Male Infertility

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?

Male history:

  • Erectile and ejaculatory function
  • Any UTI or STD
    • Post puberty mumps
  • Previous chemotherapy/radiotherapy
  • Past surgical history
    • Orchiopexy
    • Inguinal hernia repairs
    • Vasectomy/reversal
    • Torsion of testis
  • Developmental history
    • UDT
    • 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)

Physical examination

  • 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)

Basic investigations

  • Semen analysis x2
  • If the semen is abnormal
  • Testosterone/FSH/LH
  • 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.

Insured patients

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.

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