When you visit a male fertility specialist, such as the team at London Andrology, the focus is on understanding every factor that could be affecting your reproductive potential. These specialists are experts in diagnosing male factor infertility, which contributes to around half of all couple infertility cases.
Semen analysis: The first step
The cornerstone of male fertility testing is a semen analysis. This non-invasive test assesses the health of sperm in the ejaculate and gives the first clear indication of fertility status. During this analysis, specialists measure key elements such as sperm concentration (count), motility (movement), and morphology (shape) — all critical factors for successful conception.
Advanced sperm testing
If an initial semen analysis shows abnormalities or if conception remains difficult, further specialised tests may be recommended:
- DNA Fragmentation Test – evaluates the integrity of sperm DNA at a genetic level.
- Semen Culture – used to check for infections that might be impacting sperm health.
Hormone blood tests
Hormonal balance plays a vital role in sperm production. Male fertility specialists utilise blood tests to measure hormones like testosterone, FSH, and LH, which regulate male reproductive function. Abnormal hormone levels can be a key factor in low sperm count or other fertility issues.
Genetic and additional testing
If tests show low sperm counts or other significant concerns, genetic testing may be advised to uncover underlying chromosomal or genetic conditions. Imaging, such as scrotal ultrasound, and additional assessments like post-ejaculation urinalysis, can also be used to investigate structural or functional issues.
Putting it all together
By combining these tests — from basic semen analysis to targeted hormone and genetic investigations — male fertility specialists can build a comprehensive picture of reproductive health. This approach helps identify causes of infertility and guides personalised treatment plans for men wishing to conceive.
