Male Fertility Assessment Surgery in Thailand (Andrological Evaluation)

Male factors contribute to roughly half of all infertility cases, yet many men never receive a thorough evaluation. A comprehensive male fertility assessment in Thailand brings together specialist consultation, laboratory testing, imaging, and hormonal analysis — often completed in just 2–3 days, with results and a clear treatment plan before you leave.

Procedure 2–3 appointments over 1–3 days

Hospital Stay None — outpatient

Recovery None

Minimum Stay 2–3 days

What Is Male Fertility Assessment?

A male fertility assessment identifies the cause of infertility or confirms normal reproductive function. It includes medical history, physical examination, semen analysis, hormone blood tests, and — where indicated — scrotal ultrasound and genetic testing, providing a complete picture of reproductive health.

The hormone panel measures FSH, LH, testosterone, and prolactin to evaluate the endocrine signals driving sperm production. Scrotal ultrasound detects structural issues such as varicoceles or obstructions, and genetic screening may be recommended in cases of severe oligozoospermia or azoospermia to guide treatment planning.

Common Concerns Male Fertility Assessment Can Address

Trying to conceive for 6–12 months or longer without success
Partner has already been assessed and no female factor has been found
Previous abnormal semen analysis result requiring further investigation
History of conditions that may affect fertility — varicocele, undescended testes, infections, surgery, or medication use
Wanting a baseline fertility check before planning a family

Are You a Good Candidate?

Any man who wants to understand his fertility status
Men whose partners are undergoing fertility investigations or treatment
Men with known risk factors for infertility (e.g., prior chemotherapy, hormonal conditions, lifestyle factors)
Men planning assisted reproduction and needing a complete diagnostic baseline

Techniques & Options

A comprehensive male fertility assessment follows a structured pathway. Your specialist will begin with a clinical history and physical examination, then order targeted investigations based on the findings. The aim is to identify the specific cause of any fertility issue — or to rule out male factor — so that treatment can be directed appropriately.

The assessment typically involves two main components:

Clinical Assessment & Semen Analysis

The foundation of any male fertility workup. Your urologist or andrologist will take a detailed medical and sexual history, perform a physical examination (including testicular volume assessment and checking for varicocele), and order a comprehensive semen analysis. The semen analysis measures sperm count, concentration, motility, morphology, and volume against WHO 2021 reference values. Advanced testing such as DNA fragmentation may be included if clinically indicated.

Identifies the most common causes of male infertility
Non-invasive — requires only a consultation and semen sample
Results available within hours for standard analysis

Hormonal & Imaging Investigations

If the clinical assessment or semen analysis suggests an underlying issue, further investigations are ordered. A hormone blood panel — including FSH, LH, testosterone, prolactin, and oestradiol — reveals whether the hormonal signals driving sperm production are functioning correctly. Scrotal ultrasound can detect varicoceles, obstructions, testicular abnormalities, or other structural issues. Genetic testing (karyotype and Y-chromosome microdeletion analysis) may be recommended in cases of severe oligozoospermia or azoospermia.

Hormone panel identifies endocrine causes of infertility
Ultrasound detects varicocele and structural abnormalities
Genetic testing guides treatment and counselling for hereditary conditions

Recovery Timeline

Day 1 — Consultation & Semen Analysis

Your assessment begins with a detailed consultation with a urologist or andrologist. You will discuss your medical history, lifestyle, and fertility goals. A physical examination is performed, and you will provide a semen sample for laboratory analysis. Standard semen analysis results are typically available within hours.

Day 1–2 — Blood Tests & Imaging

Blood is drawn for a hormone panel and any additional tests your specialist recommends. If a scrotal ultrasound is indicated, it is performed the same day or the following day — a painless, non-invasive scan that takes about 15–20 minutes. Advanced semen tests such as DNA fragmentation may also be processed during this period.

Day 2–3 — Results Consultation

Once all results are available, you will meet with your specialist for a comprehensive review. Every finding is explained clearly, and your specialist will provide a diagnosis (or confirm normal fertility) along with a personalised treatment plan. This may include lifestyle recommendations, medical treatment, surgical options, or referral for assisted reproduction.

Written Report

You will receive a detailed written report summarising all test results, your diagnosis, and the recommended treatment plan. This report can be shared with your GP, fertility specialist, or partner's treating doctor at home. Your coordinator is available after your visit for any follow-up questions.

What to Expect

Complete Diagnosis All tests done in 2–3 days

Hormonal Insight Full endocrine panel included

Expert Interpretation Specialist urologist or andrologist

Safety & Risks

A male fertility assessment is entirely non-invasive and carries no medical risks. All tests involved — semen analysis, blood tests, ultrasound, and physical examination — are safe, painless, and routinely performed.

Minor discomfort from blood draw (bruising at the needle site is possible but temporary)
Psychological stress from receiving an unexpected diagnosis — counselling support is available
A single semen analysis may not represent your true baseline — repeat testing may be recommended

Some results (e.g., genetic testing) may take longer to process and may be delivered after you leave Thailand
Normal test results do not guarantee fertility — unexplained infertility exists in a proportion of cases
Ultrasound findings may occasionally require further investigation with additional imaging

Your specialist will explain all findings in context and ensure you understand what the results mean for your fertility and overall health. If any result requires further investigation, your clinic will coordinate next steps — whether that is additional testing in Thailand or referral to a specialist in your home country.

