Men’s health spans a wide range of concerns, from hormonal health and sexual function to cardiovascular risk, weight management, hair loss and mental wellbeing. Many issues that significantly affect quality of life go unaddressed for years, often because they are incorrectly attributed to stress or ageing, or because men are less likely to seek medical advice proactively. At The Wright Practice, Dr Dan Wright provides a comprehensive, evidence-based approach to men’s health: a straightforward, non-judgmental clinical environment where the full picture is assessed and practical options are explained clearly.
Testosterone levels in men decline gradually from the mid-thirties onwards. The symptoms that follow, fatigue, low libido, reduced muscle mass, low mood, poor concentration and weight gain around the abdomen, are among the most frequently missed or misattributed conditions in men’s health. They are not an inevitable consequence of ageing; in many cases they reflect a clinically treatable hormonal deficiency.
Assessment begins with a blood test measuring total testosterone, free testosterone and SHBG (sex hormone binding globulin), interpreted alongside the full clinical picture. Where treatment is appropriate, options include daily topical testosterone gel (Testogel), long-acting quarterly injection (Nebido) or more frequent injections using Sustanon, which can also be microdosed. Monitoring during treatment, including regular blood tests for haematocrit, PSA and free testosterone, is an essential part of safe, effective therapy.
Sexual health concerns are among the most common reasons men seek private medical advice and among the least likely to be raised with an NHS GP. Erectile dysfunction affects a significant proportion of men at some point in their lives and is frequently associated with underlying cardiovascular risk, hormonal factors or psychological causes, all of which are clinically assessable. Low libido in men is often multi-factorial, with testosterone deficiency, stress, sleep disruption and relationship factors all playing potential roles. Premature ejaculation and sexual performance anxiety are both highly treatable when properly assessed.
The Wright Practice also offers comprehensive STI screening for men, HIV testing and prevention counselling, PrEP and PEP prescribing, and Gardasil HPV vaccination. For men who have sex with men, we offer anal PAP screening and HPV DNA testing, as well as the full range of sexual health services described in detail on our Sexual Health page.
Androgenetic alopecia, or hereditary hair loss, is driven by DHT (dihydrotestosterone) binding to genetically susceptible follicles and causing them to miniaturise over time. It affects the majority of men to some degree by their fifties and often begins earlier than expected. Treatment is most effective when started early, before significant follicle miniaturisation has occurred.
Dr Dan Wright offers dutasteride mesotherapy at The Wright Practice: a targeted treatment that delivers a dutasteride solution directly into the scalp at the follicle level, blocking DHT locally with a substantially lower systemic side effect risk than oral treatments. Dutasteride blocks both subtypes of the 5-alpha-reductase enzyme, producing a more powerful reduction in scalp DHT (around 90%) than finasteride (around 70%), which blocks only one subtype. A full hair loss assessment includes blood testing to identify any treatable underlying contributing factors, including thyroid function, iron status and hormonal markers.
Weight gain, particularly around the abdomen, is associated with declining testosterone, insulin resistance, elevated cardiovascular risk and a range of symptoms including fatigue, poor sleep and reduced exercise capacity. A holistic approach to weight management addresses the hormonal, metabolic and lifestyle factors involved rather than treating weight as an isolated problem.
Wegovy (semaglutide) and Mounjaro (tirzepatide) have transformed the medical treatment of persistent weight gain. Both work by mimicking natural gut hormones that regulate appetite, slowing gastric emptying and reducing the background food noise that makes sustained calorie reduction difficult. The Wright Practice offers a supervised weight management programme including an initial consultation, injection technique instruction, personalised nutritional guidance, quarterly clinical reviews and ongoing support. A weight loss membership is available at £95 per month (excluding medication and the initial consultation, which is £195). Wegovy starts from £210 per monthly pen; Mounjaro from £250 per monthly pen.
Prostate cancer is one of the most common cancers in men and also one of the most treatable when identified early. Prostate MRI is now the recommended first-line investigation for detection, providing significantly more accurate assessment of clinically significant cancer than PSA testing alone. Lower urinary tract symptoms, including urinary frequency, urgency and poor stream, are common in men over 50 and often reflect benign prostatic hyperplasia rather than cancer, but they warrant proper assessment. The Wright Practice can assess urological symptoms, arrange appropriate investigations and refer to a specialist where needed.
Men are at higher risk of cardiovascular disease and tend to access preventative healthcare less frequently than women. A structured cardiovascular risk assessment, including advanced biomarker testing (ApoB, Lp(a), hs-CRP), blood pressure assessment, and where appropriate a CT coronary angiogram, can identify significant risk factors well before a cardiac event occurs. The Wellperson health screening programme provides a structured annual framework for preventative assessment, covering the full range of systems and including a personalised action plan.
Book online, call +44 (0)207 139 1833, or visit us at 101 Harley Street, London W1G 6AH.
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