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In-depth fertility health insights.
Clear next steps.

Get a personalized view of your current reproductive health through a fertility specialist consultation, diagnostic testing, and a detailed review of your results and options.

Toronto, Ottawa, Markham & Sudbury

Royal College-certified REI led care
*OHIP-covered for eligible patients
Personalized hormone, imaging, or sperm testing
Detailed report and results review

*Some advanced testing such as AMH or DFI are not covered by OHIP.

WHY TEST YOUR FERTILITY?

Knowledge can bring clarity, confidence, and peace of mind.

Pollin’s fertility testing consultation combines expert guidance with baseline and advanced tests to identify potential issues affecting conception and guide treatment or fertility preservation discussions.

The more you know about your body, the more informed you are to make confident decisions about current and future family planning.

Important to know:
Fertility testing provides information about your reproductive health today. It cannot guarantee pregnancy or precisely predict future fertility, which may change with age, health, and other factors.

Currently trying to conceive

Explore possible factors affecting fertility and determine whether additional evaluation or treatment may be appropriate.

Planning ahead

Establish a current fertility baseline and discuss how age, health, genetic factors, and personal timing may shape future options.

Considering preservation

Learn whether egg, sperm, or embryo freezing may fit your goals and timeline.

Important to know:
Fertility testing provides information about your reproductive health today. It cannot guarantee pregnancy or precisely predict future fertility, which may change with age, health, and other factors.

FERTILITY AND AGE

Age can affect both egg and sperm health.

Egg health & age

Egg quantity and quality naturally decline with age, with the decline generally becoming more pronounced after age 35. Ovarian reserve testing can estimate egg quantity and help your doctor understand how you may respond to fertility treatment, but it does not directly measure egg quality or guarantee natural conception.

Sperm health & age

Sperm production continues throughout life, but sperm quality can change over time, particularly after age 40. Semen analysis and, when clinically appropriate, sperm DNA fragmentation testing can provide insight into several aspects of sperm health.

PERSONALIZED DIAGNOSTICS

What fertility testing may include.

Your fertility specialist will recommend tests personalized to you and based on your health and fertility history, symptoms, previous results, and family planning goals. Not every patient needs every test.

Hormone blood tests

Tests such as AMH, FSH, LH,TSH, estradiol, testosterone, and progesterone can help evaluate reproductive hormone function.

Ovarian reserve testing

AMH, Day 3 FSH, and antral follicle count can help estimate egg quantity and potential response to fertility medications, if applicable.

Transvaginal ultrasound

Examines the uterus and ovaries to identify follicle count, and may identify ovarian cysts, fibroids, polyps, or other structural findings that may affect conception.

Saline infusion sonohysterogram (SIS/SHG)

An SIS uses sterile saline and ultrasound to assess the uterine cavity and, in some cases, whether the fallopian tubes appear open.

Semen analysis

Evaluates semen volume, sperm concentration, motility, morphology, and possible signs of infection.

Sperm DNA fragmentation

Measures damage to the DNA carried by sperm and may be recommended in selected clinical situations.

ADVANCED DIAGNOSTICS

Additional testing when deeper investigation is appropriate.

For complex, recurrent, or unexplained fertility challenges, your physician may discuss advanced testing. These assessments are not routinely needed for everyone and should be selected based on clinical context.

Epigenetic sperm testing

May provide additional molecular information about sperm function beyond a standard semen analysis.

Endometrial receptivity assessment

May be considered in select treatment situations to evaluate the timing of endometrial receptivity.

Immune and autoimmunity testing and treatment

May be considered when a patient’s history suggests that immune-related factors warrant further investigation.

YOUR RESULTS

More than test results: clear guidance on what comes next.

All patients receive a detailed report and a personalized consultation to review their fertility profile, ask questions, and discuss options for today and the future.

Your results in context

Understand what your hormone, imaging, or sperm findings may indicate alongside your age and health history.

Your available options

Discuss whether trying to conceive, fertility preservation, treatment, or additional testing makes sense for you.

