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Fertility Quiz |
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Ferility Score Test |
Please note that this fertility test is for your personal
information only. CHA Fertility Center will not see
the results of your personal test.
1. How old are you?
a. younger than 30 (10)
b. 30-35 (5)
c. 35-40 (2)
d. older than 40 (0)
2. How long have you been trying to get pregnant?
a. less than 3 months (10)
b. 3-6 months (5)
c. 6-12 months (3)
d. more than a year (0)
3. Have you had a child in the past?
a. Yes (5) b. No(0)
4. Has your male partner ever produced a child?
a. Yes (5) b. No (0)
5. Do you have regular menstrual cycle every month between
25-33 day interval?
a. Yes (10) b. No (0)
6. Have you had any sexually transmitted disease in the past?
a. Yes (0) b. No (0)
7. Have you had any abdominal surgery in the past such as
appendectomy, fibroid or ovarian cyst resection?
a. Yes (0) b. no (5)
8. Do you have any vaginal bleeding other than normal menstrual
bleeding?
a. Yes (0) b. No (5)
9. Have you been diagnosed with endometriosis?
a. Yes (0) b. No (5)
10. Do you have pelvic pain or severe menstrual cramps?
a. Yes (0) b. No (5)
11. Do you have any medical condition such as anemia, thyroid disorder,
diabetes, or lupus?
a. Yes (0) b. No (5)
12. Did you weight change more than 15 lbs over the last 6
months?
a. Yes (0) b. No (5)
13. Have your mother or sister(s) had infertility problem?
a. Yes (0) b. No (5)
14. Have you been treated for infertility by other doctors before?
a. Yes (0) b. No (10)
Add all the scores i the parenthesis.
Perfect score is 100!
If your score is above 93, give yourself some time. You have a chance
to get pregnant on your own.
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