Concierge male fertility · UK
Semen analysis - WHO 2021, done properly.
A proper semen analysis is a lab test, not a home-kit gimmick. WHO 2021 reference values, careful sample handling, and consultant review - because one abnormal test never diagnoses infertility.
Why patients choose us
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UK consultant sign-off
Every panel is signed off by a UKMLA-registered clinician - not a generic "results letter" with a company logo.
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A conversation, not a PDF
You get a proper clinician call to walk through the results and next steps, included in every price we quote.
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Independent, and free
We take no fee from providers. The recommendation is impartial and costs you nothing.
Indicative pricing
What a private semen analysis costs in the UK.
Indicative ranges across our partner fertility test units. Send the details and we quote firm figures across two or three options, with cover checked.
In short
Semen analysis in our network: £120–£300, report in 3–5 working days.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| Standard semen analysis (WHO 2021) | £120–£200 | Sample + lab | 3–5 working days |
| Extended (adds strict-criteria morphology, vitality) | £180–£280 | Sample + lab | 3–5 working days |
| Sperm DNA fragmentation test | £200–£350 | Sample + lab | 7–10 working days |
| Post-vasectomy semen analysis | £120–£200 | Sample + lab | 3–5 working days |
| Full male fertility workup (bloods + US + semen) | £450–£800 | Half-day + lab | 1–2 weeks |
| Andrology consultation only | £200–£400 | 30–45 min | Same visit |
Prices vary by whether DNA fragmentation testing, morphology by strict criteria, or sperm cryopreservation are added.
The problem
One abnormal test is not a diagnosis.
Semen parameters swing week to week. Illness, fever, sauna use and abstinence all shift the numbers. A useful workup uses two samples 6 weeks apart, WHO 2021 reference values, and a consultant who explains what the numbers actually mean.
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Repeat before you worry
Semen parameters swing. Two samples 6 weeks apart, WHO 2021 values.
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Volume, count, motility, morphology
Each measures a different thing. Isolated abnormalities are common.
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A specialist matters
A good report leads to further tests (DNA fragmentation, hormones, imaging) only when they change management.
The journey
From enquiry to recovery - what happens, in order.
One team from first message through operation, histology and follow-up.
Phase 1 · Before
Workup, imaging, planning
Phase 2 · On the day
Theatre and recovery
Phase 3 · After
Review and follow-up
- 01
Before
Why are you testing?
Fertility investigation, post-vasectomy, pre-chemotherapy - each has its own protocol.
- 02
Before
Abstinence 2–7 days
Under 2 days lowers volume; over 7 days lowers motility.
- 03
Before
Sample collection
In-clinic room or careful home collection within 1 hour, kept at body temperature.
- 04
On the day
Laboratory analysis
Volume, concentration, motility, morphology, vitality per WHO 2021.
- 05
After
Written report
Formal report within 3–5 working days.
- 06
After
Consultant review
Andrologist call to explain values and next steps.
- 07
After
Repeat if abnormal
Second sample 6 weeks later before any diagnostic label.
Typical end-to-end: 1–2 weeks from enquiry to reported scan.
When it helps
When a semen analysis is the right step.
Situations where the test earns its place - plus the red flag that trumps a test.
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Unexplained subfertility
After 12 months (or 6 months if the female partner is 35+) of trying.
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Pre-chemotherapy fertility preservation
Before treatment, sperm cryopreservation offered.
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Post-vasectomy confirmation
Two negative samples at 12 and 16 weeks before relying on it.
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Prior testicular surgery or torsion
Baseline post-recovery.
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Varicocele or scrotal pathology
Assess fertility impact and pre-surgery baseline.
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Suspected endocrine disorder
Testosterone deficiency, hypogonadism - semen alongside bloods.
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Recurrent miscarriage evaluation
Sperm DNA fragmentation sometimes tested alongside standard analysis.
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Red flag: testicular lump or pain
A new lump, sudden severe pain or swelling needs urgent urology or A&E, not a fertility booking.
Procedure options
Beyond standard semen analysis.
When to add DNA fragmentation, hormones or imaging.
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Standard WHO 2021 analysis
Volume, concentration, motility, morphology, vitality.
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Strict-criteria morphology (Kruger)
Stricter definition - more sensitive marker of subfertility.
