Male Hormonal Health Screening
Advanced Diagnostic Protocol
Clinical Significance
Testosterone naturally declines with age — by roughly 1% a year from the mid-thirties — but symptoms such as persistent fatigue, low mood, reduced libido, poor concentration and loss of muscle mass should never simply be accepted as inevitable. Our Male Hormonal Health Screening measures the complete male endocrine picture: Testosterone, SHBG (the protein that binds it), the calculated Free Androgen Index, plus FSH, LH and Prolactin — the pituitary hormones that reveal where in the system any imbalance actually originates.
Clinical Context
Potency issues are often the first sign of vascular or endocrine imbalance. This protocol includes full lipid profiling and testosterone mapping to ensure we address the root cause, not just the symptom.
Led by Nurse Luciana
Expert blood draws and comprehensive written reports for every protocol.
Biomarker Blueprint
Clinical Measurements
Hormonal Profile
Frequently Asked Questions
Q. Why measure SHBG and Free Androgen Index, not just testosterone?
Most testosterone in blood is bound to SHBG and unavailable to tissues. A man can have a "normal" total testosterone but a high SHBG, leaving little usable hormone — or vice versa. The Free Androgen Index (testosterone ÷ SHBG) estimates the biologically active fraction, which often correlates better with symptoms.
Q. What do FSH and LH tell us?
FSH and LH are pituitary signals that instruct the testes. If testosterone is low with high LH, the testes are struggling despite strong signalling (primary hypogonadism). Low testosterone with low or normal LH points to the pituitary or hypothalamus (secondary hypogonadism). This distinction fundamentally changes what your GP or an endocrinologist would investigate next.
Q. Why is Prolactin included?
Raised prolactin suppresses testosterone production and can cause low libido and erectile difficulties. Occasionally it signals a benign pituitary growth (prolactinoma) that is very treatable once identified. It is an essential check in any thorough male hormone assessment.
Q. Could my symptoms be something other than hormones?
Absolutely — fatigue and low mood have many causes, including thyroid dysfunction, anaemia, vitamin deficiency and depression. If your hormone panel is normal, that is genuinely useful information, and our Advanced Full Body MOT can investigate the wider picture. Your report will suggest sensible next steps either way.
Q. Will you prescribe testosterone if mine is low?
No — we are a screening clinic and do not prescribe TRT. If your results suggest hypogonadism, your written report will set out exactly what to discuss with your GP, who can refer you to an NHS endocrinologist. Testosterone treatment requires proper specialist assessment, and confirmed low readings on at least two morning samples.
Clinical Protocol
Book an early appointment: testosterone peaks in the morning, so samples should ideally be taken between 8am and 10am for accurate baseline readings. No fasting is strictly required, though a rested, unstressed morning sample gives the most reliable result. Tell us about any medication, anabolic steroid use or recent illness.
- Standard Medical & Lifestyle Questionnaire
- Height
- Weight
- Body Mass Index (BMI)
Gentle Blood Draws by Our Registered Nurse
Our South Kensington Clinic
Not sure which test you need? We'll guide you.
Book a health screening without choosing a package — our registered nurse will call you before your visit to talk through your health goals and recommend the right tests for you. No obligation, and you only pay in clinic for what you choose.
Guided bookings open from two days ahead so our team can call you first. Outside clinic hours? Message us on WhatsApp and we’ll reply as soon as we open.
Male Hormone Blood Test — Testosterone, SHBG, FSH, LH & Prolactin in London
A complete male hormonal assessment at our South Kensington clinic measuring Testosterone, SHBG, Free Androgen Index, FSH, LH and Prolactin — the six markers needed to understand not just whether your hormones are low, but why. Morning appointments seven days a week, results the next working day.
What's Included
- Total Testosterone
- SHBG (Sex Hormone Binding Globulin)
- Free Androgen Index (calculated)
- FSH and Luteinising Hormone (LH)
- Prolactin
- Written report by a registered nurse
Not Included (Upgrade Available)
- —TRT prescription or treatment
- —Semen analysis
- —Thyroid or general metabolic markers (see Full Body MOT)
Who Is This Test For?
- Men with persistent fatigue, low mood or brain fog
- Men noticing reduced libido or erectile changes
- Men over 35 wanting a testosterone baseline
- Men who train hard and want endocrine insight
- Men with unexplained muscle loss or weight gain
Low testosterone — separating myth from medicine
Online discussion of "low T" is full of exaggeration, but genuine hypogonadism is a real, treatable medical condition affecting an estimated 2–5% of men, rising with age, obesity and type 2 diabetes. The symptoms are non-specific — tiredness, low mood, reduced morning erections, decreased libido — which is exactly why measurement beats guesswork. UK guidance requires confirmed low morning testosterone plus symptoms before treatment is considered, and a full panel including LH, FSH and prolactin to establish the cause.
Reading your results — what the numbers mean together
The power of this panel is in the pattern. Normal testosterone with symptoms redirects attention to thyroid, sleep, stress or nutrition. Low testosterone with raised LH suggests testicular origin; with low LH, a central origin that may include reversible causes such as raised prolactin, obesity or medication effects. Your written nurse report walks through your individual pattern in plain English and tells you precisely what to take to your GP if follow-up is warranted.
Discreet and straightforward
A 15–20 minute morning appointment with our registered nurse, no examination involved, results the next working day through our secure portal. Many men repeat the panel annually to track their trajectory — trends over time are more informative than any single reading.
Important: This screening service does not replace consultation with your GP. If you have symptoms that concern you, please speak to your GP or call NHS 111. Our registered nurse will clearly signpost you to appropriate NHS care if any result requires follow-up.
"Our Male Hormonal Health Screening provides the comprehensive insight you need to take control of your health. Every biomarker is carefully analysed and results are reviewed by our clinical team."
Nurse Luciana, Lead Clinical Nurse
Same-day appointments available in South Kensington
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