Fertility Testing & Evaluation

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Fertility Testing Services in Orlando, FL

For many people, deciding to pursue fertility testing is the first meaningful step on a deeply personal journey. Whether you’ve been trying to conceive for months, are planning ahead, or have medical concerns that may affect your reproductive health, fertility testing provides crucial insight into what’s happening and what options are available to you. A common misconception is that fertility testing is only for those who have encountered difficulty; however, many individuals and couples seek an evaluation before they even begin trying, simply to understand their baseline and plan accordingly.

Whatever brings you to us, the right information makes all the difference. At the Center for Reproductive Medicine in Orlando, our specialists provide comprehensive fertility evaluations for both individuals and couples. From routine bloodwork and imaging to specialized hormonal panels and genetic screening, we offer the full spectrum of fertility assessments under one roof. If you’re ready to take the first step, we encourage you to schedule a fertility evaluation with our team today.

Fertility Testing for Women

A woman’s fertility evaluation typically includes a series of targeted tests designed to assess ovulation, ovarian reserve, uterine health, and hormonal function. At CRM Orlando, our team of specialists uses a combination of imaging, bloodwork, and diagnostic testing to build a complete picture of your reproductive health.

Testing may include any combination of the following:

  • AMH (Anti-Müllerian Hormone) Testing: A simple blood test that measures ovarian reserve, or how many eggs remain in the ovaries, to help predict your response to fertility treatments and your overall reproductive timeline.
  • Transvaginal Ultrasound: An imaging test used to evaluate the ovaries, uterus, and antral follicle count (AFC) – a key indicator of ovarian reserve and reproductive potential.
  • Hysterosalpingogram (HSG): An X-ray procedure using contrast dye to evaluate the shape of the uterine cavity and check for any blockages in the fallopian tubes that may be interfering with conception.
  • Day 3 FSH & Estradiol Panel: Bloodwork drawn on the third day of your cycle to assess follicle-stimulating hormone and estradiol levels, which reflect how hard your body is working to stimulate egg development.
  • Thyroid & Prolactin Levels: Hormonal bloodwork to detect thyroid dysfunction or elevated prolactin, both of which can disrupt ovulation and menstrual cycle regularity.
  • Ovulation Monitoring: Tracking cycle patterns and hormonal shifts through bloodwork and ultrasound to confirm or diagnose ovulatory dysfunction.

Every fertility evaluation is tailored to the individual. Our specialists will recommend testing based on your medical history, symptoms, and reproductive goals, ensuring you receive the right diagnostics at the right time. For a closer look at what female fertility testing involves, visit our Female Fertility Testing page.

Fertility Testing for Men

Male infertility accounts for roughly half of all infertility cases, which is why a thorough male evaluation is a standard part of any fertility workup. Our specialists offer the following diagnostic assessments for men:

  • Semen Analysis: The foundational test for male fertility, evaluating sperm count, motility (movement), morphology (shape), and volume to assess overall sperm health and function.
  • Hormone Testing: A blood panel measuring testosterone, FSH, LH, and other key hormones that regulate sperm production, helping identify hormonal causes of infertility.
  • Physical Examination: A clinical evaluation by a reproductive urologist or fertility specialist to identify any factors that may impact sperm quality or delivery.
  • Sperm DNA Fragmentation Testing: An advanced analysis of sperm DNA that can reveal underlying issues not visible in a standard semen analysis.
  • Genetic Screening: Testing for chromosomal abnormalities or genetic mutations that may affect sperm production and fertility outcomes.

Your CRM Orlando specialist will recommend a personalized evaluation based on your history, symptoms, and family-building goals. To learn more, visit our Male Fertility Testing page.

Genetic Testing

Genetic testing is a valuable part of the fertility process, helping identify chromosomal or inherited conditions that could affect embryo development or pregnancy outcomes. Testing can happen at two points: before or during treatment, when carrier screening helps determine whether you or your partner carries gene variants that could be passed to a child; and during IVF, through preimplantation genetic testing (PGT) of embryos before transfer. 

CRM Orlando offers the following preimplantation genetic testing options:

  • PGT-A (Preimplantation Genetic Testing for Aneuploidy): Screens embryos for chromosomal abnormalities (e.g., extra or missing chromosomes), one of the leading causes of implantation failure and miscarriage. 

  • PGT-M (Preimplantation Genetic Testing for Monogenic Disorders): Tests embryos for specific single-gene disorders, such as cystic fibrosis, sickle cell disease, and BRCA mutations, for patients who are known carriers or at elevated risk.

  • PGT-SR (Preimplantation Genetic Testing for Structural Rearrangements): Designed for patients who carry chromosomal structural rearrangements, this test screens embryos to reduce the risk of miscarriage and chromosomal imbalance in offspring.

To learn more about genetic testing options and how they may fit into your care plan, explore our full genetic testing services. 

Your Fertility Evaluation: What to Expect

Walking into your first fertility evaluation is a big step and also a hopeful one. Here’s what you can expect during your initial consultation at CRM Orlando:

  • Medical history review: Your provider will take a detailed reproductive and general medical history, including any previous pregnancies, surgeries, conditions, or treatments that may be relevant to your fertility.
  • Discussion of your reproductive goals: This is a conversation, not just a clinical intake. Your care team wants to understand your timeline, your priorities, and what success looks like for you – whether that’s conceiving naturally, with minimal intervention, or through assisted reproductive technology.
  • Physical examination: Depending on your history and goals, your provider may perform a pelvic exam or other physical assessment to check for any conditions that warrant further evaluation.
  • Initial diagnostic testing: Based on your consultation, your care team will order appropriate initial tests, which may include bloodwork, imaging (such as a transvaginal ultrasound), or a semen analysis for a male partner.
  • A clear plan for next steps: By the end of your evaluation, you’ll leave with a better understanding of your reproductive health and an initial roadmap for what comes next – whether that’s additional testing, lifestyle recommendations, or a discussion of treatment options.

