Fertility Testing & Evaluation

  1. Home
  2. Fertility Testing & Evaluation

Fertility Testing Services in Indiana 

If you have been having difficulty conceiving, getting a comprehensive fertility evaluation can help you find the answers you need to make informed decisions about your family-building journey. Testing is also valuable for those who simply want to understand their reproductive health before starting a family, or for individuals facing a medical diagnosis that may affect fertility down the road. Wherever you are in the process, an evaluation is where clarity begins.

At Indiana Fertility Institute, we believe that every person deserves access to thorough, accurate, and compassionate fertility care, which starts with a comprehensive evaluation. Our team offers a full range of diagnostic testing services for individuals and couples, drawing on more than 30 years of experience and expertise. 

Our clinic is located in Carmel, conveniently serving patients from Indianapolis, Fishers, Noblesville, Westfield, and communities throughout central Indiana. If you are ready to start finding answers, we are ready to help you find them.

Fertility Testing for Women

Female fertility depends on several delicately coordinated processes. When any part of that system is disrupted, it can create barriers to conception that are not identifiable without targeted testing. Our diagnostic approach for female patients is thorough, drawing from a range of evaluations to build a complete and accurate picture of your reproductive health. Key tests offered include:

  • AMH Testing (Anti-Müllerian Hormone): A blood test that estimates ovarian reserve, which refers to the quantity of eggs remaining in the ovaries.
  • Transvaginal Ultrasound: An imaging study using a small internal probe to examine the uterus and ovaries in detail, assess antral follicle count, and identify structural concerns such as fibroids, cysts, or polyps.
  • Hysterosalpingography (HSG): An X-ray-based procedure that uses contrast dye to evaluate the uterine cavity and confirm whether the fallopian tubes are open and unobstructed.
  • Saline Infusion Sonogram (SIS): A targeted imaging procedure in which sterile saline is introduced into the uterine cavity to enhance visualization of the uterine lining and detect abnormalities that a standard ultrasound may not fully capture.
  • Hormonal Blood Panel: Measures key reproductive hormones, such as FSH, LH, estradiol, prolactin, and thyroid hormones, to identify imbalances that may be interfering with ovulation or overall reproductive function.
  • Ovulation Assessment: Evaluates whether ovulation is occurring consistently, using progesterone testing, cycle tracking, or ultrasound monitoring.
  • Genetic Testing: Carrier screening and chromosomal analysis, recommended based on personal or family history.

Every fertility workup is tailored to the individual. Age, symptoms, medical history, and family-building goals all influence which tests may be recommended. For more information, visit our Female Fertility Testing page.

Fertility Testing for Men

Male fertility is an essential part of any complete evaluation. Male factors contribute to approximately half of all infertility cases, and identifying them early is critical to developing an accurate and effective treatment plan. Diagnostic evaluations for male patients at Indiana Fertility Institute include:

  • Semen Analysis: The primary tool for assessing male fertility. Evaluates sperm count, motility, morphology, and semen volume to determine whether sperm health may be contributing to fertility challenges.
  • Hormone Testing: A blood panel measuring testosterone, FSH, LH, and prolactin to evaluate whether a hormonal imbalance is affecting sperm production.
  • Medical History and Physical Examination: A detailed review of health history alongside a physical exam, allowing the physician to identify structural findings and other factors that may be influencing fertility.
  • Genetic Testing: Including carrier screening, karyotype testing, and chromosomal microarray analysis, recommended when sperm counts are severely low or absent, or when genetic factors are suspected.

For a full overview of male fertility testing, visit our Male Fertility Testing page.

Genetic Testing

Genetic evaluation has become a foundational element of comprehensive fertility care. At Indiana Fertility Institute, genetic testing is integrated throughout the evaluation and treatment process when necessary.

Before treatment begins, carrier screening allows individuals and couples to determine whether either partner carries gene variants linked to heritable conditions that could be passed to a future child. Chromosomal analysis may also be recommended when a genetic contributor to infertility is suspected.

For patients undergoing IVF, preimplantation genetic testing offers the ability to screen embryos for chromosomal or genetic concerns before transfer:

  • PGT-A (Preimplantation Genetic Testing for Aneuploidy): Evaluates embryos for extra or missing chromosomes — one of the most common causes of failed implantation and early pregnancy loss. Selecting chromosomally normal embryos for transfer can meaningfully improve IVF success rates.
  • PGT-M (Preimplantation Genetic Testing for Monogenic Disorders): Allows patients with a known single-gene condition in the family to test embryos for that specific disorder prior to transfer, reducing the risk of passing a hereditary disease to a child.
  • PGT-SR (Preimplantation Genetic Testing for Structural Rearrangements): Designed for patients who carry chromosomal structural abnormalities, PGT-SR screens embryos to identify those most likely to result in a successful pregnancy.

