Low testosterone, also known as male hypogonadism, occurs when the body produces lower levels of testosterone than expected for an individual’s age and health. For many men, symptoms develop gradually and can be difficult to recognise at first. Changes are often attributed to stress, ageing, or lifestyle rather than a hormonal factor.
Common symptoms may include persistent fatigue, reduced libido, erectile difficulties, low mood, reduced motivation, brain fog, loss of muscle strength, increased body fat, or reduced physical resilience. Not all men experience the same symptoms, and testosterone levels alone do not always explain how someone feels.
There are many possible causes of low testosterone. These include age-related hormonal changes, chronic illness, obesity, metabolic conditions, sleep problems, stress, medication side effects, and disorders affecting the testes or pituitary gland. In many cases, symptoms arise from a combination of hormonal and non-hormonal factors.

At Menvate, assessment starts with understanding symptoms in full clinical context. This includes a detailed discussion of physical, psychological, and sexual symptoms, medical history, medications, lifestyle factors, and any existing blood results. Testosterone levels are interpreted carefully — not viewed in isolation — and only alongside how someone is actually feeling.
Treatment considerations depend entirely on the underlying cause. For some men, addressing sleep, weight, stress, or other medical conditions may improve symptoms without hormonal treatment. Testosterone therapy is considered only when clinically appropriate, following proper assessment, and with a clear discussion of potential benefits, risks, and alternatives.
It’s worth seeking medical guidance if symptoms are persistent, worsening, or affecting quality of life. A doctor-led conversation helps clarify whether testosterone may be relevant, whether further investigation is needed, or whether another explanation is more likely.
Low testosterone is often linked with related conditions such as fatigue, reduced libido, erectile dysfunction, low mood, brain fog, and sleep problems. Exploring these connections ensures care is thoughtful, balanced, and focused on the whole person — not just hormone levels.
A full, doctor-led review of your symptoms, medical history, lifestyle factors, and concerns. We’ll discuss testosterone and other possible causes, review any blood tests you already have, and give clear clinical recommendations.
The follow-up is booked at the end of your initial consultation if needed. It’s used to review results, check progress, answer questions, and confirm next steps—whether that’s treatment, monitoring, or reassurance.
Yes. The £249.99 fee includes the 45-minute consultation + one 20-minute follow-up, if clinically appropriate.
No. Blood tests are not required upfront. If tests are needed, your doctor will explain exactly why and what’s useful—no unnecessary panels.
No. Treatment is only recommended if it’s clinically appropriate. You may be advised not to pursue treatment, and that is considered a valid and positive outcome.
You’ll speak directly with Dr Houssam Abusibah, expert GP Lead with Specilist interest in Men's Health, Testesterone replacement therapy & weight managment.
Common concerns include low testosterone, fatigue, low sex drive, erection problems, mood changes, poor concentration, and unexplained symptoms—but the consultation is not limited to testosterone alone.
We offer a short doctor-led phone call to help you understand what you actually need - or if you need anything at all. We are open and transparent.
Yes. We can review your current situation and offer an independent clinical opinion.