Private male hormone and testosterone blood test - Harley Street, London
Comprehensive hormone testing for men. Testosterone, SHBG, Free Androgen Index, DHEA, and metabolic markers. Two profiles available, with results from 1 working day. No referral needed.
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Comprehensive
- Up to 10 markers
- Testosterone, free testosterone, metabolic panel
- Not just total testosterone
Fast results
- 1-3 working days
- UKAS-accredited laboratory
- GP review available
Accessible
- No referral needed
- Same-day blood draw
- Open 7 days a week
"Your testosterone is normal." But nothing feels normal.
Your GP checked your total testosterone, it came back within the reference range, and you were told there's nothing wrong. But the fatigue is still there. The motivation has gone. Your libido has dropped. You're putting on weight around the middle despite not eating differently. Your mood is flat.
This is the most common reason men book a private hormone test with us.
The problem is that total testosterone on its own is a limited measure. It doesn't tell you how much of that testosterone is actually available for your body to use. It doesn't check SHBG (the protein that binds testosterone and takes it out of circulation). It doesn't measure DHEA, LH, or FSH, which show whether the problem is in the testes, the pituitary, or elsewhere. And it doesn't screen for metabolic factors like insulin resistance, cholesterol, or thyroid dysfunction that can drive the same symptoms.
If you want to know what's actually going on, you need more than one number.
What is a male hormone blood test?
A male hormone blood test measures testosterone and related hormones including SHBG, Free Androgen Index, DHEA, LH, and FSH to assess whether hormonal imbalance is causing symptoms such as fatigue, low libido, erectile dysfunction, weight gain, mood changes, and loss of muscle mass. A comprehensive panel also includes metabolic markers (lipids, glucose, HbA1c) and thyroid function to identify conditions that mimic or contribute to low testosterone symptoms.
Why total testosterone alone isn't enough
The NHS standard pathway for suspected low testosterone is straightforward: test total testosterone, usually fasting and before 10am. If it's within the reference range (roughly 8.6-29 nmol/L), you're told it's normal.
The gap is significant:
SHBG (sex hormone binding globulin) binds testosterone in the blood. If your SHBG is high (common with ageing, liver conditions, and thyroid problems), a large proportion of your total testosterone is bound and unavailable. Your total testosterone can look "normal" while your biologically active testosterone is low. The Free Androgen Index calculates this ratio and is often the number that actually explains the symptoms.
DHEA sulphate is a precursor hormone produced by the adrenal glands that converts to testosterone and oestrogen. It declines steadily with age and low levels are associated with fatigue, reduced immune function, and low mood. It's rarely checked on the NHS.
LH and FSH tell you where the problem is coming from. High LH and FSH with low testosterone suggests primary hypogonadism (the testes aren't responding). Low LH and FSH with low testosterone suggests secondary hypogonadism (the pituitary isn't sending the right signals). Your GP's total testosterone result doesn't distinguish between these, but treatment is different for each.
Metabolic markers matter because testosterone doesn't exist in isolation. Insulin resistance, high cholesterol, poorly controlled blood sugar, and thyroid dysfunction can all cause or worsen the same symptoms. The Impotence Profile includes lipids, glucose, HbA1c, and TSH alongside the hormone panel for exactly this reason.
Our male hormone profiles
| Service / Marker | Andropause Profile | Impotence Profile |
|---|---|---|
| Best for | General male hormone check, fatigue, mood, libido | Erectile dysfunction, comprehensive assessment |
| DHEA sulphate | ✓ | ✗ |
| FSH | ✓ | ✗ |
| LH | ✓ | ✗ |
| Total testosterone | ✓ | ✓ |
| Free testosterone | ✗ | ✓ |
| SHBG | ✓ | ✓ |
| Free Androgen Index | ✓ | ✓ |
| Prolactin | ✗ | ✓ |
| PSA | ✗ | ✓ |
| TSH (thyroid) | ✗ | ✓ |
| Lipid profile | ✗ | ✓ |
| Glucose | ✗ | ✓ |
| HbA1c | ✗ | ✓ |
| Turnaround | 1 working day | 3 working days |
| Price | £240 | £318.75 |
| Book | Book - Most comprehensive |
A £50 phlebotomy fee applies to all blood tests.
Which profile is right for you?
"I'm tired all the time, my mood is flat, and my libido has dropped."
Start with the Andropause Profile (£240). It covers the core hormone markers (testosterone, SHBG, FAI, DHEA, LH, FSH) and will show whether hormonal imbalance is the cause.
"I'm having difficulty getting or maintaining erections."
Choose the Impotence Profile (£318.75). This profile checks the full picture: free and total testosterone, SHBG, FAI, prolactin, PSA, thyroid, lipids, glucose, and HbA1c.
"I've been told my testosterone is normal but I still feel off."
Choose the Andropause Profile (£240) as a minimum. This profile adds SHBG and Free Androgen Index, which often reveal the discrepancy between "normal total" and "actually low available."
"I'm over 40 and just want a baseline."
Either profile works. The Andropause Profile gives you a hormonal baseline. The Impotence Profile adds metabolic and prostate screening, which is sensible for men over 40 even without symptoms.
Still not sure? Call us on 020 7499 1991 or book a GP consultation (£150) and your doctor will recommend the right profile.
What each marker tells you
Total testosterone
The total amount of testosterone in your blood, both bound and unbound. It's the standard first-line test but doesn't distinguish between testosterone that's biologically active and testosterone that's bound to SHBG and unavailable.
Free testosterone and Free Androgen Index
Free testosterone is the unbound, biologically active fraction. The Free Androgen Index (FAI) calculates the ratio of total testosterone to SHBG, giving a more accurate picture of how much testosterone your body can actually use.