For more information, visit our Preimplantation Genetic Testing (PGT) page.

Your Fertility Evaluation: What to Expect

Before recommendations can be made, your physician needs to understand your health history, reproductive goals, and any factors that may be influencing fertility. 

While every evaluation is personalized, your first visit may include:

  • A discussion about how long you have been trying to conceive, if applicable
  • Review of your medical, surgical, and reproductive history
  • Conversation about lifestyle factors, medications, and family health history
  • Assessment of menstrual cycles, ovulation patterns, and prior pregnancies
  • Physical examination
  • Time to discuss questions, concerns, and future family-building goals

To prepare for your appointment, it can be helpful to:

  • Bring records from previous fertility evaluations or treatments
  • Keep track of recent menstrual cycles and ovulation data
  • Create a list of current medications, vitamins, and supplements
  • Gather information about relevant family medical history
  • Write down any questions you would like to discuss with your physician

Above all, your fertility evaluation is meant to be collaborative. Instead of running through a checklist, our physicians take the time to understand your full situation, ensuring you leave with a plan that feels right for you. 

Understanding Fertility Testing Costs

The cost of a fertility evaluation at Indiana Fertility Institute varies depending on which diagnostic tests are necessary for your evaluation and what your insurance plan covers.

At Indiana Fertility Institute, financial transparency is a priority, which is why our dedicated financial team works closely with each patient to verify insurance benefits and clarify costs before treatment begins. For more detailed information, visit our Insurance & Benefits and Financing pages.

Fertility Testing FAQs

  • Fertility testing is a structured diagnostic process that evaluates the reproductive health of an individual or couple. It encompasses a range of assessments, including bloodwork, laboratory exams, imaging, physical examination, and in some cases specialized procedures, designed to identify factors that may be affecting the ability to conceive.

  • Standard clinical guidelines recommend seeking a fertility evaluation after twelve months of unprotected intercourse without a resulting pregnancy, or after six months when the female partner is 35 or older. Earlier evaluation is appropriate for individuals with irregular or absent menstrual cycles, a history of recurrent pregnancy loss, or a prior diagnosis that may affect fertility. Those who simply want to understand their reproductive health before starting a family, or are considering fertility preservation, may also benefit from proactive fertility testing. 

  • A fertility evaluation typically combines a review of medical history with diagnostic testing. Depending on the patient, this may include hormone testing, ultrasound imaging, ovarian reserve assessment, and semen analysis if a male partner is involved. 

  • Some fertility tests can be completed during a single appointment, while others need to be scheduled around specific points in the menstrual cycle. Laboratory results may return within days, whereas certain procedures and specialized evaluations can take longer. Although every case is different, many patients are able to complete the majority of their initial testing within several weeks.

  • Preparation often begins with gathering information. Bringing prior medical records, fertility treatment records, and a list of current medications can help your physician develop a more complete understanding of your health history. Tracking menstrual cycles, documenting symptoms, and preparing questions in advance can also make the appointment more productive.

  • Insurance coverage for fertility testing varies considerably between providers and plans. Some policies include coverage for diagnostic evaluations, while others may only cover certain services or none at all. Because benefits differ from one plan to another, our team can help explain your individual policy and outline potential financial considerations.

  • Yes. In fact, evaluating both partners early in the process often provides the most efficient path to answers. Fertility challenges can originate from male factors, female factors, or a combination of both. By assessing each partner at the same time, physicians can develop a more complete understanding of the situation and avoid unnecessary delays in diagnosis or treatment planning.

  • Once testing has been completed, your physician will review the results and explain what they mean within the broader context of your reproductive health. Depending on the findings, next steps may include additional testing, monitoring, lifestyle recommendations, or fertility treatment.

  • Absolutely. Fertility testing can be an important part of family-building for LGBTQ+ individuals, couples, and single parents by choice. Evaluations help establish a baseline understanding of reproductive health and can inform decisions regarding donor sperm, donor eggs, IVF, reciprocal IVF, gestational surrogacy, or fertility preservation. Recommendations are always tailored to the individual's anatomy, goals, and preferred path to parenthood.

  • Yes. Fertility preservation typically begins with an evaluation of current reproductive health. Testing may include hormone assessments, ovarian reserve testing, ultrasound imaging, semen analysis, or other diagnostic studies that help physicians estimate fertility potential and personalize preservation strategies.

Schedule a Fertility Evaluation in Indiana

With more than 30 years of experience and a reputation built on exceptional outcomes and genuinely compassionate care, Indiana Fertility Institute has become a trusted home for fertility care for patients across central Indiana. Located in Carmel, our clinic is easily accessible to patients from Indianapolis, Fishers, Noblesville, Westfield, and beyond.

If questions about your fertility have been on your mind, the most important step you can take is getting them answered. Whenever you are ready, we are here to help. 

Schedule a Consultation