Fertility Testing Explained: What to Order, What to Skip, and Why

In this episode of the Love & Science podcast, Dr. Erica Bove walks through her complete framework for evaluating fertility — including which tests she routinely orders, what each one actually tells her, and which expensive panels are often unnecessary.From AMH and hormone testing to semen analysis, uterine cavity evaluation, and fallopian tube testing, this episode explains how reproductive endocrinologists think through infertility workups in a practical, evidence-based way.We cover: • What AMH really means (and what it doesn’t) • Why Day 3 labs matter: FSH, estradiol, and LH • How ultrasound and antral follicle count guide fertility treatment • Sonohistogram vs HSG: what each test is best for • When to evaluate fallopian tubes more closely • The role of prolactin, thyroid testing, vitamin D, A1C, and PCOS labs • Expanded carrier screening and preconception testing • Why semen analysis is essential — and often delayed too long • Which fertility tests are evidence-based • Common tests that may be overordered or unnecessaryThis episode is designed to help you better understand your fertility workup, ask informed questions, and feel more empowered navigating next steps.Because fertility testing should not feel random or confusing — it should tell a clear story about what your body is doing and how to move forward strategically. Support the showAs always, please keep in mind that this is my perspective and nothing in this podcast is medical advice.If you found this conversation valuable, book a consult call with me using this link:https://www.loveandsciencefertility.com/private-fertility-consultFollow us on social media:IG: www.instagram.com/loveandsciencefertilityFB: www.facebook.com/profile.php?id=61553692167183Please don’t let infertility have the final word. We are here to take the burden from you so that you can achieve your goal of building your family with confidence and compassion. I’m rooting for you always.In Gratitude,Dr. Erica Bove