Discreet assessment that considers vascular health, hormones, medicines, weight and wellbeing.
Erectile dysfunction may be linked with vascular disease, diabetes, blood pressure, sleep, medicines, hormones or psychological wellbeing. We assess the cause rather than assuming low testosterone or weight is responsible.
Erections depend on blood flow, nerves, hormones and psychological context. Diabetes, high blood pressure, smoking, sleep apnoea, depression and some medicines can all contribute.
Because the penile arteries are small, new erectile dysfunction can sometimes precede other cardiovascular symptoms. It is an opportunity for a health review, not a reason for shame.
Testosterone treatment is considered only where compatible symptoms and confirmed biochemical deficiency are present, after contraindications and fertility plans are reviewed.
It will not treat every cause of erectile dysfunction, and starting it without a proper diagnosis can obscure the real issue.
We discuss when symptoms began, morning erections, libido, relationship and psychological factors, alcohol, smoking and medicines. Blood pressure and cardiovascular risk are considered alongside glucose and lipids.
Hormone tests are used where symptoms make them relevant. A low testosterone result normally needs confirmation with an appropriately timed repeat test.
Improving fitness, weight, sleep, glucose and blood pressure may help erectile function and broader health. Licensed erectile-dysfunction medicines may also be discussed when safe.
PDE-5 medicines are not suitable with nitrates and need an appropriate cardiovascular review. Treatment bought outside regulated care may be counterfeit or unsafe.
Pain, penile curvature, testicular change or fertility concerns may need urology or andrology input. New symptoms with significant cardiovascular risk may need prompt primary or cardiac assessment.
We coordinate care while preserving privacy and ensuring an underlying condition is not missed.
Understanding what is driving your weight takes a proper assessment — your history, the other conditions you live with, the medicines you already take, and what has been tried before.
Where obesity is complex, Dr Raj may recommend the Specialist Weight Management Plan: our most intensive option, for the most complex cases. Not everyone needs it. For others, consultations and review alone are enough, and what you are offered depends on what is actually going on.
Care is delivered through our London and Chennai clinics.
This information cannot replace a consultation. Your care depends on your symptoms, history, medicines and test results. We coordinate with your own doctor or relevant specialist when needed.
Understanding the physical, metabolic and emotional factors behind your weight.
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Care that considers blood glucose, weight and your wider metabolic health together.
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Polycystic Ovary Syndrome (PCOS): hormonal symptoms, metabolism and reproductive health considered together.
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Looking beyond weight to understand thyroid function, symptoms and wellbeing.
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Individual care for the hormonal and metabolic changes of menopause.
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Exploring the connections between hormones, weight and fertility concerns.
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Considering liver health as part of a broader picture of metabolic wellbeing.
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Sensitive assessment of hormonal concerns and their links to wider health.
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Ongoing support that recognises weight maintenance as part of long-term care.
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Understanding weight changes after surgery, without blame or judgement.
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