Penile Implants: Who Needs One, What the Surgery Involves, and Long-Term Results For men with severe erectile dysfunction that has not responded adequately to medication or other treatments, a penile implant (prosthesis) offers the most reliable and durable solution available. Patient satisfaction rates with modern three-piece inflatable implants consistently exceed 90% — among the highest […]
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Premature ejaculation: medical causes, diagnosis and long-term treatment in London
Premature ejaculation (PE) is the most common male sexual dysfunction, affecting an estimated 20–30% of men at some point in their lives. Despite its prevalence, it remains a largely undertreated condition — most affected men either attempt to self-manage or accept it as an immutable part of their sexual experience. It is neither. Premature ejaculation […]
Peyronie’s disease treatment in London: non-surgical & surgical options explained
Peyronie’s Disease: When to Watch and When to Treat Peyronie’s disease is a condition in which scar tissue (plaque) forms inside the penis, causing curvature, shortening, pain, and in many cases erectile dysfunction. It affects an estimated 5–10% of men — a figure that is almost certainly an underestimate, given how rarely men seek medical […]
Erectile dysfunction by age: causes and treatments for men in their 30s, 40s & 50s
Erectile dysfunction (ED) is the persistent or recurrent inability to achieve or maintain an erection that is sufficient for satisfactory sexual activity. It is a common condition and can affect men at any age. Although the likelihood of erectile difficulties can increase with age, erectile dysfunction is not an inevitable part of getting older. The […]
Surgical sperm retrieval (TESE, microTESE, PESA): a patient guide
Surgical Sperm Retrieval: TESE, MicroTESE and PESA Explained For men with azoospermia — no sperm in the ejaculate — the ability to retrieve sperm directly from the reproductive tract has transformed the outlook for biological fatherhood. Surgical sperm retrieval, when combined with intracytoplasmic sperm injection (ICSI), has helped thousands of men with previously untreatable infertility […]
Varicocele repair for male infertility: evidence, success rates and what to expect
Varicocele and Male Infertility: Does Repair Actually Improve Fertility? Varicocele — the dilatation of the veins within the scrotum — is found in approximately 15% of the general male population and in around 35–40% of men presenting with primary infertility. It is the single most common identifiable and correctable cause of male infertility. Yet debates […]
Male factor infertility: causes, diagnosis and treatment options in London
For many years, infertility was understood primarily as a female problem. The statistics tell a different story. Male factor infertility is identified in approximately 40–50% of all cases where a couple cannot conceive, either as the sole cause or as a contributing factor. Despite this, men frequently receive less thorough investigation than their partners, and […]
Sperm DNA fragmentation: what it is, how to test for it & how to lower it
Sperm DNA Fragmentation: The Hidden Cause Behind IVF Failure and Recurrent Miscarriage Standard semen analysis measures three things: sperm count, motility, and morphology. For decades, these three parameters were considered the definitive assessment of male fertility. We now know that this picture is incomplete. A sperm can appear entirely normal under the microscope while carrying […]
Zero sperm count (azoospermia): causes, diagnosis & treatment in London
Receiving a semen analysis result showing no sperm — a condition called azoospermia — can feel like a door slamming shut. For many men, it is the moment a fertility problem that existed quietly in the background suddenly becomes impossible to ignore. But azoospermia is not the end of the road. For a significant proportion […]
Preparing for your first appointment with a male fertility specialist
Preparing for your first appointment with a male fertility specialist can feel both hopeful and daunting. At London Andrology, leading male fertility experts in London take a patient‑centred approach to help men understand, investigate, and treat male reproductive health concerns. Before your visit, it’s useful to know what the clinic offers and how your first […]