“Why is this taking so long?”
“Is something wrong with me?”
“Why am I not able to get pregnant or make my wife pregnant when others seem to have it so easy?”
If you’ve asked yourself any of these questions while trying to conceive, let me tell you that you’re not alone.
Many individuals and couples face uncertainty and anxiety when it comes to their fertility journey — and it often starts with simply wanting answers.
That’s where fertility testing comes in.
They understand how deeply personal and emotional this journey can be. Whether you’re just starting out or have been trying for a while.
In this guide I’m here to help you understand the process, the costs involved in Canada, and what to expect — so you can move forward with clarity and confidence.
But before all these, let’s understand 👇
What is fertility testing?
Fertility testing is a way to find out what might be making it harder for you to have a baby. It’s a smart and helpful step to get answers to your questions. Whether you’re just starting to think about having a baby or have been trying for some time without success.
And if you think it’s only for women, sorry my friend but nope! Fertility testing is for both partners.
It usually includes things like blood tests, scans (ultrasounds), and checking sperm or eggs. These tests can show if there are problems like hormone changes, low sperm count, blocked reproductive tubes, or ovulation problems.
Types of fertility tests in Canada
In Canada, fertility testing can include a mix of tests for both men and women — depending on your health history and how long you’ve been trying to conceive. These tests help doctors understand what might be going on and how to support you better.
Here are some common fertility tests:
Blood tests
Blood tests check for hormone levels in both men and women. For women, it helps check if you’re ovulating and how your eggs are developing. For men, it check testosterone levels and other important hormones that impact sperm production.
Ultrasound (pelvic scan)
In this, doctors use sound waves to take pictures of the reproductive organs. In women, it shows the health of your ovaries, uterus, and the presence of any fibroids or cysts. For men, an ultrasound is used to check for varicoceles (enlarged veins in the scrotum) that can affect sperm production.
Semen analysis
This test is for men. It checks the number of sperm, how they move, and their shape. It’s one of the first tests for men to check if sperm is healthy and active enough for fertilization.
Ovulation testing
This shows if and when you’re ovulating each month. It includes blood work or at-home ovulation kits. If ovulation isn’t happening regularly, it could be harder to get pregnant.
Hysterosalpingography (HSG)
This is a special X-ray for women that checks if the fallopian tubes are open and if the uterus looks normal. Blocked tubes can stop the egg and sperm from meeting.
Laparoscopy
This is a surgical procedure that allows doctors to see inside your pelvic area to check for conditions like endometriosis, scarring, or blocked fallopian tubes. It’s often used when other tests haven’t found the problem.
Endometrial biopsy
This test involves taking a small sample of the tissue lining the uterus to check for any issues that could prevent implantation, such as inflammation or abnormal cell growth.
Anti-Müllerian Hormone (AMH) test
This blood test measures the levels of AMH, a hormone that helps assess the quantity of a woman’s remaining eggs. It gives an estimate of ovarian reserve, which is an important factor in fertility.
Genetic testing
Genetic tests can check for any inherited conditions that may affect fertility, like chromosomal abnormalities. This is often recommended if there is a history of infertility or miscarriage.
Semen DNA fragmentation test
This test looks at the DNA quality of sperm. If the DNA is fragmented, it can make it harder for sperm to fertilize the egg or for the embryo to implant in the uterus.
Fertility testing in Canada covers a broad range of tests, and the one(s) you need will depend on your unique situation and how long you’ve been trying to conceive. It’s always best to discuss these options with a fertility specialist to determine the right approach for you.
