Fertility Testing & Evaluation

  1. Home
  2. Fertility Care
  3. Fertility Treatment
  4. Fertility Testing & Evaluation

Fertility Testing Services in New Jersey

Taking the first step toward understanding your fertility can feel overwhelming, but it doesn't have to be. Fertility testing gives you real answers, helping you and your care team make informed decisions about the path forward. Whether you have been trying to conceive for months, are exploring your options for the future, or simply want a clearer picture of your reproductive health, a fertility evaluation is the right place to start.

At the Reproductive Science Center of New Jersey (RSCNJ), we offer comprehensive fertility testing services for both individuals and couples. Our experienced team of board-certified reproductive endocrinologists takes a personalized, collaborative approach to every evaluation, listening to your concerns, reviewing your history, and designing a testing plan tailored to your unique situation. With three convenient locations in Eatontown, Lawrenceville, and Toms River, RSCNJ is your trusted local resource for fertility care.

Ready to take the first step? Schedule your fertility evaluation at RSCNJ today.

Fertility Testing for Women

Understanding female fertility starts with a thorough evaluation of reproductive hormones, ovarian reserve, and anatomical health. At RSCNJ, we offer a full range of diagnostic tests for women, including:

  • Anti-Müllerian Hormone (AMH) Testing: A simple blood test that measures AMH levels to assess ovarian reserve, or the quantity of eggs remaining. AMH is one of the most reliable indicators of a woman's reproductive potential and helps guide treatment planning.
  • Follicle-Stimulating Hormone (FSH) & Estradiol Testing: Measured on day 2 or 3 of the menstrual cycle, these blood tests evaluate how hard the pituitary gland is working to stimulate the ovaries and provide insight into egg quality and quantity.
  • Transvaginal Ultrasound (Antral Follicle Count): A minimally invasive ultrasound exam that counts the visible follicles in the ovaries. This antral follicle count (AFC) offers a direct visual assessment of ovarian reserve and uterine anatomy.
  • Hysterosalpingogram (HSG): An X-ray procedure that uses contrast dye to evaluate the uterine cavity and confirm whether the fallopian tubes are open (patent). This test is important for ruling out structural barriers to conception.
  • Thyroid & Prolactin Testing: Hormonal imbalances involving the thyroid or prolactin levels can interfere with ovulation and overall reproductive function. These blood tests identify conditions that may be affecting fertility.
  • Progesterone Testing: Measured in the mid-luteal phase, progesterone testing confirms whether ovulation has occurred and evaluates the uterine environment for embryo implantation.

Learn more about female fertility testing at RSCNJ, including next steps and what your results may mean.

Fertility Testing for Men

Male factor infertility contributes to roughly half of all fertility challenges, making comprehensive male evaluation an essential part of any couple's workup. RSCNJ offers the following diagnostic tests for men:

  • Semen Analysis: The foundational test for male fertility, a semen analysis evaluates sperm count (concentration), motility (movement), morphology (shape), and volume. Results help identify whether a sperm factor is contributing to difficulty conceiving.
  • Hormone Testing: Blood tests measuring testosterone, FSH, LH, and other hormones help evaluate whether the endocrine system is supporting healthy sperm production. Hormonal imbalances can often be treated.
  • Physical Examination: A urological exam may be recommended to detect structural issues such as a varicocele (enlarged veins in the scrotum) or other anatomical factors that can impact sperm production or delivery.
  • Post-Ejaculate Urinalysis: This test checks for sperm in the urine after ejaculation, which may indicate retrograde ejaculation, a condition in which sperm travel backward into the bladder instead of being expelled normally.
  • Sperm DNA Fragmentation Testing: This advanced test evaluates the integrity of the sperm's genetic material. High levels of DNA fragmentation can affect fertilization and embryo development, even when standard semen analysis results appear normal.

Explore our male fertility evaluation services for more detailed information. 

