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Low libido · Hormonal assessment · Specialist Urologist

Low Libido & Sexual Wellness London

Assessment of reduced sexual desire that looks for a cause rather than assuming one — hormonal, psychological, medication-related or physical.

Delivered byDr Kishore Bahl, Specialist Urologist
ConsultationAssessment before any treatment
Session timeTypically 15–30 min
DowntimeNone
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Educational information — not a substitute for clinical assessment

This page describes low libido & sexual wellness in general terms to help you decide whether an assessment may be useful. It is not a diagnosis and does not promise a particular result. Suitability, the number of sessions and whether treatment is appropriate at all are decided at consultation. Outcomes vary between individuals and treatment is not suitable for everyone.

Why people come to us about this.

Low libido is often put down to age or stress without anyone checking. Sometimes that is right. Sometimes it is a treatable hormonal problem, a medication side effect, or a symptom of depression that has not been recognised.

What this condition actually is.

Libido means sexual desire, and it varies naturally between people and over time. What matters clinically is a persistent reduction from your own normal that troubles you.

It is distinct from erectile dysfunction, though the two often occur together and are frequently confused.

Assessment looks for hormonal, psychological, relational and medication-related causes. Focal shockwave does not treat low libido; it is included in this clinic because low libido and erectile difficulty commonly coexist.

What you might be noticing.

  • Reduced interest in sexual activity compared with your own normal
  • Reduced frequency of sexual thoughts
  • Loss of morning erections, which may point to a hormonal cause
  • Fatigue, low mood or loss of motivation more generally
  • Reduced muscle mass or increased body fat
  • Poor concentration or low-grade depression
  • Distress or relationship strain arising from the change

What tends to cause it.

  • Low testosterone, which is treatable once confirmed properly
  • Thyroid dysfunction
  • Depression and anxiety — both common and commonly missed
  • Medication, particularly some antidepressants, finasteride and opioids
  • Chronic illness, sleep deprivation and obstructive sleep apnoea
  • Alcohol and recreational drug use
  • Relationship factors and life stress
  • Raised prolactin, which is uncommon but important to exclude

How treatment helps.

Assessment establishes whether there is a hormonal cause, using morning blood tests interpreted properly rather than a single result read in isolation.

Where testosterone is genuinely low and symptomatic, treatment is discussed with its risks and monitoring requirements.

Where the cause is depression, medication or sleep, that is addressed rather than treating the libido alone.

Focal shockwave has no role in treating low libido itself, and we will say so.

Why we use focal shockwave.

We use focal shockwave because it delivers energy to a defined depth — up to approximately 12 cm — allowing accurate treatment of deeper structures. Radial devices spread energy outwards from the applicator and lose intensity quickly, which limits them to more superficial targets.

Why focal reaches what radial cannot.

Pulses travel from the probe and converge on a target at depth. The dashed line marks where radial devices stop.

036912 cm Radial device range ► stops here Focal probe Target SkinFat layerMuscleDeepmuscle
Focal shockwave · depth of penetration

What treatment can offer.

Proper hormonal assessment rather than assumpt

Proper hormonal assessment rather than assumption

Blood tests interpreted in clinical context

Blood tests interpreted in clinical context

Recognition of depression and sleep disorders

Recognition of depression and sleep disorders that commonly present this way

Medication review, since drug side effects are

Medication review, since drug side effects are a frequent cause

Honest advice, including when no treatment is

Honest advice, including when no treatment is needed

What to expect during treatment.

  1. Step 1

    A consultation covering the timeline, your general health, mood, sleep and medication.

  2. Step 2

    Morning blood tests where hormonal assessment is indicated — timing matters for testosterone.

  3. Step 3

    Repeat testing before any diagnosis of low testosterone, as single results can mislead.

  4. Step 4

    A clear explanation of what the results mean.

  5. Step 5

    A plan matched to the cause, with monitoring where treatment is started.

Questions people usually ask.

Is low testosterone the usual cause?

It is one cause but not the commonest. Depression, medication, sleep problems and relationship factors are all frequent.

Why do blood tests need to be in the morning?

Testosterone follows a daily rhythm and is highest in the morning. An afternoon sample can read misleadingly low.

Will I be offered testosterone treatment?

Only if testing confirms genuinely low levels and you have symptoms. It requires monitoring and has implications for fertility, which we would discuss.

Is low libido the same as ED?

No. Libido is desire; ED is the physical ability to achieve an erection. They often occur together but need distinguishing.

Can shockwave help?

Not for libido itself. If erectile difficulty coexists, that may be a different matter.

Related treatments.

Shockwave Therapy for Erectile Dysfunction

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Psychosexual Consultation

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Sexual Health & Relationships

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Before you book.

Referral

No GP referral needed. You can book directly.

First appointment

An assessment with Dr Kishore Bahl, Specialist Urologist. Treatment follows only if the assessment supports it.

Where

Whitechapel, East London. Whitechapel station is on the Elizabeth line, District, Hammersmith & City and Overground.

Fees

Published in full on our price list.

Privacy

Consultations are private and confidential. You are entitled to a chaperone at any appointment, at no cost.

Speak to a specialist.

Speak to Dr Kishore Bahl, Specialist Urologist, about whether this treatment is appropriate for you.

Book a consultation Call 020 7916 0029 See full pricing on our price list
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