Men’s Health - Done Properly

An initial consultation is typically 60 minutes. We review your current symptoms, medical and family history, lifestyle and your goals — covering the biological, psychological, relational and lifestyle dimensions of what you're experiencing. From there we discuss whether any investigation, treatment or referral is appropriate. There is no obligation to proceed with anything beyond that first conversation, and nothing is arranged without explaining the reasoning to you first.

Most GPs have limited specialist training in men's health concerns — sexual medicine, hormonal health and the cardiovascular connections that matter most for men are rarely covered in depth in standard GP training. A men's health specialist brings additional expertise in these areas, and the time to apply it properly. As a GP who has also trained as a physician, sexual medicine specialist and psychosexual therapist, I can offer both the breadth of general practice and the depth of specialist care — without you needing to see multiple clinicians.

The most common symptoms of testosterone deficiency are reduced sexual desire, loss of morning erections, erection difficulties, fatigue, low mood, reduced muscle mass and increased body fat — particularly around the abdomen. These symptoms overlap significantly with depression, sleep apnoea, cardiovascular disease and other conditions, which is why accurate diagnosis requires comprehensive blood testing and a proper clinical assessment rather than a home finger-prick kit.

Yes — and this is one of the most important things men don't know. The blood vessels supplying the penis are smaller than those around the heart, so vascular damage tends to show up there first, sometimes three to seven years before any cardiac symptoms appear. In men in their 50s and 60s with gradually worsening erections, I assess cardiovascular risk as a routine part of the consultation. Finding a problem early, if there is one, makes an enormous difference — and is one of the reasons I never treat erection problems with a quick prescription alone.

Yes, where it is clinically indicated and properly diagnosed. Accurately identifying genuine testosterone deficiency requires comprehensive testing — total testosterone, SHBG, calculated free testosterone, pituitary hormones and metabolic markers, taken before 11am. Many men arrive having been told by online clinics that their testosterone is low when it is in fact normal. I take a careful, evidence-based approach and never prescribe testosterone unless I genuinely believe it is likely to help — and I will always discuss the alternatives first.

Yes. Depression, anxiety, burnout and chronic stress are extremely common in men, and the barriers to seeking help remain high. I explore how physical and mental health are affecting each other and can support both — through medication, therapy, or an integrated approach. I work closely with consultant psychiatrist Dr James Arkell and clinical psychologist Dr Henry Clements, and for men where mental health and physical or sexual difficulties overlap, we can review the picture together where helpful.

No. You can book directly through the website. Most patients self-refer, and there is no requirement for a GP letter or prior investigation.

Yes — and this is an area I care about particularly. As a gay man myself, I understand the specific health concerns, relationship structures and life experiences that gay, bi and queer men bring, without needing things explained or translated. I have a dedicated page covering gay, bi and queer men's health if this is relevant to you.

An initial 60-minute consultation is £400. A comprehensive hormonal and metabolic blood panel is £275. Follow-up appointments range from £125 to £220. Where psychosexual therapy is part of the work, sessions are £235 each. I am transparent about costs at every stage and nothing is arranged without discussing the likely fees with you first. Further detail is available on the book now page.

Yes. Preventative health screening is an important part of what I offer, but the principle I follow is doing the right test for the right man at the right time — not selling a package for its own sake. I receive no financial benefit from any investigation I recommend. After an initial consultation, we decide together whether any screening is clinically useful and what form it should take. Example screening packages ranging from £995 to £5,500 are outlined further down this page, but these are illustrative — the actual investigations are always tailored to you.