Fertility Testing in BC
An overview of common fertility tests available in British Columbia and what they typically involve. A plain-English guide for people exploring their options.
Fertility testing is typically the first step when someone is exploring their reproductive health or has been having difficulty conceiving. Testing can help identify potential contributing factors and inform decisions about next steps. This guide provides a general overview of common fertility tests available in BC. It is educational only and not a substitute for medical advice from a qualified healthcare provider.
Common Fertility Tests for Women
- Ovarian reserve testing: Blood tests such as AMH (anti-Müllerian hormone) and FSH (follicle-stimulating hormone) to assess egg supply
- Antral follicle count (AFC): An ultrasound assessment of the number of follicles in the ovaries
- Hormonal blood panel: Assessing hormones such as estradiol, LH, prolactin, and thyroid function
- Hysterosalpingogram (HSG): An X-ray procedure to assess the uterus and fallopian tubes
- Pelvic ultrasound: To assess the uterus, ovaries, and any structural concerns
Common Fertility Tests for Men
- Semen analysis: Evaluating sperm count, motility, and morphology
- Hormonal blood tests: Assessing testosterone, FSH, LH, and other relevant hormones
- Genetic testing: In some cases, to assess for chromosomal or genetic factors
- Urological evaluation: If structural or other factors are suspected
How to Access Fertility Testing in BC
Some fertility tests can be ordered by a family doctor and may be covered by BC MSP. Others may require a referral to a fertility specialist or reproductive endocrinologist. Fertility clinics typically conduct a comprehensive diagnostic workup as part of their initial assessment. If you do not have a family doctor, some fertility clinics in BC accept self-referrals and can conduct initial testing as part of a consultation.
What Happens After Testing?
Test results are typically reviewed with a reproductive specialist who can explain what the results mean in the context of your overall situation and discuss potential next steps. Results from fertility testing do not always lead to a clear diagnosis — unexplained infertility is a recognized category. Your specialist can discuss what options may be appropriate based on your results and circumstances.
Questions to Ask a Provider
- Which fertility tests do you recommend as a starting point for my situation?
- Which of these tests may be covered by BC MSP?
- How long will it take to get results?
- What will the results tell us, and what might they not tell us?
- What are the next steps after testing?
- Do I need a referral for any of these tests?
Frequently Asked Questions
Related Resources
Medical Disclaimer: FertilityBC.ca is an independent directory and educational resource. We do not provide medical advice, diagnosis, treatment, or clinic recommendations. Users should verify provider information directly and consult qualified healthcare professionals.
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