Fertility Assessment in Kathmandu: What the Test Package Actually Checks

A fertility assessment in Kathmandu can answer the question most couples are too afraid to ask out loud: why haven’t we conceived yet? In Nepal, an estimated 13 to 15% of married couples face infertility, and busy fertility centers report at least six new cases every single day. Yet many couples wait years before getting tested, often out of stigma or simply not knowing what a fertility workup actually involves. This guide breaks down exactly what Mero Hospital’s Fertility Assessment Panel checks, for both partners, and what your results mean.

Why Get a Fertility Assessment in Kathmandu

Doctors generally recommend a fertility check after 12 months of trying to conceive without success, or after 6 months if the woman is over 35. But you don’t need a diagnosis of infertility to get tested. A fertility assessment in Kathmandu can also help you:

  • Understand your baseline fertility before you start trying
  • Plan the right timing if you’re delaying pregnancy for career or education
  • Investigate irregular periods, PCOD, or repeated miscarriage
  • Rule out or confirm a male-factor issue before assuming the problem lies with one partner

A recent Kathmandu Valley study found female factors caused about 63% of infertility cases, male factors caused around 11%, and the rest had no clear cause. This is exactly why doctors test both partners together. Assuming it’s “one person’s problem” often wastes months of guesswork.

What’s Included in Mero Hospital’s Fertility Assessment Panel

Mero Hospital’s Fertility Assessment Panel bundles 14+ tests into a single visit, covering both partners. Here’s what’s included, grouped by what each test actually checks:

Fertility-specific tests

  • Anti-Müllerian Hormone (AMH) — measures a woman’s ovarian reserve, or roughly how many eggs remain
  • Semen Analysis — checks the male partner’s sperm count, motility, and morphology
  • Transvaginal Ultrasound (TVS) — examines the uterus and ovaries for structural issues like fibroids, cysts, or PCOD

General health markers

  • Blood Grouping — required for pregnancy planning and safe delivery preparation
  • Complete Blood Count (CBC) — screens for anemia and general health issues that can affect fertility
  • HbA1c — checks average blood sugar over three months, since uncontrolled blood sugar affects fertility in both partners
  • Vitamin D3 — deficiency is common in Nepal and is linked to lower fertility and pregnancy complications

Thyroid Function Test (TFT) — T3, T4, TSH Thyroid imbalances are a common, easily treatable cause of infertility and irregular periods. This panel catches both an underactive and overactive thyroid.

Serology and infection screening

  • Anti-HCV (Hepatitis C)
  • HBsAg, Rapid (Hepatitis B)
  • HIV I & II, Rapid
  • VDRL (Syphilis)

Doctors screen for these infections before fertility treatment or pregnancy, both to protect the couple’s health and to plan safe delivery care if needed.

Package Price

This fertility assessment in Kathmandu is priced at Rs. 7,999 (offer price), down from the actual price of Rs. 14,350 — covering all 14+ tests listed above in a single package, for both partners.

What a Fertility Assessment Checks in Women vs Men

Within this fertility assessment in Kathmandu, women are checked through AMH and the transvaginal ultrasound, which together reveal ovarian reserve and any structural issues in the uterus or ovaries. Men are checked through semen analysis, which reveals sperm count, motility, and shape. The shared tests, like TFT, HbA1c, and the infection screening panel, apply to both partners and catch issues that affect fertility or pregnancy safety regardless of gender.

Common Findings and What They Mean

  • Low AMH doesn’t mean pregnancy is impossible. It signals a lower egg reserve, which can affect timing and treatment options.
  • Abnormal semen analysis is common and often treatable with lifestyle changes, medication, or assisted reproductive techniques.
  • PCOD or fibroids on TVS affect ovulation but respond well to treatment in many cases.
  • Thyroid or blood sugar imbalances are often the easiest issues to fix and can restore fertility on their own once treated.
  • A positive infection screening result doesn’t end your fertility journey. It simply guides your doctor toward the right treatment plan before proceeding.

A fertility assessment in Kathmandu doesn’t just diagnose a problem. It usually points directly to the next step, whether that’s a lifestyle change, medication, or a referral to a fertility specialist.

What to Expect During Your Visit

  1. Consultation — the doctor reviews cycle history, medical history, and lifestyle factors for both partners
  2. Blood tests — CBC, blood grouping, HbA1c, TFT, Vitamin D3, AMH, and the infection screening panel, drawn in a single sitting
  3. Transvaginal Ultrasound — quick and non-invasive, usually done the same day
  4. Semen Analysis — collected at the lab, with results typically ready within a day or two
  5. Follow-up consultation — the doctor explains your results and outlines next steps

Most of this fits into a single visit, without needing to coordinate separate appointments across different labs.

Book a Fertility Assessment in Kathmandu with Mero Hospital

You can book Mero Hospital’s Fertility Assessment Panel directly, or start with a Gynecology OPD consultation first if you’d rather discuss your symptoms before testing. Prefer to start from home? Use our home sample collection service for the blood work.

Call 01-4794311 or 9801819109, visit us at Buddhanagar-10, Kathmandu, or book online at www.merohospital.com.

Frequently Asked Questions

How soon should we get a fertility assessment? Try for 12 months first if the woman is under 35, or 6 months if she’s 35 or older. Get tested sooner if you have irregular periods, known PCOD, or a history of pelvic surgery or infection.

Does a fertility assessment hurt? No. Blood tests involve a routine needle prick, and the transvaginal ultrasound is quick and non-invasive.

Why does the package include infection screening like HIV and Hepatitis? Doctors screen for these before fertility treatment or pregnancy to protect both partners’ health and to plan safe care going forward. It’s a standard part of pre-conception workups, not a sign anything is assumed to be wrong.

Is infertility more common in men or women in Nepal? Studies point to female factors slightly more often, but male-factor infertility accounts for a meaningful share of cases too, which is why the package tests both partners.

Will one abnormal result mean we can’t have children? No. Most fertility issues, from thyroid imbalances to low sperm count, have effective treatments. The assessment identifies the specific issue so your doctor can recommend the right next step.