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Assessments & Tests

What would you most like help with?

Two safety questions come first.

Do you currently have sudden or severe testicular pain, rapidly developing swelling, nausea associated with testicular pain, fever or feel acutely unwell?
Have you noticed a new testicular lump, hardness or significant change in the size or shape of a testicle?
Do any of the following apply?
Which statement best describes your current plans?

Wording awaited

How would you prefer to have your consultation?
Would you like a scrotal Doppler ultrasound before your in-person consultation?
Future Fatherhood suitability screen

Routine clinician approval is not required. Pause booking and request clinical review when the patient reports any of the following:

Which blood-test route applies?

Your recommendation

Know Your Numbers

Clinician-reviewed semen and hormone report without a consultation

Fertility Foundations in person

45-minute consultation, focused examination and tailored plan

Fertility Foundations in person with ultrasound beforehand

Adds structural assessment for discussion during the consultation

Fertility Foundations distance

Online consultation with scrotal Doppler ultrasound completed beforehand

Future Fatherhood

Advanced assessment with ultrasound, oxidative stress and COMET Extensive

Clinical review before booking

Severe semen abnormality, test feasibility concern or another individual requirement

Urgent medical assessment

Acute pain, rapid swelling or another urgent scrotal concern

CMFH is not an emergency service. For sudden severe testicular pain, significant swelling after an injury, or symptoms that feel urgent, call 111 or attend urgent care. Call 999 in a life-threatening emergency. A new testicular lump or persistent change should be assessed promptly by a GP or appropriate clinician.

Know Your Numbers is likely to be the most proportionate starting point. It combines a fresh comprehensive semen analysis with your hormone and metabolic results and a clinician-reviewed report. It does not include a consultation, examination or ultrasound. If your results identify a concern, we will explain the most useful next step.

Wording awaited

Fertility Foundations is likely to be the most appropriate next step. It combines semen and blood results with a 45-minute specialist consultation, an objective assessment of testicular health and a plan tailored to you.

Future Fatherhood may provide the broader investigation your history or priorities warrant. It combines the core clinical assessment with scrotal Doppler ultrasound, COMET Extensive sperm DNA testing and seminal oxidative-stress testing. The results are interpreted together during a 45-minute consultation.

Future Fatherhood is freely self-bookable after the suitability questions. More testing does not guarantee that a cause will be found, and known severe male-factor results require clinical review before advanced sperm tests are accepted.

    Because you answered

    Also worth considering

    Speak to the team

    Three levels of male fertility assessment

    Choose the level that matches the question you want answered.

    Read more

    We use suitable recent results where we can and explain what each investigation adds. The aim is a purposeful assessment, not the largest possible collection of tests.

    The lower price applies when you already have suitable recent hormone and metabolic blood results. CMFH-direct prices include the equivalent blood panel and phlebotomy.

    01 · RESULTS

    Know Your Numbers

    A clinician-reviewed semen and hormone report

    • Fresh comprehensive laboratory semen analysis: Included.
    • Review of suitable recent hormone and metabolic blood results: Included.
    • Detailed fertility, medical, sexual-health and lifestyle questionnaire: Included.
    • Clinician-reviewed written report explaining the findings, important limitations and sensible next steps: Included.
    • 45-minute consultation: Not included.
    • Focused examination: Not included.
    • Scrotal Doppler ultrasound: Not included.
    • Oxidative stress: Not included.
    • Sperm DNA (COMET Extensive): Not included.

    A clear starting point for understanding your semen quality, reproductive hormones and wider metabolic health without booking a consultation.

    See exactly what is included

    Included

    Fresh comprehensive laboratory semen analysis

    Review of suitable recent hormone and metabolic blood results

    Detailed fertility, medical, sexual-health and lifestyle questionnaire

    Clinician-reviewed written report explaining the findings, important limitations and sensible next steps

    Clear guidance on whether a fuller assessment should be considered

    This is a report-only service. It does not include a consultation, physical examination or ultrasound. Significant or unexpected findings may lead us to recommend a fuller assessment.

    02 · RESULTS + STRUCTURE

    Fertility Foundations

    A doctor-led assessment of your semen, hormones and testicular health, creating a plan tailored to you

    • Fresh comprehensive laboratory semen analysis: Included.
    • Review of suitable recent hormone and metabolic blood results: Included.
    • Detailed fertility, medical, sexual-health and lifestyle questionnaire: Included.
    • Personalised recommendations and a tailored written plan: Included.
    • 45-minute consultation with a male fertility doctor: Included.
    • Your 45-minute consultation includes a focused male fertility examination.: In one pathway.
    • Before your online consultation, you will have a specialist scrotal Doppler ultrasound.: In one pathway.
    • Oxidative stress: Not included.
    • Sperm DNA (COMET Extensive): Not included.

    Fertility Foundations combines your results with a 45-minute consultation and an objective assessment of reproductive anatomy.

    Compare the two pathways

    Choose an in-person consultation with a focused examination, with the option to add an ultrasound beforehand, or a distance pathway that includes a scrotal Doppler ultrasound.

