Private Male Fertility Test in London

The Standard male fertility test is £669 and the Advanced is £859, both all-inclusive. That covers the comprehensive semen analysis, the testicular ultrasound, the GP appointment, the medication review and your written report. The Advanced adds a full male hormone profile.

A semen analysis on its own is available in London from around £139 to £250, and a semen analysis with a specialist consultation typically runs from £220 to £400. The difference here is the testicular ultrasound and the doctor, which are what turn a set of numbers into an explanation.

Across London the range is wide. A laboratory-only semen analysis starts at roughly £139. Adding a consultation to discuss the result usually brings the total to somewhere between £220 and £400. Assessments that include imaging and hormone testing sit higher.

On the NHS, testing is free once your GP refers you, which usually happens after a couple has been trying to conceive for a year, or sooner where there is a known risk factor. Waiting times vary by area.

There are two routes. Through the NHS, you see your GP, who can arrange a semen analysis and refer you onward to a fertility service. Referral criteria usually involve trying to conceive for twelve months, or six months if your partner is over 36 or there is a known fertility factor.

Privately, you can book directly with no GP referral and no waiting list. At London Private Ultrasound that means a semen analysis, a testicular ultrasound and a GP appointment in a single visit, with results in a few working days.

Yes. The World Health Organization sixth-edition lower reference limit for total motility is 42%, so 63% sits comfortably above it. For progressive motility, meaning the sperm actively swimming forward, the lower reference limit is 30%.

One caveat worth understanding: these are reference limits drawn from men who conceived within twelve months, not a pass mark. A result above the limit does not guarantee conception, and a result below it does not rule it out. Motility is also only one of several parameters, which is why it is read alongside count, morphology, volume and vitality rather than on its own.

The World Health Organization sixth-edition lower reference limits are 16 million sperm per millilitre for concentration and 39 million for the total number in the ejaculate. Below these figures the term used is oligozoospermia; where no sperm are found at all, azoospermia.

Counts vary substantially between samples from the same man, which is why a single low result is usually repeated before any conclusion is drawn.

A semen analysis examines a sample under laboratory conditions and measures how many sperm are present, how well they move, what proportion are normally shaped, how many are alive, and whether antibodies are attached to them.

That tells you what is happening. It does not, on its own, tell you why. The testicular ultrasound looks at testicular volume, the epididymis and the veins draining the testicle, which is where a varicocele or an obstruction would show. The hormone profile in the Advanced package assesses the signalling that drives sperm production. Together the three answer a question a semen analysis alone cannot.

A laboratory semen analysis is the established standard for assessing male fertility and is accurate for what it measures. The variable is biology, not the test: sperm parameters fluctuate considerably between samples, affected by recent illness, fever, abstinence period, alcohol and stress.

For that reason a single abnormal result is generally repeated after a few weeks before it is acted on. Sperm take around 74 days to develop, so a change in circumstances shows up in a sample roughly three months later.

Abstain from ejaculation for two to seven days before your appointment. Less than two days can lower the count; more than seven can reduce motility.

Mention any fever or illness in the past three months, since both affect sperm production. Bring your medication and supplement list. No fasting is needed.

A private room is available at the clinic, which is the preferred option because the sample is fresh and the timing is recorded accurately.

If you would rather collect at home, the sample must reach us within one hour and be kept close to body temperature on the way. Tell the team when you book so this can be arranged. Do not use an ordinary condom or a lubricant, as both can affect the result.

Standard (£669) suits a first assessment where the question is straightforward: what do the numbers look like, and is there anything visible on the scan. It covers the comprehensive semen analysis, the testicular ultrasound, the GP appointment and the medication review.

Advanced (£859) adds the male hormone profile and suits men with low libido, erectile difficulties, fatigue, small testicular volume, a previous abnormal semen result, or a history of testosterone or anabolic steroid use. If you are unsure, call 020 7101 3377.

Contact the clinic before booking. Testosterone replacement therapy and anabolic steroids suppress the hormones that drive sperm production, and can reduce sperm count severely or to zero while they are being taken.

This matters for two reasons. A semen analysis taken during use will not reflect your underlying fertility, and a hormone profile will be difficult to interpret. Call 020 7101 3377 and the team will guide you to the right package and the right timing.

Because a semen analysis measures the output without showing the cause. The scan assesses testicular volume and structure, the epididymis, and the veins draining the testicle.

A varicocele is the most common finding relevant here. It is present in around 15% of men generally and considerably more often among men investigated for infertility, it produces no symptoms in many cases, and it is treatable. It cannot be detected by a semen analysis. The scan also identifies cysts, undescended or small-volume testicles and signs of obstruction.

It measures FSH, luteinising hormone, testosterone, free androgen index, prolactin and sex hormone binding globulin.

Together these show whether the signal from the brain to the testicles is working normally, whether the testicles are responding, and how much usable testosterone is circulating. A raised FSH with a low sperm count points towards a problem in the testicle itself; a low FSH points towards the pituitary. Prolactin is included because a raised level can suppress the whole system and is treatable.

Ultrasound findings are explained on the day, before you leave. The semen analysis returns in two working days.

Your written report follows, with a referral letter where onward specialist care is appropriate.

Home kits typically measure sperm concentration alone, and some only indicate whether the count is above or below a single threshold. They can be a reasonable first prompt to seek testing.

What they do not assess is motility, morphology, vitality, volume or antibodies, and a normal concentration alongside poor motility would be missed entirely. They also cannot show a varicocele or a hormonal cause.

A post-vasectomy semen analysis is a different test with a different purpose: it checks whether any sperm remain, rather than assessing fertility.

It is usually performed around twelve weeks after the procedure and after roughly twenty ejaculations. Call 020 7101 3377 to arrange it, as it is not one of the two packages on this page.

Not as part of these packages. Sperm DNA fragmentation is a specialist test, usually requested by a fertility clinic in specific situations such as recurrent miscarriage or repeated IVF failure.

If your results and history suggest it would be useful, your GP appointment is where that is discussed and the referral arranged.

A doctor explains the findings and what they mean in practice. Many abnormal results have identifiable and treatable causes, including varicocele, hormonal imbalance, infection, medication effects and lifestyle factors.

Because sperm parameters fluctuate, a repeat analysis after a few weeks is often the first step. Where onward specialist care is appropriate, your GP refers you to the right specialist with a letter containing confirmed results, so that care starts without repeating the whole process. Extra cost applies for that specialist consultation, which is booked separately and is not included in the test price.

No. You can book directly, and nothing is shared with your NHS GP unless you ask us to send it.

Yes. Results are not shared with your NHS GP, employer or insurer without your consent.

Sample collection, the scan and the consultation take place in private rooms within a diagnostic clinic that runs scans and blood tests all day. Records are held securely under UK data protection law and the clinic is registered with the Information Commissioner’s Office.

London Private Ultrasound has two clinics. Central London is at 27 Welbeck Street, W1G 8EN, in the Harley Street Medical District, a short walk from Bond Street, Oxford Circus and Marylebone. St Albans is at 54–56 Victoria Street, AL1 3HZ.

Both are open seven days a week, 9am to 7pm, with same-day appointments frequently available. Call 020 7101 3377 to book.