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Sperm DNA fragmentation
Optional - for recurrent miscarriage or unexplained IVF failure.
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Hormonal panel
Testosterone, FSH, LH, prolactin - useful when azoospermia or severe oligospermia.
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Scrotal ultrasound
Varicocele, testicular volume, epididymal cysts.
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Genetic testing
Karyotype, Y-chromosome microdeletion, CFTR - for severe oligospermia or azoospermia.
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Cryopreservation
Sperm banking before chemotherapy, surgery or vasectomy.
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Repeat testing
Two samples 6 weeks apart before diagnostic labels.
Our vetted UK network
A small panel of andrologists, we picked them.
Consultant andrologists across London and the major UK cities. Introductions are made privately, once we understand your case.
Selection criteria
How we choose every consultant in our network.
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CQC-registered clinics and pathology partners across the UK
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UK GMC-registered consultants signing off every report
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UKAS-accredited pathology labs for every blood test
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Insurer preauth handling for Bupa, AXA, Vitality, Aviva, WPA and Cigna
Safety and recovery
What to expect afterwards - honestly.
The safety profile is well understood. What matters is choosing the right test, and reading the report honestly.
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The test itself is safe
Sample production is by masturbation. No physical risk.
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Sample handling is critical
Deliver within 1 hour at body temperature - in-clinic collection avoids the issue.
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Illness affects results
Fever, illness or infection in the last 6 weeks can transiently drop counts.
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Sauna and heat
Regular sauna, hot tub or fever drops motility.
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Abstinence window
2–7 days is standard. Extremes shift results.
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One abnormal test needs repeating
Never diagnose subfertility on a single sample.
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Emotional impact
Abnormal results are common and unsettling - proper counselling is part of the service.
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Not for teens without symptom or plan
Testing without indication risks unnecessary anxiety.
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When to escalate
A testicular lump, sudden pain or swelling - urgent urology or A&E.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever centre does the scan, the report keeps to the same shape.
A quiet reminder
Surgical language is precise and can read coldly - we translate it for you.
If you would like us to talk you through the operation note and any histology before your review, just ask.
- 01 Header
Sample details
Abstinence, collection method, volume, appearance.
- 02 Findings
WHO 2021 parameters
Volume, concentration, total number, progressive and total motility, morphology, vitality.
- 03 Comparison
Comparison with prior samples
If any, direction of change since previous test.
- 04 Impression
Category and next step
Read this first - normozoospermia, oligo/astheno/teratozoospermia, azoospermia - and the recommended next step.
Recognised by major UK insurers
Fertility investigations are usually excluded from UK private medical insurance. Post-vasectomy checks and urology-referred testing may be covered.
Frequently asked
Everything we get asked about semen analysis.
Quick answers on approach, recovery, risks and cost.
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What is measured in a semen analysis?
Per WHO 2021: volume, sperm concentration, total sperm number, progressive and total motility, morphology and vitality. Extended tests add strict-criteria morphology and DNA fragmentation.
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How much does a private semen analysis cost in the UK?
£120–£200 for a standard WHO 2021 analysis; £180–£280 with strict-criteria morphology and vitality; £200–£350 for DNA fragmentation; £450–£800 for a full male fertility workup.
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Does one bad test mean I’m infertile?
No. Semen parameters swing week to week. Two samples 6 weeks apart, both consistent with impaired fertility, are needed before any diagnostic label.
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How long should I abstain before the test?
Two to seven days. Under 2 days lowers volume; over 7 days lowers motility. Illness, fever or heavy sauna use in the preceding 6 weeks should be noted.
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Is the test covered by insurance?
Fertility investigations are usually excluded from UK PMI. Post-vasectomy checks and testing for a specific urological problem may be covered with a referral.
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Can I collect the sample at home?
Yes at some clinics, provided the sample is delivered within an hour and kept at body temperature. In-clinic collection avoids handling problems and is preferred by most labs.
Related treatments
Looking for something else?
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Fertility MOT / AMH test
Partner fertility testing.
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Well-man health screen
Bloods, PSA, cardiovascular check.
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Prostate mpMRI
Multi-parametric prostate MRI.
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Private ultrasound
Scrotal or testicular ultrasound.
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Menopause clinic
Couple fertility conversations.
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All tests & procedures
Every test we arrange.
Learn more