 [ Symptoms ] i have found a large hard lump on the right side of my groin [ Disease ] most helpful answer not really but the evaluation does start with a basic exam fertility is more complex than just a look and see exam it involved a complex array of hormones ovulation the health of some anatomical structures   uterus fallopian tubes ovaries    most of which cannot be seen on a vaginal examination and of course the fertility of a male partner for instance a woman may be perfectly capable of conceiving but her partner has a very low sperm count