For individuals and couples in Singapore who are thinking about starting a family or simply wanting to understand their reproductive health, a fertility test is a logical first step. But with different types of tests available, varying costs, and questions about what MediSave covers, navigating the process can feel confusing.
This guide explains the main types of fertility tests available in Singapore, what each test looks for, how much they typically cost, and how MediSave and other schemes may help offset the expense. The specialist team at Trinity Women’s Specialists provides comprehensive fertility assessments for women and couples across Singapore.
When Should You Consider a Fertility Test in Singapore?
Fertility testing is not only for those struggling to conceive — many women in Singapore choose to test proactively as part of informed family planning.
Types of Fertility Tests for Women in Singapore
1. Hormone Blood Panel
| Hormone | What It Measures | When Tested |
|---|---|---|
| FSH (Follicle-Stimulating Hormone) | Ovarian function and egg quality | Day 2 or 3 of menstrual cycle |
| LH (Luteinising Hormone) | Ovulation timing | Day 2 or 3 |
| Oestradiol (E2) | Ovarian reserve and response | Day 2 or 3 |
| AMH (Anti-Mullerian Hormone) | Ovarian reserve — egg count estimate | Any day of the cycle |
| Prolactin | Hormonal balance affecting ovulation | Morning, fasting preferred |
| TSH (Thyroid-Stimulating Hormone) | Thyroid health, which affects fertility | Any time |
| Progesterone | Confirms ovulation has occurred | Day 21 of cycle |
2. AMH Test - Ovarian Reserve Assessment
AMH (Anti-Mullerian Hormone) is one of the most important fertility markers in Singapore and is increasingly requested as a standalone test. AMH reflects your ovarian reserve — essentially, an estimate of your remaining egg count relative to your age.
Unlike most other hormone tests, AMH can be measured on any day of the menstrual cycle, making it one of the most convenient and informative single tests for fertility planning. A low AMH level may suggest a reduced ovarian reserve, while a very high level may indicate PCOS.
3. Antral Follicle Count (AFC) - Transvaginal Ultrasound
A pregnancy ultrasound scan — specifically a transvaginal ultrasound — allows the specialist to directly visualise your ovaries and uterus. During this scan, the number of small resting follicles (antral follicles) is counted — this is called the Antral Follicle Count (AFC), which gives a real-time estimate of your ovarian reserve and how well you may respond to fertility treatment.
The ultrasound also checks for:
4. Tubal Assessment - HyCoSy or HSG
If there is a concern about whether the fallopian tubes are open and functioning, a tubal patency test may be recommended. Options include HyCoSy (Hysterosalpingo-contrast Sonography) — an ultrasound-based test — or HSG (Hysterosalpingogram), an X-ray procedure. Both check whether the fallopian tubes are clear of blockages that could prevent fertilisation.
Fertility Tests for Men in Singapore
Male factor infertility accounts for approximately 40-50% of all fertility issues. A comprehensive fertility assessment for a couple in Singapore should include a male evaluation alongside the female workup.
Semen Analysis
Semen analysis is the primary fertility test for men. It evaluates key parameters of sperm health, including:
- Sperm count (concentration) – the number of sperm per millilitre of semen
- Motility – the percentage of sperm that are moving normally
- Morphology – the shape and structure of sperm
- Volume and pH of the semen sample
If the initial semen analysis shows abnormalities, further tests such as a DNA fragmentation index (DFI) or hormonal blood panel for men may be recommended.
How Much Do Fertility Tests Cost in Singapore?
| Test / Package | Estimated Cost (SGD) | Notes |
|---|---|---|
| Initial fertility consultation | SGD 150 – 300 | Includes history review and exam |
| AMH blood test (standalone) | SGD 80 – 200 | Can be done any day of the cycle |
| Full female hormone panel (FSH, LH, E2, AMH, TSH, prolactin) | SGD 300 – 600 | Timed to menstrual cycle |
| Transvaginal ultrasound (AFC scan) | SGD 150 – 400 | Ovarian reserve + uterus assessment |
| HyCoSy (tubal patency test) | SGD 400 – 900 | Ultrasound-guided fallopian tube check |
| HSG (hysterosalpingogram) | SGD 500 – 1,200 | X-ray tubal assessment |
| Semen analysis | SGD 100 – 300 | Standard male fertility test |
| Basic female fertility package | SGD 400 – 800 | Consultation + key hormone tests |
| Comprehensive couple fertility package | SGD 800 – 2,500+ | Full workup for both partners |
What Does MediSave Cover for Fertility Tests in Singapore?
