Fertility Study for Women

Comprehensive evaluation of female fertility

At Fertility Madrid, we carry out fertility assessments in women with the aim of identifying possible causes of infertility at an early stage. Through advanced medical tests and a personalized approach, we evaluate ovarian reserve, hormonal health, and the condition of the reproductive system. This diagnosis allows us to design the most suitable treatment for each patient, increasing their chances of achieving pregnancy.

How is the fertility study carried out?

The medical history is essential in the study of reproductive disorders. It begins with an interview conducted by the reproductive specialist aimed at learning about the family, general personal, and reproductive history of both members of the couple.

Before starting an assisted reproduction treatment, it is important to carry out a study of the couple in order to guide the treatment.

Fertility study for women

Diagnostic tests

Vaginal ultrasound

To observe the characteristics of the uterus, ovaries, and the possible presence of pathology. At the same time as the vaginal ultrasound, the antral follicle count will be performed, that is, counting the number of eggs in the ovary, which will give us an approximate idea of the woman’s ovarian reserve.
As a complement to the vaginal ultrasound, a hormonal study will be carried out through a blood test. The hormones FSH and oestradiol will be assessed, as well as the anti-Müllerian hormone (AMH), which will provide information about the ovarian reserve.

What are the most common causes of female infertility?

Female infertility can have multiple causes, and understanding them is the first step in finding the right treatment. In our clinic, we carefully evaluate each case to identify the origin of the problem and offer personalised solutions. Some of the most common causes include:

  • Defective or reduced functioning of the ovaries, which can lead to hormonal imbalances.
  • Various disorders in the fallopian tubes and uterus, such as adhesions, blockages, or endometriosis.
  • Immunological problems and genetic factors that interfere with conception.
  • The social shift that leads to planning pregnancies at a later age, which can reduce fertility.
  • Lifestyle-related factors, such as chronic stress, substance use, or being overweight.

Evaluation methods before IVF

Assessing a couple’s fertility is a progressive process that requires careful attention and a personalised approach.

It all begins with a detailed evaluation and a thorough examination of both partners, with the aim of identifying the cause of infertility and, from there, offering the most appropriate treatment.

In some cases, the diagnosis is straightforward; in others, more in-depth and comprehensive investigation is needed. Reviewing all the results will allow the doctor to better understand the possible cause of infertility and thus recommend the optimal treatment for each situation.

At present, we are able to help up to 97% of couples with fertility problems.

Step-by-step diagnostic methods for women

At Fertility Madrid, we carry out a female fertility study following a step-by-step protocol tailored to each patient. We begin with a full medical assessment and the most relevant initial tests, moving on to more specialised studies only if necessary. Our goal is to obtain a clear and precise diagnosis in order to offer you the most appropriate treatment, always with a supportive and personalised approach.

Initial fertility consultation

Personal medical history

During your initial consultation at Fertility Madrid, the doctor will have a detailed conversation with you to gather complete information about your personal, family, and gynaecological medical history. This information is essential to determine the most appropriate treatment for you.
You will be asked about the regularity and characteristics of your menstrual cycle, significant illnesses or previous surgeries, allergies, and any medication you are currently taking. This thorough evaluation allows the specialist to identify possible causes of infertility and to plan the necessary investigations in a personalised way.
One of the first steps in female infertility testing at Fertility Madrid is the ultrasound examination. During this procedure, the doctor will use an ultrasound machine to assess the size and shape of the uterus and uterine cavity, including the thickness of the endometrium.
In addition, the condition of the ovaries and fallopian tubes will be examined. This non-invasive imaging technique makes it possible to detect potential abnormalities that could be hindering conception, and it is key to guiding the appropriate treatment from the very beginning of the process.
At Fertility Madrid, this examination is only carried out if it has been previously agreed with your gynaecologist or with our medical team. In many cases, this test should be performed in an external gynaecological consultation before starting fertility treatment.
During the gynaecological examination, a smear test may be carried out to detect common sexually transmitted infections, such as chlamydia, ureaplasma, and mycoplasma. It is essential to identify and treat any infection before beginning fertility treatment, as untreated infections can cause complications that make pregnancy more difficult.
At Fertility Madrid, blood collection and analysis is a fundamental part of the female fertility diagnosis. This test makes it possible to detect various factors that may be interfering with conception.
The analysis includes assessing general health, ruling out sexually transmitted diseases, studying the hormonal profile, and detecting antibodies that may be related to infertility.
It also measures the levels of anti-Müllerian hormone (AMH), which indicates ovarian reserve, as well as the state of thyroid hormones. The ovarian reserve test (ORT) is a widely used tool to determine how many eggs remain in the ovaries.
Since women are born with a limited number of eggs and do not produce more during their lifetime, understanding this information is essential before starting any fertility treatment. This is why, at Fertility Madrid, we consider the ORT a key resource in planning your path to motherhood.
At Fertility Madrid, we understand that facing difficulties in conceiving can be an emotionally challenging experience. Exploring alternatives to starting a family, seeing others with children, or dealing with relatives who do not fully understand the grief associated with infertility can deeply affect your emotional wellbeing.
To support you through this process, we offer a confidential and trustworthy psychological support service. Our approach focuses on relieving stress and caring for mental health as an essential part of fertility treatment.
Our specialised psychologist is available to help you understand, process, and express your emotions at any stage of your journey towards motherhood or parenthood.
Whether you are considering starting or expanding your family, or going through tests and treatments, at Fertility Madrid we are here to support you every step of the way.

