Male infertility refers to health issues in a man that cause the inability to achieve pregnancy with their fertile female partner.
Overview of Male Infertility
The inability of a sexually active, non-contracepting couple to achieve pregnancy within 12 months.
20% of infertility is purely male factor.
30-40% of infertility involves both partners’.
Baseline fertility rates:
- 75% by 6 months/ 90% by 1 year couple conceive
Diagnosing Male Infertility
- Duration of infertility
- Any previous pregnancies or children
- Timing and frequency of sex
- Birth control methods used previously
- Any vaginal lubricants used?
- Erectile and ejaculatory function
- Any UTI or STD
- Post puberty mumps
- Previous chemotherapy/radiotherapy
- Past surgical history
- Inguinal hernia repairs
- Torsion of testis
- Developmental history
- Age of puberty
- Secondary sexual characteristics
- Past medical history
- Any chest infections
- ? Cystitic Fibrosis
- Drug history ? Anabolic steroid use/Growth hormone may result in hypogonadotrophic hypogonadism
- Any fertility supplements tried
- Occupational history (heat exposure)
- Smoking/alcohol consumption/recreational drugs
- Any sporting activities (cycling/excess gym/sauna usage)
- Body mass index
- Secondary sexual characteristics/gynaecomastia
- DRE to assess the prostate
- Uro-gential exam
- Testicles (Size any masses, Varicocele, Epididymis and vas present/normal)
- Penis (Hypospadias/chordee, Peyronie’s disease, Tight foreskin)
- Semen analysis x2
- If the semen is abnormal
- Offer chromosomal karyotyping and assessment for Y micro-deletions in men with severe oligiospermia and azoospermia
- (Kleinfelters syndrome, Kallman’s syndrome, CF)
Get fast access to leading specialists for the swift diagnosis and treatment of urological conditions in a private clinic environment.
If you would like more information or wish to arrange a consultation with one of our specialist consultant urological surgeons then please either Call 0118 920 7040 or complete the form below.
Contact your GP and ask for a referral to the Urology Partnership.
All consultations, investigations and treatments are covered by major insurance companies (depending on policy).
Funding your own treatment
Self-funding initial consultation fee is £205. Follow up fees are £165.
Consultation charges are exclusive of any tests and other investigations that the consultant may wish to carry out.