Your diagnosis
Mr Jonathan Ramsay and his team specialise in the diagnosis and treatment of conditions affecting male fertility.
Perhaps you already have a diagnosis, but if not Mr Ramsay can help with diagnoses and treatment plans.
The sooner your particular male factor is diagnosed, the sooner it is possible to begin a successful journey to conception.
Some sub-fertile men may have a wide range of unusual medical, hormonal, and urological problems; it is certainly important that these conditions are diagnosed, treated as part of a successful fertility journey.
SEMEN ANALYSIS
Semen analysis, also known as a sperm test, is one of the most important tests when looking at male fertility and the likelihood of becoming a father.
DNA FRAGMENTATION
A DNA fragmentation test is a sophisticated test which looks more closely at the DNA and chromosomes in the sperm themselves.
HORMONAL AND GENETIC BLOOD TESTS
Blood tests that look at hormone levels and genetic elements can be a very important tests.
MORE SOPHISTICATED TESTS
In recent years we have been looking very carefully at the signs of infection and/or inflammation within the male genital tract.
MAR ANTIBODY TEST
Antibodies in the semen can cause the sperm to stick to one another reducing the ability of the sperm being able to fertilise an egg.
ULTRASOUND SCAN
An ultrasound can help in the assessment of a varicocele or other problems in the testicles and supporting structures.
DOUBLE STRAND DNA BREAKAGE EXAMEN "EXTEND"
This is a new test only recently commercially available. It seems to be a better marker of male fertility, and we are looking at ways to select the less damaged sperm for ICSI.
CELL FREE DNA (cfDNA)
Predicting outcomes in non-obstructive azoospermia (NOA). The level of cfDNA in the seminal fluid might help as to refine the prediction of finding sperm at a microTESE (surgical sperm retrieval). This test is part of a research project in North America. Although we do not yet have all the data, this test could be promising.
NEW EQUIPMENT & TECHNIQUES
We have new microscopes to try to improve sperm retrieval outcomes, and the embryologists at the Avenues Clinic are looking at new techniques to identify and store small numbers of sperm.
TESTICULAR MAPPING
FNA is designed to find out where sperm is being produced at specific points of the testicle.
Clinic locations
Mr Ramsay has been a Consultant Urologist at Hammersmith, Charing Cross and Chelsea & Westminster Hospital since 1988. He holds regular clinics at 145 Harley Street in Central London as well as at The Beaconsfield Clinic in Buckinghamshire. His operative work is done at The Lister Hospital.