Genetic Testing

Genetic testing plays an important role in helping patients achieve a healthy pregnancy, particularly for those undergoing IVF. At RSCNJ, we offer preimplantation genetic testing (PGT) as part of our comprehensive fertility care – allowing embryos to be screened for chromosomal abnormalities or specific inherited conditions before transfer to the uterus.

  • PGT-A (Preimplantation Genetic Testing for Aneuploidies): PGT-A screens embryos for chromosomal abnormalities – such as an incorrect number of chromosomes – that are a leading cause of implantation failure, miscarriage, and conditions like Down syndrome. Transferring chromosomally normal (euploid) embryos improves IVF success rates and reduces the risk of pregnancy loss.
  • PGT-M (Preimplantation Genetic Testing for Monogenic Disorders): PGT-M is recommended for individuals or couples who carry a known single-gene mutation associated with a hereditary condition, such as cystic fibrosis, sickle cell disease, or BRCA mutations. This testing allows unaffected embryos to be identified and prioritized for transfer.

Genetic testing is typically discussed during your fertility evaluation and recommended based on your medical history, age, and treatment plan. Our physicians will explain whether PGT is appropriate for your situation and what to expect throughout the process.

Your Fertility Evaluation: What to Expect

Your first fertility evaluation at RSCNJ is a conversation, not just a clinical appointment. Our goal is to understand your full picture medically, emotionally, and personally, so we can build a plan that's right for you. Here is what you can generally expect:

During Your Evaluation:

  • Review of your personal and family medical history, including any past pregnancies or fertility treatments
  • A detailed discussion of your reproductive goals and timeline
  • Physical examination, which may include a transvaginal ultrasound to assess the ovaries and uterine lining
  • Blood draws for hormonal and ovarian reserve testing (AMH, FSH, estradiol, etc.)
  • For couples: a semen analysis will be ordered for the male partner at or around the same time
  • Discussion of initial findings and a preliminary overview of possible next steps

How to Prepare:

  • Bring any relevant medical records, including prior fertility tests, surgical reports, or imaging
  • Track your menstrual cycle in the weeks before your visit, including cycle length and any irregularities
  • Make a list of all current medications, vitamins, and supplements you are taking
  • Note any symptoms that may be relevant, such as irregular periods, pelvic pain, or prior STIs
  • Write down your questions in advance so nothing gets left out

The fertility evaluation is a collaborative, information-gathering process. You will leave with a clearer understanding of your reproductive health and a compassionate team ready to guide your next steps. No decisions need to be made on the day of your visit – the evaluation is simply the starting point.

Understanding Fertility Testing Costs

The cost of fertility testing varies depending on the specific tests recommended, your insurance coverage, and your individual circumstances. At RSCNJ, we are committed to making fertility care as accessible as possible, and that includes being transparent about costs so you can plan with confidence.

Many fertility diagnostic tests, including bloodwork and ultrasounds, may be covered in part or in full by your health insurance plan. New Jersey has strong mandates for insurance coverage of fertility treatments, and depending on your employer and plan type, a significant portion of your evaluation costs may be covered.

For testing or services not covered by insurance, RSCNJ offers a range of financial solutions, including flexible financing options and payment plans designed to reduce barriers to care. We encourage you to contact our team before your appointment if you have questions about what your plan covers. Our staff can help you understand your benefits and explore all available options.

Fertility Testing FAQs

  • Fertility testing is a series of medical evaluations designed to assess a person's or couple's reproductive health and identify any factors that may be making it harder to conceive. Testing typically includes bloodwork to evaluate hormone levels and ovarian reserve, imaging such as an ultrasound to examine the uterus and ovaries, and a semen analysis for male partners. The results of fertility testing help your physician understand what is happening and develop a personalized care plan tailored to your specific needs and goals.

  • Most guidelines recommend seeking a fertility evaluation after 12 months of unprotected intercourse without conception, or after 6 months if you are over age 35. However, you do not need to wait if you have known risk factors such as irregular periods, a history of pelvic infections, endometriosis, or prior miscarriages. Single individuals and same-sex couples often benefit from an early evaluation to understand their options. If you are simply curious about your reproductive health, an evaluation can offer valuable, proactive insight at any stage.

