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Men’s health

Men go for check-ups later, and often only once something hurts. The values that would give early warning start changing long before that — and they can be measured at home.

Four groups of causes work together. Three can be influenced, one only partly — and a single one of them costs nothing but an appointment.

Analysen

What is measured here

8 Analysen · €55 bis €325
Melatonin – Figure 1 of 3 Speichel
MelatoninThe value for sleep — and so for the phase in which most testosterone is produced.
SchlafSpeichel
€55,00 Ansehen
Whole Blood Mineral Analysis – Figure 1 of 5 Kapillarblut
VollblutmineralanalyseZinc, magnesium, selenium, iron and copper inside the cell — the minerals you use up faster with exercise and strain.
Zincmagnesiumintracellular
€75,00 Ansehen
Daily Cortisol Profile – Figure 1 of 5 Speichel
Cortisol-TagesprofilCortisol morning, midday and evening, plus DHEA. Persistently high cortisol lowers testosterone.
3 MesspunkteDHEA
€155,00 Ansehen
Male Hormone Profile Test – Figure 1 of 4 Speichel
Male hormone panelTestosterone, oestradiol, progesterone, DHEA and cortisol from one sample. For testosterone: collect in the morning.
TestosteroneDHEAcortisol
€160,05 Ansehen
OM Vital Blood Test – Figure 1 of 3 Kapillarblut
OM VitalLDL, HDL, triglycerides and hs-CRP together with homocysteine, TSH, ferritin, selenium and zinc — the heart and metabolism side.
LDLTriglyzeridehs-CRP
€205,00 Ansehen
Basic profile of the gut microbiome, leaky gut, and histamine – Figure 1 of 3 Stuhl
Gut basic profileMicrobiome, barrier markers and histamine. Silent inflammation is a common thread across several conditions.
MikrobiomBarriere
€285,00 Ansehen
Neurotransmitter Tryptophan Metabolism Plus – Figure 1 of 3 Urin
Neurotransmitters and tryptophanSerotonin, dopamine, GABA and the kynurenine pathway with NAD — drive, sleep and energy production.
SerotoninNADKynurenin
€305,00 Ansehen
Prevent 360 – Figure 1 of 5 Kapillarblut
Prevent 36075 values from 120 µl: testosterone, LDL, HDL, triglycerides, hs-CRP, TSH, ferritin, vitamin D and 18 amino acids.
75 Werte120 µl
€325,00 Ansehen
Figure 1 · Four groups of causes

What comes together — and what you can influence

The bar shows how much of each group is in your hands. For each one, we say what we can measure — and what we cannot.

Group 1 Lebensstil
beeinflussbar
weitgehend
Smoking, alcohol, too little exercise and a poor diet. The group with the greatest leverage — and the only one you can change without an appointment.
Smokingalcoholtoo little exercisepoor dietexcess weight
Measurable: LDL, HDL, triglycerides and hs-CRP in OM Vital and in Prevent 360. HbA1c and liver values are not available here as a self-test — a medical practice can measure them.
Group 2 Genetic predisposition
beeinflussbar
kaum
A family history does not change what you can do — but it does change when you should start paying attention.
Heart attack in the familyprostate cancer in a father or brotherdiabetes in a parent
The most important step here is the family history, not a lab value. Lipoprotein(a), which often comes up, is not available from us as a self-test — ask our expert network about it.
Group 3 Hormonal factors
beeinflussbar
teilweise
Testosterone falls with age, and that decline is closely tied to weight and inflammatory conditions. So it can be influenced indirectly.
Testosteronethyroidinflammationweight
Measurable: testosterone in Hormone Profile Men and in Prevent 360, TSH in OM Vital, hs-CRP in both. SHBG and the HOMA index are not on offer here.
Group 4 Late prevention
beeinflussbar
vollständig
Men take up screening less often and later than women. That is not a predisposition, it is a decision — and so it can change straight away.
Check-up at the GPurological screeningbowel cancer screeningskin cancer screening
Here the lab adds to the picture, it does not replace it. The four appointments below are statutory services.
Figure 2 · Three cases

Three conditions, each with the values that go with them

The three conditions named most often in men. Lab testing adds to medical check-ups; it does not replace them.

Image 1 Cardiovascular diseaseHeart attack, for example.
Was zusammenkommt
—Stress
—high blood pressure
—smoking
—lack of exercise
—poor diet and excess weight
What we measure for this
LDLHDLtriglycerideshs-CRPhomocysteine
Measuring blood pressure costs nothing and is part of it. Chest pain or breathlessness is an emergency, not a lab question.
Image 2 ProstatakrankheitenBenign enlargement or prostate cancer, for example.
Was zusammenkommt
—Older age
—hormonal changes in the body
—family history
What we measure for this
Testosteroneno PSA self-test
Urological screening is a statutory service from age 45. PSA belongs in that conversation, not in a self-test.
Image 3 Metabolism and diabetesInsulin resistance and type 2 diabetes, for example.
Was zusammenkommt
—Excess weight around the middle
—lack of exercise
—sugary drinks
—ongoing stress
What we measure for this
TriglyzerideHDLhs-CRP
HbA1c, fasting glucose and the HOMA index would be the obvious values here — we do not offer them as a self-test. In a medical practice they are routine; ask our expert network about them.
What we explicitly do not do
—No PSA as a self-test — interpreting it needs an examination and a conversation.
—No cancer screening. Colonoscopy, skin cancer screening and urological check-ups are medical services.
—No substitute for measuring blood pressure. It is the cheapest and one of the most important values there is.
—No HbA1c, fasting glucose, insulin or lipoprotein(a) as a self-test — a medical practice can measure them, so ask our expert network about it.
Check-up from 35 Every three years, with blood sugar, cholesterol and urine
Urological check-up from 45 Yearly, physical examination of the prostate
Bowel cancer screening from 50 Test for blood in stool or colonoscopy
Skin cancer screening from 35 Every two years
Figure 3 · Testosterone

A slow decline, faster alongside other illnesses

The age-related decline is well described and slow. What speeds it up is usually not age itself but what sits alongside it — weight, inflammation, metabolism.

