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A fertility evaluation assesses reproductive potential by checking hormone levels, ovarian reserve, and sperm health. It is recommended after 1 year of unprotected intercourse if you are under 35, or after 6 months if over 35. Seek immediate evaluation if you have irregular periods, known pelvic conditions, or are over 40. Pacific Northwest Fertility +2 What to Expect For Women: Evaluations typically start with a physical exam and a detailed review of your reproductive history. Diagnostic tests often include a Transvaginal Ultrasound (to check the uterus and count follicles), an HSG X-ray (to ensure fallopian tubes are open), and a blood panel to check hormones like AMH, FSH, and thyroid levels. Pacific Northwest Fertility +3 For Men: The primary test is a semen analysis to evaluate sperm count, motility, and shape. This is often combined with a physical exam and general hormone level testing.