Skip to main content
  • Language
    • Afrikaans
    • Albanian
    • Arabic
    • Armenian
    • Azerbaijani
    • Basque
    • Belarusian
    • Bengali
    • Bulgarian
    • Catalan
    • Chinese (Simplified)
    • Chinese (Traditional)
    • Croatian
    • Czech
    • Danish
    • Dutch
    • Esperanto
    • Estonian
    • Filipino
    • Finnish
    • French
    • Galician
    • Georgian
    • German
    • Greek
    • Gujarati
    • Haitian Creole
    • Hebrew
    • Hindi
    • Hungarian
    • Icelandic
    • Indonesian
    • Irish
    • Italian
    • Japanese
    • Kannada
    • Korean
    • Lao
    • Latin
    • Latvian
    • Lithuanian
    • Macedonian
    • Malay
    • Maltese
    • Norwegian
    • Persian
    • Polish
    • Portuguese
    • Romanian
    • Russian
    • Serbian
    • Slovak
    • Slovenian
    • Spanish
    • Swahili
    • Swedish
    • Tamil
    • Telugu
    • Thai
    • Turkish
    • Ukrainian
    • Urdu
    • Vietnamese
    • Welsh
    • Yiddish
  • 01926 316711
  • Text Size
    • Increase Text Size
    • Decrease Text Size
    • Reset Text Size
Whitnash Medical Centre Providing NHS services
Providing NHS services
Search
Show Main Menu
  • Home
  • Appointments
  • Repeat Prescriptions
  • Times
  • COVID + Vaccine
    • Coronavirus Information
    • Coronavirus + Vaccine
    • COVID Vaccine
    • How to get proof of COVID Vaccination Status
    • How to demonstrate your COVID vaccination status
  • Information Zone
    • Asthma
    • Bowel Cancer Screening
    • Breast Cancer Screening
    • Cervical Cancer Screening
    • Contraception
    • COVID Vaccinations
    • Eye Care
    • HRT
    • Mental Health Resources
    • News
    • Run Talk Run
    • Self-referral Physiotherapy
    • Sexual Health
    • Steroid Injections
    • Social Prescribing
  • Contact
Show Side Menu
  • Admin: ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist
  • Alcohol Audit C
  • Asthma Review
  • Change of Address
  • Communication Consent
  • Patient Health Questionnaire (PHQ-9)
  • Travel Vaccinations
  • Update Clinical Record

Key Information

  • About The Practice
  • Collective Action
  • Care Quality Comission
  • Courtesy
  • Data Choices
  • Extended Access Service
  • Friends & Family Test
  • General Data Protection Regulation
  • GP Net Earnings
  • Home Visits
  • New Patient Registration
  • Non NHS Services
  • Online Access
  • Patient Participation Group
  • Practice Policies
  • Services
  • Summary Care Record
  • Catchment Area
  • Vasectomy
  • Coil and implant fitting and replacement
Call 111 if it's less urgent than 999
  • Live Well
  • Conditions A to Z

BBC Health News

  • How is your hospital doing as NHS battles to bring down waiting times?27 Jun 2025 00:08Use our interactive tracker to see if treatment waits are getting better at your local hospital
  • Drug for rare disease brings 'joy and hope'27 Jun 2025 00:01A teenage patient who helped discover a rare condition is the first to benefit from a new treatment.
  • Weight loss jabs study begins after reports of pancreas issues26 Jun 2025 13:11There have been hundreds of cases of acute pancreatitis in people who have also taken Mounjaro, Ozempic and Wegovy.
  • Womb lining test offers miscarriage hope to women26 Jun 2025 01:01The test can measure whether an abnormal reaction in the womb could make pregnancy loss more likely.
  • Ransomware attack contributed to patient's death25 Jun 2025 16:47An NHS trust in London confirms an unexpected patient death during the cyber attack on 3 June 2024.
  • Watchdog 'acted irrationally' over gender clinic, court told24 Jun 2025 18:31A former nurse and a mother claim the watchdog should have imposed conditions on the clinic.
Home > Reception: Request a semen analysis

Reception: Request a semen analysis

Please complete this form if you have been requested by your GP to get your semen tested. This may of been via your partners consultation or your own. A semen analysis is where a sample of semen (sperm and associated fluid) is analysed to check the quality and quantity of the sperm. The results are usually available within a week.

If the results are not normal, the test should be repeated to ensure it was accurate. This will normally be performed after approximately 3 months.

Your GP can refer you to a specialist in male infertility at your local hospital or fertility clinic if any problems are found.

Semen analysis is done in at University Hospital Coventry & Warwickshire (UHCW). 

What is the process?

Step 1: Complete this form

Step 2: Our GPs will confirm your request and send the form to you electronically via text

Step 3: Print the form out and follow the instructions in the text message to arrange your appointment

Please note if you do not have access to a printer then select this option below and you can collect the form from reception. You will be texted once it is ready for collection.  

Fitter Futures (Weight management & Lifestyle advice)
Help Stopping Smoking
Help Reducing Alcohol Consumption
Join our free running club to get more active
Please do not write any clinical queries on this form. Any clinical queries or request for appointments via this form will be discarded. To make an appointment either book online via the NHS app/Patient access or by calling reception 01926 316711. We will start to process your form by the next working day but it will take up to 3 working days to complete. Please DO NOT call before 3 working days as you will not receive a status update from reception or the administrative team. If you are NOT a registered patient then your form will be discarded. This service is only for patients registered at the surgery aged 16 and over.

 Home ButtonOnline Consultation Information

 

 

Reception: Request a semen analysis
Most couples who are trying for a baby and having regular sex without any contraception don’t need to seek medical advice until they have been trying for one - two years.
Please select any option below which relates to you (select as many as apply):
Current fertility status?
Smoking is a well known factor to reduce sperm quantity and quality. For help on quitting smoking please see the link above the form.
Alcohol consumption is associated with increased numbers of morphologically (structurally) abnormal sperm
Please state in Kg (Kilos) or Stone & lbs. Increased weight has been shown to cause marked reductions in fertility. If you are eager for further advice on this please click on the fitter futures link above.
If you do not have access to a printer we will print the form for you and let you know once it is ready for collection via text.

Important: If you notice a lump, pain or enlargement of your testicle it is vital you call us to arrange an appointment with the GP.


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Local Services
Aesthetic
& Wellness
Physio

Site

  • Sitemap
  • Back To Top

About

  • Disclaimer
  • Website Privacy
  • Website Accessibility
  • Cookies
  • Content Attribution

Contact

Whitnash Medical Centre

110 Coppice Road , Whitnash, Warwickshire, CV31 2LT

  • 01926 316711
  • reception@whitnashmc.nhs.uk
© Neighbourhood Direct Ltd  2025
Website supplied by Oldroyd Publishing Group

Loading...

Local Services
Aesthetic
& Wellness
Physio