0.4 to 1 % Decline per year from the age of 40 Where other illnesses are present, the decline is considerably steeper. For total testosterone, other analyses report 1 to 2 per cent per year.Deutsches Ärzteblatt, review
19.3 % Low testosterone among GP patients In the DETECT survey, from 2,719 men measured. Particularly common alongside excess weight, metabolic syndrome and inflammatory conditions.DETECT study
2.1 % Symptomatic hypogonadism, ages 40 to 79 That means symptoms and a low value together: 55 of 2,599 men. A low value in the lab alone is far more common.European Male Ageing Study
0.87 % Diagnosis made by a doctor In men aged 30 to 80, based on billing data from around 4 million insured people. The authors put the gap down to cases that go unrecognised.Claims data analysis, The Aging Male 2026
If you measure, do it like this
—Sample in the morning between 7 and 11 am, fasting — the value varies a lot over the day.
—Confirmation by a second measurement on another morning.
—No screening without symptoms: a value with no matching symptoms leads nowhere.
—We do not offer SHBG, or the free testosterone derived from it, as a self-test — a medical practice can measure them, so ask our expert network about it.
Lebensstil

Eight things that make the difference for men

None of this is new. What is different is that each point shows up in a measured value — so it can be checked, instead of staying a good intention.

01
Muskelaufbau Two strength sessions a week are enough to begin with. Muscle is the body's largest consumer of sugar and its largest store of amino acids.Amino acid profile in Prevent 360
02
Cut down on sugar Sugary drinks and white flour first. Insulin levels change faster than weight does.Triglycerides, HDL — HbA1c at the practice
03
Choose your fats, don't cut them Fewer processed fats, more oils and oily sea fish. What matters is the type, not just the amount.LDL, HDL, Triglyzeride
04
Reduce stress Not as a resolution but as an appointment: a walk, exercise, ten minutes of quiet. Persistently high cortisol lowers testosterone.Cortisol-Tagesprofil
05
Deep sleep and recovery Most testosterone production happens during sleep. Seven hours is not a luxury, it is the basis.Melatonin, evening cortisol
06
Limit alcohol and smoking Alcohol puts a load on the liver and lowers testosterone; for the blood vessels, stopping smoking is the single biggest gain. Both show up in your values before you feel them.hs-CRP — liver values at the practice
07
Show feelings and talk Strain that is never spoken about stays in the body and keeps cortisol high. Talking to a partner, a friend or a practitioner is part of regulation — not only once nothing works any more.Cortisol, neurotransmitters
08
Supply nutrients When sport and strain raise your needs, the usual intake is often no longer enough — vitamin D, magnesium, zinc and amino acids come first here.Vollblutmineralanalyse, Prevent 360
Quellen
  1. Testosteronmangel im Alter: Normal oder pathologisch? Deutsches Ärzteblatt — decline of 0.4 to 1 per cent per year.
  2. DETECT study: testosterone determination in 2,719 men in primary care.
  3. Wu FCW et al., Identification of Late-Onset Hypogonadism in Middle-Aged and Elderly Men, New England Journal of Medicine 2010 — European Male Ageing Study, 40 to 79 years.
  4. Analysis of care data on the frequency of hypogonadism diagnoses, The Aging Male 2026.
  5. Statutory preventive examinations for men in Germany: check-up from 35, urological screening from 45, bowel cancer screening from 50, skin cancer screening from 35.
Questions and answers

Common questions

Free initial consultation

When should testosterone be measured?

In the morning between 7 and 11 o'clock, fasting — the value varies considerably over the day. A conspicuous result is confirmed on a second morning.

Without matching symptoms, a value has no consequence. We do not offer SHBG, or the free testosterone calculated from it, as a self-test; a medical practice can measure them — ask our expert network about it.

How much does testosterone fall with age?

By about 0.4 to 1 per cent a year from the age of 40. Where other conditions are present, the decline is considerably steeper.

In the DETECT survey, 19.3 per cent of the men measured in general practice had a low value — most often alongside excess weight and metabolic syndrome. Symptomatic hypogonadism, meaning symptoms and a low value together, was found in the European Male Ageing Study in 2.1 per cent of those aged 40 to 79.

Do you offer a PSA test?

No, and deliberately not as a self-test. A PSA value is hard to place without a physical examination, a history and a conversation — a raised value has many harmless causes.

Urological prevention is a statutory benefit from age 45. That is where PSA belongs.

Does this replace the GP check-up?

No. From 35 the check-up is a statutory benefit every three years and includes things a self-test cannot do — above all blood pressure and the physical examination.

What we provide is measured values with the laboratory's reference range, collected at home and with no waiting. That is something to add between appointments, not a replacement.

Where do I start if I have never had anything measured?

With Prevent 360, if you want a broad stocktake: 75 values covering heart, metabolism, inflammation, hormones and nutrients from one sample.

If it is about drive, sleep or libido, the men's hormone profile together with the cortisol daily profile is the more direct route. And either way: measure your blood pressure, it costs nothing.

Your Partner in Health

All figures come from studies and describe groups, not individuals. Chest pain, breathlessness, blood in urine or stool and any lump you can feel need a doctor straight away — not a lab test.