Fertility Assessment

We understand how anxiety-inducing undergoing a fertility assessment can be. But rest assured that Dr Ma Li is vastly experienced and skilled to not only provide you with a comprehensive overview of your fertility health, but will similarly guide and help you through the next steps in maintaining or improving your fertility health.

A fertility assessment is a simple and straightforward procedure. To ensure that you have a smooth and seamless experience, we do encourage you to adhere to the following preparation steps:

• Compile your medical records
  If you have any previous medical records, including information pertaining to your menstrual cycles, previous surgeries or past medical or fertility treatments, then we encourage you to bring them along on the day of your appointment.

• Share your medications and supplements list
  Certain medications and supplements can influence your hormones, therefore influencing the results of your fertility assessment. As such, it is essential to list down every medication and supplement that you are currently on. In some cases, Dr Ma Li may advise you to refrain from consuming certain medications and supplements prior to the fertility assessment to preserve the integrity of the results.
• Keep track of your menstrual cycle
  If you have been keeping track of your menstrual cycle, be it via an application or manually, then do remember to bring that information with you. This will enable Dr Ma Li to better assess your ovulation patterns, detect any irregularities and aid her in navigating the assessment and diagnosis phase. But if you have not made it a habit to keep track of your menstrual cycle, it is not too late to start. Some of the information that will be important to take note of are:
  • Symptoms before, during and after menstruation, as well as its intensity.
  • Length of each menstrual cycle.
  • Gap between each menstrual cycle.
  • Volume of menstrual bleeding (how many sanity pads do you go through in a day).
• Prepare questions beforehand
  It is understandable and normal to have questions and uncertainties. That is why we encourage all our patients to prepare a list of questions and concerns you may have, so that Dr Ma Li can address them. All your questions regarding fertility health are welcomed, such as:
  • Can my lifestyle and habitual choices influence my fertility rate?
  • If my fertility results are poor, what are my treatment options?
  • How common is infertility among people my age?

A fertility assessment offers valuable insights into your reproductive health, while helping to identify potential challenges and optimise the chances of conceiving. This includes:

• Ovarian function — through the blood tests, Dr Ma Li will be able to determine whether you are ovulating healthily or identify any imbalances that may be disrupting your ovulation and overall fertility health.
• Ovarian reserve — the AMH level and antral follicle count will reveal the quantity of eggs that remain in the ovaries. This will help predict your fertility rate along with an estimated timeline of your reproductive health.
• Uterine and fallopian tube health — the results from the imaging scans will highlight any structural anomalies or blockages that could be preventing implantation from occurring successfully.

Beyond fertility health, the results similarly offer insights into:

• General health screening — the fertility assessment is able to detect any underlying medical conditions that could be affecting your fertility rate, such as polycystic ovarian syndrome (PCOS), endometriosis and thyroid disorders.
• Lifestyle changes — due to the fact that lifestyle choices can influence infertility, the results from the assessment may include recommendations to improve your fertility rate by making changes such as: 
  • Eating a healthier diet
  • Incorporating exercise into your routine
  • Managing your stress levels
  • Maintaining a healthy weight
  • Reducing smoking and alcohol intake
• Treatment outline — in the event you require fertility treatments, then the results obtained from the fertility assessment will help Dr. Ma Li to plan out a treatment plan tailored specifically to your condition and needs.

Once Dr. Ma Li has obtained all the results, we will schedule a follow-up appointment to go through the results with you. It is important to understand that no two results are the same, with each woman’s condition and fertility health unique to her. Generally, the results entail:

Positive results

A positive result suggests that your fertility rate is still within the normal range, indicating a healthy ovarian function and reserve. Similarly, it shows:

• A balanced hormone level (FSH, LH and progesterone)
• A normal AMH and FSH levels
• A healthy number of eggs
• A regular ovulation cycle
• No blockages in the fallopian tubes or uterus
• No structural abnormalities

Negative results

Meanwhile, a negative result indicates low fertility, suggesting:

• A low AMH or high FSH levels
• A low egg count
• A reduced fertility potential
• A diminished ovarian reserve
• An absent or irregular ovulation
• An irregular hormone level (FSH, LH and progesterone)
• A gynaecological condition such as PCOS
• Blocked fallopian tubes or uterus, such as fibroids and polyps
• Structural anomalies

As upsetting as it may be, a negative result enables Dr Ma Li to outline an effective treatment plan to improve your fertility rate. In fact, undergoing a fertility assessment earlier rather than delaying it will help improve the treatment outcomes.

Whether you are a single woman looking to take charge of her fertility health, an excited bride-to-be or a hopeful mom-to-be, we encourage you to contact us to schedule a fertility assessment appointment. With Dr Ma Li, your fertility health is in expert care.