TRT
What is TRT and TD?
Testosterone Deficiency (TD) is a medical condition where the body does not produce enough testosterone. This can lead to symptoms such as low energy, reduced libido, low mood, and difficulty building or maintaining muscle.
Testosterone Replacement Therapy (TRT) is a treatment used to restore testosterone levels back to the normal range. It may help improve symptoms when TD has been confirmed through blood tests and a clinical assessment.
TRT is only prescribed after a proper diagnosis, and ongoing monitoring is required to ensure treatment remains safe and effective.
Who is eligible for TRT?
We assess eligibility based on current clinical best practice and medical evidence.
This includes: Testosterone levels below the normal range (typically < 15 nmol/L) · Symptoms consistent with low testosterone
As testosterone levels can fluctuate, a second test is required to confirm the diagnosis.
We also review additional biomarkers, your symptoms, and your medical history to make a balanced treatment decision that's personalised to you.
Is TRT safe?
When prescribed appropriately and monitored regularly, TRT can be a safe and effective treatment for men with confirmed testosterone deficiency. Ongoing blood tests are required to ensure levels remain within a healthy range.
Can TRT affect fertility?
Yes, TRT can reduce sperm production and may not be suitable for men who are planning to conceive. If fertility is a concern, alternative approaches may be discussed during your consultation.
Assessment
Why do I need a second (venous) blood test?
Testosterone levels naturally fluctuate. A venous test confirms whether levels are consistently low and allows us to assess related hormones and safety markers before treatment is considered.
What testosterone level qualifies for treatment?
Testosterone levels below 15 nmol/L are generally considered below the normal range. To diagnose Testosterone Deficiency, levels must be consistently low on two separate tests, alongside symptoms. Treatment decisions are based on your blood results, symptoms, and medical history. Our doctors review each case individually before prescribing.
How do I collect the blood samples?
Our at-home test kits are designed to be simple and easy to use. Each kit includes clear step-by-step instructions.
Finger prick test: Use a small lancet to collect a blood sample from your finger. Download the full instructions or watch the instruction video.
Arm device: Use a needle-free device applied to your upper arm to collect a blood sample. Download the full instructions or watch the instruction video.
If your sample cannot be processed, you will need to purchase a replacement kit. Please contact our customer service team to arrange this.
When will I receive my results?
Once the lab has received your sample, you can expect your results within 2-3 working days
What happens if my sample fails and is rejected by the lab?
Venous blood tests: If your venous sample cannot be processed, please contact our customer service team and we'll help arrange a retest.
At-home test kits: If your sample is rejected for any of the below reasons, you will need to purchase another test:
- Unlabelled – no label attached to the sample
- No form – no completed lab form included
- No sample – no usable sample provided
- Insufficient – sample container was not filled to the level specified
- Leaked – sample was not packaged correctly
- Too old – sample was not posted shortly after collection.
If your finger prick sample is haemolysed (blood damaged during collection) or clotted, we will provide one free retest.
In all cases, please contact our friendly customer service team to arrange for a retest. More information is available in our Terms and Conditions.
Treatment
What treatment options do I have?
TRT is typically prescribed as either injections or gels. Each option has its own benefits, and the right choice depends on your lifestyle, preferences, and medical needs.
During your consultation, your doctor will explain the options in detail and recommend the most suitable treatment based on your blood results and health history.
What side effects can occur?
Possible side effects may include increased red blood cell count, acne, fluid retention, or changes in mood. Current evidence does not show that properly monitored TRT increases prostate cancer risk. Your doctor will assess your cardiovascular health and prostate markers before and during treatment, ensuring treatment remains safe and appropriate for you.
How long does it take for TRT to work?
Some effects of TRT can be noticed within a few weeks, but full benefits may take several months. The timeline varies depending on your baseline testosterone levels, the treatment type, and your overall health. Regular follow-ups are important to monitor your progress and adjust treatment where needed.
Is TRT a lifelong treatment?
TRT is often a long-term treatment, but this varies from person to person. Some men choose to continue treatment long term to maintain symptom improvement, while others may stop if their situation changes.
You can stop treatment if needed, but this should only be done under medical supervision. If treatment is stopped, testosterone levels typically return to your natural baseline.
Your doctor will discuss what to expect before starting treatment and will review your therapy regularly to ensure it remains right for you.