  • A comprehensive fertility evaluation at RSCNJ typically includes a review of your medical and reproductive history, a physical examination, blood tests to measure key hormones (such as AMH, FSH, and estradiol), a transvaginal ultrasound to assess ovarian reserve and uterine anatomy, and a semen analysis for male partners. Depending on your history, additional tests such as an HSG or genetic screening may also be recommended. Your physician will explain each test and what the results mean for your fertility journey.

  • Most fertility testing is completed within one to two menstrual cycles. Some tests, such as bloodwork and semen analysis, can be performed quickly and may yield results within days. Others, like the HSG or hormone panels timed to a specific cycle day, require scheduling around your cycle. Once all testing is complete, your physician will review the results with you and discuss a personalized care plan. The process is designed to be efficient so you can move forward with clarity and confidence as soon as possible.

  • To prepare for your fertility evaluation, gather any relevant medical records, including prior lab work, imaging, or surgical reports. Track your menstrual cycle in the weeks leading up to your visit and note the dates, length, and any irregularities. Make a list of all medications, vitamins, and supplements you currently take. If you are being evaluated with a partner, they should be prepared to provide a semen sample. Most importantly, come with any questions you have; your evaluation is a two-way conversation, and our team is here to listen.

  • In many cases, yes, basic fertility diagnostic tests such as bloodwork and ultrasounds may be covered by your insurance plan, depending on your specific benefits. New Jersey has one of the most comprehensive fertility insurance mandates in the country, which may cover a significant portion of diagnostic and treatment costs for eligible patients. Coverage varies by employer, plan type, and diagnosis, so we recommend contacting your insurance provider before your visit. Our team is also available to help you understand and navigate your benefits before your first appointment.

  • Yes, and in most cases, it is recommended. Because fertility challenges can originate with either partner or both simultaneously, evaluating both individuals at the same time allows your physician to get a complete picture and develop the most informed treatment plan. At RSCNJ, we welcome couples to begin testing together and coordinate appointments to minimize wait time and unnecessary steps. Both partners will be given the opportunity to ask questions and be involved in every stage of the evaluation and decision-making process.

  • Once all test results are in, your RSCNJ physician will meet with you to review findings and discuss what they mean for your fertility. If a cause of infertility is identified – such as low ovarian reserve, a blocked tube, or a sperm abnormality – treatment options will be outlined and explained in detail. If results are normal (unexplained infertility), your physician will still help guide next steps. From there, you and your care team will work together to develop a personalized fertility plan, which may include lifestyle changes, medication, IUI, IVF, or other interventions.

  • Absolutely. RSCNJ proudly provides inclusive, affirming fertility care for LGBTQ+ individuals and couples. Our team understands that the path to parenthood looks different for every person, and we are experienced in helping LGBTQ+ patients navigate fertility testing and family-building options, including sperm donation, egg donation, reciprocal IVF, and gestational carrier arrangements. Fertility testing is an important first step for LGBTQ+ family planning, and our physicians will tailor recommendations to your specific goals and biology. 

  • Yes, fertility testing is typically the first step in the fertility preservation process. Before pursuing egg freezing or embryo banking, your physician will evaluate your ovarian reserve and overall reproductive health to determine how you may respond to stimulation and what timeline makes sense for you. For individuals facing a medical diagnosis such as cancer, an expedited evaluation can be completed quickly. Understanding your current fertility status through testing helps ensure that your preservation plan is personalized, realistic, and as effective as possible.

Schedule a Fertility Evaluation in New Jersey

Whether you are just beginning to explore your options or are ready to take the next step, the Reproductive Science Center of New Jersey is here to help. Our board-certified fertility specialists welcome individuals and couples from across New Jersey, with convenient clinic locations in Eatontown, Lawrenceville, and Toms River to serve you close to home.


A fertility evaluation is one of the most empowering things you can do for your reproductive future. There are no commitments required – just answers, clarity, and compassionate care from a team that has helped thousands of New Jersey families grow. Reach out to us today to schedule an appointment.