PRIVATE GP PRACTICE IN MARLOW
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MEN'S HEALTH
Our experienced GP's have the skills and time to help with all aspects of health including Men's Health.
Testosterone is a sex hormone found in both men and women and it has many functions in the body.
When Testosterone levels decline, which generally happens most commonly in men after age 45, the absence of this essential hormone can result in several symptoms and longer term effects. Caring for our patients includes venous blood tests (blood sample from your arm) and a full consultation with a Doctor which we prefer to be in-person.
We don't currently accept blood test results from elsewhere as on occasion these may not be reliable. You can be sure that in seeing a medical professional at My Specialist GP you will receive the best care, ensuring safety and best medical practice.
Having low testosterone levels in men is tested by both biochemical (blood test) and by symptoms, mainly using the ADAM questionnaire.
Symptoms of low Testosterone include:
~ Tiredness and loss of concentration
~ General low mood
~ Feelings of sadness and underachievement
~ Lack of interest in Sex
~ Erectile problems
- loss of muscle mass
If you or your partner has the above symptoms, the process we follow in order to care for our patients properly uses guidelines set by the BSSM ( British Society for Sexual Medicine) and consists of the following:
1. Early morning venous Testosterone blood test (before 10 am and you must be fasted)
2. Complete the ADAM questionnaire
3. One of our GP reviews the results and if initially suitable for potential testosterone therapy, invites you to a 30 minute appointment to discuss your health and treatment options for low testosterone.
This would include discussion on your health, an examination and 'pros and cons' of testosterone replacement therapy.
If your testosterone level is not at a low level and the questionnaire does not indicate low testosterone you can either book a standard appointment to see the GP to discuss or see your own NHS GP.
4. Repeat blood test after 4 weeks is required to rule out other underlying serious health concerns or other compounding factors in low testosterone levels before commencing therapy. Provided the results are acceptable, testosterone may be commenced.
Please note that rarely, results from this test may indicate that Testosterone is not suitable for you. You may require a referral to an Endocrinologist or other testing which are not included in these fees.
5. If the results of the second blood test are found to be 'treatable' by testosterone therapy, this can be prescribed for you.
6. Repeat Testosterone blood test needed at 3, 6 and 12 months to assess the dosage
Testosterone therapy can be given either by Injection into the buttock or transdermally in the form of a daily administered gel/cream.
There is no evidence that testosterone therapy is associated with an increased risk of prostate cancer or cardiovascular risk.
Current evidence suggests likely benefit in cardiovascular outcomes, especially in men with chronic kidney disease and atrial fibrillation, and after previous myocardial infarction.
Further long-term studies are expected to clarify these issues. Recent studies suggest that testosterone therapy (and additionally metformin) significantly reduces the incidence of prostate and colorectal cancer
FEES
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Initial testosterone blood test and questionnaire review £100
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GP appointment £160
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4 week blood test £145
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Prescription fee £35
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Medication POA
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Blood test at 3, 6 and 12 months £43 each
Aside from low Testosterone, men can experience health issues such as prostate enlargement which can cause urinary frequency, poor flow, and problems with erections.
Our friendly team of Doctors can treat you as a 'whole person' and review your general health and specific concerns to find the right solutions for you. You can book a 30-minute consultation for Men's Health with either Dr Keiron Ford, Dr Andrew Jackson, Dr Sonali Dasgupta or Dr Clare Ashby.
We have onsite Phlebotomy and ECG and offer Ultrasound at Crown House via our partner company to provide an 'all-round' service.
Fast private referrals for special investigations such as CT and X-Ray and to see local and London based Consultants'
Book your Initial Blood Test
For this test you must book an appointment before 10 am and be fasted
10 Minutes
£100
ADAM Questionnaire
(Low Testosterone Test)
Our doctors will review this form alongside your blood test results. If you haven't booked your blood test yet, you can do so on this page.