Fertility Test in Singapore: Your Guide to Understanding and Taking the First Step Towards Parenthood

For couples who dream of starting a family, the journey to parenthood can sometimes be more challenging than expected. According to Virtus Fertility Centre, up to 1 in 6 Singaporean couples can experience difficulties when they decide to start a family.

This is why understanding your fertility health and taking proactive steps can greatly increase your chances of conceiving naturally.

In Singapore, there are various options for fertility tests, screenings, and clinics that can help you assess your fertility status and provide guidance on the best way forward. In this article, we'll explore what a fertility test entails, the specific tests for men and women, signs that indicate you should consider a fertility test, and where to go for a fertility health check in Singapore.

What is a Fertility Test

A fertility test is an essential step for couples trying to conceive. It is a comprehensive assessment of a couple's reproductive health that aims to identify any factors that may affect their chances of a natural pregnancy.

For women, the test typically includes an ultrasound scan and blood tests, while for men, it involves a semen analysis. Depending on the couple's unique circumstances, specialised scans and additional tests may also be recommended.

Fertility Screening for Couples in Singapore

A fertility test is an assessment of a couple's fertility, focusing on identifying factors that could affect their chances of natural conception. It is important to note that infertility issues can arise from both male and female factors, and a comprehensive history-taking and testing process is involved for both partners.

Couples in Singapore have several options when it comes to fertility screening and health checks. There are government hospitals, private fertility clinics, and specialised fertility centres that offer comprehensive fertility health checks.

Can I go to my GP for a fertility test?

It's important to note that a fertility health check cannot be conducted by a general practitioner (GP) or at polyclinics; it requires the expertise of a gynaecologist or a fertility specialist.

What Does a Fertility Test Usually Check

A fertility test aims to assess both male and female reproductive health. Below are the tests typically conducted for each:

Women

1. Ultrasound Scan: This scan helps evaluate the health of the uterus, ovaries, and fallopian tubes. It can detect abnormalities such as fibroids or cysts that may affect fertility.
2. Blood Tests: Hormonal tests, including FSH (Follicle-Stimulating Hormone) and LH (Luteinizing Hormone) levels, help assess ovarian function and egg quality.
3. Other Specialised Tests: In some cases, additional tests, such as an HSG (Hysterosalpingogram) to check for fallopian tube blockages or a thyroid function test, may be recommended.

Men

1. Semen Analysis: This test assesses the quantity, quality, and movement of sperm. A low sperm count, poor motility, or abnormal morphology may indicate potential fertility issues.
2. Hormonal Tests: Hormone levels, including testosterone and other reproductive hormones, may be checked to assess male fertility.

Some fertility centres offer a review of the results of the fertility test so that the couple can assess the next steps to take in their fertility journey. 

Will a Fertility Test Affect One's Virginity

According to Dr Janice Tung, Consultant Obstetrician and Gynaecologist, Accredited IVF Specialist @MBBS (Singapore) and a member of  the Royal College of Obstetrics and Gynaecology (UK), it is possible to check one's fertility without affecting their virginity.

"Virginity is a term typically used to describe a person who has not engaged in sexual intercourse. It is unrelated to fertility testing, which involves assessing reproductive health and the ability to conceive.

Fertility checks usually include medical evaluations, tests, and examinations to determine factors that may affect a person’s ability to conceive a child. These tests do not impact a person’s virginity status in any way," she said.

Signs You Should Take a Fertility Test

While it's common for conception to take time, certain signs may indicate the need for a fertility health check. If you experience any of the following, it might be time to consider a fertility test:

1. Age: If you or your partner are over 35 years old, seeking a fertility health check early can be beneficial due to age-related declines in fertility.
2. Irregular Menstrual Cycles: Women with irregular periods or absent menstruation may have ovulation issues that could affect conception.
3. Painful Periods or Pelvic Pain: Severe menstrual cramps or pelvic pain may indicate an underlying condition that affects fertility.
4. History of Pelvic Infections: Previous pelvic infections could lead to scar tissue and blockage of fallopian tubes, hindering pregnancy.
5. Multiple Miscarriages: If you've experienced recurrent miscarriages, it may be wise to investigate potential underlying causes.
6. Known Male Reproductive Issues: If your partner has a history of reproductive problems or has been diagnosed with a condition affecting sperm quality, a fertility test is recommended.

Moreover, if you or your partner are over 35 and are not able to get pregnant within six months of actively trying, or if you or your partner are under 35 and not conceiving in spite of actively trying for one year or more, you should both consider taking a fertility test to figure out the cause.

Where to Go for a Fertility Test in Singapore

Where to take a fertility test in Singapore? What is the cost?

Here are some of your options:

1. Government Hospitals: Several government hospitals offer fertility health checks, including KK Women's and Children's Hospital (KKH), Singapore General Hospital (SGH), and National University Hospital (NUH). Couples can get a referral from a polyclinic to avail of subsidised rates for fertility health checks.

2. Thomson Fertility Centre (TFC): TFC offers a basic fertility health check at $450 (incl. 7% GST) that includes an ultrasound scan for the wife, comprehensive blood tests for the wife, a semen analysis for the husband, and a review with a fertility specialist for both partners.

3. Virtus Fertility Centre (VFC): VFC offers a basic fertility health check at $550 (incl. of GST), which includes an ultrasound scan for the wife, a semen analysis for the husband, and a review with a fertility specialist for both partners. Like MEH, hormone blood tests are not included in this package.

4. Private Fertility Clinics: Several private fertility clinics in Singapore also provide fertility health checks. The packages may vary depending on the clinic, and some may need to be custom-ordered based on the doctor's assessment of the couple.

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You can also seek recommendations from family, friends, or online forums to find a fertility clinic that best suits your needs and comfort level.

Taking a fertility health check is a proactive step for couples trying to conceive. It helps identify potential fertility issues, allowing couples to make informed decisions about their journey towards parenthood.

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