Male Fertility
Concerns with male fertility contribute to difficulties conceiving in up to half of couples experiencing infertility. Many causes of male infertility are identifiable and treatable, and specialist assessment can provide clarity and effective treatment options to help you decide if you wish to continue trying to conceive naturally or through artificial reproductive technology such as in vitro fertilisation (IVF).
At the London Urology Collective, we provide expert evaluation and management of male fertility concerns. Our consultants specialize in andrology and reproductive urology, offering evidence-based assessment, modern diagnostic testing, and advanced medical and surgical treatments. This is offered in the context of the couple, taking into account the partner and medical background. Our consultants work closely with genecology colleagues to ensure that care and options are individualized to the couple.
Our aim is to identify the underlying cause, explain your options clearly, and support you in achieving the best possible outcome.
Causes of male infertility
Male fertility can be affected by several factors, including:
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Varicocele
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Hormonal imbalance
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Testicular conditions
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Obstruction of sperm transport
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Genetic factors
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Previous infection
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Previous abdominal, groin or testicular surgery
What to expect
Your assessment will involve a detailed and confidential evaluation, including:
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Medical and reproductive history
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Physical examination focusing on the abdomen and genitals
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Review of semen analysis results
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Hormone blood tests which should be performed fasted and before 11am
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Scrotal ultrasound
Treatment options
Treatment depends on the underlying cause and may include:
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Medical treatment to optimise hormone levels
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Optimisation of underlying medical conditions
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Modification of lifestyle
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Varicocele treatment
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Surgical sperm retrieval procedures – (hyperlink to this to explain this in procedures)
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Specialist fertility planning and guidance
Our consultants will explain all options clearly and help you make informed decisions.
When to Seek Specialist Advice
You may benefit from specialist assessment if:
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You and your partner have been trying to conceive without success
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You have an a semen analysis with results outside the normal range
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You have a history of undescended testes
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You have had previous testicular surgery
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You have low testosterone or symptoms of hormone imbalance
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You have erectile or ejaculation difficulties
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You have previously had a vasectomy and are considering fertility options
Early assessment can help identify reversible causes and guide appropriate treatment.
Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.