SHBG (sex hormone binding globulin)
A protein produced by the liver that binds testosterone in the blood. High SHBG means more testosterone is bound and unavailable. SHBG increases with age, thyroid overactivity, and liver disease.
DHEA sulphate
A precursor hormone produced by the adrenal glands. DHEA converts to both testosterone and oestrogen and declines steadily from around age 30. Low levels are associated with fatigue, reduced immune function, and low mood.
LH and FSH
Pituitary hormones that control testosterone production. Measuring these alongside testosterone helps determine whether the problem is primary (testes not responding) or secondary (pituitary not sending enough signal). Treatment differs.
Prolactin
Elevated prolactin in men can suppress testosterone production and cause erectile dysfunction and reduced libido. It's included in the Impotence Profile because it's a treatable cause of ED that's easy to miss.
PSA (prostate-specific antigen)
Included in the Impotence Profile as a baseline prostate screen. As a baseline marker in men over 40, particularly before considering testosterone therapy, it's a sensible inclusion.
TSH (thyroid) / Lipid profile, glucose, HbA1c
Thyroid dysfunction causes fatigue, weight gain, brain fog, and low libido, symptoms identical to low testosterone. Lipid profile, glucose, and HbA1c are included in the Impotence Profile because erectile dysfunction is often an early warning sign of cardiovascular or metabolic disease.
Book your male hormone blood test: call 020 7499 1991 or book online. Same-day appointments, 7 days a week.
How it works
Choose your profile and book.
No referral needed. Same-day appointments available seven days a week.
Attend for your blood draw.
A registered medical professional takes your sample at 117a Harley Street. The appointment takes approximately 10-15 minutes. For the most accurate testosterone reading, attend before 10am if possible.
Fasting.
Not required for the Andropause Profile. The Impotence Profile includes lipids, glucose, and HbA1c; a 12-hour fast (water is fine) is recommended for the most accurate lipid and glucose results.
Results.
Andropause Profile results are returned in 1 working day. Impotence Profile results take up to 3 working days. Results are emailed to you with reference ranges.
GP review (optional).
Book a follow-up consultation (£100) or a full GP appointment (£150) to interpret results and advise. We can refer to an endocrinologist or urologist, or you can take your results to your NHS GP.
Pricing
| Profile | Markers | Turnaround | Price |
|---|---|---|---|
| Andropause Profile | DHEA sulphate, FSH, LH, testosterone, SHBG, FAI | 1 day | £240 |
| Impotence Profile (most comprehensive) | Lipids, glucose, HbA1c, TSH, prolactin, total testosterone, free testosterone, PSA, SHBG, FAI | 3 days | £318.75 |
| GP results review | Doctor interprets results and advises next steps | Same day or next day | £100 |
| Full GP consultation | Assessment, examination, prescription if needed | Same day | £150 |
A £50 phlebotomy fee applies to all blood tests.
CQC registered since 1984. UKAS-accredited laboratory. Same-day blood draw 7 days a week. No referral needed.
Book your private male hormone blood test
Medical Express Clinic, 117a Harley Street, London. Results from 1 working day.
CQC registered · UKAS-accredited laboratory partners · Open 7 days a week
Treatment Menu & Fees
Transparent pricing for all our services.
Andropause Profile
£240Impotence Profile (most comprehensive)
£318.75GP results review
£100Full GP consultation
£150Common Questions
Q.How much does a private testosterone test cost in the UK?
At Medical Express Clinic, our male hormone profiles are £240 (Andropause Profile) and £318.75 (Impotence Profile). A £50 phlebotomy fee applies. Both include multiple markers, not just total testosterone.
Q.My GP says my testosterone is normal. Should I still get tested?
If your GP only tested total testosterone and your symptoms persist, a comprehensive panel that includes SHBG and Free Androgen Index may reveal what was missed. A 'normal' total testosterone doesn't mean your biologically available testosterone is adequate.
Q.What time of day should I have the blood test?
Before 10am if possible. Testosterone levels peak in the early morning and decline through the day. A morning sample gives the most accurate and reproducible reading.
Q.Do I need to fast?
Not for the Andropause Profile. For the Impotence Profile, a 12-hour fast is recommended for accurate lipid and glucose results. Water is fine during the fast.
Q.What's the difference between the Andropause and Impotence profiles?
The Andropause Profile focuses on hormones: testosterone, SHBG, FAI, DHEA, LH, and FSH. The Impotence Profile adds metabolic screening (lipids, glucose, HbA1c), thyroid (TSH), prolactin, free testosterone, and PSA. If your main concern is erectile dysfunction, the Impotence Profile is more appropriate because ED is often driven by metabolic or cardiovascular factors, not just low testosterone.
Q.Can low testosterone be treated?
Yes. Treatment depends on the cause. If primary hypogonadism is confirmed, testosterone replacement therapy (TRT) may be appropriate, though this requires specialist supervision. If the cause is metabolic (obesity, insulin resistance), lifestyle changes can significantly improve testosterone levels. Your GP review will include advice on next steps and referral if needed.
Q.Is this the same as 'male menopause'?
The term 'andropause' or 'male menopause' is sometimes used to describe the gradual decline in testosterone that occurs with age. Unlike female menopause, it's not a defined hormonal event; testosterone declines at roughly 1-2% per year from around age 30. A blood test tells you where you actually stand rather than guessing based on age.
Q.Will these results be shared with my NHS GP?
Not unless you ask us to. Your results come from a UKAS-accredited laboratory and are clinically valid. You can share them with your GP, endocrinologist, or urologist if you choose to.