    Included in both pathways

    Fresh comprehensive laboratory semen analysis

    Review of suitable recent hormone and metabolic blood results

    Detailed fertility, medical, sexual-health and lifestyle questionnaire

    45-minute consultation with a male fertility doctor

    Integrated interpretation of your semen, blood and clinical findings

    Personalised recommendations and a tailored written plan

    In-person pathway

    Your 45-minute consultation includes a focused male fertility examination.

    Optional ultrasound before your consultation

    You can add a specialist scrotal Doppler ultrasound before your appointment if you have persistent or recurrent scrotal discomfort, concerns about a possible structural problem or would like a more detailed assessment of your testicular health. The scan measures testicular size, examines the testes, epididymides and surrounding structures, assesses blood flow and looks for features such as a varicocele. Because the scan is completed beforehand, its findings will be interpreted alongside your other results and discussed during your consultation.

    Ultrasound recommended after your consultation

    Sudden or severe testicular pain requires urgent medical assessment and should not wait for a routine fertility appointment.

    Distance pathway

    Before your online consultation, you will have a specialist scrotal Doppler ultrasound. The scan measures testicular size, examines the testes, epididymides and surrounding structures, assesses blood flow and looks for features such as varicocele.

    An ultrasound cannot assess every feature of a physical examination. We may still recommend an in-person examination if your history, results or scan identify a clinical concern.

    03 · RESULTS + STRUCTURE + DNA

    Future Fatherhood

    Our advanced assessment of semen quality, hormones, testicular structure, oxidative stress and sperm DNA integrity

    • Fresh comprehensive laboratory semen analysis: Included.
    • Review of suitable recent hormone and metabolic blood results: Included.
    • Detailed fertility, medical, sexual-health and lifestyle questionnaire: Included.
    • Personalised recommendations and a tailored written plan: Included.
    • 45-minute face-to-face or online consultation with a male fertility doctor: Included.
    • Focused male fertility examination when the consultation is in person: In one pathway.
    • Specialist scrotal Doppler ultrasound: Included.
    • Seminal oxidative-stress testing: Included.
    • COMET Extensive testing for overall and double-strand sperm DNA damage: Included.

    Future Fatherhood brings the core clinical assessment and selected advanced investigations together in one coordinated pathway.

    Ask whether advanced testing is right for you

    It is designed for men who need deeper investigation rather than advanced testing without a clinical question.

    Included

    Fresh comprehensive laboratory semen analysis

    Review of suitable recent hormone and metabolic blood results

    Detailed fertility, medical, sexual-health and lifestyle questionnaire

    COMET Extensive testing for overall and double-strand sperm DNA damage

    Seminal oxidative-stress testing

    Specialist scrotal Doppler ultrasound

    45-minute face-to-face or online consultation with a male fertility doctor

    Focused male fertility examination when the consultation is in person

    Integrated interpretation of the semen, blood, DNA, oxidative-stress and ultrasound findings

    Personalised recommendations and a tailored written plan

    Future Fatherhood may be particularly useful for men with persistently abnormal semen results, otherwise unexplained infertility, recurrent miscarriage, unsuccessful fertility treatment, raised sperm DNA fragmentation or clinical factors associated with oxidative stress.

    Genetic, infection and microbiome testing are not routinely included. These investigations are recommended separately when the clinical findings provide a specific indication.

    In one pathway

    Before you pay

    1. We confirm what is included and which previous results can be used.
    2. We explain any laboratory preparation, collection or travel requirement.
    3. We give the current expected laboratory and reporting times.
    4. We tell you who will review the result and whether a consultation is included.
    5. You receive the cancellation, rescheduling and refund terms before payment.
    Start your assessmentAsk about an existing result

    Individual tests and selected investigations

    • Standalone semen analysis

      When it may be useful: A foundation test describing the sample; it may need repetition or clinical context.

    • CMFH hormone and metabolic blood panel

    • Scrotal Doppler ultrasound

      When it may be useful: Testicular structure, blood flow and questions such as varicocele.

    • COMET Extensive sperm DNA testing

      When it may be useful: Combined overall and double-strand sperm DNA fragmentation testing. No consultation is included when purchased separately.

    • Double-strand sperm DNA fragmentation

      When it may be useful: Selected cases where a double-strand-specific result addresses the clinical question.

    • Oxidative-stress testing

      When it may be useful: Included in Future Fatherhood and otherwise used selectively.

      Price confirmed before separate testing

    • Culture or urine PCR

      When it may be useful: Symptoms, history or findings suggesting infection or inflammation.

      Clinician-directed; quoted before testing

    • Karyotype or Y-chromosome microdeletion

      When it may be useful: Selected men with azoospermia, severe sperm-count reduction or relevant clinical features.

      Clinician-directed; quoted before testing

    • Semen or urine microbiome

      When it may be useful: Occasional specialist use where it addresses a defined unresolved question.

      Clinician-directed; quoted before testing