Male reproductive health expertise
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Male reproductive health expertise

Fertility specialists focused on male fertility and reproductive health.

Mr Steve Bromage

As a urological surgeon, Steve is the consultant you may see if you have male fertility issues. He performs Surgical Sperm Retrieval and is highly-skilled in microscopic surgery to ensure the best chance of success for intricate procedures such as vasectomy reversal.

Steve says: “Male infertility is a specialist interest of mine. There’s so much we can do these days to try to ensure your own sperm can be used in treatment. It’s so rewarding to be able to help those men who are having difficulty conceiving, sometimes conventional treatment isn’t enough on its own and procedures are needed for maximum chance of success.”

Doctify Rating: Excellent 5/5(26 reviews)

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Mr Steve Bromage

Mr Vaibhav Modgil

Having joined the Northwest of England’s regional centre for male sexual and reproductive health (Andrology) Prof. Modgil is the highest volume infrapubic penile implant surgeon in the UK, and one of the highest volume Peyronie's disease surgeons in the UK.

Vaibhav is the lead for Male Factor infertility services at the Department of Reproductive medicine at Manchester University NHS Foundation Trust, St Marys Hospital.

Doctify Rating: Excellent 4.99/5 (188 reviews)

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Mr Vaibhav Modgil

Our expert doctors are recognised leaders in the field of male reproductive health, combining years of specialist training with extensive clinical experience. They remain at the forefront of the latest research, diagnostic techniques, and treatment advances to ensure every patient receives the highest standard of care.

They specialise in diagnosing and managing the full spectrum of sperm and male fertility issues. This includes common concerns such as low sperm count, poor sperm motility, and abnormal sperm morphology, as well as more complex conditions affecting sperm production and function.

How is Male Fertility Tested?

As a dedicated male fertility and reproductive health clinic, we focus on identifying and treating a wide range of concerns. The process begins with a comprehensive male fertility assessment, designed to evaluate your current fertility status and review your medical and reproductive history to identify any factors that may affect your ability to conceive naturally.

To investigate male infertility, you will be asked to provide a semen sample for detailed laboratory analysis. This assessment evaluates key aspects of sperm health, including:

  • Sperm count
  • Sperm shape (morphology)
  • Sperm movement (motility)
  • Semen volume and pH levels

Where necessary, blood tests may also be carried out to assess hormone levels involved in sperm production. We will review your lifestyle habits as well and recommend practical changes that could help improve your fertility outcomes.

In addition, an advanced test known as SpermComet may be offered alongside your semen analysis. This test measures the level of DNA damage within sperm. It may be recommended if you have experienced low fertilisation rates during IVF, poor embryo development, or recurrent pregnancy loss.

What Causes Male Infertility?

Male infertility can result from a range of factors, including:

  • A reduced sperm count or the complete absence of sperm
  • Poor sperm motility (sperm that do not move effectively)
  • Abnormally shaped sperm
  • Problems with ejaculation
  • Testicular issues, including those related to surgery or illness
  • Hormonal imbalances

The underlying causes vary widely. They can include conditions such as undescended testicles, the effects of certain medications or drug use, and cancer. Lifestyle factors including excessive alcohol use, smoking, and obesity may also contribute. In some instances, however, the cause of male infertility remains unknown.

Male Reproductive Health FAQs

Where Can I Start?

If you are unsure of the current status of your fertility we suggest arranging an appointment for a Male Fertility Assessment. You can arrange an appointment through our online booking system or by calling the clinic directly at 0161 300 2730.

How Does Your Lifestyle Impact Sperm Health?

Your everyday habits play a major role in sperm health. Factors such as alcohol consumption, physical inactivity, smoking, stress, and poor sleep can all negatively affect sperm quality and overall fertility. The good news? Small, consistent changes can make a meaningful difference.

  • Stay Physically Active

Aim to exercise regularly or increase your daily movement. This could be as simple as taking a brisk walk each day, going to the gym, cycling, or playing a sport you enjoy. The key is consistency, choose activities that fit your lifestyle and that you’ll stick with long term.

  • Manage Stress Effectively

Ongoing stress can impact hormone levels and overall reproductive health. Make time for activities that help you unwind, whether that’s socialising with friends, reading, practising mindfulness, or improving your work-life balance.

  • Moderate Alcohol Consumption

Drinking excessive alcohol may lower testosterone levels and reduce semen quality. Keeping your intake within recommended limits can help protect your fertility.

  • Prioritise Quality Sleep

Establish a consistent sleep routine by going to bed and waking up at the same time each day. Create a restful sleep environment and limit screen time before bed to support healthy hormone production.

  • Consider Targeted Supplements

If you’re concerned about fertility, speak with a healthcare professional. They can advise whether supplements may be appropriate for your individual needs.

  • Stop Smoking

Smoking can damage sperm DNA and reduce sperm quality. If you’re planning to conceive, quitting at least three months beforehand may help improve outcomes.

How Is a Semen Analysis Sample Collected?

Most often, sperm is collected with masturbation. The sample is collected in a clean dish, privately, in room near the laboratory. If the sample is gathered at home or some place else, it must be delivered within 1 hour.

If needed, sperm can be collected surgically through a process called Surgical Sperm Retrieval (SSR).

How Long Can Sperm Be Stored?

Sperm can be frozen and safely stored for many years without a set expiration date. When preserved correctly, frozen sperm remains viable long term.

It’s important to note that the freezing and thawing process can slightly affect sperm quality. However, many individuals still achieve successful pregnancies using frozen samples.

Sperm banking is often recommended before medical treatments, such as chemotherapy or radiation, that may impact fertility. This allows teenagers and young adults to preserve the option of having biological children in the future.

Some men also choose to freeze sperm before a vasectomy, providing the possibility of fathering a child later if their circumstances change.

What Does Azoospermia Mean?

Azoospermia is a medical condition in which no sperm are present in the ejaculate. It is a recognised cause of male infertility and is typically identified through a semen analysis.

There are two main types of azoospermia:

  • Obstructive azoospermia – This occurs when sperm are being produced but a blockage prevents them from entering the semen.
  • Non-obstructive azoospermia – This happens when the testicles produce very little or no sperm due to an issue with sperm production itself.

A healthcare professional can perform further testing to determine the underlying cause and recommend appropriate treatment options.

Want to learn more about Male Fertility?

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