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Concierge semen analysis · London

Private semen analysis in London, discreet and clinician-supported.

A confidential WHO 2021-standard sperm analysis in an HFEA-registered lab, with follow-up by an andrologist and clear next steps if numbers are outside range.

See indicative pricing
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Why patients choose us

  • 01

    Discreet, from first message

    A sensitive test, handled quietly. Private collection rooms, no NHS record unless you ask for one.

  • 02

    Clinician-supported

    A consultant andrologist or embryologist explains the report — not just an email with numbers.

  • 03

    HFEA-registered andrology labs

    UKAS-accredited andrology laboratories, reported to WHO 2021 reference values.

Indicative pricing

What a private semen analysis costs in London.

Indicative ranges across our HFEA-registered partner clinics. Send us the details and we quote firm figures across two or three options.

In short

A WHO 2021 semen analysis in our network: £150–£350, results in 3–5 days.

Test or assessment Indicative range
Standard semen analysis (WHO 2021) £150–£350
Semen analysis + andrology consultation £300–£650
Sperm DNA fragmentation test £200–£450
Post-vasectomy semen test £120–£250
Anti-sperm antibody test £150–£350
Combined semen + hormone panel £300–£600

Prices vary by clinic, by whether a consultation is included, and by which specialist tests are added (DNA fragmentation, antibody). We come back with a firm quote within one working day.

The problem

A sperm test deserves more than a number in an email.

Plenty of places will run a sample and email a number. Understanding what it means for you — in the context of a partner’s assessment, your age and your plans, with someone who has time to explain — is the part that matters.

  • Trying to conceive?

    A WHO 2021 semen analysis with a consultant conversation, alongside your partner’s assessment.

  • Had a vasectomy?

    A confidential post-vasectomy test at 12–16 weeks, with clear confirmation and next-step advice.

  • Numbers came back low?

    A repeat sample, a hormone panel, and — where needed — a specialist andrology review.

The journey

From enquiry to explained results — what happens, in order.

One consultant andrologist or embryologist from first message to explained report — usually within a week.

  1. 01

    Before

    You tell us what you need

    A short, confidential form. Trying to conceive, post-vasectomy check, or something else — a few lines is enough.

  2. 02

    Before

    We recommend the right test

    Within one working day: standard WHO 2021, DNA fragmentation, post-vasectomy, antibody, or a combined hormone panel.

  3. 03

    Before

    We book you in

    HFEA-registered clinic with a discreet private collection room, usually within the week. Abstinence and preparation explained.

  4. 04

    On the day

    Sample production

    Sample produced on-site in a private room, or brought in within one hour of production — we tell you which suits you.

  5. 05

    On the day

    Laboratory analysis

    Analysis in a UKAS-accredited andrology laboratory to WHO 2021 standards.

  6. 06

    After

    Report reviewed by an andrologist

    A consultant andrologist or embryologist reviews count, motility, morphology and volume in context — not in isolation.

  7. 07

    After

    We explain the numbers

    A clear conversation about what the result means and what, if anything, to do next — fertility work-up, repeat test, or reassurance.

Typical end-to-end: 5–7 days. Urgent cases: within the week.

What it shows

Match the test to the question.

Semen analysis answers very different questions — from fertility work-up to post-vasectomy confirmation. These are the reasons people come to us most.

  • Sperm count

    Concentration and total count against WHO 2021 reference values.

  • Motility

    Progressive versus non-progressive movement — how many sperm are actually swimming forward.

  • Morphology

    Shape and form, assessed against WHO Kruger strict criteria.

  • DNA fragmentation

    DNA integrity — a separate test that can matter where standard parameters are normal but conception is not happening.

  • Trying to conceive after 12 months

    A standard first step, alongside a female fertility assessment — up to half of infertility is male-factor.

  • Post-vasectomy confirmation

    Confirmation that a vasectomy has worked — typically at 12–16 weeks.

  • Retrograde ejaculation

    Where semen enters the bladder rather than exiting — assessed on a post-ejaculation urine sample.

  • Red flag: absent sperm

    Azoospermia (no sperm on analysis) needs a specialist work-up — hormones, imaging and, sometimes, sperm retrieval.

Tests we arrange

The tests we arrange most.

What each option is actually for.

  • WHO 2021 standard semen analysis

    Concentration, motility, morphology, volume and pH — reported against WHO 2021 reference values.

  • Sperm DNA fragmentation

    Assesses DNA integrity where standard parameters are normal but conception, or IVF outcomes, are not.

  • Anti-sperm antibody test

    MAR or direct immunobead test — used where motility is low or agglutination is present.

  • Post-vasectomy semen test

    Confirms azoospermia after vasectomy, typically at 12–16 weeks.

  • Retrograde ejaculation urine analysis

    Post-ejaculation urine analysis where retrograde ejaculation is suspected.

  • Semen cryopreservation (pre-treatment)

    Sperm freezing ahead of cancer treatment, vasectomy or gender-affirming care — HFEA-licensed storage.

  • Combined with hormone panel

    Semen analysis alongside LH, FSH and testosterone — a sensible first look where numbers are low.

  • Sperm-retrieval discussion (specialist)

    A consultant andrology conversation where azoospermia has been found — TESA, mTESE and next steps.

Our vetted London network

A small panel of HFEA-registered clinics, we picked them.