Understanding MediSave coverage for fertility in Singapore is important and often misunderstood. The key distinction is between diagnostic fertility tests and fertility treatment procedures.
Diagnostic Fertility Tests -Limited MediSave Coverage
Most standalone diagnostic fertility tests such as blood panels, AMH tests, and ultrasound scans are generally not directly MediSave-claimable when performed in an outpatient setting. These are typically paid out-of-pocket or claimed through private insurance (Integrated Shield Plans).
However, if a fertility-related investigation is performed during a hospital admission or as part of a MediSave-approved procedure, the associated costs may be partially covered. Routine women’s health screenings such as pap smear tests and gynae cancer screening are separately MediSave-claimable and are recommended alongside fertility assessments for comprehensive reproductive health care.
The team at Trinity Women’s Specialists will guide you through the consultation process and advise you on which fertility assessments are most appropriate for your individual circumstances.
What to Expect During a Fertility Assessment at Trinity Women's Specialists
A fertility assessment at Trinity Women’s Specialists is structured to give you a comprehensive picture of your reproductive health in a step-by-step approach:
- Step 1 — Consultation: Your specialist reviews your medical history, menstrual cycle, previous pregnancies, and any known conditions. Your partner may also be invited to attend.
- Step 2 — Investigation: Targeted fertility tests are ordered based on your history. This may include blood tests, a transvaginal ultrasound, and a semen analysis for your partner.
- Step 3 — Results Review: Your specialist explains your results clearly, including what they mean for your fertility and what the next steps might be.
- Step 4 — Management Plan: If any issues are identified, a personalised treatment or monitoring plan is outlined — ranging from lifestyle guidance to referral for further specialist management where appropriate.
No GP referral is needed to visit Trinity Women’s Specialists, though a referral letter can be helpful if you have relevant prior test results. If pregnancy follows, the clinic also provides comprehensive antenatal care to support you through your pregnancy journey.
Frequently Asked Questions
What fertility tests are covered by MediSave in Singapore?
How much does a fertility test cost in Singapore?
Fertility test costs in Singapore vary by test type. An AMH blood test costs around SGD 80 – 200; a full hormone panel ranges from SGD 300 – 600; and a comprehensive couple fertility package can range from SGD 800 – 2,500+ at private clinics. A consultation is the best starting point to determine which tests you actually need.
What is an AMH test and why is it important?
An AMH (Anti-Mullerian Hormone) test measures your ovarian reserve — an estimate of how many eggs you have remaining. It is one of the most useful single fertility markers because it can be done on any day of the menstrual cycle and gives a good indication of your ovarian function. It is particularly helpful for women who want to understand their reproductive health and plan ahead with confidence.
At what age should I get a fertility test in Singapore?
There is no strict age requirement. Many women in Singapore choose to test in their late 20s or 30s as part of proactive family planning — particularly if they are not planning to conceive immediately but want to understand their egg reserve. If you are over 35 and have been trying to conceive for 6 months without success, fertility testing is recommended without delay.
Can a fertility test tell me if I can get pregnant?
Fertility tests provide important information about your reproductive health, but no single test can definitively predict pregnancy. They identify potential factors — such as reduced ovarian reserve, hormonal imbalances, or tubal blockages — that may affect conception, so that appropriate steps can be taken early.
Book a Fertility Assessment at Trinity Women's Specialists
Whether you are actively trying to conceive, planning ahead, or concerned about your reproductive health, a fertility test in Singapore is the clearest way to understand where you stand and what your options are.
Dr Samantha Yeo is an experienced obstetrician and gynaecologist who leads the specialist team at Trinity Women’s Specialists. The clinic provides thorough, personalised fertility assessments for women and couples across Singapore. MediSave and Integrated Shield Plan coverage options are discussed at every consultation.
