Erectile dysfunction, low libido, testosterone concerns, prostate symptoms, urinary problems, sexual health and fertility advice — assessed by a GMC-registered GP who takes the time to do it properly. No quick-script pharmacy. No TRT mill. No "boost your performance" upsell. Just honest medicine, in a CQC-registered clinic.
The things men typically delay seeing a doctor about. We don't make it awkward, we don't rush you, and we don't try to sell you something you don't need. Honest assessment, evidence-based treatment, onward referral when something's beyond what a GP-led clinic can safely manage.
Proper assessment of underlying causes (cardiovascular, hormonal, psychological, treatment-related), not just a script. Discussion of treatment options including PDE5-inhibitor medications (subject to clinical assessment), lifestyle changes, and onward referral where appropriate.
Book nowReduced sex drive, low energy, mood changes. We work through the differential properly — hormones, sleep, stress, depression, medication side effects, lifestyle — rather than jumping to testosterone as the answer for everything.
Book nowSuspected low testosterone (hypogonadism). Full BSSM-guideline workup: symptom assessment, paired morning testosterone tests, SHBG, LH/FSH, prolactin, full bloods. We prescribe TRT only where genuinely indicated — see "Why we're different" below.
Book nowUrinary symptoms (slow stream, hesitancy, nocturia, urgency), prostate examination if appropriate, PSA blood test with proper pre-test counselling about pros and cons. Urgent referral to urology if anything looks suspicious.
Book nowSymptom assessment (discharge, lesions, pain), discreet examination, full STI panel or specific tests as needed. Recurrent infections, partner-notification advice, post-exposure questions. Judgement-free.
Book nowTrying to conceive without success? Initial fertility assessment, semen analysis arrangement (via partner labs), lifestyle and treatment review. For specialist andrology workup we refer to a fertility clinic with a clear summary letter.
Book nowFor men 35+ who want a baseline health review: cardiovascular risk, blood pressure, cholesterol, diabetes screening, prostate review, hormones if indicated, lifestyle and weight discussion. Same as our Health MOT but with men's-health emphasis.
Book nowTesticular lumps (always check — never ignore), scrotal swellings, lesions, anything you've noticed and want examined. Most are benign; a few need urgent referral. We'd rather you came and we said "all fine" than left it.
Book nowBook a general consultation anyway. Or for hair loss see our Hair Transplant service, skin conditions our Dermatology service, mental health our Psychology service, and snoring/sleep concerns our ENT service. We'll point you to the right place.
The private men's health space has some uncomfortable patterns — clinics that prescribe testosterone to nearly everyone who walks in, quick-script ED services that don't examine you, "wellness" panels that test 80 things to manufacture problems to treat. We don't work that way. Here's how we actually do this.
We follow BSSM (British Society for Sexual Medicine) guidelines for testosterone deficiency. That means two paired morning blood tests, full hormone panel, exclusion of reversible causes (sleep, weight, opioid use, alcohol), and clear clinical symptoms. Borderline low testosterone with vague symptoms is usually not TRT territory — it's usually a sleep, exercise, weight or stress conversation. We'll have that conversation honestly.
Erectile dysfunction is often the first sign of underlying cardiovascular disease — the same blood vessels are involved. We assess cardiovascular risk, check blood pressure, review medications, ask about psychological factors, do bloods if indicated. Then we discuss treatment. Most men do well on PDE5 inhibitors; some need referral to a urologist for more advanced options. The right answer depends on the man, not the clinic's revenue model.
PSA testing has real benefits and real drawbacks — it can detect prostate cancer early, but also picks up benign conditions and slow-growing cancers that wouldn't have caused harm. We'll have a proper pre-test conversation about what a result might mean for you, then test if it makes sense. If the result is concerning, urgent urology referral the same day. We don't push PSA on everyone.
For ongoing treatments — TRT, BPH medications, depression treatment after men's-health screening — we write to your NHS GP requesting shared care. They continue NHS-priced prescriptions long-term following our recommendation. Most GPs accept this for licensed medications. For TRT specifically, some GPs prefer specialist endocrinology oversight — we'll refer if that's needed.
Men often delay sexual or urinary health concerns by years. We try to make this as easy as possible — book online (no need to explain to a receptionist), private clinic rooms, no awkward small talk. You can request a male doctor at booking. Conversations are confidential under GMC standards.
A standard consultation, an extended consultation with bloods on the same visit, and a follow-up rate within a month. Everything published on our price list. We don't sell "comprehensive optimisation packages" because most men don't need them. If you need ongoing treatment, you'll know exactly what it costs before agreeing.
