Skip to main content

Fertility MOT / AMH test - ovarian reserve, honestly interpreted.

Anti-Mullerian hormone plus an antral follicle count on ultrasound - the standard measure of ovarian reserve. Paired with a specialist consultation that explains what those numbers actually mean for you.

A stethoscope on a clinical desk

Indicative pricing

What a private fertility MOT costs in the UK.

Indicative ranges across UK fertility test units.

In short

£75–£600, results in 3–7 working days.

Procedure Indicative range
AMH alone £75–£150
AMH + FSH + LH + oestradiol £150–£280
Fertility MOT (bloods + transvaginal ultrasound) £300–£500
Full fertility MOT (adds consultation + TSH/prolactin) £400–£650
Male semen analysis add-on £120–£300
Consultation only £200–£400

AMH alone is inexpensive. A useful fertility MOT bundles AMH with a pelvic ultrasound and a specialist consultation - the results only mean something with proper interpretation.

The problem

AMH is not a fertility crystal ball.

AMH measures ovarian reserve - roughly, how many eggs are left. It doesn’t measure egg quality, doesn’t predict natural conception in the average woman, and doesn’t tell you when to have a baby. A useful test comes with a proper conversation.

  • What AMH tells you

    Response to ovarian stimulation for IVF or egg freezing. Trend over time. Detection of very low reserve.

  • What AMH doesn’t tell you

    Egg quality (age is the best proxy). Natural fertility in a typical woman. When you’ll go through menopause.

  • AFC adds anatomy

    Antral follicle count on ultrasound complements AMH and picks up polycystic ovaries, endometriomas and fibroids.

When it helps

When a fertility MOT is the right step.

Situations where AMH and AFC add something - plus what to do instead.

  • Family planning at 30+

    A baseline before decisions about when to conceive or freeze eggs.

  • Considering egg freezing

    AMH and AFC guide the likely number of eggs per cycle.

  • Trouble conceiving after 6–12 months

    Full fertility workup - bloods, ultrasound, and semen analysis for the partner.

  • Prior chemotherapy or radiotherapy

    Ovarian reserve after treatment guides fertility preservation.

  • Endometriosis

    AMH can fall after ovarian surgery - worth measuring before surgery.

  • PCOS

    AMH often high; AFC pattern typical. Useful for IVF stimulation planning.

  • Family history of premature menopause

    AMH may pick up early ovarian decline.

  • Red flag: severe pelvic pain or bleeding

    Acute severe pain, ruptured cyst suspicion or heavy bleeding - A&E, not a fertility booking.

Procedure options

What can be included.

AMH is one piece - a useful test bundles it with others.

  • AMH

    Anti-Mullerian hormone - the standard ovarian reserve marker.

  • FSH, LH, oestradiol

    Cycle day 2–5 hormones - confirm ovarian function.

  • TSH ± free T4

    Excludes thyroid disease affecting fertility.

  • Prolactin

    Excludes hyperprolactinaemia disrupting cycles.

  • Transvaginal ultrasound + AFC

    Counts antral follicles and images ovaries and uterus.

  • HyCoSy tubal patency

    Adds a check of tubal patency using ultrasound and saline/contrast.

  • Semen analysis for partners

    WHO 2021 parameters - see the dedicated semen analysis page.

  • Genetic carrier screening

    Optional - for couples planning conception.

Safety and recovery

What to expect afterwards - honestly.

The safety profile is well understood. What matters is choosing the right test, and reading the report honestly.

  • Bloods are safe

    Standard venepuncture.

  • Transvaginal ultrasound

    Well tolerated with chaperone on request.

  • AMH is stable but not perfect

    Small variation across the cycle and after hormonal contraception.

  • Age remains the best proxy for egg quality

    AMH tells you quantity; age tells you quality.

  • Egg freezing has trade-offs

    Cost, procedure risks, storage fees, no guarantee of a future baby.

  • IVF success is age-dependent

    Live-birth rates fall sharply with maternal age.

  • Not for one-off screening in teens

    AMH testing in adolescence risks anxiety without action.

  • Insurer cover is limited

    Fertility investigation is often self-pay in the UK private sector.

  • When to escalate

    Severe pelvic pain, heavy bleeding or fever needs urgent gynaecology.

Reading your operation note

Your operation note in four parts. Read the last one first.

Whichever centre does the scan, the report keeps to the same shape.

A UK consultant reviewing operation notes

A quiet reminder

Surgical language is precise and can read coldly - this page puts it in plain English.

If anything in your notes is unclear, ask your care team to talk you through the operation note and any histology before your review.

  1. 01 Header

    Panel and timing

    Which hormones, cycle day, ultrasound approach.

  2. 02 Findings

    AMH, hormones, AFC

    Every result reported with age-relative reference ranges.

  3. 03 Anatomy

    Uterus and ovaries

    Any fibroids, cysts, endometriomas or polycystic pattern flagged.

  4. 04 Impression

    Reserve category and plan

    Read this first - low, average or high reserve, and what it means for your options.

Recognised by major UK insurers

BupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealix

Fertility investigations are usually excluded from UK private medical insurance. Bloods and imaging tied to a specific gynaecological indication may be covered.

Frequently asked

Common questions about fertility mot / amh test.

Quick answers on approach, recovery, risks and cost.

  • What is a fertility MOT?

    A structured fertility assessment - AMH blood test, other hormones, transvaginal ultrasound including antral follicle count, and a specialist consultation to interpret the results in the context of your age and plans.

  • What does AMH actually tell me?

    AMH measures ovarian reserve - roughly, how many eggs remain. It predicts response to ovarian stimulation for IVF and egg freezing. It does not predict natural conception in average women, egg quality, or exact time to menopause.

  • How much does a fertility MOT cost in the UK?

    AMH alone is £75–£150. A bundle with ultrasound and a specialist consultation is £400–£650. Adding tubal patency (HyCoSy) or partner semen analysis raises the total.

  • When should I have a fertility MOT?

    Many women consider a baseline in their early 30s, especially with family planning uncertainty. Earlier if there’s prior chemotherapy, endometriosis, PCOS, or a family history of early menopause.

  • Is a fertility MOT covered by UK insurance?

    Fertility investigations are typically excluded from UK private medical insurance. Bloods and imaging tied to a specific gynaecological indication may be covered.

  • Should I freeze my eggs?

    A personal decision with cost, medical and outcome considerations. AMH and age together inform expected yield per cycle. A specialist consultation walks through the trade-offs before you commit.

Related treatments

Looking for something else?