Men's Hormonal Health Panel

A specialist men's hormonal blood panel assessing testosterone, LH, FSH, prolactin, thyroid function, and metabolic markers, interpreted by endocrinologist Dr Cho Li Wei. Designed for andropause assessment, hypogonadism diagnosis, and comprehensive male hormonal health evaluation.

The Men's Hormonal Health Panel at LW Cho Endocrine Clinic provides a rigorous, specialist-supervised assessment of the key hormonal and metabolic markers relevant to male health. Dr Cho Li Wei, with over 20 years of endocrinology experience and dual UK and Singapore registration, has particular expertise in male reproductive endocrinology and hypogonadism management. The core male hormone panel measures total testosterone, free testosterone, sex hormone-binding globulin (SHBG), luteinising hormone (LH), follicle-stimulating hormone (FSH), and prolactin. These markers establish whether testicular function and the pituitary–gonadal axis are operating within optimal ranges. Low total or free testosterone, combined with elevated LH and FSH, typically indicates primary hypogonadism (testicular failure), while low testosterone with inappropriately low or normal gonadotrophins suggests secondary hypogonadism originating at the pituitary or hypothalamic level. Oestradiol (E2) is measured alongside testosterone because an elevated oestrogen-to-testosterone ratio is a common finding in older or overweight men and contributes to fatigue, reduced libido, gynaecomastia, and mood changes. Prolactin is assessed to exclude a pituitary adenoma as a secondary cause of low testosterone. Thyroid function (TSH, fT3, fT4) is included given the bidirectional relationship between thyroid status and testosterone levels. The metabolic component of the panel covers fasting glucose, HbA1c, and a lipid profile, recognising that low testosterone and metabolic syndrome frequently co-occur. A full blood count and haematocrit are included where testosterone replacement therapy is being considered, as TRT can increase red cell mass. All results are reviewed in a dedicated specialist consultation. Dr Cho explains findings in detail, discusses the clinical significance of borderline values, and — where treatment is appropriate — presents options for testosterone replacement therapy, lifestyle modification, or underlying cause management. Follow-up panels are scheduled to monitor hormone levels, haematological response, and long-term safety.