Aug 12, 2025

Fertility testing in India: what to expect, what it really tells you, and where to begin

If you’ve been thinking about getting your fertility tested- whether you’re planning a baby, exploring egg freezing, or simply want clarity on your timeline- fertility testing is a smart and empowering place to start.

But for many people, the idea of fertility testing in India still feels confusing or intimidating- especially where information is scattered and overly clinical.

So here’s your clear, no- nonsense guide to ovarian reserve testing: what it includes, what it can (and can’t) tell you, and how to begin.

Fertility testing in India: what to expect, what it really tells you, and where to begin

Why test your fertility at all?

Fertility tests for women aren't just for those actively trying to conceive.  It can be helpful if you are:

  • Struggling to conceive and want clarity on any underlying issues

  • Thinking of freezing your eggs and want to assess your egg reserve

  • Experiencing irregular cycles, acne, hair fall, or other signs of hormonal imbalance

  • Curious about your reproductive health, even if you’re not trying for a baby soon

  • Diagnosed with conditions like PCOS, thyroid dysfunction, or endometriosis

  • In your early 30s and wondering how long you can wait to start a family

Think of it as getting a status report on your reproductive system that provides valuable data to help you plan ahead.


What tests are typically done?

A thorough fertility check often includes a combination of blood tests to check egg reserve, ultrasounds, and sometimes imaging or partner testing. Here’s what each one looks at and why it matters:

1. Hormonal Blood Tests

These are usually done between Day 2 and Day 5 of your cycle. They offer a snapshot of your hormonal function.

Core hormones tested:

  • AMH (Anti- Müllerian Hormone): Reflects your ovarian reserve- i.e., the number of eggs remaining. An AMH test in India is often the most accessible starting point for checking fertility, especially if you're searching for an egg count test in India or looking to understand your timeline better.

  • FSH (Follicle- Stimulating Hormone): If high, it may indicate diminished ovarian reserve or perimenopause.

  • LH (Luteinizing Hormone): Helpful in detecting ovulatory issues like PCOS.

  • Estradiol: Reflects estrogen balance; important for understanding ovarian function.

  • TSH: Thyroid levels can deeply affect fertility and cycle regularity.

  • Prolactin: Elevated levels can delay ovulation.

  • DHEA- S and Free Testosterone: Raised levels may signal androgen imbalances or PCOS.

  • Insulin & HbA1c (optional): Useful for detecting insulin resistance- common in PCOS.

These blood tests can serve as a female egg count test, giving you insight into both egg reserve levels and hormonal health.

2. Pelvic Ultrasound (Transvaginal or Abdominal)

Used for:

  • Antral Follicle Count (AFC): A visual egg count in the ovary, which, alongside AMH, helps estimate your ovum count.

  • Detecting polycystic ovaries, fibroids, or cysts

  • Checking endometrial thickness, important for implantation

Many women ask about the egg reserve ultrasound or ovarian count test, both of which this covers.

3. Ovulation Tracking

Useful if you have irregular cycles or suspect ovulation issues. Includes:

  • Serial scans to monitor follicle growth

  • Progesterone testing

  • LH surge detection

4. Hysterosalpingogram (HSG)

An imaging test used to check if fallopian tubes are open and uterine shape is normal. Women typically use this test if everything else seems fine but are still unable to conceive.

5. Male Partner Testing (if applicable)

Fertility is a shared equation. Semen analysis includes sperm count, motility, and morphology.

What fertility testing doesn’t tell you

It won’t:

  • Tell you the exact number of eggs you’ll release

  • Guarantee pregnancy outcomes

  • Predict how IVF or freezing will work for you

  • Offer a binary answer- it’s about probabilities


It will:

  • Help determine your egg reserve

  • Guide decisions around fertility preservation

  • Help identify diminished egg reserve or hormonal imbalances

Where to Begin

You don’t need to visit a fertility clinic right away. Start with a test to check egg count or AMH ovarian reserve levels, then test more if needed.

Many women now choose at- home ovarian reserve testing for convenience, privacy, and early clarity. If you're wondering, “How do I check my egg count?” We’ve got you covered.

The Arva Complete Fertility Test: Your Starting Point

We created this test to be easy, accessible, and thorough.

  • At- home sample collection (on Day 2 or 3 of your cycle)

  • Tests 11 key hormones including AMH, FSH, LH, estradiol, prolactin, TSH, androgens

  • Clear, actionable report in 72 hours

  • Optional scan or add- ons for a deeper look

  • 1- on- 1 consult with an Arva fertility advisor

If you’re looking for an egg count test at home or the best test for ovarian reserve, this is it.

Whether you're in your 20s or early 30s, taking the first step isn’t about making a decision right away, it’s about understanding where you stand, so you can make the choices that feel right for you.

Updated August 12, 2025