Dr Ong Xiaohui

Fertility assessment and management

Trying to conceive can be challenging, or even emotionally draining, especially when a couple have been taking longer than expected to get pregnant. At our clinic, we welcome couples to step forward together in their first consult with Dr Ong. A fertility assessment can give you clarity on potential medical problems or reassurance that there is nothing wrong with you.

After the consultation and assessment, Dr Ong can then advise you as a couple, on management of potential issues openly, or refer you to a specialist fertility centre if assisted reproduction is the best next step to take.

When to seek a fertility assessment

Consider an assessment if:

  • You have been trying to conceive for 12 months (or 6 months if you are 35 or older) without success
  • You have irregular or absent periods
  • You have a condition that may affect fertility — endometriosis, PCOS, fibroids, thyroid issues, or previous pelvic surgery
  • You are planning ahead and wish to understand your fertility timeline before trying

What the assessment may include

For women

  • Hormonal blood tests — FSH, LH, oestradiol, AMH (anti-Müllerian hormone) to assess ovarian reserve
  • Thyroid function tests — thyroid disorders can affect ovulation and pregnancy
  • Pelvic ultrasound — to assess the uterus and ovaries and look for fibroids, cysts, or polycystic ovaries
  • Ovulation tracking — monitoring your cycle to confirm ovulation
  • Tubal assessment — to check that the fallopian tubes are open (HSG or sono-salpingography)

For your partner

  • Semen analysis — an important first step. Male factors contribute to roughly 40% of fertility difficulties, so it is worth checking early

Understanding AMH (anti-Müllerian hormone)

AMH is a key indicator of ovarian reserve. It gives an estimate of the number of eggs remaining. AMH does not predict whether you can conceive naturally, but it does help frame your fertility timeline and can guide decisions about when to act.

Management options

Based on your results, Dr Ong will discuss what makes sense for you:

  • Lifestyle optimisation — diet, exercise, weight, sleep, supplements, and cycle timing
  • Treatment of underlying conditions — for example, fibroids, endometriosis, or ovarian cysts that may be affecting fertility, PCOS, or thyroid disorders
  • Ovulation induction — medication to help stimulate ovulation where indicated
  • Surgical management — laparoscopic or hysteroscopic procedures where they are likely to improve fertility (for example, removing polyps, submucosal fibroids, or endometriosis)
  • Referral for IVF / IUI — if assisted reproduction is the recommended path, Dr Ong will refer you to a trusted fertility centre and continue supporting you through the process

A supportive approach

Fertility concerns touch on things that matter deeply — your timeline, your relationship, your sense of the future. Dr Ong provides a calm, non-judgmental space, takes time to explain what your results mean, and gives you her honest opinion and advice.

Frequently asked questions

A common guideline is to seek an assessment after 12 months of trying without success, or after 6 months if you are 35 or older. It is also reasonable to come in earlier if you have irregular or absent periods, a known condition that may affect fertility (such as endometriosis, PCOS, fibroids, or thyroid disorders), or if you simply wish to understand your fertility timeline before trying.
Where possible, yes. Many fertility-related factors involve both partners, and a joint consultation makes it easier to discuss findings and plan next steps together. A semen analysis is also a useful early step, since male factors contribute to a meaningful share of fertility difficulties.
For women, the assessment usually includes hormonal blood tests (FSH, LH, oestradiol, AMH), thyroid function, a pelvic ultrasound, and where indicated, ovulation tracking and tubal patency tests. For partners, a semen analysis is a standard early step. The combination is tailored to your history and concerns.
AMH (anti-Müllerian hormone) gives an estimate of ovarian reserve, which is roughly the number of eggs remaining. It does not predict whether you will conceive naturally, but it does help frame your fertility timeline and inform decisions about when to start trying or seek further help.
IVF and other assisted reproductive procedures are performed at specialist fertility centres. Dr Ong provides assessment, manages underlying conditions that may affect fertility (such as fibroids, endometriosis, polyps, or hormonal issues), and refers to a trusted fertility centre when assisted reproduction is the recommended next step. She continues to support you through the process.
Often, yes. Conditions such as endometriosis, fibroids, ovarian cysts, polyps, PCOS, and thyroid disorders can affect the chance of conceiving. Where appropriate, these are addressed before, or alongside, assisted reproduction. See [gynae care](/services/gynae-care) and [minimally invasive surgery](/services/laparoscopic-surgery) for related options.
Most blood and ultrasound results are available within 1 to 2 weeks. A follow-up consultation will go through what the results mean, what (if anything) can be done, and what your realistic options are. Dr Ong will be honest about likely timelines and when a referral to a fertility centre makes sense.
Medisave coverage for fertility-related care is limited and depends on the specific test or procedure. Some procedures done for related gynaecological conditions are claimable. The clinic can advise on what is likely to be covered for your situation.

Ready to See a Specialist?

If you have a gynaecological concern or are looking for an obstetrician, we would welcome the chance to help. Book a consultation to get started.

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Opening Hours

  • Monday – Friday: 8:30 AM – 4:30 PM
  • Saturday: 9:00 AM – 12:30 PM
  • Sunday & Public Holidays: Closed