Losing interest in sex is a symptom with a cause, not a character flaw. We test broadly, explain your actual numbers, and treat what is wrong rather than prescribing hormones by reflex.
Most men who come to us about low sex drive have already been told to sleep more and worry less. Sometimes that is genuinely the answer. Often it is not, and the real cause shows up plainly on a blood test that nobody has thought to order.
Testosterone is only one part of it. Thyroid function, prolactin, blood sugar, iron studies, vitamin D, sleep quality, depression and the side effects of ordinary medication all shape desire, and any one of them can be the whole explanation. Prescribing testosterone to a man whose testosterone is normal helps nobody and carries real risks.
The approach at Elegance Clinic is straightforward. Test broadly before treating anything, show you the numbers and explain what they mean, then agree a plan you can actually follow. If your hormones are normal we will say so plainly and look elsewhere.
A single symptom means little. Several of these together, especially if they arrived gradually over months, deserve a proper assessment.
Desire sits at the meeting point of hormones, sleep, mood, medication and relationship context. All of them get examined.
A full history covering desire, erections, sleep, medication, alcohol, training, mood and relationship context. This conversation usually points to the likely cause before any test is run.
A sample taken between seven and ten in the morning for a broad hormone and metabolic panel. Results are generally available within twenty four to forty eight hours.
Your actual figures are shown to you with the reference ranges beside them, and what is normal and what is not is spelled out, including the option of doing nothing at all.
Treating an underlying condition, changing a medication, hormone therapy, a lifestyle programme or a combination. Fertility plans are settled before any hormonal treatment begins.
Repeat bloods and an honest conversation about what has actually changed. Doses and the plan are adjusted on results rather than assumptions or wishful thinking.
A fuller review. If the plan is working, a long term monitoring schedule is set. If it is not, the direction changes rather than the same prescription being repeated.
Nothing here works like a switch. Where sleep, alcohol or a medication was the cause, change can be surprisingly quick, sometimes within two to three weeks of the change being made. Where hormones need correcting, energy and mood usually lift first, at around three to four weeks, and desire follows between weeks six and twelve.
Body composition is slowest of all, and it needs resistance training and sensible eating alongside any medication. No hormone treatment produces muscle on its own, and any clinic suggesting otherwise is selling something.
Bloods are rechecked at six and twelve weeks. If a treatment is not working by twelve weeks we change direction rather than asking you to wait indefinitely.
The first stage is a consultation and a blood panel, and that is the only outlay until results return. What follows depends entirely on what is found. For a large share of men the answer is correcting sleep, changing a medication, treating a thyroid problem or bringing blood sugar under control, and that route costs considerably less than hormone therapy. Where testosterone replacement or fertility sparing treatment is genuinely indicated, it carries an ongoing monthly cost plus monitoring bloods, and the full figure is explained before anything begins.
Treatment follows the test results rather than the complaint. Most men need a combination of two or three changes rather than one intervention.
Morning testosterone, thyroid function, prolactin, blood sugar, vitamin D and a full blood count. Nothing is prescribed until the picture is clear, and any low testosterone reading is confirmed on a second separate sample before it is acted upon.
Ask about thisCertain antidepressants, blood pressure tablets and hair loss medication reduce desire markedly. Reviewing them with the prescribing doctor and substituting where possible restores libido for a meaningful number of men without any further treatment at all.
Ask about thisCorrecting thyroid function, controlling blood sugar, investigating raised prolactin or treating sleep apnoea. For a large share of men this alone restores desire, and it does so without committing anyone to long term hormone therapy.
Ask about thisFor men with repeatedly confirmed low testosterone and matching symptoms. Given as injections or gel, with blood count, prostate markers and hormone levels monitored at set intervals. Never started on symptoms alone.
Ask about thisMedication that stimulates your own testosterone production rather than replacing it, protecting sperm count. This is the preferred route for younger men and for anyone who may want children at any point in the future.
Ask about thisWhere low mood, anxiety, resentment or relationship strain is driving the loss of desire, structured counselling is offered alongside medical treatment. Couples are welcome to attend together, and many find that more useful than attending alone.
Ask about thisHonest answers about this procedure in Surat.
Ask a QuestionNo, and assuming so leads to a great deal of unnecessary treatment. Thyroid problems, raised prolactin, poor sleep, depression, blood sugar problems and ordinary medication side effects all reduce desire while testosterone reads perfectly normal. That is precisely why the first step should be a broad blood panel rather than a prescription.
Typically total and free testosterone from a morning sample, thyroid function, prolactin, fasting sugar and HbA1c, vitamin D, a full blood count and a lipid profile. Additional tests such as LH, FSH, iron studies or a sleep study are added when the initial results or your symptoms point in that direction.
Testosterone follows a daily rhythm and peaks in the early hours, so an afternoon sample can read low in a man whose levels are entirely normal. Samples should be taken between seven and ten in the morning, and any low result should be confirmed on a second separate morning sample before treatment is started.
Yes, and this matters greatly. External testosterone suppresses the body's own production and can reduce sperm count substantially, sometimes to zero. If children are a possibility in future, this must be discussed before anything begins, and treatments that raise your own testosterone without suppressing fertility are usually the better route.
Very often, yes. Treating sleep apnoea, correcting an underactive thyroid, changing a medication that is causing the problem, reducing alcohol, addressing blood sugar and treating depression can restore desire completely. Hormone therapy is one option among several, and it should not be the automatic starting point for anybody.
No, though they often travel together. Low libido is loss of interest in sex, while erectile dysfunction is the inability to get or keep an erection when interest is present. The causes overlap but are not identical, and the treatments differ. Both are assessed separately at the first visit.
It depends what is being corrected. Removing a medication or fixing poor sleep can show within two to three weeks. Hormonal correction lifts energy and mood at around three to four weeks, with desire following between weeks six and twelve. Body composition changes are slower and need training alongside.
It can be, and that possibility is taken seriously rather than dismissed. Desire that is normal when alone but absent with a partner points strongly in that direction, as does a change that began around a specific event. Counselling is offered in that situation, and couples are welcome to attend together.
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