Your next steps

Receive practical, evidence-based recommendations based on your goals, priorities, and family building timeline.

FERTILITY TESTING IN 5 STEPS

A clear path from questions to a personalized plan.

Your specialist will help you understand how age, health history, lifestyle, and other factors may affect your current and future fertility  and then form a plan based on your testing results and family building goals.

WHAT TO EXPECT
1

Consultation (covered by OHIP)

Meet with a Pollin physician virtually, or in-person, to review your medical and fertility history, questions and family building goals.

2

Testing (*covered by OHIP)

Complete the hormone, imaging, sperm, or other assessments recommended for you at Pollin Toronto or Ottawa or at one of our satellite locations close to you.

*Some advanced testing such as AMH or DFI are not covered by OHIP.

3

Results review (covered by OHIP)

Review your results virtually, or in-person with your fertility specialist and understand what they may mean for you and your current, or future family building plan.

4

Explore options

Discuss conception, preservation, treatment, or further investigation when appropriate.

5

Personalized plan

Leave with practical next steps aligned with your priorities and your timeline.

FERTILITY TESTING FREQUENTLY ASKED QUESTIONS

Answers to the questions our patients ask the most.

Who should consider fertility testing?

Testing may be helpful if you are trying to conceive, planning for the future, considering fertility preservation, managing a known reproductive health concern, experiencing pregnancy loss, or simply seeking a clearer picture of your fertility health.

What are the most common fertility tests?

Hormone Blood Tests
These blood tests evaluate various hormones (AMH, FSH, LH, Estradiol, Testosterone, Progesterone) to assess both egg and sperm quantity and quality.

Ovarian Reserve Testing
A combination of hormone blood tests (AMH, Day 3 FSH) and vaginal ultrasound evaluates if your egg count is in a normal range for your age. It also helps predict how you may respond to various fertility treatments.

Transvaginal Ultrasound
An internal ultrasound can evaluate the uterus and ovaries. This test helps determine antral follicle count (a marker of ovarian reserve of eggs), as well as diagnose ovarian cysts, fibroids, polyps, or other malformations.

Saline Infusion Sonohysterogram (SIS)
This specialized transvaginal ultrasound procedure is used to evaluate the uterus and the fallopian tubes. Sterile saline fluid is infused inside the uterus via a thin catheter, allowing your physician to visualize the uterine shape and cavity, while assessing the patency (openness) of your fallopian tubes.

Semen Analysis
This sperm sample test evaluates complete sperm health, including volume, concentration (number of sperm), motility (swimming ability), morphology (sperm shape), and if there are any infections present.

Sperm DNA Fragmentation (DFI)
Sperm DNA Fragmentation index (DFI) is a sperm test that measures any damage to the DNA, the genetic material of the sperm.

Can fertility testing predict whether or not I will have a baby?

No. Testing can provide insight into current reproductive health and identify factors that may affect fertility, but it cannot guarantee pregnancy or precisely predict future fertility.

How much does fertility testing cost?

Most common fertility tests are covered by OHIP for eligible patients. Some advanced or optional tests have additional costs, which your care team will identify and explain before testing.

Do I need a referral for fertility testing at Pollin?

Yes, you do need a referral to see a fertility specialist in Ontario, however Pollin can facilitate one for you through an OHIP-covered, virtual appointment with our partner GP if you do not have your own GP.  

You can book an initial consultation directly through our website without a referral and a member of our care team will contact you before your appointment date to get you set up with one.

Book a consultation
Do I need to prepare for fertility testing?

Depending on your personalized diagnostic plan, preparation for fertility testing may involve specific instructions regarding medication, fasting, or timing related to your menstrual cycle or sperm collection.Your care team will provide specific instructions prior to your tests to ensure you are fully informed on what to do and what to expect for your tests.

If I have already had testing done in the past, should it be repeated?

Because fertility health can change with age and other factors, your doctor may recommend reassessment depending on your results, goals, and how much time has passed.

Ready to understand your fertility health?

Start with an OHIP-covered specialist consultation and receive a testing plan based on your questions, history, and family building goals.

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