For many people, fertility isn't something they think about until they're ready to start a family. However, understanding your fertility health earlier can provide reassurance, help you make informed decisions, and identify any potential issues before they become barriers to having a baby.
While some people seek fertility testing after struggling to conceive, others choose to have a fertility check simply to better understand their reproductive health and future family-building options. So, how do you know when it's the right time to book a fertility assessment?
What Is a Fertility Assessment?
A fertility assessment is a series of tests and consultations designed to evaluate your reproductive health and identify any factors that could affect your ability to conceive. At Manchester Fertility, tests are available for single women, single men, non-binary individuals, heterosexual couples, and same-sex female couples, with no GP referral required.
Depending on your circumstances, a fertility assessment may include:
● AMH blood testing to assess ovarian reserve
● Pelvic ultrasound scans
● Antral follicle counts
● Semen analysis
● BMI and blood pressure checks
● A consultation with a fertility specialist to discuss your results and next steps
For more information about what's included, visit our Fertility Assessments page
Signs It May Be Time to Book a Fertility Check
You've Been Trying to Conceive Without Success
One of the most common reasons to seek a fertility check is difficulty conceiving.
General guidance suggests speaking to a fertility specialist if:
● You're under 35 and have been trying to conceive for 12 months without success
● You're over 35 and have been trying for six months without success
● You're over 40 and planning to conceive
While many couples conceive naturally within the first year, fertility testing can help identify any underlying issues affecting either partner and ensure you receive appropriate support as early as possible.
You're Thinking About Starting a Family in the Future
You don't need to be actively trying for a baby to benefit from a fertility assessment.
Many people choose to have their fertility checked because they:
● Plan to delay parenthood
● Want a better understanding of their fertility potential
● Considering fertility preservation options such as egg freezing
● Simply want reassurance about their reproductive health
Early fertility testing can provide valuable information about ovarian reserve, sperm health, and other factors that may influence future family planning. Manchester Fertility specifically highlights fertility testing as an option for those considering delaying pregnancy and wanting to understand their current fertility health.
You Have Irregular or Absent Periods
Your menstrual cycle can provide important clues about your fertility.
If you experience:
● Irregular periods
● Very long or very short cycles
● Missed periods
● No periods at all
It may indicate that ovulation is not occurring regularly or that there is an underlying hormonal condition affecting fertility.
Conditions such as Polyendocrine metabolic ovarian syndrome (PMOS), thyroid disorders, or hormonal imbalances can impact fertility and may benefit from further investigation.
You Experience Painful Periods or Pelvic Pain
Severe period pain should never be ignored.
Persistent pelvic pain, painful periods, or pain during intercourse may be associated with conditions such as endometriosis, fibroids, or other reproductive health concerns.
Manchester Fertility notes that symptoms such as painful periods can be an indication that fertility testing may be beneficial. Identifying these conditions early can improve treatment options and help support future fertility.
You Have a Medical History That Could Affect Fertility
Certain health conditions and medical treatments can influence fertility in both men and women.
You may wish to consider a fertility assessment if you have:
● PMOS
● Previous pelvic infections
● A history of sexually transmitted infections
● Autoimmune conditions
● Thyroid disorders
● Diabetes
● Previous reproductive surgery
Manchester Fertility also advises fertility testing for individuals with medical conditions or histories that may impact fertility.
You've Had Cancer Treatment
Cancer treatments such as chemotherapy, radiotherapy, or certain surgeries can affect fertility.
If you've undergone cancer treatment and are considering having children now or in the future, a fertility assessment can help evaluate your reproductive health and discuss available options.
Manchester Fertility identifies previous cancer treatment as an important reason to seek fertility testing.
You Have a Family History of Fertility Problems or Early Menopause
Family history can sometimes provide clues about reproductive health.
You may benefit from fertility testing if:
● Your mother or sister experienced early menopause
● There is a family history of fertility difficulties
● You have inherited medical conditions linked to reproductive health
Understanding these risks early can help you make more informed decisions about family planning.
You're Concerned About Male Fertility
Fertility isn't solely a female issue. Male factors contribute to a significant proportion of fertility challenges.
Men may consider a fertility assessment if they experience:
● Testicular pain
● Previous testicular injury or surgery
● Hormonal concerns
● Difficulty conceiving with a partner
● Concerns about sperm health
Manchester Fertility's male fertility assessment includes semen analysis, hormone testing, testicular ultrasound scanning, and consultation with a specialist male fertility consultant.
Why Early Fertility Testing Matters
Many fertility conditions can be managed more effectively when identified early.
A fertility assessment can help:
● Identify potential fertility issues before they worsen
● Provide reassurance if everything appears healthy
● Support family planning decisions
● Guide lifestyle changes that may improve fertility
● Help determine whether fertility treatment may be beneficial
Most importantly, it replaces uncertainty with knowledge, allowing you to make informed decisions about your reproductive future.
Take the Next Step with Manchester Fertility
Whether you're actively trying to conceive, planning for the future, or simply looking for answers, a fertility assessment can provide valuable insight into your reproductive health.
Manchester Fertility offers consultant-led fertility assessments for individuals and couples, including comprehensive testing and personalised guidance based on your results. No GP referral is required to get started.
Book a Fertility Assessment Today
Last updated: 3rd August 2026