Andrology partners across central London with UKAS-accredited laboratories and discreet private collection rooms. Not listed publicly — introductions are made privately, once we understand what you need.

Selection criteria

How we choose every clinic and laboratory in our network.

A HFEA-registered London andrology clinic
HFEA-registered clinic
  • HFEA-registered clinics

  • UKAS-accredited andrology laboratories

  • WHO 2021 reference values, reported consistently

  • Discreet private collection rooms

  • Results explained by a consultant andrologist

Preparation and practicalities

A simple test, with a few important details.

Abstinence, timing and even a recent fever can change what the result means. We tell you exactly what applies to you.

  • 3–5 days abstinence before the test

    Two to seven is acceptable; three to five is ideal. Consistency matters if you are repeating.

  • Sample within one hour of production

    Ideally produced on-site; otherwise kept close to body temperature and delivered within the hour.

  • Avoid febrile illness

    A recent fever can suppress sperm production for up to three months — we usually repeat the test after that window.

  • Avoid heavy exercise 24 hours before

    Very heavy training or cycling in the day before can change parameters — take it easy the day before.

  • Alcohol and smoking matter

    Both affect sperm quality. Cutting back for three months before a repeat test is worth doing.

  • Tell us about any medications

    Testosterone, finasteride, some antibiotics and chemotherapy all affect sperm — mention everything, including supplements.

  • Sample collected in clinic

    Discreet private collection rooms; where you prefer, samples brought in from home are accepted within the hour.

  • Pregnancy is not relevant

    Unlike female fertility work-up, there is no pregnancy test consideration — the test is straightforward.

  • Confidential, no NHS record

    Unless you consent, results are not shared with the NHS — this is a private test with a private report.

Reading your report

A semen report can look intimidating. It isn't.

However many parameters are included, the report follows the same four parts.

A consultant andrologist reviewing a WHO 2021 semen report

A quiet reminder

A single sample rarely tells the whole story — sperm parameters vary meaningfully between samples.

If you would like us to talk you through the report before your follow-up, just ask.

  1. 01 Header

    Your details and the indication

    Your details, the reason for the test — trying, post-vasectomy, second opinion — and the abstinence period.

  2. 02 Technique

    The WHO parameters that were measured

    Which parameters were assessed (count, motility, morphology, volume, pH, vitality) and the method used — this is why lab-to-lab consistency matters.

  3. 03 Findings

    Count, motility, morphology, volume and pH

    Every parameter alongside its WHO 2021 reference value, with anything outside range flagged.

  4. 04 Impression

    Read this first: what it means

    The conclusion in plain English — normal, oligozoospermia, asthenozoospermia, teratozoospermia or azoospermia — with what to do next.

Recognised by major UK insurers

BupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealix

Semen analysis is often self-funded; where a fertility work-up is clinically indicated we confirm cover with your insurer.

Frequently asked

Everything we get asked about semen analysis.

Quick answers on WHO 2021, cost, sample collection, abstinence, repeat testing, privacy and next steps.

  • What does a semen analysis actually measure?

    A WHO 2021 standard semen analysis measures sperm concentration, total count, motility (progressive and non-progressive), morphology, volume, pH and vitality. Additional tests — DNA fragmentation, anti-sperm antibodies — are separate and requested where clinically indicated.

  • What is the difference between WHO 2021 and WHO 2010 reference values?

    WHO 2021 is the current, sixth-edition manual and updates the reference ranges used in 2010. Reputable UK andrology labs report to WHO 2021 — if your report cites the older values, ask why.

  • How much does a private semen analysis cost in London?

    A standard WHO 2021 semen analysis is £150–£350. Adding a consultation with an andrologist takes it to £300–£650. Specialist tests (DNA fragmentation, antibody, post-vasectomy) are priced separately — we confirm firm figures within one working day.

  • Do I need a referral?

    No. Self-referral is standard for private semen analysis. We book you directly into an HFEA-registered clinic with a discreet collection room.

  • How is the sample collected?

    Ideally on-site in a discreet private collection room, produced by masturbation into a sterile container. Where you prefer, samples produced at home are accepted if they reach the lab within one hour and are kept close to body temperature.

  • What are the abstinence rules before the test?

    Two to seven days of abstinence, ideally three to five. Shorter or longer periods change the numbers — consistency across repeat tests matters.

  • Do I need to repeat the test?

    Often, yes. Sperm parameters vary meaningfully between samples, and a single result should not be treated as definitive. Where numbers are borderline or unexpected, a repeat at three months (one full sperm-production cycle) is the standard approach.

  • Is the test confidential?

    Yes. Results are not shared with the NHS or your GP unless you ask for them to be. The report is yours and stays private.

  • When should I see a specialist?

    If sperm are absent (azoospermia), if numbers are very low, or if two consecutive samples are outside WHO 2021 ranges, a consultant andrology review is sensible. Hormone testing (LH, FSH, testosterone) and, sometimes, scrotal imaging are the usual next steps.

  • What are the fertility next steps if my numbers are low?

    A repeat sample, a hormone panel, a lifestyle review and — depending on the picture — DNA fragmentation testing. Where treatment is needed, options include IUI, IVF or ICSI, chosen with a fertility consultant and the female partner’s assessment in mind.

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