Fertility and IVF Tests: Next Steps Guide

AMH (Anti-Mullerian Hormone)

Indicates ovarian reserve (number of eggs remaining).

You may wish to discuss your AMH level with a fertility specialist. If results are borderline, it could be helpful to repeat the test or combine it with an ultrasound for a clearer picture.

FSH (Follicle-Stimulating Hormone)

Assesses ovarian function and reserve.

You might consider asking your doctor about repeating FSH on day 2–5 of your cycle or combining it with AMH for a more complete assessment.

Oestradiol (E2)

Monitors follicle development and ovarian response.

It could be helpful to continue monitoring E2 during stimulation and discuss any adjustments with your clinic.

LH (Luteinising Hormone)

Helps time ovulation and egg retrieval.

You may wish to ask about medication options if LH levels are irregular or consider using ovulation predictor kits as advised.

Progesterone

Confirms ovulation and readiness of the uterine lining.

You might consider discussing progesterone support with your doctor if levels are low or monitoring throughout the luteal phase.

Prolactin (PRL)

High levels can disrupt ovulation.

It could be helpful to check if further tests or treatment are needed and repeat the test after any adjustments.

Cortisol

Assesses stress levels and adrenal function.

You may wish to explore stress management techniques or lifestyle changes and consider repeating the test if symptoms persist.

T4 (Thyroid Function)

Ensures thyroid hormones are balanced.

You might consider discussing thyroid health with your GP or endocrinologist and repeating the test after any treatment.

Ferritin

Measures iron stores.

It could be helpful to check iron levels regularly and discuss supplementation if levels are low.

Vitamin D

Supports reproductive health.

You may wish to consider supplementation and retesting to ensure adequate levels before treatment.

HCG (Human Chorionic Gonadotropin)

Used to trigger ovulation and confirm pregnancy.

You might consider monitoring HCG after embryo transfer to confirm pregnancy and discuss timing with your clinic.

Testosterone (TES)

Assesses hormonal balance.

It could be helpful to repeat the test if symptoms persist and explore options for balancing hormones with your doctor.

This guide summarises key fertility and IVF-related tests and suggests possible next steps you may wish to consider. These are not medical prescriptions; they are general suggestions to help you prepare for discussions with your healthcare provider.