When a couple has trouble getting pregnant, the first step is proper testing. An infertility specialist in Lahore does not suggest advanced treatments right away. Instead, simple and basic tests are recommended first to understand the real cause of infertility. These tests help doctors create the right and personalized treatment plan.

Why Are Initial Fertility Tests Important?

Early fertility tests save time, money, and emotional stress. Many fertility problems are easy to identify and treat when diagnosed early. Both partners are tested because infertility can be related to male factors, female factors, or both.

Medical History and Physical Examination

The first step is a detailed discussion.

The specialist asks about:

• Age and duration of infertility

• Menstrual cycle history

• Previous pregnancies or miscarriages

• Medical conditions and surgeries

• Lifestyle habits

A basic physical examination is also done to check general health and reproductive signs.

Semen Analysis for Men

This is usually the first and most important test for men.

A semen analysis checks:

• Sperm count

• Sperm movement

• Sperm shape

• Semen volume

Male infertility is common, and this test helps identify problems early.

Ovulation Tests for Women

Ovulation problems are a common cause of female infertility.

Tests may include:

• Blood tests to check hormone levels

• Progesterone test to confirm ovulation

• Ovulation tracking through ultrasound

These tests show whether eggs are being released properly.

Hormone Blood Tests

Hormone tests are important for both partners.

Common hormone tests include:

• FSH and LH

• AMH (ovarian reserve test)

• Thyroid hormones

• Prolactin levels

Hormonal imbalance can affect egg quality, sperm production, and implantation.

Ultrasound Scan

A pelvic ultrasound is a simple and painless test.

It helps check:

• Uterus shape and size

• Ovaries and follicles

• Presence of cysts or fibroids

This test gives a clear picture of the female reproductive organs.

Tubal Patency Test

Blocked fallopian tubes can prevent pregnancy.

The most common test is:

• Hysterosalpingography (HSG)

This test shows whether the fallopian tubes are open and if the uterus is normal.

Additional Tests If Needed

If basic tests show concerns, the specialist may recommend further testing such as:

• Genetic tests

• Advanced hormone testing

• Laparoscopy or hysteroscopy

These are not done for every patient and are only suggested when necessary.

Do Both Partners Need Testing?

Yes. Fertility testing is always for both partners. Testing only one partner can delay diagnosis and treatment.

Final Thoughts

The first fertility tests are simple, safe, and very important. They help infertility specialists understand the root cause and guide couples toward the most suitable treatment. Early testing leads to faster decisions and better chances of success. If pregnancy is not happening naturally, consulting a fertility specialist and starting basic tests is the right first step.