MALE FERTILITY SPECIALIST · LONDON
Told IVF or donor sperm is your only option? Let's look at the male side properly.
A semen test tells you what is happening, not why. Professor Amr Raheem, Consultant Andrologist, looks for the cause and treats it where he can, to help you conceive naturally or give IVF its best chance.
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More than a decade in the Andrology department at University College London Hospital, and former Senior Lecturer at UCL
Professor of Andrology, Cairo University (Kasr Al-Ainy)
More than 150 published research papers
Fellow of the European Academy of Andrology, the European Committee of Sexual Medicine and the American College of Surgeons
Seen at Avenues, 2 Barnby Street, London NW1, or by video
START HERE
Which of these sounds like you?
Pick the one closest to your situation. Each page explains what it means, what can be done, and what happens next, in plain English.
I've been told I have no sperm
It doesn't always mean you can't have your own biological child. Sperm can often still be found, by treating a blockage or with microsurgical sperm retrieval.
My sperm count is low
A low count is a finding, not a diagnosis. Many causes can be treated, so you aren't sent straight to IVF.
My testosterone is low, or I've been told I have a hormone problem
Hormone problems are among the most treatable causes of male infertility, but testosterone alone switches sperm production off. There are better options.
IVF hasn't worked for us
Sperm quality, DNA damage and hormones can be overlooked between cycles. We look for what can still be improved before the next attempt.
I've used testosterone or steroids
Sperm production can often be restarted. Treatment is tailored so you can stay well while your fertility recovers. No judgement.
We'd like to try naturally
Treating causes such as a varicocele, an infection or a hormone imbalance can give you a real chance of conceiving without IVF.
I'm about to start cancer treatment
We can arrange sperm freezing quickly, before treatment begins, including when producing a sample isn't possible.
I've had a vasectomy and want children
Microsurgical reversal can restore sperm in the ejaculate. Where it isn't suitable, sperm can be retrieved for IVF.
My partner has had miscarriages
Sperm can carry DNA damage that a normal semen test doesn't show. It can be measured, and often reduced.
Our tests are normal, but we're still not pregnant
A “normal” semen test doesn't rule out a male factor. A specialist assessment often finds something that can be improved.
Not every varicocele needs treatment, but repairing the right one can improve sperm and the chance of natural pregnancy.
Read More ➔
My sperm don't move well, or are an abnormal shape
Poor motility and morphology often have a cause, such as a varicocele, infection or hormone imbalance, that can be treated.
DNA damage can lower the chance of pregnancy and raise the risk of miscarriage. Finding and treating the cause can often reduce it within about three months.
Read More ➔
I'm over 40 and want to become a father
The male biological clock is real. Sperm quality and DNA decline with age, but much of it can be measured and improved.
A L S O S E E N H E R E
If yours isn't listed, get in touch. Most male fertility problems have something that can be done.
Ejaculatory duct obstruction
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FAMILY PLANNING AND VASECTOMY
C H R O N I C S C R O TA L P A I N
Vasectomy, including Prof Raheem's nerve-sparing modification
Chronic scrotal pain, including microsurgical denervation of the spermatic cord
S P E C I A L I S T S E R V I C E S
For men with no sperm in the semen, sperm can be retrieved on the same day as your partner's egg collection and used fresh, without being frozen and thawed. This matters most when very few sperm are found.
Read More ➔
For men with a good sperm count but high DNA fragmentation, sperm taken directly from the testis usually carries two to three times less DNA damage than ejaculated sperm. It is used fresh for ICSI on the day of egg collection.
Read More ➔
W H A T T O E XP E C T
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Online, by phone or on WhatsApp. Choose a video call or an appointment at the clinic. You don't need a GP referral.
Any semen analysis, blood tests or IVF reports help. If you have none, we'll arrange the right tests.
45 minutes in clinic (30 by video) with Prof Raheem. A full history and, in clinic, an examination and scrotal ultrasound. Your partner is welcome to join
What the findings mean, your options, and the costs, explained before anything is booked.
FEES
Our consultation fees are published in full, so you know the cost before you book. Surgical treatment is quoted in full after your consultation, so there are no surprises.
All fees and booking
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W H O Y O U ' L L S E E
Consultant Andrologist · MB BCh, DipSurg, MSc, PhD, FECSM, FEAA, FACS
Prof Raheem is a London-based consultant andrologist with a specialist interest in male fertility, within a practice that spans the full breadth of Andrology. He spent more than a decade in the Andrology department at University College London Hospital, where he managed complex male fertility cases, set up the joint fertility clinic for couples and redesigned the pathway for men with no sperm in the semen, and was a Senior Lecturer at UCL. He is also Professor of Andrology at Cairo University (Kasr Al-Ainy).
Male infertility has been at the centre of his work for more than 25 years, from hormone treatment to microsurgical sperm retrieval and reconstruction.
He has published more than 150 research papers and sees every patient personally, from first consultation to outcome. He speaks English and Arabic.
Full Biography
Research
P A T I E N T R E V I E W S
Q U E S T I O N S
Do I need a GP referral?
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No. You can book directly. If you have a referral letter or previous results, please bring them
Book online, call, or send a WhatsApp message. Clinic appointments run Monday to Wednesday and Saturdays. Video appointments run on the same days, in the evenings. Not sure if we can help? Call or WhatsApp for a free, confidential chat with our team first.