Private Men’s Hormone Profile Test in London

There is no single symptom that proves it, which is the whole problem. The common signs are low libido, erectile difficulties, fatigue that does not lift with rest, low mood or irritability, poor concentration, loss of muscle and strength, more body fat around the middle, disturbed sleep and hot flushes.

Because every one of these also has non-hormonal causes, symptoms alone cannot confirm a hormone imbalance, and normal-looking testosterone does not rule one out. The only reliable way to tell is to measure the hormones that work together as a network, in the morning, and read them alongside thyroid, blood sugar and a general health screen so the real cause is not missed.

A total testosterone around 300 ng/dL, which is roughly 10.4 nmol/L, sits near the bottom of most laboratory reference ranges and is the level many guidelines use as a threshold for considering testosterone deficiency, particularly when a man has symptoms. It is not a diagnosis on its own.

A single low reading should be repeated on a fresh morning sample, and it should be interpreted with free testosterone and SHBG, because a total of 300 means something different depending on how much is actually available to your tissues. LH and FSH then show whether a genuinely low level is coming from the testicles or from the pituitary. Ranges and units also vary between laboratories, so the number matters less than the full picture and your symptoms.

A full male hormone panel goes well beyond testosterone. It should include total testosterone, free testosterone, SHBG and free androgen index for testosterone status; LH and FSH to locate the cause of any deficiency; prolactin, which can suppress testosterone when raised; oestradiol for the testosterone-to-oestrogen balance; and DHEA-S, the main adrenal androgen.

Because hormone symptoms overlap so heavily with thyroid disease, diabetes and anaemia, a genuinely useful panel also checks thyroid function, blood sugar and HbA1c, cholesterol and a general health screen. This assessment covers all of that in one blood draw, and adds a testicular ultrasound and a GP appointment to interpret it.

Naturally high testosterone rarely causes problems and is usually noticed only on a blood test. When testosterone is high because of anabolic steroid or supplement use, the tell-tale pattern is a raised or high-normal testosterone with suppressed LH and FSH, sometimes with raised oestradiol, a rising red blood cell count and shrinking testicles.

Possible outward signs include acne, oily skin, irritability or aggression, difficulty sleeping and, over time, reduced fertility. The only way to confirm high testosterone and understand why is to measure it alongside LH, FSH, oestradiol and a blood count, which this panel does.

A private men’s hormone profile at London Private Ultrasound is £729, all-inclusive. That covers the full hormone panel, the wider thyroid, metabolic and general-health bloods, a testicular ultrasound, a GP appointment and your written report.

A blood-only hormone profile from a postal-kit provider is cheaper, often £40 to £120, but it does not include a doctor to interpret the result, imaging, or the broader markers that explain hormone symptoms. Compare what is actually in the price rather than the headline figure.

This is a clinic-based assessment rather than a postal finger-prick kit, and that is deliberate. A venous blood sample taken in the morning by a phlebotomist is more reliable than a home finger-prick for several of these hormones, the testicular ultrasound can only be done in person, and a GP explains the results to you rather than emailing a set of numbers.

If travelling in is difficult, call us and we will talk through the options, including our home-visit service.

No. You can book directly, without a referral from your NHS GP. If you have recent blood results, a hospital letter, or a list of your current medication and supplements, bring them, as they add useful clinical context.

Testosterone follows a daily rhythm and is at its highest in the morning, so an afternoon sample can read low in a man whose levels are actually normal, and most reference ranges are based on morning samples. Booking a morning slot, ideally before 11am, avoids a result that has to be repeated. Fasting guidance for the blood sugar and cholesterol markers is confirmed when you book.

Total testosterone is all the testosterone in your blood. Most of it is bound to proteins, mainly SHBG and albumin, and is not available for your body to use. Free testosterone is the small unbound fraction that is actually active.

A man can have a normal total testosterone but a low free level if his SHBG is high, which is a common reason a hormonal cause gets missed. This panel measures total testosterone, SHBG and free testosterone together, and calculates the free androgen index, so the available testosterone is clear rather than assumed.

LH and FSH are the signals the pituitary gland sends to the testicles. If testosterone is low and LH and FSH are high, the problem is usually in the testicles themselves, which is called primary hypogonadism. If testosterone is low and LH and FSH are low or unexpectedly normal, the problem is higher up, in the pituitary or hypothalamus, which is secondary hypogonadism.

Measuring LH and FSH is what turns a lone low testosterone into an answer about where the fault lies, which is why a hormone profile without them is incomplete.

It includes a testosterone test but is much more than one. A standalone testosterone test gives a single number that is easy to misread.

This profile measures testosterone in context, with free testosterone, SHBG, LH, FSH, prolactin, oestradiol and DHEA-S, alongside thyroid, metabolic and general-health markers and a testicular ultrasound, so a result can actually be explained rather than just reported.

Yes. The panel measures the markers used to monitor testosterone replacement therapy, including testosterone, SHBG, oestradiol, prolactin and a full blood count for haematocrit, and the GP can advise on timing the test around your treatment schedule.

If you use a testosterone gel, tell the team, because gel on the skin or under the nails can contaminate a sample and falsely raise the reading. Never change a prescribed dose without speaking to your prescriber; this assessment gives you and your clinician the numbers to work from.

Testosterone declines gradually from around the age of 30, but an imbalance can occur at any age. Common contributors include excess weight and insulin resistance, type 2 diabetes, an underactive or overactive thyroid, a raised prolactin from a pituitary cause, chronic stress, poor sleep, heavy alcohol use, certain medications and anabolic steroid use, and problems within the testicles themselves.

Because the causes are so varied, a single testosterone reading rarely explains the picture, which is why the profile measures the whole network at once.

It is not needed for every man, but it adds real value here. Testicular volume and structure help interpret a hormone result: small, firm testes support a testicular cause of low testosterone, and the scan can also identify a varicocele, cyst, hydrocele or, rarely, a mass that would change what happens next.

It takes about fifteen minutes, nothing enters the body and no radiation is used. It is included at no extra cost as part of the assessment.

Ultrasound findings are explained on the day. Blood results follow, with the hormone profile being the longest at around three working days, so the full picture is normally with you within about three days of the visit. Your report sets out the findings, the reference ranges and the recommended next step.

Your GP explains the finding and what it means, and sets out the next step, which might be a repeat test at the right interval, a lifestyle plan, treatment of an underlying cause such as thyroid disease or a raised prolactin, or referral to an endocrinologist or urologist where that is appropriate.

A referral letter is included at no extra charge. Where treatment is needed, our GP can refer you to the right specialist to start it — for example for testosterone replacement therapy — as part of our concierge pathway. That specialist appointment and any treatment are arranged separately and are not included in the £729 (additional cost applies).

London Private Ultrasound has two clinics. Central London is at 27 Welbeck Street, W1G 8EN, in the Harley Street Medical District, a short walk from Bond Street, Oxford Circus and Marylebone. St Albans is at 54–56 Victoria Street, AL1 3HZ.

Both are open seven days a week, 9am to 7pm, with same-day appointments often available.