6 months
Erections and ejaculation
Assessed as a cardiovascular and metabolic problem that also has a symptom, because that is usually what it is.
The thing you haven’t told anyone.
Tell a doctor.
On video, from wherever you are. Nobody in a waiting room, nothing on the box.
Start your assessmentUnder 40
Under forty, trouble with erections is often the body’s early warning about blood pressure or sugar. So we check both, alongside everything else.
What we can treat here
None of this is advertised. You reach it from an account you already have and a doctor you have already spoken to.
12 months
Testosterone
Two morning blood samples before anything is decided. Most men who ask about this don’t need it.
6 months
Fertility
Semen analysis first. The 74-day cycle explains why nothing shows quickly.
What we’ll test
HbA1c
Lipid profile
Testosterone, free and total
Thyroid (TSH, free T4)
Semen analysis
Home sample collection
How long this actually takes
Nobody can shorten these. We’d rather you hear the real number now than in month four.
Week 0
Assessment, blood pressure at home, and the panel above.
Week 1
Video consultation. A diagnosis, which is often metabolic rather than sexual.
Month 3
Review of both the symptom and the underlying numbers.
Month 6
Review. Where the cause was metabolic, the numbers are the measure.
What the evidence says
Erectile dysfunction is an established independent marker of cardiovascular risk, and guidelines recommend cardiovascular assessment at presentation.
European Association of Urology guidelines on sexual healthSpermatogenesis takes approximately 74 days, which is why no fertility intervention changes a semen analysis sooner than about three months.
WHO laboratory manual for the examination of human semenQuestions about sexual health
Discreet mode is on by default here. Messages omit the Niira name and any mention of what the consultation is about.
Under forty, it’s often an early sign of blood pressure or sugar trouble — so we check those too.
Yes, with a registered practitioner whose council number you can check before the call.