A confidential appointment for men's health concerns, with any onward tests or treatment arranged for you.
Unhurried care from a GMC-registered GP
6am to 10pm, seven days a week
Prescriptions, sick notes and referral letters included
Your NHS records in the room, with your consent
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
Five-star Google reviews from the people we have looked after
Registered with the Care Quality Commission
Men consistently wait longer than they should before seeking help. A private, unhurried appointment removes some of the friction.
Common reasons for booking include fatigue, low mood, sexual health, testosterone and prostate concerns.
You do not need to explain yourself to a receptionist to get an appointment.
Twenty minutes is enough to get past the thing you booked about to the thing you actually wanted to raise, which in men's health is frequently not the same.
Often the sensible next step. Hormone testing, cholesterol and HbA1c are commonly arranged.
Treatment, referral, or a clear explanation of why neither is needed.
Men tend to book about one thing and mean another, and a good consultation follows that rather than stopping at the presenting complaint. Erectile difficulty raises questions about your heart. Fatigue raises questions about your sleep. Low drive raises questions about your mood, your alcohol and your thyroid. None of that is evasion — it is where the answers usually are.
This surprises people and it should not. Erectile dysfunction commonly precedes coronary artery disease by several years — the arteries involved are smaller and show trouble sooner. So expect questions about exercise tolerance, chest symptoms on exertion, family history, smoking, blood pressure and cholesterol.
Treating the erection and ignoring that is a missed opportunity, and occasionally a serious one.
A diagnosis needs two separate fasting morning samples, taken before 11am, alongside LH, FSH, SHBG and prolactin to establish why a level is low. Testosterone falls substantially through the day, so an afternoon sample means very little.
If you booked expecting to leave with a prescription today, that is not how this is done properly anywhere — and the reason is that a large share of low readings turn out to have a reversible cause.
Specifically whether you snore, whether anyone has seen you stop breathing, and whether you wake unrefreshed. Obstructive sleep apnoea is a common hidden cause of fatigue, low mood, low testosterone and poorly controlled blood pressure, and it is substantially underdiagnosed. It is worth asking your partner before the appointment.
In units, not in adjectives. Not as a judgement — alcohol suppresses testosterone, disrupts sleep, raises blood pressure and lowers mood, so it sits underneath most of what men book about. An honest number is more useful than a modest one.
Whatever you have been putting off saying, it has been said before, and a video call from your own home is an easier place to say it than across a desk.
Men present later and die earlier of largely preventable conditions. A private appointment with no waiting room removes one of the reasons for that, and there is no version of this where you are wasting anyone's time.
Book a morning slot and fast beforehand. Testosterone in particular has to be taken before 11am to be interpretable, and an afternoon sample will need repeating — which costs you a second trip.
Results come back to the GP who requested them and are explained rather than emailed as a PDF. A number inside the reference range is not automatically fine, and that interpretation is most of the value.
Before anything starts, three things get settled: a second confirmatory morning sample, a search for a reversible cause — weight, sleep apnoea, opioids, alcohol — and an explicit conversation about fertility.
That last one matters more than people expect. Testosterone suppresses sperm production, sometimes profoundly, and recovery after stopping is usual but slow and not guaranteed. If you might want children, say so before the first injection rather than after.
Sildenafil and tadalafil must never be taken with nitrates — including GTN spray, isosorbide, and the poppers sold as room odourisers. The combination causes a catastrophic drop in blood pressure.
Practical points: they need sexual stimulation to work, sildenafil works less well on a full or fatty meal, and a first dose that does not work is not a failure — dose and timing frequently need adjusting, and most men who persist through two or three attempts get a result.
Seek urgent help for an erection lasting more than four hours. That is a genuine emergency.
You will have discussed what the result can and cannot tell you before it was taken. A raised result does not mean cancer — benign enlargement, infection and even cycling or ejaculation in the previous 48 hours all raise it. A normal result does not exclude cancer either. Where it warrants it, we arrange urology referral for MRI.
A testicular lump needs assessing in person this week, not watched. We arrange urgent referral and an ultrasound rather than forming a view from a description — testicular cancer is highly curable when caught early, which is exactly why it is not a wait-and-see conversation.
With your consent we write to your practice. For anything cardiovascular, hormonal or ongoing, that continuity genuinely matters.
A testicular lump needs examining, and quickly. Any new lump, swelling or change in a testicle should be assessed in person — we will arrange urgent referral rather than form a view from a description. Testicular cancer is highly curable when caught early, which is precisely why it is not worth a wait-and-see conversation.
