Fertility Counselling, Investigations & Referrals

Fertility counselling, investigations and referrals are important aspects of reproductive health care for individuals and couples who are experiencing difficulty in conceiving a pregnancy. Here’s an overview of these components:

Fertility Counselling

Fertility counselling involves discussions with healthcare professionals, such as fertility specialists or reproductive endocrinologists, to address concerns, explore options and provide guidance regarding fertility. It aims to help individuals or couples understand their reproductive health, potential causes of infertility, available treatment options and emotional support throughout the process. Fertility counselling may involve discussions about lifestyle factors, timing of intercourse and potential interventions or assisted reproductive technologies.

Fertility Investigations

Fertility investigations aim to identify any underlying causes of infertility. These investigations can vary depending on individual circumstances but commonly include:

  • Medical History: A thorough assessment of medical history, including any pre-existing medical conditions, surgeries, medications, or previous pregnancies.
  • Physical Examination: A physical examination of both partners to evaluate general health and identify any physical abnormalities.
  • Hormonal Testing: Blood tests to measure hormone levels, such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), oestradiol, progesterone, thyroid hormones and others, to assess ovarian function and hormonal balance.
  • Semen Analysis: A laboratory test to evaluate the quality, quantity and motility of sperm in a semen sample provided by the male partner.
  • Ovulation Assessment: Tracking menstrual cycles and monitoring ovulation through methods such as basal body temperature charting, ovulation predictor kits, or ultrasound scans.
  • Imaging Studies: Imaging techniques, such as pelvic ultrasound or hysterosalpingography, to assess the structure of the uterus, fallopian tubes and ovaries.
  • Genetic Testing: In some cases, genetic testing may be recommended to identify any genetic factors that could contribute to infertility.

The specific investigations will depend on the individual or couple’s situation and may be modified based on initial findings.


Based on the results of fertility investigations or if more specialized interventions are required, healthcare professionals may refer individuals or couples to appropriate specialists or fertility clinics. These referrals could be for further testing, specialized treatments (e.g., in vitro fertilization), or consultation with reproductive endocrinologists or fertility specialists who have expertise in fertility treatments.

Fertility counselling, investigations and referrals are essential steps in assessing and addressing infertility concerns. They provide individuals and couples with a comprehensive evaluation of their reproductive health, assist in understanding potential causes of infertility and guide them toward appropriate interventions or treatments. It’s important to consult with a healthcare professional specializing in fertility to receive personalised advice, investigations and referrals based on your unique circumstances.