Male Infertility

Male infertility refers to health issues in a man that cause the inability to achieve pregnancy with their fertile female partner.

  • Overview
  • Diagnosis
  • Arrange a Consultation

    • 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

    History:

    • 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)

    Next Steps

    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.

    If you are making an appointment on behalf of someone else, please complete the form with their details but add your own name and contact details into the "further information" box.

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