Female Fertility HealthFertility is personal, and testing should be too.

Advanced Fertility Testing For Women in Birmingham, AL

Getting pregnant isn’t always as straightforward as tracking a cycle or timing things just right. When conceiving isn’t going as planned, it’s natural to feel overwhelmed or a little lost. At ACRM, we’re here to offer clarity through comprehensive female fertility testing.

We’re here to uncover what’s really going on with your reproductive health, using a mix of diagnostic imaging, hormone testing, and minimally invasive tools to get the answers you need. When you understand the “why,” we can move forward with a plan that’s entirely your own.

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Signs Fertility Testing May Be Right For You

Let’s have the difficult conversations, together.

No one expects to face fertility challenges, but recognizing when it’s time to check in with your body is an act of self-awareness. Whether you’ve been trying to conceive for a while or just feel that something’s off, fertility testing can provide real answers and a clearer path forward.

Female infertility can result from a range of physical, hormonal, or health-related factors that impact ovulation and egg count. Here are a few signs that testing might be the right move:

You’ve been trying to conceive without success
You have irregular, absent, or very painful periods
You’ve had multiple miscarriages
You’ve been diagnosed with PCOS or endometriosis
You have a history of pelvic infections or surgery
You want a proactive look at your fertility health

Types of Female Fertility Testing We Offer

What to expect, and why it matters.

There’s no one-size-fits-all approach to fertility testing for women. That’s why we offer a range of tests designed to uncover what’s happening beneath the surface. Each fertility test plays a key role in understanding your reproductive health and giving you the clarity you deserve as you move forward.

Ovulation Testing

Many women begin with an at-home ovulation predictor kit, which detects a rise in luteinizing hormone (LH) before the egg is released. In the clinic, we can also run blood tests to get a closer look at hormone levels and confirm whether ovulation is occurring regularly.

Ovarian Reserve Testing

Ovarian reserve testing helps us understand both the quantity and quality of eggs available. This involves timed blood work during your menstrual cycle to measure hormone levels, along with an antral follicle count—an ultrasound that gives of a visual of how many small, immature follicles are present in the ovaries.

Hysterosalpingogram (HSG)

This outpatient X-ray test gives us insight into the shape of the uterus and the condition of the fallopian tubes. Using a dye that flows through the reproductive tract, we can see if the tubes are open and whether there are any blockages or structural concerns that may be affecting fertility.

Transvaginal Ultrasound

With an in-office ultrasound, we can get a clear image of the uterus and ovaries. This allows us to check for fibroids, cysts, or other abnormalities that may not be obvious from the outside but could be impacting your cycle.

In-Office Hysteroscopy

In-office hysteroscopy is a minimally invasive procedure where a thin, telescope-like instrument called a hysteroscopy is used to examine the inside of the uterus. This allows us to see if there are any abnormalities in your uterus such as polyps, fibroids, or scarring that might hinder implantation or pregnancy.

Resources Designed to Support You Through the What-Ifs and What’s-Nexts

Understanding your options and knowing what to expect can make all the difference.

Navigating fertility care can bring up a lot of questions—about procedures, timelines, medications, and what to expect next. We’ve created this resource hub to help you feel more grounded and informed at every turn. Whether preparing for your first visit or reviewing your treatment plan, these tools are here to support you, not overwhelm you. And if something feels unclear, we’re always just a call away.

Fertility Care That’s Financially Clear

Starting the family you’ve always wanted shouldn’t be out of reach due to costs.

Financing Plans

What You’re Wondering, We’ve Likely Been Asked

This journey has enough unknowns already, so here are real answers to your questions.

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The More You Know, the Less Alone You Feel

Insights, stories, and guidance to help you feel more informed and a little less alone.

Expert Insights

Have Questions About Female Fertility Testing? Let’s Talk.

How do you determine which female fertility test is right for me?

It all starts with a conversation. Before we run any tests, we take the time to understand your cycle history, any symptoms you’ve noticed, how long you’ve been trying to conceive, and what your goals look like. From there, we’re able to build a testing plan that makes sense for you. Everything we do is designed to help uncover the why, so we can move toward the how.

At what age does fertility in women start to decline?

You’ve probably heard the phrase “biological clock,” and while it’s often said in passing, it does have a scientific basis. Most women are born with around one to two million eggs. That number drops over time and so does the quality.

Fertility tends to hold steady through your 20s and early 30s, but around age 35, things start to shift. By 40, your chances of getting pregnant naturally are lower, but not impossible. The decline doesn’t happen overnight; it’s gradual.

The key is understanding your timeline, and that’s what fertility testing at our Birmingham clinic can help with. Curious where you stand with fertility? Schedule a consultation with us today to find out.

How do birth control methods affect fertility after stopping them?

This is a big question, and a completely valid concern. The short answer? Birth control is designed to pause your fertility, not take it away. Most methods—like the pill, patch, or ring—allow your cycle to return fairly quickly after you stop using them. It might take a month or two to regulate, but your body usually picks up right where it left off.

For long-acting methods like the Depo shot or an IUD, it can take a bit more time, but the effects are temporary. If you’re ready to try for a baby, we can help you determine when your cycle is back on track and if anything else needs support.

What role do hormones play in fertility?

Hormones are the quiet power players of your reproductive system. Estrogen, progesterone, FSH, LH, AMH—these might sound like alphabet soup, but they each play a critical part in ovulation, egg development, and overall cycle health.

When your hormones are off, it can create roadblocks to getting pregnant, even if everything else is operating smoothly. That’s why bloodwork is often one of the first steps in fertility testing. It gives us a behind-the-scenes look at how well your body’s signals are working together.

How do I know if I’m fertile?

It’s one of those questions that’s simple to ask but layered to answer. Some women have regular periods and feel confident everything is working properly, but regular cycles don’t always mean you’re ovulating consistently.

Others might have irregular cycles or no symptoms at all, and only discover there’s a concern once they start trying to conceive. The truth? Determining if you’re fertile requires testing. Thankfully, ACRM offers the most comprehensive female and male fertility testing in Birmingham, AL, so you’re never left waiting around for answers or guessing if conceiving will be easy.

Hope Starts With Female Fertility Testing & Honest Conversations

You don’t have to figure this out on your own. If you’ve been carrying questions, frustrations, or quiet worries about your fertility, this is your sign to put them down and let ACRM help carry the load. We’re here to listen closely, dig deeper, and guide you with fertility testing for women that brings real clarity.

Fertility isn’t a pass or fail test, and there’s no one-size-fits-all plan. What there is—is knowledge, and power in knowing. Whether you’re gathering information, getting ready to take the next step, or want to better understand your body, we’ll meet you there. This first step in your fertility journey begins with a conversation, and it starts whenever you’re ready.