Men’s Health and Andrology Services at Nottingham Road Clinic provide specialist assessment and management of health conditions affecting male physical, hormonal, sexual and reproductive wellbeing. Men’s health concerns are common and often multifactorial, involving interactions between endocrine, urological, cardiovascular, metabolic and psychological factors. Despite this, symptoms are frequently under-reported or attributed to ageing without appropriate clinical assessment.
Conditions within men’s health and andrology can have a significant impact on quality of life, relationships, fertility, mood and overall physical health. Symptoms such as fatigue, reduced libido, erectile dysfunction, fertility concerns or changes in urinary function may reflect underlying medical conditions requiring specialist input rather than isolated or benign issues.
The service is consultant led and delivered by clinicians with expertise in men’s health, andrology and related specialties. Care is evidence based, aligned with UK and international clinical guidelines, and focused on identifying underlying causes, excluding serious pathology and supporting safe, effective management.
Men’s Health and Andrology Services are integrated within Nottingham Road Clinic’s wider diagnostic and specialist services. This allows comprehensive assessment, access to laboratory and imaging investigations where required, and coordinated multidisciplinary care aligned with NHS pathways when escalation is necessary.
Men’s Health and Andrology Services at Nottingham Road Clinic provide specialist assessment and management of health conditions affecting male physical, hormonal, sexual and reproductive wellbeing. Men’s health concerns are common and often multifactorial, involving interactions between endocrine, urological, cardiovascular, metabolic and psychological factors. Despite this, symptoms are frequently under-reported or attributed to ageing without appropriate clinical assessment.
Conditions within men’s health and andrology can have a significant impact on quality of life, relationships, fertility, mood and overall physical health. Symptoms such as fatigue, reduced libido, erectile dysfunction, fertility concerns or changes in urinary function may reflect underlying medical conditions requiring specialist input rather than isolated or benign issues.
The service is consultant led and delivered by clinicians with expertise in men’s health, andrology and related specialties. Care is evidence based, aligned with UK and international clinical guidelines, and focused on identifying underlying causes, excluding serious pathology and supporting safe, effective management.
Men’s Health and Andrology Services are integrated within Nottingham Road Clinic’s wider diagnostic and specialist services. This allows comprehensive assessment, access to laboratory and imaging investigations where required, and coordinated multidisciplinary care aligned with NHS pathways when escalation is necessary.
Men’s Health and Andrology Services are suitable for adult men seeking specialist assessment of symptoms affecting hormonal health, sexual function, fertility or genitourinary wellbeing.
Typical presentations include reduced energy or vitality, changes in libido, erectile or ejaculatory difficulties, fertility concerns, testicular symptoms, urinary complaints or symptoms suggestive of hormonal imbalance. Patients may also present with concerns related to ageing, metabolic health or long-standing conditions that impact sexual or reproductive function.
Specialist input is particularly important where symptoms are persistent, progressive, distressing or associated with systemic illness. Many presentations involve overlapping physical and psychological factors that benefit from structured specialist assessment rather than empirical treatment in primary care.
The service supports both self-pay and insured patients. Referrers include GPs and other specialists seeking diagnostic clarification, hormonal assessment, fertility evaluation or shared management of complex cases.
Men’s Health and Andrology Services assess and manage a wide range of conditions affecting male health.
Hormonal and endocrine disorders
Assessment of suspected hypogonadism, testosterone deficiency or other endocrine abnormalities contributing to fatigue, reduced libido, mood change or loss of muscle mass.
Erectile and sexual dysfunction
Evaluation of erectile dysfunction, ejaculatory disorders and reduced sexual desire, recognising vascular, neurological, hormonal and psychological contributors.
Male fertility and reproductive health
Assessment of fertility concerns, including hormonal factors, testicular health and referral for specialist reproductive testing where required.
Testicular and scrotal conditions
Investigation of testicular pain, swelling, masses or concerns regarding testicular function.
Lower urinary tract symptoms
Assessment of urinary frequency, urgency, nocturia or flow disturbance where symptoms overlap with men’s health concerns.
Red-flag features
Symptoms such as testicular masses, unexplained weight loss, persistent pain, rapidly progressive sexual dysfunction or abnormal blood results are prioritised for prompt investigation and referral.
Assessment begins with a detailed clinical history, including symptom onset, duration, progression and impact on daily life and relationships. Medical history, medication use, lifestyle factors and psychological wellbeing are explored in a sensitive and confidential manner.
Physical examination is undertaken where clinically appropriate and may include general examination and focused assessment of the genitourinary system. All examinations are performed respectfully and in line with best practice.
Diagnostic investigations are guided by clinical findings and may include hormonal blood tests, metabolic screening and other laboratory investigations. Imaging or specialist tests are arranged where indicated to support diagnosis.
Clinical reasoning focuses on identifying underlying causes, excluding significant pathology and avoiding unnecessary or inappropriate treatment.
Management is individualised and based on identified underlying causes, symptom severity and patient preferences.
Conservative and lifestyle management
Advice may include optimisation of cardiovascular risk factors, weight management, sleep, mental wellbeing and lifestyle modification where relevant.
Medical management
Evidence-based pharmacological treatments are considered where appropriate, with careful monitoring for effectiveness and safety.
Hormonal management
Hormonal therapies are considered only following appropriate assessment and in line with UK guidance, with ongoing monitoring arrangements in place.
Referral and escalation
Where surgical intervention, fertility treatment or advanced specialist input is required, referral pathways to NHS or specialist services are coordinated.
Men’s Health and Andrology Services work closely with urology, endocrinology, radiology, mental health and primary care services to provide coordinated care.
Diagnostic services support accurate assessment and monitoring. Psychological support may be appropriate for patients where mental health and relationship factors contribute to symptoms.
Where indicated, referral to NHS secondary or tertiary services is arranged with comprehensive clinical information to support continuity of care.
Appointments provide time for open, confidential discussion of symptoms and concerns. Patients are encouraged to share relevant medical history, medication details and previous test results.
Assessment findings and investigation plans are explained clearly. Patients are involved in decision-making regarding management options and follow-up.
A personalised care plan is developed and communicated to the patient and referrer or GP, outlining recommended investigations, treatment and review arrangements.
Are men’s health symptoms just part of ageing
While some changes occur with age, many symptoms have treatable underlying causes and should be assessed.
Will I need blood tests
Blood tests are commonly used to assess hormonal and metabolic factors, but only where clinically indicated.
Is testosterone therapy always required
No. Testosterone treatment is considered only when deficiency is confirmed and appropriate.
Are psychological factors relevant
Yes. Stress, low mood and anxiety commonly interact with physical symptoms and are considered as part of assessment.
Will my GP be informed of the outcome
Yes. Communication with the GP supports safe shared care and follow-up.
Do you work with NHS urology services
Yes. Referral and shared care pathways are used when specialist or surgical management is required.
To book an appointment or discuss which clinician you should see first:
Phone: 01623 624137
Location: Nottingham Road Clinic, 195 Nottingham Road Mansfield NG18 4AA
