consider an assessment

As a general guide, it can be reasonable to seek advice after 12 months of trying, or after about 6 months if you are over 35. Some situations, such as irregular or absent periods, known gynaecological conditions, or previous pelvic surgery, may be worth reviewing sooner.

12 months of trying (under 35)
6 months of trying (35 or older)
Irregular, absent or very painful periods
A known condition such as endometriosis or PCOS (also known as PMOS)

What the assessment can include

An assessment typically starts with a detailed history and, where appropriate, an examination. From there, a range of tests may be suggested depending on your situation.

Hormone blood tests (which may include tests of ovulation and ovarian reserve)
Thyroid and prolactin blood tests, since thyroid problems and some other hormonal causes (such as raised prolactin) can affect ovulation and are sometimes checked as part of an assessment
A pelvic ultrasound to look at the uterus and ovaries
Tests to check whether the fallopian tubes are open, where relevant
A semen analysis for the male partner

Understanding the results

Test results are pieces of a bigger picture rather than a single verdict. A specialist can help interpret them in the context of your age, history and goals, and explain what options may be reasonable to consider.

When to see a specialist

If you have been trying without success for the timeframes above, or you have symptoms or a history that concerns you, it is reasonable to seek review. A specialist can arrange the relevant tests and talk through what they mean for you.