Male Infertility

Male infertility can be identified as a factor in up to half of all couples who attend a fertility clinic. Diagnosing a man with a fertility issue can have a profound effect on his physical and psychological well-being, as well as on the relationship. At The Agora we believe the man must be investigated as thoroughly as the woman and given as much support.

Whilst many clinics offer IVF and ICSI to overcome fertility issues due to the sperm, we take a more holistic approach to investigating male infertility, supporting the man as well as the couple.

We aim not only to maximise the chances of success in IVF with ICSI but also to improve the man’s natural fertility so that he can try and conceive naturally without the need for intervention.

Male infertility – a holistic approach

Our approach to assessing male infertility is to investigate a much wider range of factors that may affect sperm production, quantity and quality, so that sperm can be optimised both before and during treatment.

‘We should treat the man and not just the sperm’

says Jonathan Ramsay who holds regular Male Infertility Clinics at the Agora.

He has been a Consultant Urologist in London for 30 years with a particular interest in male infertility. He is the HFEA Licence holder for the Andrology Department at Hammersmith Hospital leading the Male Fertility Research Centre for Imperial College Healthcare and has had a longstanding research collaboration with Agora Medical Director Carole Gilling-Smith since they worked side by side at the Chelsea and Westminster Assisted Conception Unit in London. They have published numerous research papers on male infertility together and continue to combine their efforts in ground breaking research.

Recent male fertility research at the Agora has explored the benefit of an enhanced male fertility MOT to look specifically for more complex and less obvious causes of ‘unexplained infertility’.

Jonathan has an extensive research profile and is currently working with the Agora medical and laboratory teams on various research projects including the role of nutrition, weight loss, genital tract infection and DNA Fragmentation on overall fertility.

What is surgical sperm retrieval?

After your Medical Consultation, you may be advised you to have surgical sperm retrieval if your sperm count is too low in number or absent. This might be because the sperm duct is blocked (obstructive azoospermia) or because the testicles aren’t producing enough sperm (non-obstructive azoospermia). It can also be used following an unsuccessful vasectomy reversal.

Surgical sperm retrieval (or recovery) is a technique used to retrieve sperm directly from the testicle when there is suspected obstruction. It can either involve direct Testicular Sperm Extraction (TESE), micro-testicular dissection using an operating microscope (M-TESE) or Percutaneous Sperm Extraction (PESE). These procedures can be carried out at the Agora by either Mr Jonathan Ramsay or Mr Ehab Kelada under anaesthesia. The retrieved sperm are frozen (cryopreserved) ready to be thawed and used in IVF treatment with ICSI.

When there is an absence of sperm, particularly when this is due to non-obstructive causes (non-obstructive azoospermia), the chances of successful sperm retrieval may be improved by hormone treatments where appropriate and sometimes by undertaking a diagnostic mapping procedure before planning a micro-testicular dissection (M-TESE)

Come to one of our
Virtual Open Evenings!

Same sex couples and single women:
Monday 30th November (5:30 pm)

Hetero couples:
Wednesday 18th November (5:30 pm)

Book your place online using the button below.

Book Your Place

Alternatively, via email:

or phone: 01273 229410

We look forward to welcoming you.

Male infertility articles

Sperm, sex, sport and supplements

Sperm, sex, sport and supplements

Dr. Carole Gilling-Smith discusses male infertility with Jonathan Ramsay, a Consultant urologist at Imperial College Healthcare NHS ... read more

Male fertility – giving men a voice in the fertility process

Male fertility – giving men a voice in the fertility process

The Agora Clinic is partnering with Brighton-based male fertility expert Ian Stones. Here he explains his mission to give men a voice ... read more

Is it possible to make perfect sperm?

Is it possible to make perfect sperm?

November is male health awareness month. Dr Carole Gilling-Smith discusses male fertility; what makes good sperm, what causes bad sperm read more

FERTILITY MYTHS BUSTED 19: Sperm function is better after 10 days’ abstinence

FERTILITY MYTHS BUSTED 19: Sperm function is better after 10 days’ abstinence

It’s the kind of fertility myth that seems to make sense: if you hold back on sex, the quality of sperm will be better when you need it read more

Can cycling make men infertile?

Can cycling make men infertile?

“Cycling just five hours a week ‘could damage a man’s fertility’” – that was a Daily Mail headline in 2010. But is there any truth in ... read more

Enhanced Male Fertility Screening Tests

Enhanced Male Fertility Screening Tests

The latest advances in the field of assisted conception suggest that we need to measure men’s fertility more accurately. A growing ... read more

FERTILITY MYTHS BUSTED 11: Men don’t have a biological clock

FERTILITY MYTHS BUSTED 11: Men don’t have a biological clock

It’s widely known that Charlie Chaplin became a father at 73, but does that mean men don’t face a biological clock and that male ... read more

FERTILITY MYTHS BUSTED 8: Infertility is a women’s problem

If you’re desperate for a baby and struggling to conceive, hearing that fertility is a women’s problem is not only extremely unhelpful ... read more