Sperm and azoospermia tests

A second opinion service - Free of charge

We offer a second opinion service where you can send us your hormone test results, sperm test results and other results. We offers our opinion based on our longstanding experience in this field on the phone. It will not be a face-to-face medical consultation.

Why you may wish to do this test?

The male factor is half the equation, but it is often neglected. When test results are poor, male patients are often ignored, and IVF or any other form of assisted conception is suggested. Men are often treated as sperm banks: Once sperm is extracted, men tend to be forgotten.

A sperm, drawn with Chinese calligraphy, TCM Healthcare — London fertility clinic

So you want to have children?

In the dash for babies, health reasons for poor sperm parameters can be overlooked. We believe they should be addressed, not only for the sake of improving sperm quantity and quality, but also to improve men’s overall health. It is simply not good enough to take sperm at face value when our track record shows sperm parameters improve in the majority of cases.

Semen analysis (sperm test)

This is the first-line test we offer. Our comprehensive semen analysis tests all parameters recommended by the World Health Organisation, including sperm count, motility, morphology, vitality and anti-sperm antibodies.

This comprehensive semen analysis is the first that doctors will ask for if you:

  • Are under 35 and have tried for over six months, or
  • Over 35 and have tried for over a year

If you have already done a semen test and found you have issues, you may wish to check out our treatment page.

What’s tested?

All major parameters recommended by the World Health Organisation, including:

  • Sperm count
  • Sperm motility (total, progressive and types of movement)
  • Sperm morphology
  • Anti-sperm antibodies (MAR tests)
  • Vitality



Includes a report, follow-up phone call to explain the result and to talk about potential treatments.

How long do results take?

3 working days

When can I do the test?

  • Monday to Friday, 7.00am–5.00pm
  • Saturday, 9am–12.30pm

What are the test conditions?

  • No high fever over the last 12 weeks
  • Abstain from ejaculation for at least two but no more than seven days before the test. In other words, you must have an ejaculation a few days before you do this test

What’s next?

The WHO recommends a retest in 12 weeks if your results show abnormalities. In the meantime, we will explore treatment options with you.

Azoospermia or very low sperm count

Men with azoospermia or very low sperm count may be also be diagnosed with testicular failure. Testicular failure occurs when the communication between the brain and testicles breaks down. The result is the testicles are unable to perform the functions of sperm production properly, leading to azoospermia or very low sperm production. The test that is often used to make the diagnosis of testicular failure consists of the following:

  • FSH
  • LH
  • Testosterone
  • Prolactin
  • Free Androgen Index
  • SHBG

When should I consider the test?

When no sperm or very low sperm count is found.



Includes a report, follow-up phone call to explain the result and to talk about potential treatments.

How long do results take?

Next working day

When can I do the test?

  • Monday to Friday, 7am–5pm
  • Saturday, 9am–3pm

Our tests

We will explain the results to you and explore your options if there are issues. As a reputable laboratory carries out our tests, the results are accepted by all doctors and clinics in the world. Most results are available between 1 and 3 days.

Have a look at our comprehensive set of pathology tests below.

We’re also happy to offer advice on which tests you may want to take, and help interpret any results you already have.

Book a test

Call us on: 020 7096 0283

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While we are happy to explain your test results to you, we always advise consulting your GP and having a proper medical consultation about your result. This is because these tests are Western medical tests and are best explained by Western medical doctors. We do not accept any liability regarding interpretation of test results should you wish us help explaining them.

If you have booked a test and decide to change the time or date, we are more than happy to help you change it to one that is convenient to you at no extra charge. However, cancellation will carry a small administrative fee of £30, before refund.