Male subfertility: diagnosis and management options

A diagnosis of infertility can be devastating for those trying to conceive. But fertility experts warn that all too often, a referral is made to an IVF clinic without first testing male subfertility, which could potentially lie at the heart of the problem. “Many men will go to fertility units with their partners for IVF [in vitro fertilisation], but the man is never examined,” says Jonathan Ramsay, a consultant urologist, and specialist in male fertility treatment and surgery, based in London. Men with fertility issues are often diagnosed very late, says Mr Tet Yap, a consultant specialising in urology and