Dr Bolat is our Clinical Director and the lead GP for men's health at MHW Clinic. GMC-registered, with over a decade of NHS experience in family medicine, urgent care and A&E, he brings a calm, methodical approach to men's health — the same approach he'd bring to a family member. Men's health is often as much about what you don't need treated as what you do; Dr Bolat is comfortable having that conversation.
For specialist input we refer to consultant urology (prostate, complex BPH, suspected cancer), endocrinology (complex testosterone or hormone cases), andrology (fertility workup), and plastic / general surgery for any surgical needs — either NHS or private depending on your preference and urgency.
Full pricing for all consultations, procedures and reports is published on our price list. We do not charge separate appointment fees on top of quoted prices, and all costs are confirmed before any test, procedure or report is started.
Dr Bolat is the lead GP for men's health at MHW Clinic and is male. You can request a male doctor at booking and we'll match you to Dr Bolat or another available male GP. If gender of doctor isn't important to you, we may also book you with a female GP — tell us your preference at booking.
Honestly — sometimes yes, often no. We follow British Society for Sexual Medicine (BSSM) guidelines, which require:
If after this workup you have genuine testosterone deficiency, we'll discuss TRT properly — including the commitment (it's usually for life), the monitoring requirements, the fertility implications (TRT suppresses sperm production), and the cost. If your testosterone is borderline-low or normal-low with vague symptoms, we'll have a different conversation — usually about sleep, exercise, stress, weight, or alcohol — before reaching for a prescription.
Yes — we don't issue ED prescriptions without a proper consultation, even for repeat prescriptions if you've never been assessed by us. Erectile dysfunction can be the first sign of cardiovascular disease, diabetes or hormonal problems, and the medications interact with several common drugs (nitrates, alpha-blockers). A 30-minute consultation includes proper assessment of all this; you typically leave with a prescription you can use straight away if appropriate.
If you want a script-only service without assessment, online pharmacies (LloydsDirect, Pharmacy2U, Boots Online Doctor) exist for this. We'd rather you saw us once properly, then continued with whatever's most convenient for you afterwards.
For testosterone specifically — you need to be tested in the morning (ideally before 11am), as testosterone is at its peak in the morning and drops through the day. We don't routinely require fasting for testosterone, but if we're also checking cholesterol and glucose we'll ask you to fast for 10–12 hours beforehand. For confirmed testosterone deficiency diagnosis, we'll ask you to do two morning tests, ideally a few weeks apart.
Most men's health appointments are available within the same week. For urgent concerns — a testicular lump, urinary retention, or a PSA result you're worried about — call us on 020 7916 0029 and we'll try to fit you in the same day.
The standard consultation is 30 minutes — appropriate for most concerns (ED assessment, urinary symptoms review, STI questions, lump examination, general men's health questions). You may leave with a treatment plan, prescription if appropriate, or a referral.
The extended consultation with bloods on the day is 45–60 minutes — appropriate for testosterone workup, ED with full cardiovascular assessment, or new-patient men's wellness review where we're looking at hormones, lipids, glucose, prostate and cardiovascular risk together. You receive a written summary report.
If you're not sure which is right for you, book the standard consultation and we'll upgrade only if needed — you won't be charged twice.
Only if you want them to. For some treatments — ongoing TRT, BPH medications, ongoing antidepressant management — writing to your GP enables shared care so they can continue NHS-priced prescriptions. For one-off concerns (STI screening, an ED assessment with private treatment, a wellness review) you may prefer we don't write to your GP, and that's fine. We'll ask you at the appointment.
A digital rectal examination (DRE) is offered when clinically appropriate — usually if you have urinary symptoms, an abnormal PSA, or you're aged 50+ and want a thorough prostate check. It's a brief examination, done in a private clinic room, and you can decline if you're not comfortable. We'll always explain what's involved and why before doing it. For most men a PSA blood test plus symptom history gives most of the diagnostic information.
Please book sooner rather than later — call us on 020 7916 0029 and we'll try to see you the same day. Most testicular lumps are completely benign (cysts, varicoceles, hydroceles), but testicular cancer is one of the most common cancers in men aged 15–45 and is highly treatable when caught early.
If anything looks suspicious, we refer urgently to NHS urology via the 2-week-wait pathway (the fastest route for suspected cancer in the UK), and arrange a scrotal ultrasound the same week. We don't delay this.
For men's health specifically (sexual health, hormonal concerns), our minimum is 16 years, and we follow Fraser/Gillick guidelines for under-18s on confidential consultation. For general adolescent health, our Paediatrics service sees up to 18 with Dr Velitchkova. For under-16s, NHS sexual health services are free, confidential and excellent — we'd point you there.
If something's not right, the longer it sits the worse it tends to feel. Most men's health concerns are easily treatable, and the assessment itself takes 30 minutes. Book online, no awkward calls required.
See full pricing on our price list