Female fertility assessment

Una de las causas más comunes de infertilidad en mujeres es la obstrucción de las trompas de Falopio. Cuando están bloqueadas, impiden que el óvulo llegue al útero, lo que hace imposible la fecundación. Estas obstrucciones suelen deberse a inflamaciones ginecológicas, infecciones, adherencias o endometriosis, y pueden diagnosticarse mediante ecografía o laparoscopia. 

Si se confirma la obstrucción, la única vía posible para lograr el embarazo es mediante un tratamiento de Fecundación In Vitro (FIV), ya que la inseminación no es efectiva en estos casos. 

En Fertility Madrid, realizamos la prueba ExemFoam que permite evaluar la permeabilidad de las trompas de Falopio mediante una ecografía con agente de contraste. A diferencia de la histerosalpingografía (HSG), que utiliza rayos X, la ExemFoam no expone a la paciente a radiación y suele ser mejor tolerada, convirtiéndose en una opción más segura y cómoda para nuestras pacientes. 
En Fertility Madrid, realizamos pruebas genéticas cuando el historial médico de la pareja sugiere que pueden existir factores genéticos que estén interfiriendo en la concepción. 

Este tipo de análisis se recomienda especialmente cuando hay antecedentes familiares relevantes, cuando una mujer ha tenido dificultades prolongadas para quedarse embarazada, o ha sufrido múltiples abortos espontáneos sin causa aparente. 

Las pruebas genéticas permiten identificar alteraciones genéticas que podrían estar afectando la fertilidad, ayudándonos a tomar decisiones más informadas y a diseñar un tratamiento personalizado y eficaz para cada caso. 

Métodos de examen endoscópico

Diagnostic hysteroscopy

Hysteroscopy is an endoscopic procedure that allows direct examination of the uterine cavity and a detailed evaluation of its anatomical condition. With this technique, the specialist can identify possible abnormalities, take endometrial samples for histological analysis, and, if necessary, remove formations such as polyps or adhesions.
At Fertility Madrid, this procedure is usually performed under general anaesthesia to ensure the patient’s comfort. It is a key diagnostic tool in cases of infertility, as it makes it possible to detect problems that could be interfering with embryo implantation or pregnancy development.

Examinations after several failed IVF attempts

ERA or GERT test

The Endometrial Receptivity Analysis (ERA) is a genetic test that makes it possible to determine the exact moment when the lining of the uterus (endometrium) is most receptive to embryo implantation.
This examination was developed to increase the chances of success in women who have experienced several failed embryo transfer attempts despite using good-quality embryos. At Fertility Madrid, we use this test in selected cases as a tool to personalise the timing of the transfer as much as possible and optimise the chances of achieving pregnancy.

Immunological examination

In some cases, the immune system can produce antibodies against sperm, eggs, or even embryos, which may lead to miscarriages or repeated failures in IVF treatments.
At Fertility Madrid, we carry out reproductive immunology studies through a simple blood test. This test makes it possible to detect potential autoimmune diseases in either partner, giving us key information to understand the origin of fertility problems and to adjust the treatment in a personalised way.

Cost of fertility tests for women

At Fertility Madrid, we understand that every woman and every fertility case is unique. That is why we offer an individualised approach not only in diagnosis and treatment, but also in the associated costs, so that you can access the care you need with complete transparency and confidence.

Individualised approach

Every treatment at Fertility Madrid is based on a detailed study of the case. We do not believe in standard solutions; we prefer to adapt each step of the process to your clinical, emotional, and financial needs. This personalised care is one of the reasons why our patients choose and recommend us.

To learn more about our prices or to receive a personalised proposal, do not hesitate to book your initial assessment with our medical team. We will be delighted to help you take the first step with confidence.

Frequently asked questions about female fertility tests

Do I have to undergo all the female fertility tests?
How can I find out the cost of each fertility test?
Can I have fertility tests even if I do not want to start treatment right away?
Are female fertility tests painful?
How long will it take to receive the results of my fertility tests?
What clothes should I wear for the tests?
Can I have the tests if I am on my period?
Do fertility tests require prior preparation?
Does the fertility study detect other gynaecological conditions?
Can the tests be repeated if time goes by?
What happens after receiving the results?