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Tests & diagnostics

Men’s fertility MOT

The male fertility MOT - semen analysis, hormones and examination - what a structured check covers and when to have one.

Published Next review

At a glance

  • Preparation

    Abstain from ejaculation for two to five days before the semen sample, and avoid saunas, hot tubs and heavy alcohol in the preceding fortnight.

  • What happens during the test

    A full assessment combines a laboratory semen analysis, morning blood tests for testosterone and FSH, a consultation covering medical and lifestyle history, and examination for varicocele.

  • Results timeline

    Semen analysis reports within days; the complete picture is drawn together at a results consultation, usually within two weeks.

  • Specialist follow-up

    A men’s health or fertility specialist explains the findings and directs any next steps, from lifestyle change and repeat testing to urology referral.

What this test is and when it is recommended

Male factors contribute to around half of all difficulties conceiving, yet men are routinely tested late or not at all. A fertility MOT makes sense after six to twelve months of trying, before starting a family later in life, or simply for information ahead of decisions about timing. Semen quality responds to modifiable factors - heat, smoking, alcohol, weight and some medications - and because sperm take about three months to produce, improvements show up a season after the change.

How to access it

Fertility MOTs are booked directly as self-pay packages at andrology and fertility clinics; no GP referral is needed. Where NHS diagnostic waits are frequently lengthy, private slots are usually offered within days to roughly two weeks. Pricing varies by provider.

Frequently asked

Common questions about Men’s fertility MOT.

Quick, plain-English answers to what people ask us most.

  • What does a men's fertility MOT check?

    It typically includes a semen analysis to assess sperm count, movement, and shape, alongside hormone blood tests such as testosterone, FSH, and LH, giving an overall picture of reproductive health. Some packages also include a general health review.

  • Why would someone get a fertility MOT?

    It's commonly used when a couple is trying to conceive and wants to understand male fertility factors, or simply for reassurance and early insight before starting a family. It can also help identify treatable issues affecting fertility.

  • Do I need to prepare for the test?

    For semen analysis, clinics usually recommend a period of abstinence (typically two to five days) beforehand for the most accurate result. For blood tests, no fasting is usually needed, though morning testing is often preferred for testosterone.

  • What happens during the assessment?

    You'll provide a semen sample, usually collected privately either at the clinic or at home and delivered promptly, plus a standard blood draw for hormone testing. The whole visit is typically straightforward and discreet.

  • Does it hurt or carry risks?

    The semen sample collection is non-invasive and involves no discomfort. The blood test involves only a brief needle pinch, as with any routine blood draw.

  • How long do results take?

    Semen analysis and hormone results are typically available within a few days to a week.

  • What do abnormal results mean, and what happens next?

    Mildly reduced sperm parameters are common and don't necessarily mean infertility, as results can vary between samples and be affected by recent illness or lifestyle factors. More significant abnormalities, or unusual hormone results, may prompt further specialist assessment or lifestyle and treatment discussions. A single result is rarely the full picture, so repeat testing and specialist review are often part of a thorough assessment.

  • Is this available on the NHS, and how much does private testing cost?

    NHS fertility testing for men is usually available once a couple has been trying to conceive for a year (or sooner with known risk factors), typically via a GP referral. Private fertility MOTs are available without needing to meet these criteria, often within a week, with specialist review. Cost varies by provider.

  • Is a fertility MOT accurate and reliable?

    Semen analysis and hormone testing are well-established, reliable methods, though natural variation means a single semen sample isn't always fully representative, and a repeat test is sometimes recommended for confirmation.

  • How do I book a fertility MOT privately, and how quickly can I be seen?

    You can book privately online, often with appointments within a week, and have your results explained by a doctor who can advise on next steps, whether reassurance, lifestyle changes, or further specialist referral.