Even before trying to conceive, both couples and individuals may have concerns about their fertility health or may be keen to optimise their fertility for when the time comes. In most, this will offer reassurance and perhaps help them decide when to start trying.

For some, factors may be identified that can be improved with simple measures. In a minority, a fertility issue may be identified that would normally only have been discovered on investigation, perhaps after several years of trying to conceive allowing earlier action and treatment.

On occasion, the results of these tests may lead us to recommend further investigation not included in the "fit for fertility" packages such as tests of tubal patency or a more formal male assessment if any sperm abnormalities are identified.