Now, let’s move to the most important part of this guide — the one question that I believe is roaming in your head:
How much will fertility testing cost in Canada? 💸
| Test Type | Estimated Cost | Notes |
| Initial Consultation | $200 – $500 | First consultation with a fertility specialist. |
| Blood Tests & Hormone Testing | $100 – $500 | Includes testing for hormone levels and overall reproductive health. |
| Ultrasounds & Imaging | $200 – $600 | Used to monitor egg follicles, ovaries, and overall reproductive health. |
| Semen Analysis | $100 – $300 | To check sperm count, quality, and motility. |
| Ovulation Testing | $50 – $400 | – $50 – $100: At-home ovulation kits (urine tests)- $100 – $400: Blood tests to monitor LH/FSH levels + ultrasound monitoring |
| Hysterosalpingogram (HSG) (Fallopian Tube Test) | $400 – $800 | To check for blockages or abnormalities in the fallopian tubes. |
| Clomid or Letrozole Treatment | $50 – $200 per cycle | Oral medications to stimulate ovulation. |
| Laparoscopy & Hysteroscopy | $3,000 – $6,000 | Surgical procedures for examining the reproductive organs for issues like endometriosis or fibroids. |
| Endometrial Biopsy | $500 – $1,500 | To test the lining of the uterus and assess implantation readiness. |
| Anti-Müllerian Hormone (AMH) test | $100 – $300 | Measures ovarian reserve (egg supply); a key test for assessing female fertility. |
| Genetic Testing (PGT) | $4,000 – $8,000 | Preimplantation genetic testing (for embryos). |
| Injectable Fertility Medications (Gonadotropins) | $1,500 – $5,000 per cycle | Injectable medications to stimulate egg production. |
| Cycle Monitoring (Blood Work & Ultrasounds) | $500 – $2,000 | Monitoring hormones, ovulation, and follicle development. |
What’s covered by provincial healthcare plans?
In this section I’m going to discuss
– what’s free
– what’s “maybe,” and
– what’s definitely coming out of your wallet.
You can think of fertility testing in Canada like going out for dinner. The basics are water, a few breadsticks, maybe a small appetizer. But the juicy steak, fancy dessert, and wine pairing? That’s gonna cost you extra.
✅ What’s usually covered
Most provinces will cover initial consultations with a fertility specialist, along with some basic blood tests, hormone testing, and semen analysis — especially if referred by a family doctor or OB-GYN. For example:
- Ontario (OHIP): Covers one initial fertility consultation and some basic tests (like blood work and ultrasound).
- Quebec (RAMQ): Offers partial reimbursement for certain fertility tests.
- Alberta (AHCIP) & British Columbia (MSP): Generally cover hormone tests and semen analysis if medically necessary.
- Other provinces (like Manitoba, Saskatchewan, Nova Scotia, etc.): Often provide limited coverage, typically only for tests ordered through public healthcare settings.
❌ What’s not usually covered
Once you move past the basics, you’ll likely need to pull out your wallet for the more detailed or personalized testing.
- Advanced fertility tests like AMH testing, genetic testing, or fallopian tube assessments (HSG).
- Fertility clinic visits in the private sector.
- Ongoing monitoring for treatment cycles (like ultrasounds during ovulation induction).
- Specialized sperm or egg testing (such as DNA fragmentation).
Pro tip: Coverage for fertility tests varies by province, so always check with your local healthcare provider to see what’s free and what you’ll need to pay for. It’s like reading the menu before ordering — know what’s included and what’s extra!
Factors that affect fertility testing costs in Canada
Fertility testing costs can vary quite a bit depending on several important factors. Here’s what can affect how much you might pay:
Type of test
The cost of fertility tests can change depending on what type of test you need. Basic tests, like blood work or sperm analysis, are usually cheaper. But more advanced tests, like the Anti-Müllerian Hormone (AMH) test or a hysterosalpingogram (HSG), can cost more because they require special equipment and procedures.
Clinic type – Public vs. private
The clinic you visit can also affect the price. Public clinics might offer some tests at a lower cost or even for free if you have a referral from your doctor. Private clinics, on the other hand, charge the full price for all tests and consultations, which can make things more expensive.
Province you live in
Healthcare coverage differs from one province to another. For example, Ontario and Quebec offer partial support for fertility services, which may include some tests. Meanwhile, in provinces with less government funding, patients often have to pay out of pocket for most or all fertility assessments.
Specialist involvement
Costs may rise if you’re consulting directly with a fertility specialist or undergoing tests without a referral. While a family doctor’s referral to a specialist might reduce some expenses (especially in public systems), self-referred or private appointments often come with higher consultation and testing fees.
Frequency of testing
The number of tests you require can also impact total costs. In many cases, couples may need a series of tests done over time to get a full picture of their fertility health. This could involve repeating blood tests across cycles or undergoing both male and female assessments, which adds up financially.
Insurance or health plan
If you have health insurance, check to see if it covers fertility testing. Some insurance plans may help pay for part of the costs, like lab tests, ultrasounds, or blood work, which can make fertility testing more affordable.
Tips to manage and reduce fertility testing costs
Here are some simple tips to help manage and reduce the cost of fertility testing in Canada:
Check provincial coverage
Different provinces offer varying levels of coverage for fertility testing. In places like Ontario, some tests and even fertility treatments may be partially covered under provincial healthcare plans. Make sure to research what’s available in your province to help reduce out-of-pocket expenses.
