The Andrology Centre

The Andrology Centre UK

Specialist Male Fertility Treatment in London

In couples having issues with fertility, male factors problems can be the cause in 50% of cases. Male fertility assessment is often overlooked by most Fertility Centres who don’t have specialists in male infertility. In our clinics you will see leading male fertility specialists who are involved in writing national guidelines and teach and train other specialists across the world.

Our Male Fertility Services

We offer comprehensive services designed to evaluate and treat male reproductive concerns effectively.

Semen Analysis

A detailed laboratory assessment measuring sperm count, motility, morphology, and overall semen quality to determine reproductive potential.

Hormone Evaluation

Blood testing to assess testosterone and other key reproductive hormones that regulate sperm production and sexual function.

Scrotal & Testicular Ultrasound

Imaging studies to detect structural issues such as varicocele, obstruction, or abnormalities affecting sperm production.

Genetic Testing

Where appropriate, we conduct genetic screening to identify inherited conditions that may contribute to infertility.

Varicocele Assessment

Evaluation for enlarged veins within the scrotum that may impair sperm production and quality.

Semen Analysis

A detailed laboratory assessment measuring sperm count, motility, morphology, and overall semen quality to determine reproductive potential.

Hormone Evaluation

Blood testing to assess testosterone and other key reproductive hormones that regulate sperm production and sexual function.

Scrotal & Testicular Ultrasound

Imaging studies to detect structural issues such as varicocele, obstruction, or abnormalities affecting sperm production.

Genetic Testing

Where appropriate, we conduct genetic screening to identify inherited conditions that may contribute to infertility.

Varicocele Assessment

Evaluation for enlarged veins within the scrotum that may impair sperm production and quality.

Male Fertility Assessments

Our fertility assessment process is thorough, structured, and confidential:

  1. Initial Consultation: Detailed discussion about medical history, lifestyle factors, previous fertility attempts, and symptoms.

  2. Physical Examination: Examination of the testes and reproductive organs, where required.

  3. Laboratory Testing: Semen analysis and hormone profile testing.

  4. Diagnostic Imaging: Ultrasound scans are performed by leading expert radiologists. If structural abnormalities are suspected, an MRI may be needed.

  5. Results Review & Plan: Clear explanation of findings and discussion of suitable treatment options.

What Male Fertility Tests Are Available?

We provide a range of diagnostic tests to identify the root cause of your fertility problem.

Semen Analysis

Evaluates sperm count, concentration, movement, and shape.

Hormone Blood Tests

Measures testosterone, FSH, LH, and prolactin levels to assess hormonal balance affecting sperm production.

Genetic Screening

Identifies chromosomal abnormalities or inherited disorders impacting fertility.

Post-Ejaculation Urinalysis

Used to detect retrograde ejaculation, where semen enters the bladder instead of exiting normally.

Imaging

Ultrasound of your testes for abnormalities including blockage, varicoceles, or testicular lesions, and MRI scan in selected cases to assess for congenital or structural problems.

Sperm DNA Fragmentation Test

Used to assess sperm DNA quality, which may affect fertility even when standard semen analysis results appear normal. Unlike other centres, we only use this test when indicated and recommended by the latest evidence.

Treatment
Description
Lifestyle & Nutritional Optimization
Guidance on weight management, smoking cessation, dietary improvements and other lifestyle factors to enhance fertility potential.
Medical Therapy
From the correct and evidence based use of fertility supplements to hormonal therapy for low testosterone or endocrine disorders that impair sperm production.
Varicocele Treatment
Minimally invasive procedures including radiological embolization and sub-inguinal microsurgical ligation to improve sperm parameters in men with clinically significant varicoceles.
Treatments for Ejaculatory Disorders
Treatments for ejaculatory disorders treatments retrograde ejaculation to use of specialist devices our clinic can guide you to achieve fertility potential.
Microsurgical Vasectomy Reversal
Our experts are leading surgical tutors who train other surgeons in microsurgery, and have excellent results in reversing vasectomies in men whose circumstances have changed.
Surgery to open obstructed ejaculatory ducts (TURED)
Minimally invasive techniques to open obstructed ejaculatory ducts to restore your fertility potential.
Simple Surgical Sperm Retrieval
Simple needle aspirations such as Percutaneous Epididymal Sperm Aspiration (PESA) and Testicular Sperm Aspiration (TESA) in patients with obstructed systems or ejaculation.
MicroTESE
Complex microsurgical surgical sperm retrieval in patients with abnormal testicular function, where finding sperm is most difficult. Our experts have trained a generation of surgeons in MicroTESE.
Assisted Reproductive Techniques
When necessary, we coordinate care with fertility clinics for procedures such as IVF or ICSI.

Male Infertility Treatment

Treatment depends on the underlying diagnosis and individual health profile.

How to Improve Male Fertility

While medical treatment may be required, several lifestyle steps can support sperm health:

  • Maintain a healthy weight

  • Avoid smoking and recreational drugs

  • Limit alcohol consumption

  • Manage stress levels

  • Exercise regularly without excessive heat exposure

  • Maintain a balanced diet rich in antioxidants

  • Avoid prolonged exposure to high temperatures (saunas, hot tubs)

  • Get adequate sleep

Early evaluation significantly improves treatment success rates.

How to Improve Male Fertility

Why Choose Us in London

At The Andrology Centre, we combine clinical expertise with patient-focused care. You will see a highly trained specialist who is an expert in their field, who trains other specialists across the country on how to manage infertility.

  • Experienced andrology specialists

  • Advanced diagnostic technology

  • Confidential consultations

  • Personalized treatment plans

  • Transparent and competitive pricing

  • Ongoing follow-up and monitoring

We understand that fertility concerns can be emotionally challenging, and we provide compassionate, discreet support throughout your journey.

Frequently Asked Questions

When should I see a specialist for male fertility?

If you have been trying to conceive for 12 months without success (or 6 months if your partner is over 35), a fertility assessment is recommended.

Yes. Male factors contribute to approximately 50% of infertility cases among couples.

Most initial tests, including semen analysis and blood tests, can be completed within a week, with results reviewed promptly. More specialist tests, like genetic screening, can take up to 3 weeks to get the results back

Yes. Low testosterone or hormonal imbalance can reduce sperm production and affect fertility. Starting testosterone can make matters worse. Our fertility experts will guide you on how to correct hormone imbalances safely.

Many causes of male infertility are reversible with medication, hormonal therapy, or minor procedures, depending on the diagnosis. The aim is always to restore natural fertility wherever possible, rather than turning to assisted conception as the first port of call.