PSA testing is a decision, not a tick box. A raised PSA can lead to biopsy, and a normal one does not exclude prostate cancer. Prostate examination cannot be done by video. We will talk through what a result would and would not tell you before ordering it — and we will not sell you the test as reassurance it cannot provide.
Testosterone: what we will not do. We do not diagnose low testosterone from a single afternoon sample — it requires two morning measurements with the pituitary hormones and secondary causes considered. We do not prescribe testosterone for bodybuilding, performance or general vitality, and we will not take over a private clinic's regime we consider unsafe. Fatigue and low drive far more often turn out to be sleep, thyroid disease, iron deficiency, alcohol or depression, and those are worth excluding first.
Erectile difficulty is assessed as a cardiovascular symptom. It commonly precedes heart disease by a few years, so we check blood pressure, cholesterol and glucose rather than simply prescribing. Sildenafil and tadalafil are dangerous with nitrates, and men with unstable angina or a recent cardiac event need assessment before either is prescribed.
Not on one result, and not at a first appointment. Diagnosis requires two separate fasting morning samples before 11am, plus LH, FSH, SHBG and prolactin to work out why the level is low.
That is not obstruction. In a large proportion of men with a low reading the testicles are working perfectly well and something else is suppressing them — weight around the middle, untreated sleep apnoea, opioid painkillers, alcohol, chronic short sleep. Several of those are reversible, and treating them raises testosterone without committing you to lifelong therapy.
If after all that your level is genuinely low and the symptoms fit, treatment is often excellent and we will say so.
No — a rectal examination cannot be done by video. Where one is needed we arrange it.
What we can do is discuss whether a PSA test is right for you, which is a genuine decision rather than a routine check. We will not sell it to you as reassurance it cannot provide — a normal PSA does not exclude prostate cancer, and a raised one usually turns out to be benign enlargement.
Often, yes — and this is the single most useful thing on this page. The arteries supplying the penis are narrower than the coronary arteries, so they show atherosclerosis earlier. ED frequently precedes a cardiac event by a few years.
That makes it an opportunity rather than only an embarrassment. Assessing blood pressure, cholesterol and glucose at the same time is the point, and men who come in about erections sometimes leave having had something more important found.
Direct questions, asked matter-of-factly: how long, whether it happens every time, whether you wake with erections, whether desire has changed, what medication you take, how much you drink.
Whatever it is, it has been asked before, and there is no version of this where you are wasting anyone's time. Many men find a video call from their own home considerably easier than a surgery, which is a large part of why this service exists.
Usually, where it is safe. The assessment covers blood pressure, cardiovascular history and what else you take.
The absolute bar is nitrates — GTN spray, isosorbide, and the poppers sold as room odourisers. That combination can be fatal and there is no dose adjustment that makes it safe. Recent heart attack, stroke or unstable angina also need assessment first.
Typically thyroid function, ferritin, full blood count, HbA1c, liver and kidney function, vitamin D, B12 and a morning testosterone.
But the highest-yield question is not a blood test — it is whether you snore. Sleep apnoea produces exactly this picture, is badly underdiagnosed, and transforms how people feel once treated.
Get it assessed in person this week. Do not wait.
Most testicular lumps are benign cysts. But testicular cancer is the commonest cancer in men aged 15 to 45, it is typically painless — which is exactly why it gets left — and it is highly curable when caught early. An ultrasound settles it quickly, and we will arrange urgent referral rather than reassure you from a description.
You will be asked, and an honest number is genuinely more useful than a diplomatic one. Alcohol suppresses testosterone, fragments sleep, raises blood pressure and lowers mood — which means it sits underneath most of what men book these appointments about.
Nobody is keeping score. But a doctor working from an understated figure is working from the wrong picture.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 23, 2026
On this page
Ongoing
Time to be seen
Appointment length
Your NHS record in the room
Written treatment plan
Told when a test isn’t needed
Cost
Same day, usually
20 minutes
Yes, with your consent
Included
Yes, and told why
£40 for 20 minutes
Varies by practice
Typically 10 minutes
Yes, your full record
Not routinely
Usually
Free
Same day
Often 10 to 15 minutes
Usually not
Sometimes charged
Varies by provider
Often a subscription
Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.
Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.
Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.
No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.
Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.
£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.
It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.
Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.
If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.
Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.
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