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Fertility testing & monitoring

A sperm fertilising an egg, more sperm swim towards it

At The Men’s Health Clinic, we believe in understanding the full picture of hormonal health, not only for overall wellbeing, but also for fertility. Hormones influence every aspect of reproductive function, and establishing accurate baseline data can provide valuable insight to support informed, responsible treatment decisions and to help monitor progress over time.

For men, we use the ExSeed® at-home sperm test to establish a benchmark of fertility before and during testosterone replacement therapy (TRT). This provides objective insight into sperm concentration and motility, helping track any change over time and guide conversations around fertility preservation or recovery.

For women, the Mira Hormone Monitor offers a simple, evidence-based way to measure and track fluctuations in oestrogen, progesterone, FSH (follicle-stimulating hormone) and LH (luteinising hormone) – giving a clearer view of the transition through peri- to post-menopause and supporting decisions about hormone replacement therapy (HRT).

Together, these tools allow us to quantify reproductive hormone health in both men and women, helping our doctors tailor safe, personalised treatment plans and supporting you in understanding how your body is responding, every step of the way.

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ExSeed® At-Home Sperm Testing

A practical, evidence-based way to benchmark male fertility before, during, or after testosterone treatment.

Fertility is an important consideration for many men exploring testosterone replacement therapy. While TRT can improve quality of life and symptom control, it can also influence sperm production. The ExSeed® at-home sperm test offers a simple, private, and clinically validated way to assess sperm parameters from home, providing useful baseline and monitoring data without needing a laboratory visit.

At The Men’s Health Clinic, we combine this technology with doctor-led, evidence-based guidance. ExSeed provides accurate, accessible data - we provide the clinical context, reassurance, and a clear plan if further testing or support is needed. Together, this helps you make informed decisions about your treatment and fertility at every stage.

ExSeed Home Sperm Test Kit: £80 - £140

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Mira device image

 

What Does ExSeed Measure?

ExSeed reports Total Motile Sperm Count (TMSC), derived from three WHO-aligned parameters:

  • Sperm concentration (million/ml)
  • Progressive motility (percentage moving forwards)
  • Semen volume (ml)

TMSC reflects the total number of sperm with forward movement in the sample, one of the most meaningful indicators of fertility potential. Tracking these values before and during TRT can highlight individual responses and help guide informed conversations about fertility preservation or recovery.

See Infographic for further information.

IMPORTANT: Like most home kits, ExSeed does not assess sperm morphology (shape). Where results are low or symptoms are present, we recommend formal laboratory semen analysis.

 

 

How Does the Test Work?

  1. Collect a semen sample at home.
  2. Load a small amount into the single-use slide and insert it into the ExSeed optical reader.
  3. Record a short video via the ExSeed app (your phone camera acts as a microscope).
  4. Receive results in around 15 minutes, reviewed automatically and manually verified by ExSeed’s fertility specialists.

The app securely stores results and allows you to track trends over time, with personalised guidance to support healthy habits.

 

 

How Accurate & Reliable is the ExSeed Test?

  • CE-marked medical device, aligned with WHO 2021 testing methodology.
  • >95% agreement with clinic-based semen analysis.
  • At-home testing – the sample never leaves your control, avoiding transit degradation.

 

 

Who Can it Benefit?

  • Men starting or already on TRT, wanting a fertility benchmark or ongoing monitoring.
  • Those exploring fertility preservation options.
  • Men curious about the impact of lifestyle or medical changes on sperm health.

 

 

Test Includes:
  • ExSeed device and test slides (available as a 2 or 5 multi-test bundle). Discounted refills available.
  • App access with secure storage and tracking.
  • Clinical review (if requested): Our doctors will review your result in the context of your symptoms, hormones, medication, and fertility goals, and advise whether to retest, maintain, or escalate to a laboratory analysis.
Special Instructions:
  • Aim for 2–7 days of abstinence before collection (WHO guidance).
  • Repeat the test several weeks apart to confirm consistency, as sperm quality fluctuates naturally.

Mira® At-Home Hormone Monitoring

A practical, evidence-based way to understand hormonal changes throughout perimenopause and menopause.

