Testosterone Replacement Therapy (TRT)

We use a two-step testing process, required by UK clinical guidelines before any diagnosis of low testosterone can be confirmed:

1. Step 1, initial screen: a simple finger-prick blood test, taken in the morning between 8am and 10am, fasted. This gives us your first testosterone reading.
2. Step 2, confirmatory test: if your first result suggests low testosterone, you'll need a second test at least one week later. This is a venous blood draw (taken by a phlebotomist, not a finger-prick), and checks a wider panel, including testosterone, SHBG, LH, FSH, and PSA.
3. Why two tests? Testosterone naturally fluctuates through the day and between days. A single low reading isn't enough to confirm a diagnosis, two consistent results, taken correctly, protect you from being started on hormone therapy you don't actually need.
4. What happens if my levels are normal? Our clinical team will explain your results and, if your symptoms continue, discuss other possible causes or next steps with you.
5. What happens once both tests confirm low testosterone? Your results, alongside your health questionnaire, are reviewed by our clinical team, led by our specialist consultant, before any treatment is approved.

Not necessarily:

1. If you have a recent blood test result (or a letter from your specialist/GP confirming your diagnosis), we can review this alongside your current treatment details and continue your care without repeating the full diagnostic process
2. If your records are incomplete, outdated, or unavailable, we'll ask you to complete our standard two-step testing process instead
3. Either way, a clinician always reviews your case before any prescription is issued or continued

No. All requests are reviewed by a licensed prescriber in line with our clinical guidelines, and treatment is only provided where it's clinically appropriate. This applies whether you're a new patient, transferring, or an existing patient requesting a repeat prescription.

This depends on where you're starting from:

1. New patients: a completed health questionnaire covering your symptoms, medical history, medications, and fertility intentions, plus your two blood test results
2. Transferring patients: your current or recent TRT treatment details (dose, frequency, date of last administration), previous prescribing clinician details, relevant recent blood test results, your medical history, and any side effects experienced
3. Returning patients: confirmation that your monitoring is up to date, and any changes to your health or medications since your last review

Every request undergoes a clinical safety review by a licensed prescriber, following our clinical guidelines. This includes:

1. Assessment of your current and previous treatment details, where applicable (dose, frequency, last administration)
2. Review of your relevant medical history
3. Any reported side effects
4. Review of recent or new blood test results, which may include testosterone levels, full blood count (including haematocrit), prostate-specific antigen (PSA), liver function tests, and lipid profile
5. A check for any red flag symptoms that would need urgent referral rather than routine prescribing

Ongoing treatment requires regular monitoring and follow-up, the specific schedule depends on your individual clinical circumstances.

1. 3 months after starting: testosterone, PSA, and full blood count
2. 6 months: same panel, plus SHBG/albumin if these were abnormal at baseline
3. 12 months: same panel, plus an annual cardiovascular risk assessment
4. Annually thereafter: same as the 12-month review

You'll be prompted to book your monitoring test when it's due, and your next prescription won't be released until it's completed.

All continuation and transfer requests are reviewed individually. Any changes to your treatment aren't guaranteed and depend on clinical appropriateness and your best interests. If a change is being considered, your clinician will discuss this with you before agreeing on a suitable plan, a repeat blood test may also be required before any changes are made.

Review times vary depending on demand and whether all required information has been provided:

1. Requests are processed faster when your questionnaire is complete and all relevant documentation is submitted upfront
2. Delays can happen if the prescriber needs to contact you for more information, treatment can't be approved until all necessary clinical details are received
3. If you select a 24-hour delivery option, that timeframe starts only after clinician approval, not from when you place your order

1. Our clinicians are appropriately trained and follow evidence-based guidelines when prescribing TRT
2. Every patient undergoes an individual clinical assessment, including a risk assessment, before treatment starts
3. An endocrinology consultant oversees the service to ensure prescribing is safe and in line with best practice
4. You'll receive appropriate counselling on the benefits, risks, and expectations of treatment before starting
5. Ongoing follow-up and monitoring continue throughout your course of therapy

No. This service isn't suitable for urgent or emergency medical concerns. If you're experiencing urgent symptoms, seek immediate medical advice from an appropriate healthcare service.

Contact our team directly, we're happy to talk through whether you should start with blood testing, submit transfer documentation, or if you have questions before deciding whether TRT is right for you at all.