Consider public clinics
Public clinics are often more affordable than private ones, and some might offer subsidized testing. If you have a family doctor, ask for a referral to a public clinic to take advantage of lower costs.
Combine tests when possible
If your doctor suggests multiple tests, ask if any can be done at the same time. For example, a blood test and ultrasound may be scheduled together to minimize the number of appointments and reduce costs.
Look for package deals
Some fertility clinics like Newlife Fertility offer bundled packages that include several tests at a reduced price. These packages often cover common tests, like semen analysis and blood work, for a single flat fee, saving you money compared to paying for individual tests.
Check your insurance coverage
Before starting fertility tests, check if your health insurance covers any part of the costs. Some insurance plans may cover specific tests or lab work. If you don’t have insurance, consider looking into plans that include fertility coverage.
Ask about payment plans
If the cost of fertility tests feels overwhelming, ask the clinic if they offer payment plans or financing options. Some clinics provide flexibility to help you spread out the payments over time.
Prioritize essential tests first
If budget is a concern, prioritize the most essential tests that your doctor recommends based on your fertility needs. Discuss with your healthcare provider which tests are critical to start with and which ones can wait.
Search for discounts
Occasionally, fertility clinics may offer special promotions or discounts, especially for first-time patients. Keep an eye out for any discounts or ask the clinic if they have any available. After all, asking for a discount is our birthright!
You never know what savings might be available just by asking, and it could make a significant difference in the overall cost of your fertility testing. So don’t hesitate to inquire – it’s always worth asking!
What to expect during the testing process
The testing journey usually spans a few weeks and involves:
- You’ll meet with a fertility specialist to discuss your medical history, lifestyle, and any challenges you’ve faced while trying to conceive.
- Both partners may need blood tests to check hormone levels, ovarian reserve, and other factors that could affect fertility.
- You may have a pelvic ultrasound to check the health of your ovaries, uterus, and fallopian tubes. For women, this can also help assess follicle development.
- For men, sperm count, motility, and morphology will be assessed to determine sperm health.
- Women may undergo imaging tests like a hysterosalpingogram (HSG) to check for blocked fallopian tubes or any abnormalities in the uterus.
- In some cases, fertility tests may include screening for genetic disorders or antibodies that might impact fertility.
- After the tests, you’ll have a follow-up appointment with the specialist to discuss the results and plan any next steps if needed.
- The entire process is usually private, and specialists will aim to make you feel as comfortable as possible throughout the testing.
Ready to take the next step in your fertility journey?
I believe you get the things you’re here for — answers to your questions and clarity about fertility testing. If you’re wondering “Why is this taking so long?” or “Is something wrong with me?”, fertility testing can help you find the answers you need. While it may seem like a lot to take in, understanding the costs and what tests are involved can help you feel more in control of the process.
At NewLife Fertility Clinic—one of the top fertility clinics in Canada, we’re here to guide you through every step. Whether it’s explaining the tests, discussing the costs, or providing the fertility treatment and personalized care you deserve, we’re dedicated to helping you.
Don’t go through this journey alone. Book you free consultation, and together, we can take the next step toward growing your family. 🌱💙
Frequently asked questions
What is the first step in fertility testing?
The first step usually involves an initial consultation with a fertility specialist. They will assess your medical history, ask about your fertility goals, and recommend the appropriate tests for both you and your partner, if applicable.
Are fertility tests covered by insurance in Canada?
Coverage for fertility testing varies by province and insurance provider. Some tests may be covered, while others are usually paid out-of-pocket. It’s best to check with your insurance company and local clinics to understand what’s covered under your plan.
Is fertility testing free in Canada?
Fertility testing is not entirely free in Canada, but some tests may be covered by provincial healthcare plans, especially in specific provinces like Ontario and Quebec. However, more advanced treatments like IVF typically require private funding.
How much does fertility testing cost in Canada?
The cost of fertility testing in Canada can vary. Basic tests like blood work or semen analysis can cost between $100 and $500, while more complex testing or treatments such as IVF can range from $10,000 to $15,000 per cycle.
Where can I purchase a home fertility test in Canada?
Home fertility tests can be purchased at major pharmacies like Shoppers Drug Mart, Rexall, or online retailers such as Amazon. These tests usually measure factors like ovulation or hormone levels but are not as comprehensive as tests performed in a clinic.