Men's clinic

Complete Fertility is pleased to offer a discreet and convenient private clinic specialising in male fertility. The clinic is led by Mr Rowland Rees, Urological Surgeon & Andrologist, who specialises in the investigation and management of men with oligozoospermia and azoospermia.

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What is male infertility?

Statistics show that 13 out of 100 couples struggle to fall pregnant with unprotected sexual intercourse.  In over a third of these cases the problem is with the male partner. Male infertility can have many causes. It may be that there is low numbers of sperm, or not enough healthy sperm. It could be due to a genetic problem, such as cystic fibrosis, or due to a blockage in the genital tract.

Infertility does not always cause specific symptoms in men. However, if it is caused by a medical condition, surgical condition or low hormone levels, then symptoms may occur.

A condition that affects your testicles may cause:             

  • Pain and swelling in your testicles
  • Prominent veins in your testicles

A problem with your prostate gland or epididymis (the sperm carrying tube) may cause:

  • Pain when ejaculating
  • Bloody semen
  • Problems ejaculating when having intercourse

Low levels of hormones may cause:

  • Weight gain
  • Lower sex drive (libido)
  • Problems getting or sustaining an erection
What will happen during my appointment?

Our Consultant will take a thorough medical history to assess what could be affecting your fertility.  This will include asking about childhood illnesses, current health problems, medications and if there has been any trauma.  You will be asked about your lifestyle, whether you smoke, your alcohol use and if you take any recreational drugs.  He will also discuss your work history to see if this would have any impact on your fertility.

Your physical examination will look for problems in your penis, epididymis, vas deferens and testicles.

Which tests are available?

Semen analysis – This is a routine lab test, which will show the level of sperm production and whether sperm are functioning well.  Your semen will be analysed for sperm volume, count, concentration, motility and structure. Even if the semen analysis shows a low sperm count or no sperm, it may not mean you are permanently infertile.  More investigations may be needed.  If low sperm, or no sperm is seen, then you may be offered treatment, such as a Surgical Sperm Retrieval, or lifestyle recommendations.

Which treatments can we offer?

Sperm Retrieval – We can offer microsurgical methods to enable the Consultant to obtain sperm blocked by obstructive azoospermia (no sperm).  The goal is to obtain the best quality and number of sperm.  This can be done in the following ways:

Testicular Sperm Extraction (TESE) – This is a common technique used to diagnose the cause of azoospermia.  Testicular tissue is retrieved by a biopsy of the testicles.  A more refined form of this procedure is microTESE, where an operating microscope is used to identify small areas of sperm production in the testicles of men with such low sperm production that no sperm survive or make it into the semen. Sperm can be frozen for future use.

Percutaneous Epididymal Sperm Aspiration (PESA) – This is performed under general or local anaesthesia.  Our Consultant inserts a needle attached to a syringe into the epididymis and gently withdraws fluid.  It is not always able to access sperm this way. 

Booking and appointment

If you have any further questions or wish to book an appointment in the private Male Fertility Clinic, please call the Private Co-ordinators on 02380 010573 or email info@completefertility.co.uk.  It is also possible for your GP or Consultant to refer you to this service on a private basis. We aim to be able to book you in to the next available clinic.