Jonathan Ramsay has been a Consultant Urologist at Hammersmith, Charing Cross and Chelsea & Westminster Hospitals since 1988. He works closely with the fertility units, both at Hammersmith and Chelsea, and is also a visiting urologist to fertility clinics in Bucks, Sussex, and Central london. Research interests and publications include methods and outcomes of sperm retrieval, vasectomy reversal and the genetic causes of infertility. Men with presumed fertility problems require individual care, diagnosis and advice, otherwise they feel abandoned by the doctors who can do so much for their partners, and sometimes they feel guilty that there seems to be so little they can do to help the situation. My practice in men's fertility aims to anwere three important questions. Firstly, is there a 'male factor' problem.? Secondly, can we diagnose a cause? Thirdly, can we offer straight-forward (evidence-based) treatment? We would normally aim to answer these questions in 2 or 3 consultations. So that both partners may be present, appointments can be made in the evenings and on a Saturday morning at the Spire Thames Valley Hospital, where close liaison with gynaecologists also specialising in fertility treatment is possible.