Hormone fluctuations during perimenopause and menopause can be unpredictable. Many women want clearer insight into what’s happening in their bodies, especially when starting or adjusting hormone replacement therapy (HRT). The Mira® at-home hormone monitor offers a simple, private, and clinically validated way to track key reproductive hormones from home, giving meaningful, real-time data without the need for repeated clinic visits.

At The Men’s Health Clinic, we pair this technology with personalised, doctor-led guidance. Mira provides accurate, accessible hormone trends - while we provide the clinical interpretation, reassurance, and a clear plan if treatment adjustments or further investigation are required. Together, this allows you to navigate perimenopause and menopause with confidence, clarity, and a deeper understanding of your hormonal health at every stage.

Mira Hormone Monitor - Ultra4 Kit: £220 - £235

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Mira device image

 

What Does Mira Measure?

Mira’s Ultra4 system measures four clinically significant reproductive hormones using lab-grade fluorescent immunoassay technology:

  • Luteinising Hormone (LH): Identifies ovulation surges and hormonal shifts.
  • Follicle-Stimulating Hormone (FSH): Useful in understanding ovarian reserve and perimenopausal transition.
  • Oestradiol: Reflects ovarian activity and cycle phase.
  • Progesterone: Tracks luteal phase stability and overall hormonal balance.

Together, these markers provide a detailed hormonal fingerprint across the cycle, enabling meaningful insight into fluctuating patterns during perimenopause, menopause, and HRT. Tracking these values can help inform discussions around symptom changes, treatment response, and timing of HRT adjustments.

IMPORTANT: Mira provides quantitative hormone levels and trends but is not a substitute for venous blood testing where clinical concerns arise. Where symptoms are complex or results fall outside expected patterns, we recommend formal laboratory testing.

 

 

How Does the Test Work?

  1. Collect a small urine sample at home.
  2. Dip the single-use Ultra4 wand into the sample.
  3. Insert the wand into the Mira Monitor – the device reads hormone levels using fluorescent analysis.
  4. Results sync automatically to the Mira App within approximately 16 minutes.

The Mira app securely stores data, charts hormone trends over time, and provides personalised testing recommendations based on cycle stage or perimenopausal status.

 

 

How Accurate & Reliable is Mira?

  • CE-marked medical device using quantitative, laboratory-grade technology.
  • Measures actual hormone concentrations rather than predicting phases from symptoms or calendar estimates.
  • Validated for use in irregular, anovulatory, or low-hormone cycles, which are common during perimenopause and menopause.
  • At-home testing – samples are analysed instantly, avoiding degradation or transit errors.

 

 

Who Can it Benefit?

  • Women navigating perimenopause or menopause who want clearer insight into their hormonal patterns.
  • Female HRT patients monitoring how their body responds to therapy over time.
  • Those experiencing irregular cycles, fluctuating symptoms, or uncertain transition phases.
  • Anyone wanting a more data-driven, personalised approach to understanding hormonal changes throughout midlife.

 

 

Test Includes:
  • Mira Monitor Ultra4 device and Ultra4 hormone test wands (available in a 20 or 30 wand pack size, depending on monitoring frequency). Discounted refills available.
  • Full access to the Mira App with secure result storage, hormone trend charts, and personalised testing reminders.
  • Clinical review (if requested): Our doctors can review your Mira hormone data alongside your symptoms, cycle history, HRT regimen, and treatment goals. We will advise whether to continue monitoring, adjust timing or dosing of HRT, or escalate to formal blood testing where appropriate.
Special Instructions:
  • Choose 20 wands if your cycle is regular and typically under 30 days. Choose 30 wands if your cycle is longer, irregular, or varies month to month to ensure you don’t run out. If you’re unsure, start with 30 for better coverage. After your first cycle, the app will analyse your data and recommend the ideal amount going forward.
  • For the most reliable trend analysis, test at similar times of day and follow the app’s recommended schedule.
  • Hormone levels can naturally fluctuate during perimenopause and menopause; repeat testing across multiple weeks or cycles helps build a clearer picture of your hormonal pattern.
  • If you are on HRT, we may provide specific guidance on optimal testing timing in relation to your medication for the most meaningful interpretation.

Browse our other services

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