Type
Blood Testing
Biomarkers
8
Duration
1 hour
What's included
5 deliverables in this treatment
- Morning venous blood draw (timed for peak testosterone accuracy)
- Full male hormone panel: testosterone, free testosterone, SHBG, DHEA-S, LH, FSH, prolactin, PSA
- Metabolic block: fasting glucose, HbA1c, lipid profile, TSH, liver and kidney function
- Full blood count (FBC) and ferritin
- Physician consultation reviewing all results with age-appropriate context
A targeted diagnostic panel for men aged 40 and above, combining cardiovascular and metabolic blood markers with a comprehensive male hormone assessment — testosterone, free testosterone, SHBG, DHEA-S, prolactin, and PSA. Medianna Clinic's Male Health 40+ panel is designed to identify the hormonal and metabolic shifts that are common in this age group but frequently missed in standard check-ups: declining testosterone, subclinical thyroid dysfunction, early metabolic syndrome, and prostate health indicators. The panel includes a physician consultation to contextualise findings and outline an evidence-based response.
About this treatment
The decade between 40 and 50 is when most men begin to experience clinically meaningful changes in hormonal and metabolic function. Total testosterone declines at roughly 1–2% per year from the mid-30s; by 45, many men have free testosterone levels that impair muscle maintenance, cognitive sharpness, libido, and mood — yet these changes often go undetected because symptoms are attributed to stress or ageing. Metabolic syndrome (abdominal obesity, insulin…
Medianna Clinic's Male Health 40+ panel addresses both dimensions comprehensively. The hormone block covers: total testosterone and calculated free testosterone, SHBG (sex hormone binding globulin) to determine bioavailability of testosterone, DHEA-S (an adrenal androgen precursor that reflects adrenal reserve), LH and FSH (pituitary hormones that help distinguish primary from secondary hypogonadism), prolactin (elevated levels suppress testosterone and…
Who benefits most
Good to know
- Hormone markers
- Testosterone, SHBG, DHEA-S, LH, FSH, prolactin, PSA
- Timing
- Morning appointment recommended (testosterone peaks 07:00–10:00)
- No referral needed
- Book directly at Medianna Clinic
- Includes
- Physician consultation + written results summary
Who is this for?
Men 40–65, fatigue and low energy, reduced libido, muscle loss, pre-TRT screening, prostate health baseline
Preparation required
Book a morning slot before 10:00 for accurate testosterone readings. Fast 8–10 hours. Avoid alcohol for 48 hours before. List all medications and supplements.
Panel categories
Biomarkers tested
8Metabolite of estradiol.
5α-Dihydrotestosterone, a potent androgen.
Precursor to other hormones
Metabolite of testosterone.
Measures only the unbound PSA in the blood.
The unbound, biologically active fraction of testosterone (typically 1–3% of total). Free testosterone is the form that can enter cells and exert effects. More clinically relevant than total testosterone for assessing hormonal status.
Normally 1:1; higher ratios (e.g., 2:1 or 3:1) may indicate PCOS.
A protein that binds and transports sex hormones (testosterone, estrogen) in the blood. High SHBG reduces the amount of free, active hormones available. SHBG increases with age, thyroid hormones, and estrogen; decreases with obesity and insulin resistance.
About the clinic
Reviews, team and credentials
Independent review links and clinic-reported team information.
Clinical team
The clinic is founded and led by Dr. Anna Chupina (CEO, Lead Physician). The GP team also includes Dr. Alexei Pashchenko, Dr. Olena Yermak, Dr. Natalie Červenková, Dr. Vladislava Legostaeva, Dr. Nina Dusílková, and Dr. Nina Fomina — all trained in general and internal medicine. Nursing care is provided by Miroslava and Daria Rodin. The practice is contracted with VZP, ZPMV, OZP, RBP, ZPŠ (ŠKODA), ČPZP, VoZP, and…
Languages: cs, uk, ru, en
Treatment highlights
- Morning venous blood draw (timed for peak testosterone accuracy)
- Full male hormone panel: testosterone, free testosterone, SHBG, DHEA-S, LH, FSH, prolactin, PSA
+3 more items in What's included
3 000 Kč per panel. Includes blood draw, male-specific hormone and metabolic laboratory panel, and physician consultation. No referral required.