Fertility Testing

ONE-STOP DIAGNOSTIC PATHOLOGY

Comprehensive Fertility Testing: Precision Diagnostics for Both Partners

Accurate diagnosis is the foundational cornerstone of successful fertility treatment. At Jabalpur Hospital Embryology & Laparoscopy Centre, we provide comprehensive, same-day diagnostic evaluations for both female and male partners under one roof. Our precision pathology, automated chemiluminescence hormone assays, and high-resolution ultrasound folliculometry deliver the clinical clarity required to build an effective personalized roadmap.

24x7 Automated Pathology Fast turnaround hormone panels
CLIA Automated Assays Sub-picogram biomarker precision
CASA Semen Diagnostics Kruger strict morphology grading
4D Ultrasound Folliculometry Serial ovulation & uterine tracking
Book Diagnostic Consultation +91 90390 62705
Ovarian Reserve Biomarker
SAME-DAY CLIA ASSAY
Serum AMH Analysis
AMH Anti-Mullerian Hormone Testing and Ovarian Reserve Functions
Biological Clock Snapshot
Same Day
Report Turnaround
CLIA Auto
Chemiluminescence
100%
Diagnostic Accuracy
ESSENTIAL REPRODUCTIVE BIOMARKER

What Does an AMH Test Tell You?

Anti-Müllerian Hormone (AMH) directly reflects your remaining ovarian egg pool. Unlike cycle-dependent hormones, AMH remains stable throughout the menstrual month, providing reliable guidance to tailor fertility medication doses and predict stimulation response.

Day 2 to 3
BASELINE HORMONE WINDOW

Optimal Baseline Hormone Testing

Testing baseline FSH, LH, and Estradiol on Day 2 or Day 3 of your menstrual cycle delivers an accurate physiological snapshot of pituitary gland coordination and ovarian follicular recruitment.

Ovarian Reserve (AMH Reference) by Age

3.5 ng/mL
Under 30 Yrs
2.5 ng/mL
30 to 35 Yrs
1.5 ng/mL
36 to 40 Yrs
< 0.8 ng/mL
Over 40 Yrs
ULTRASOUND DIAGNOSTICS

Follicular Monitoring & Ovulation Study

High-resolution serial transvaginal sonography tracks dominant follicle maturation, ovulation rupture, and endometrial synchronization:

Ovulation and Fertilization Process Timeline from Follicle Rupture to Blastocyst Implantation
Ovulation, Tubal Fertilization & Uterine Implantation Diagnostic Timeline
Antral Follicle Count (AFC) Transvaginal ultrasound count of baseline resting follicles in both ovaries on cycle Day 2 to 3.
Dominant Follicle Tracking Monitoring follicle growth (1.5 to 2 mm per day) until peak maturity between 18 mm and 22 mm.
Trilaminar Endometrium Assessing triple-line uterine lining thickness (optimal 8 to 11 mm) and sub-endometrial vascularity.
MALE REPRODUCTIVE PATHOLOGY

Computer-Assisted Semen Analysis (CASA) & Morphology

Evaluated in accordance with World Health Organization (WHO 6th Edition) international laboratory standards:

Sperm Morphology Defect Evaluation: Head, Neck, Midpiece and Tail Abnormalities
Kruger Strict Criteria Sperm Morphology: Normal vs Structural Abnormalities
Sperm Count & Motility Total sperm concentration (≥ 16 million/mL) and progressive motility (≥ 30%) with rapid velocity.
Kruger Strict Morphology High-magnification oil immersion scoring of head symmetry, acrosome integrity, and tail architecture (≥ 4%).
DNA Fragmentation Index (DFI) Testing sperm chromatin integrity; essential in cases of recurrent pregnancy loss or failed fertilization.
DIAGNOSTIC SUITE

Complete Fertility Diagnostic Services

Our specialized diagnostic infrastructure covers all clinical facets of male and female reproductive evaluation:

24x7 In-House Pathology

Round the clock diagnostic testing for critical hormonal surges, complete blood counts, coagulation profiles, and pre-operative clearances.

