Frequently Asked Questions: Men’s Health & Specialisms
Please find below our comprehensive Men’s Health FAQ, designed to provide clear, medically-backed answers regarding our specialised services. Whether you are looking for information on hormone optimisation or preventative screening, this Men’s Health FAQ covers the most common inquiries from our patients.
Men’s Health FAQ: General Health & Hormones
Q: What is Testosterone Replacement Therapy (TRT)?
A: Testosterone Replacement Therapy (TRT) is a clinical treatment used to restore testosterone levels to an optimal range in men suffering from hypogonadism. When the body fails to produce sufficient testosterone naturally, TRT provides a medically supervised way to alleviate symptoms and improve long-term health outcomes.
Q: What are the main benefits of Testosterone Replacement Therapy (TRT)?
A: Men treated for low testosterone frequently report improved libido, better erectile function, and a significant increase in physical energy and “vitality.” Clinically, TRT helps increase lean muscle mass, decrease body fat, and stabilise mood. Over time, it also strengthens bone density, reducing the risk of osteoporosis.
Q: What causes low testosterone (hypogonadism)?
A: Low testosterone can be caused by primary factors (direct injury to the testicles or undescended testes) or secondary factors such as obesity, chronic medical conditions (like Type 2 diabetes), or certain medications. Lifestyle factors and the natural aging process also play significant roles in the decline of hormone production.
Q: What are the symptoms of low testosterone?
A: The symptoms of low testosterone are numerous, but significant red flags include loss of libido, erectile dysfunction, increased sweating, depression and anxiety, poor concentration and weight gain.
Q: What is Hypogonadism?
A: Male hypogonadism is a clinical condition where the testes do not produce enough testosterone, sperm, or both. It can be present from birth or develop later in life due to injury, infection, or chronic illness.
Men’s Health FAQ: Sexual Health & Performance
Q: What causes premature ejaculation?
A: Premature ejaculation is often linked to psychological factors like performance anxiety, stress, or early sexual experiences. However, biological factors, such as abnormal hormone levels or inflammation of the prostate, can also contribute.
Q: What are the common causes of Erectile Dysfunction (ED)?
A: Erectile dysfunction (ED) is associated with an array of medical conditions – high blood fats, high blood pressure, diabetes, obesity, smoking, alcohol, recreational drugs, low testosterone, neurological diseases and sleep and endocrine disorders, or the side effects of specific medications.
Q: What is Viagra and how does it work?
A: Viagra (Sildenafil) is a PDE5 inhibitor used to treat erectile dysfunction. It works by relaxing the smooth muscles in the blood vessels, increasing blood flow to the penis. Note: Viagra does not increase sexual desire; it requires natural arousal to be effective.
Q: Are there other prescription treatments for Erectile Dysfunction (ED)?
A: Yes. While Viagra is the most well-known, there are several other ED prescriptions that may be better suited to a patient’s lifestyle or medical history. These include:
- Cialis (Tadalafil): Often called the “weekend pill” because it can remain effective for up to 36 hours.
- Vardenafil: Similar to Viagra but often preferred by patients with specific underlying health conditions like diabetes.
- Spedra (Avanafil): A newer generation PDE5 inhibitor known for its very rapid onset of action.
At The WellMan Clinic, our doctors assess which medication—and which specific dosage—is safest and most effective for each individual.
Q: Are there other prescription treatments for Erectile Dysfunction (ED) besides tablets?
A: Yes. At The WellMan Clinic, we offer Hezkue, a modern oromucosal (oral) spray. This is an innovative liquid version of Sildenafil (the active ingredient in Viagra) designed for men who prefer not to swallow tablets or who need a more flexible, discreet option.
Q: What are the benefits of Hezkue sildenafil spray?
A: Hezkue offers several advantages over traditional tablets:
- Faster Absorption: Clinical data shows absorption begins within 5 minutes, significantly faster than standard tablets.
- Flexible Dosing: The spray format allows for precise control. Each “pump” delivers a measured 12.5mg dose, allowing your doctor to tailor your treatment exactly to your needs.
- No Water Required: It is a discreet, mint-flavoured spray that can be taken anywhere without the need for water or food.
- High Bioavailability: By absorbing through the lining of the mouth, it avoids some of the delays caused by the digestive system.
Q: Why is my libido low and how can I increase it?
A: A low sex drive can be caused by psychological stressors, relationship issues, or underlying medical conditions like diabetes and obesity. In many men, it is a direct result of low testosterone. Libido can often be improved through lifestyle changes—such as better sleep and exercise—or through medically supervised TRT.
Men’s Health FAQ: Preventative Care & Prostate Health
Q: Who is at risk for Prostate Cancer?
A: Risk increases with age, typically affecting men over 50. Family history plays a major role, and men of African-Caribbean descent have a statistically higher risk. Modern research also suggests that obesity and a high-fat diet may increase the likelihood of developing the disease.
Q: What is included in a Prostate Health Screen?
A: A comprehensive Prostate Health Screen at The WellMan Clinic involves a 30-minute consultation with one of our specialist male doctors, a physical examination (height, weight, and blood pressure), and a urinalysis. The cornerstone of our screening is the cPSA (Complexed Prostate Specific Antigen) blood test.
Q: Do you perform a physical rectal exam during the prostate screen?
A: No. Current medical research indicates that a digital rectal examination (DRE) is often unnecessary when highly sensitive diagnostic tools are available. Instead, we utilise a specialised Complexed PSA test, which we send to leading laboratories in Germany. This test is significantly more sensitive and accurate than a standard PSA or a manual physical exam, allowing us to provide a superior level of screening without the discomfort of a rectal examination.
Q: Can diet and lifestyle reduce the risk of Prostate Cancer?
A: While no diet or change in lifestyle can guarantee prevention, a healthy diet and lifestyle may in time, help to lower your risk of prostate cancer. Maintaining a healthy weight and staying physically active are the most effective ways to support long-term prostate health.
Men’s Health FAQ: Nutritional Health & Longevity
Q: What is Vitamin B used for and how can I increase my intake?
A: Vitamin B complex is essential for energy metabolism and neurological health. Specifically, B12 and B6 help regulate homocysteine levels; high levels of which are linked to brain atrophy and Alzheimer’s. You can increase intake via meat, fish, beans, and leafy greens, or through high-quality supplementation.
Q: What are the benefits of Vitamin D?
A: Often called the “Sunshine Vitamin,” Vitamin D functions more like a hormone. It is critical for calcium absorption (bone and tooth health) and plays a vital role in immune function, potentially reducing the risk of seasonal infections, heart disease, and certain autoimmune conditions.
Q: What causes Vitamin D deficiency?
A: The primary cause is a lack of direct sunlight, which is especially common in northern climates like the UK. Modern indoor lifestyles and the use of high-SPF sunscreens also prevent the skin from synthesising Vitamin D3 from cholesterol.
Medically reviewed by: Dr. Christopher Parry, The WellMan Clinic.
Updated: May 2026