Compare UK TRT Clinics

TRT is a medical treatment for hypogonadism — a condition where the body does not produce sufficient testosterone. Symptoms include chronic fatigue, low libido, depression, reduced muscle mass, and increased body fat. In the UK, TRT is available via NHS referral for clinically diagnosed hypogonadism, and through private clinics. Treatment is delivered as injections (testosterone cypionate or enanthate), topical gels, or oral capsules (testosterone undecanoate).

Reputable UK TRT clinics require a baseline blood panel including: total testosterone and free testosterone (ideally a morning fasting sample), LH and FSH (to identify primary vs secondary hypogonadism), haematocrit and haemoglobin, PSA (prostate-specific antigen — recommended for men over 40), oestradiol, SHBG (sex hormone-binding globulin), and a full blood count. Ongoing monitoring every 3–6 months should check haematocrit, as TRT can raise red blood cell levels and increase clotting risk.

Private TRT costs vary significantly depending on the formulation, clinic, and whether blood tests and consultations are included in the price. We normalise all prices to cost-per-mg of testosterone, including consultation fees and delivery. Testosterone injections (cypionate or enanthate) are typically more cost-effective than gels because they deliver higher doses per unit. Many clinics offer subscription models which reduce monthly costs for ongoing treatment.

Yes — TRT is available on the NHS for clinically diagnosed hypogonadism, confirmed by two low morning testosterone readings plus symptoms. However, NHS waiting times for endocrinology referrals are typically 6–18 months, and NHS access criteria may be stricter than private clinic thresholds. Many patients access TRT privately while waiting for NHS assessment. GP prescribing of TRT varies significantly across the UK.

TRT carries several risks that require regular monitoring. Erythrocytosis (elevated haematocrit) is the most common complication and may require dose reduction or venesection (blood donation). Testicular atrophy and reduced fertility occur because exogenous testosterone suppresses the body's natural production — this is largely reversible on discontinuation. Oily skin, acne, and mood changes are common. Cardiovascular risk evidence is mixed; regular monitoring is advised. Prostate stimulation can occur — TRT does not cause prostate cancer but is contraindicated in existing prostate cancer.