How long does a basic fertility workup usually take, and in what order are tests done?

For most couples, the basic evaluation can be completed in about one to two menstrual cycles, though it sometimes stretches longer depending on scheduling and results. A typical order looks like this. At the first visit, the doctor takes a detailed history from both partners and may do a pelvic ultrasound. Early in your next cycle (around day 2 to 5), blood tests such as AMH, thyroid, prolactin and sometimes FSH, LH and estradiol, plus an antral follicle count scan, are often done. A semen analysis for your partner can be done any time. A test to check whether the tubes are open is usually scheduled after the period ends and before ovulation, to avoid doing it during a possible pregnancy. Some doctors also track ovulation with scans in one cycle. Once results are in, a review visit puts everything together. Sometimes a test is repeated, such as a semen analysis, or an extra test like a hysteroscopy is suggested if something unusual appears. It helps to ask at the start: which tests will be done this cycle, which next cycle, and when the review will be. If you're 35 or older or have known problems, ask whether things can be done more quickly. Don't hesitate to follow up if results are delayed.