Complete Hormone Profile

Automated chemiluminescence testing for AMH, FSH, LH, Estradiol, Progesterone, Prolactin, Free Testosterone, and Thyroid panels.

Andrology & Semen Analysis

Standard microscopic and computerized assessment of sperm count, viability, Kruger strict morphology, and semen fructose levels.

High-Resolution Folliculometry

Serial transvaginal color Doppler ultrasound to monitor follicular recruitment, ovulation confirmation, and uterine perfusion.

Tubal Patency Testing

Hysterosalpingography (HSG) and saline infusion sonohysterography (SIS) to confirm unblocked fallopian tubes and uterine cavity contour.

Advanced Endoscopy Unit

Fertility-enhancing diagnostic and operative laparoscopy and hysteroscopy to identify and correct endometriosis, polyps, and adhesions.

BIOLOGICAL RESERVE

Understanding Ovarian Reserve

Ovarian reserve reflects both the quantitative pool and qualitative potential of eggs remaining within the ovaries. While age is an influential biological benchmark, individual ovarian reserves vary widely due to genetics, prior surgeries, and lifestyle factors.

High Ovarian Reserve
  • Abundant Follicle Pool: High AMH (> 3.0 ng/mL) and strong Antral Follicle Count.
  • Favourable Stimulation Response: Readily develops multiple mature oocytes for fertilization.
  • Higher Blastocyst Selection: Surplus high-grade embryos available for cryopreservation.
  • OHSS Prevention Focus: Regulated mild antagonist stimulation ensures safe cycles without hyperstimulation.
Low Ovarian Reserve (Low AMH)
  • Reduced Antral Cohort: Lower AMH (< 1.0 ng/mL) and fewer resting follicles.
  • DuoStim Dual Protocol: Double ovarian stimulation within one single menstrual cycle to maximize cumulative egg collection.
  • Individualized Embryology: Specialized micro-incubation and ICSI micro-injection maximize blastocyst conversion from every mature egg.
  • Pregnancy is Still Achievable: Low AMH reflects egg quantity, not egg quality. Tailored clinical care consistently delivers success.

Clinical Insight: Low AMH does NOT equal infertility. It indicates that fewer eggs are recruited each cycle, not that viable eggs are absent. Advanced protocol customizations such as DuoStim and physiological micro-incubation at our centre give couples with low AMH excellent odds of biological conception.

Advanced Surgical & Endoscopic Diagnostics

When imaging or hormone testing indicates structural barriers, minimally invasive endoscopic surgery provides both definitive diagnostic visualization and immediate surgical correction in the same session:

Fertility-Enhancing Hysteroscopy Detects and removes uterine polyps, sub-mucosal fibroids, intrauterine synechiae, and septa.
Operative 3D Laparoscopy Direct pelvic visualization for endometriosis excision, ovarian cystectomy, and tubal recanalization.

Frequently Asked Questions About Fertility Testing

Baseline hormone testing (FSH, LH, Estradiol) and Antral Follicle Count ultrasound are best performed on Day 2 or Day 3 of the menstrual cycle. Serum AMH can be measured on any cycle day, as its concentration remains relatively constant. Follicular monitoring begins around Day 9 or 10 and continues every 2 days until ovulation occurs.

The male partner should observe 2 to 5 days of ejaculatory abstinence (no intercourse or masturbation) prior to sample collection. The sample should be collected directly at our comfortable andrology collection suite to ensure immediate laboratory examination within 30 minutes of liquefaction.

A low AMH level indicates a diminished quantity of remaining eggs, not poor egg quality. Many women with low AMH conceive naturally or achieve successful IVF outcomes when customized protocols such as DuoStim (double stimulation) and precise gonadotropin dosing are utilized.

Transvaginal follicular ultrasound is quick, safe, and typically painless. Patients may feel slight pressure from the slender transducer probe, but it is completed comfortably within 5 to 10 minutes without need for anaesthesia or downtime.

Because our pathology and andrology laboratories operate completely in-house, routine hormone profiles and semen analysis results are delivered on the same day. Detailed consultations with Dr. Devkriti follow promptly to interpret the findings and formulate your treatment strategy.