Male Hormonal Health Screening
Comprehensive androgen and reproductive hormone panel for men, available at our City of London clinic.
Male Hormonal Health Screening
All-inclusive price
- Blood draw by registered nurse
- Comprehensive lab analysis
- Detailed results report
- Detailed nurse-written review
- Follow-up recommendations
Or call 020 7183 3709
Pay at the clinic on the day of your appointment
About This Screening
Male Hormonal Health Screening
This panel provides a comprehensive assessment of the male hormonal axis through measurement of testosterone, Sex Hormone Binding Globulin (SHBG), gonadotrophins (FSH and LH), prolactin, and calculated Free Androgen Index. These markers collectively evaluate the hypothalamic-pituitary-gonadal axis and help identify hormonal imbalances that may underlie clinical symptoms.
Testosterone is the primary male sex hormone, essential for muscle mass, bone density, fat distribution, erythropoiesis, libido, and spermatogenesis. However, total testosterone alone can be misleading — SHBG is a binding protein that determines how much testosterone is biologically active. When SHBG is elevated, bioavailable testosterone may be low even when total testosterone appears within the reference range. The Free Androgen Index, calculated from the ratio of testosterone to SHBG, provides a more clinically useful estimate of bioavailable testosterone.
Key Highlights
- Assess total testosterone and calculated free testosterone
- Evaluate hypothalamic-pituitary-gonadal axis with LH and FSH
- Measure SHBG which affects testosterone bioavailability
- Screen for hyperprolactinaemia
- Investigate fatigue, reduced libido, or mood changes
FSH and LH are pituitary gonadotrophins that regulate testicular function. Measuring these alongside testosterone helps distinguish primary hypogonadism (testicular origin, characterised by elevated FSH and LH) from secondary hypogonadism (pituitary or hypothalamic origin, characterised by low or inappropriately normal FSH and LH). This distinction is clinically important as it guides further investigation and management approach.
Prolactin is included because hyperprolactinaemia can suppress gonadotrophin release and contribute to hypogonadism and erectile dysfunction. Significantly elevated prolactin may warrant pituitary imaging.
This screening is appropriate for men experiencing symptoms such as fatigue, reduced libido, erectile dysfunction, low mood, reduced muscle mass, or those seeking a baseline hormonal evaluation. The blood sample is collected by our registered nurse at our City of London clinic. Morning sampling is recommended as testosterone exhibits diurnal variation with peak levels in the early morning.
What's Included
Comprehensive testing covering all essential biomarkers for a complete health picture.
Hormonal Profile
- FSH
- Luteinising Hormone (LH)
- Testosterone
- Sex Hormone Binding Globulin (SHBG)
- Free Androgen Index
- Prolactin
Male Hormonal Assessment
Testosterone levels decline progressively with age, though the rate varies significantly between individuals. This panel measures not only total testosterone but also the regulatory hormones and binding proteins that determine bioavailable testosterone and overall endocrine function.
Assess total testosterone and calculated free testosterone
Evaluate hypothalamic-pituitary-gonadal axis with LH and FSH
Measure SHBG which affects testosterone bioavailability
Screen for hyperprolactinaemia
Investigate fatigue, reduced libido, or mood changes
Evaluate male reproductive health
Who Should Take This Test?
Symptomatic Men
Fatigue, reduced libido, erectile dysfunction, low mood, reduced muscle mass, or unexplained weight gain may indicate hormonal imbalance.
Men Over 40
Testosterone declines from approximately age 30. Men over 40 may benefit from baseline assessment and longitudinal monitoring.
Those Interested in Metabolic Health
Hormonal profile contributes to body composition, energy metabolism, and exercise adaptation.
Male Fertility Assessment
For men planning to conceive, hormone testing provides information about reproductive function.
How to Prepare
Follow these steps before your appointment for the most accurate results.
Schedule a morning appointment before 10:00 where possible, as testosterone levels peak in the early morning.
Fasting is not strictly required, though morning fasted sampling is recommended for the most reliable results.
Avoid strenuous exercise for 24 hours before your appointment, as this can temporarily affect hormone levels.
Ensure adequate sleep the night before — poor sleep can transiently lower testosterone.
Continue taking prescribed medications unless otherwise directed by your prescribing clinician.
Ready to Take Control of Your Health?
Book your Male Hormonal Health Screening today and get comprehensive insights into your health. Results available in 1 working day.
Frequently Asked Questions
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