How Much Does Male Fertility Assessment Cost in Thailand?

Our pricing covers the full assessment pathway — from specialist consultation and diagnostic testing through to a written report with a personalised treatment plan.

Male Fertility Assessment

Complete male fertility assessment

From $350

Urologist/andrologist consultation
Comprehensive semen analysis
Hormone blood panel

Physical examination
Ultrasound if indicated
Written report & treatment plan

Add Accommodation Package

Hotel, breakfast, airport transfers & 24/7 support

From $89 / night

Affordable suites on Sukhumvit Soi 23, a short ride from leading fertility clinics. Rooms include a kitchenette, daily breakfast, and access to the pool and fitness centre — a comfortable, budget-friendly base during your treatment.

A well-appointed serviced residence in the heart of Sukhumvit with full kitchen, washer-dryer, pool and gym. Ideal for patients on longer treatment cycles who want a home-away-from-home feel with hotel-level service.

A luxury hotel close to the clinic district, known for impeccable Japanese-standard service. Spacious rooms, an acclaimed spa, and 24-hour room service — the premium choice for a stress-free stay during treatment.

Common Questions About Male Fertility Assessment

Everything you need to know before your procedure

Most assessments are completed in 2–3 days. Your first appointment covers the consultation, physical examination, and semen sample. Blood tests and imaging are done the same or following day, with a results consultation once all tests are back.

A comprehensive assessment typically includes a detailed medical and sexual history, physical examination (including testicular assessment), semen analysis (count, motility, morphology), hormone blood panel (FSH, LH, testosterone, prolactin), and — where indicated — scrotal ultrasound, sperm DNA fragmentation testing, and genetic screening. Everything is coordinated over 2–3 days so you get a complete picture efficiently.

Most assessments can be completed over 2–3 days. Your first appointment includes the consultation, physical examination, and semen sample. Blood tests and ultrasound are typically done on the same or following day. A results consultation is scheduled once all tests are back — usually by day 2 or 3. Some advanced tests, such as genetic screening, may take slightly longer.

You should abstain from ejaculation for 2–5 days before your semen analysis appointment. Bring a list of any medications and supplements you take, and be prepared to discuss your full medical history including any past surgeries, infections, or chronic conditions. Avoid heavy alcohol, saunas, and hot baths in the days before your appointment.

If an abnormality is identified, your specialist will explain the diagnosis, its impact on your fertility, and all available treatment options. These may include lifestyle changes, medication, surgical correction (for example, varicocele repair), or assisted reproduction techniques such as IUI, IVF, or ICSI. Your written report will include a step-by-step treatment plan tailored to your situation.

Yes. Many couples choose to undergo their fertility assessments in parallel at the same clinic. This is an efficient approach — both sets of results are available at the same time, allowing your specialist to provide a combined treatment recommendation. Female fertility assessments can be arranged through the same coordinator.

The hormone panel measures FSH (follicle-stimulating hormone), LH (luteinising hormone), testosterone, prolactin, and sometimes oestradiol and thyroid function. These hormones control sperm production, and abnormalities can indicate problems with the pituitary gland, hypothalamus, or testes. Hormonal causes of infertility are often treatable with medication.

Varicoceles are enlarged veins in the scrotum, present in about 15% of men and up to 40% of infertile men. They can raise testicular temperature and impair sperm production, leading to reduced count, motility, and morphology. If a varicocele is found and is contributing to infertility, surgical repair (varicocelectomy) may improve sperm parameters. Your specialist will advise whether repair is recommended in your case.

A comprehensive male fertility assessment in Thailand typically costs USD 350–800, compared to USD 1,000–3,000 or more in the US, UK, or Australia — where individual tests are often billed separately and spread across multiple appointments over weeks or months. In Thailand, you complete everything in 2–3 days with a single specialist overseeing your entire workup.

Yes. Every patient receives a detailed written report summarising all test results, the specialist's interpretation, diagnosis, and recommended treatment plan. This report is provided in English and can be shared with your GP, fertility specialist, or any treating doctor in your home country.

In many cases, yes. If your assessment identifies a treatable condition — such as a hormonal imbalance — medication can be started during your stay. If assisted reproduction is recommended, your clinic can begin planning an IVF or ICSI cycle, potentially coordinating with your partner's treatment timeline. If surgery such as varicocele repair is indicated, this can often be performed during the same trip.

Dr. Natthida Chaisiri

MEDICALLY REVIEWED

Dr. Natthida Chaisiri

MEDICALLY REVIEWED

Fertility Specialist · Bangkok

Last reviewed: February 18, 2026

Medical References

What's Included

Urologist/andrologist consultation
Comprehensive semen analysis
Hormone blood panel
Physical examination
Ultrasound if indicated
Written report & treatment plan

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Male Fertility Assessment in Thailand

What Is Male Fertility Assessment?