How to Prepare for Your Evaluation:

  • Bring any relevant medical records, including prior fertility tests, imaging reports, or operative notes from previous procedures.
  • Track your menstrual cycle in the weeks before your appointment; note cycle length, flow, and any irregularities.
  • Make a list of all current medications and supplements, including vitamins, herbal remedies, and over-the-counter drugs.
  • If you have a partner attending, both of you should be prepared to share your individual medical histories.
  • Write down any questions you want to ask ahead of time so you leave feeling fully informed.

Your evaluation is a starting point, not a verdict. Our team is here to help you make sense of your results and move forward with a plan that fits your goals and your life.

Understanding Fertility Testing Costs

The cost of fertility testing depends on the specific tests recommended, your insurance plan, and your individual needs. While we know navigating the financial side of fertility care can feel overwhelming, you don't have to figure it out alone.

At CRM Orlando, we're committed to being upfront about costs from the start. Our financial counselors are here to review your insurance coverage, walk you through what to expect before testing begins, and explore financing options if needed. While Florida does not currently have a fertility insurance mandate, many plans do cover diagnostic testing when ordered for a medical reason. We'll help you understand your benefits so you can focus on what matters most: taking the next step toward building your family.

Fertility Testing FAQs

  • Fertility testing is a comprehensive set of medical evaluations designed to assess a person’s or couple’s reproductive health and identify any factors that may be affecting their ability to conceive. It typically includes bloodwork to measure hormone levels, ovulation monitoring, imaging such as ultrasounds, and – for men – a semen analysis. The goal of fertility testing is not just to identify problems, but to give patients and their care team the information needed to make informed, personalized decisions about next steps.

  • General guidance recommends seeking a fertility evaluation after 12 months of unprotected intercourse without conception, or after 6 months if you’re over 35. However, many people seek evaluations earlier, especially if there’s a known medical concern such as irregular periods, a prior diagnosis like PCOS or endometriosis, or a history of miscarriage. You don’t need to be struggling to conceive to seek testing; proactive fertility assessments are increasingly common for those who want to understand their reproductive baseline before trying.

  • A fertility evaluation typically begins with a detailed medical history and a consultation with a reproductive specialist. For women, the workup often includes hormonal blood tests, a transvaginal ultrasound to assess the ovaries and uterus, and in some cases, a uterine cavity evaluation such as an HSG. For men, the primary test is a semen analysis, often supplemented by hormonal bloodwork and sometimes a physical exam. Together, these assessments give your care team a thorough understanding of your fertility health.

  • The timeline for fertility testing varies based on the tests ordered and the female’s menstrual cycle timing, since some hormone tests must be done on specific cycle days. In many cases, the initial consultation and some baseline tests can be completed within a single visit. A full diagnostic workup may take two to four weeks to complete. Your care team will give you a clear timeline at your first appointment and explain when you can expect results and follow-up.

  • The best preparation is gathering information before you arrive. Bring any relevant medical records, a list of current medications and supplements, and a summary of menstrual cycle history, if applicable. If a partner will also be evaluated, they should be ready to share their medical history as well. Most importantly, write down questions in advance, so you leave your appointment feeling fully informed and supported.

  • Insurance coverage for fertility testing varies significantly by plan. Florida does not currently mandate insurance coverage for fertility treatments, but many plans do cover diagnostic testing, such as bloodwork, ultrasound, and semen analysis, when ordered for a medical indication. It’s important to verify your individual benefits before testing begins. Our financial counselors at CRM Orlando are happy to review your insurance coverage, clarify what’s included, and help you understand any out-of-pocket costs in advance so there are no surprises.

  • Yes, and we strongly encourage it. When a couple is trying to conceive, both partners play an equal role in fertility, and testing both individuals from the start leads to a more complete picture and faster answers. This approach avoids unnecessary delays and ensures that any contributing factors on either side are identified early, allowing your care team to recommend the most effective path forward.

  • Once your test results are in, you’ll meet with your fertility specialist to review the findings in detail. Your provider will explain what the results mean, discuss any diagnoses, and outline a personalized treatment plan tailored to your goals. Next steps might include lifestyle recommendations, additional testing, fertility medications, intrauterine insemination (IUI), in vitro fertilization (IVF), or other interventions depending on your unique situation. 

  • Absolutely. CRM Orlando warmly welcomes LGBTQ+ individuals and couples and is proud to offer inclusive, affirming fertility care. For same-sex couples and single individuals building their families, fertility testing is an important starting point in understanding which family-building paths are available. Testing will be tailored to your unique situation, and your care team will take the time to discuss all available options with sensitivity and respect for your goals and identity.

  • Yes. Fertility testing is an essential first step for anyone considering egg freezing, embryo freezing, or sperm banking. For egg and embryo freezing, ovarian reserve testing – including AMH levels and antral follicle count – helps predict how a patient will respond to ovarian stimulation and informs the protocol your team will recommend. For sperm banking, a semen analysis establishes baseline quality before freezing. Whether you’re preserving fertility before medical treatment or proactively protecting your options for the future, testing ensures the process is tailored to your biology.

Schedule a Fertility Evaluation in Orlando, FL

Whether you’re just beginning to think about your fertility or have been on this journey for a while, our team at the Center for Reproductive Medicine is here to help. We offer comprehensive fertility evaluations for individuals and couples at our locations in Orlando, Winter Park, and Celebration.

Your evaluation is the beginning of clarity, and clarity is the beginning of hope. We invite you to reach out to schedule your appointment – our team is ready to welcome you.