Female fertility factors: Reproductive Health


The activity of the female reproductive system is controlled by hormones released by both the brain and the ovaries that cause the development and release of eggs.

Up to 1 in 6 Singaporean couples can experience difficulties when they decide to start a family.

Unfortunately there are many causes of infertility which can involve complications from the woman or the man, or a combination of factors.

If you’ve been trying for 12 months or more (or 6 months if you are over 35 years of age), we recommend you seek advice from one of our fertility doctors.

For conception to occur to you need a healthy egg and healthy sperm, meeting in the right environment, at just the right time. So if you are having difficulties getting pregnant, you will need to be assessed as a couple to determine the cause and restart your path to pregnancy.

Here’s a brief overview of the main issues that impact female fertility.

Common Female Fertility Issues 


Endometriosis is a common condition affecting one in ten women, especially women over the age of 30 who have not yet had children. Endometriosis can affect a woman’s fertility by altering the abdominal environment, making it difficult for a fertilised embryo to implant. It may also affect the quality of the egg produced for fertilisation.

Polycystic Ovarian Syndrome (PCOS)

PCOS is a hormonal condition that affects up to one in five women of reproductive age, and can make it more difficult to become pregnant naturally. PCOS affects a woman’s fertility because the ovaries of women diagnosed with PCOS contain small cysts or follicles which may not produce eggs capable of being fertilised.


Fibroids are benign lumps of tissue that can grow around and inside the uterus. Their size and location will determine if they affect your fertility and if they will need to be removed surgically. They don’t usually cause symptoms but depending on where the fibroid is you may experience heavy or prolonged periods, pain or swelling in your pelvic area, passing urine more often than normal or constipation. 

What’s involved in a fertility check up?

The single most important factor when it comes to trying to conceive is the woman’s age - the older a woman gets, the less likely it becomes, with or without treatment. This is why doctors recommend you seek helps after 12 months of trying if the woman is under the age of 36, and 6 months of trying if she’s 36 or older.

A fertility specialist can assess your overall reproductive health and conduct some simple tests to help identify any underlying causes of pregnancy delay.

For women fertility tests typically include some blood tests and ultrasounds to check for ovulation, specific fertility conditions and ovarian reserve. Some additional tests may be needed to check your fallopian tubes and condition of the uterus.

The most important fertility test for men is a semen analysis which measures the volume, shape and movement of his sperm.

To support you in taking the first step and having your fertility assessed, Virtus Fertility Centre offers an introductory fertility check for $299, excluding GST.

This includes

  • A pelvic ultrasound for the woman
  • A semen analysis for the man, and
  • A couple’s consultation with one of our fertility specialist, who can explain the results and develop a plan for pregnancy.

A panel of blood tests may also be recommended after your consultation with your fertility specialist. The cost of such tests will be clearly explained to you at the time.

What's involved in a fertility check?

An explanation of a fertility check.

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What’s the next step?

If you are considering coming to Virtus Fertility Centre, we encourage you to attend a free fertility seminar to learn more about our clinic, doctors and the fertility treatments available. Register for a free seminar »

If you are ready to organise an introductory fertility check for $299 or ask any further questions you can email us or phone 6460 4555. Request an appointment online »

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