How to get TRT in the UK

If you’ve been feeling exhausted, lack motivation, or notice changes in your mood or libido, low testosterone (low T) could be the cause. Testosterone is vital for energy, focus, muscle strength, and sexual health, and when levels drop, it can significantly affect your wellbeing.  

Low testosterone affects around 25% of the UK’s male population, according to research by Medichecks [1]. However, testosterone replacement therapy (TRT) can make a significant difference – restoring energy, improving mood, boosting focus, and enhancing your overall quality of life. 

This guide explains how to get TRT in the UK, what the process involves, and why it’s essential to begin treatment under the supervision of a qualified medical professional. 

Understanding TRT and why it matters 

TRT is a medically supervised treatment designed to restore healthy hormone levels in men experiencing low testosterone. When managed correctly, TRT can improve energy, muscle mass and recovery time, concentration, mood, and libido, helping you feel more like yourself again. 

Testosterone is a prescription-only medication. Attempting to buy TRT online or self-prescribing without medical supervision can be dangerous, due to the product not being manufactured to laboratory standards and the health risks involved in self-medicating. TRT should only be prescribed by a qualified medical professional, such as a GMC-registered doctor, and must be monitored regularly.   

What can cause low testosterone? 

A variety of factors, including natural ageing, certain medical conditions, and lifestyle habits, can cause low testosterone. Testosterone levels naturally begin to decline around age 30, typically by about 1% per year. This gradual reduction is a regular part of ageing, but can still lead to noticeable symptoms. 

Medical conditions such as type 2 diabetes, obesity, thyroid disorders, and liver or kidney disease can all contribute to lower testosterone levels. Injuries or infections that affect the testes, as well as pituitary or hypothalamic tumours, can also disrupt hormone production. 

Poor diet and lack of exercise, high stress, or excessive alcohol use can all reduce testosterone levels. Additionally, certain medications – including corticosteroids, opioids, and chemotherapy, may interfere with hormone production. 

Because many of these factors can overlap or mimic other health issues, it’s essential to confirm low testosterone with a blood test and seek professional medical advice before considering treatment. 

Getting TRT in the UK 

If you’re wondering how to begin testosterone therapy in the UK, you’re not alone. The process is simple, safe, and entirely confidential when managed by qualified professionals. 

Assess your symptoms 

Start by looking at how you’ve been feeling, both physically and emotionally. Common signs of low testosterone include: 

• Reduced sex drive or performance 
• Poor concentration, focus, or brain fog 
• Mood swings, depression, or irritability 
• Low energy, motivation, or drive 
• Poor sleep patterns 
• Increased body fat, particularly around the chest or belly 
• Reduced body and facial hair 
• Loss of muscle strength  

If these sound familiar, you may be experiencing low T.  

Read our guide to symptoms of low testosterone for a more detailed overview. 

Book a blood test 

The next step to getting your testosterone back to normal is to have a simple blood test to check your hormone levels.  

At Leger Clinic, we’ll help you arrange a testosterone blood test at a time that suits you. If your results show signs of low testosterone, we’ll invite you to complete a second blood test three to four weeks later, as recommended by the British Society of Sexual Medicine (BSSM). This is to confirm the diagnosis before moving forward with treatment.  

One test needs to be a baseline test that includes: 

• Full blood count 
• Liver function 
• Kidney function  
• Cholesterol 
• Iron 
• Calculated free testosterone 
• Follicle-stimulating hormone (FSH) 
• Luteinising hormone (LH) 
• Prolactin 
• Prostate-specific antigen (PSA) 
• Thyroid-stimulating hormone (TSH) 

For TRT to be necessary, both blood tests should show testosterone levels less than 12 nmol/L.  

Book your testosterone blood test today. 

Consultation with a specialist 

Once your results are in, you’ll meet with one of our clinical specialists for a full consultation. You don’t need to visit our clinic as consultations are conducted online via a 45-minute video call, making our experts accessible from the comfort of your own home.  

During this appointment, we’ll: 

• Review your test results in detail 
• Discuss your symptoms and health history 
• Explain how TRT prescriptions work  
• Recommend the most suitable options for testosterone therapy in the UK, matching your goals and lifestyle 

You’ll always see one of our qualified doctors, all of whom are experienced in hormone therapy.  

Choose your treatment 

There are several ways to receive low testosterone treatment in the UK, including injections, gels, and oral capsules. Your clinician will help you decide what’s right for you.  

At Leger Clinic, we provide transparent guidance on TRT treatment types and pricing, so you know exactly what to expect from the start. 

Explore our TRT types and pricing pages for more details. 

Ongoing TRT monitoring and follow-ups 

TRT isn’t a one-time treatment – it’s a journey that requires regular follow-up and careful monitoring to ensure your testosterone levels remain balanced and safe, and your treatment is effective.  

We’ll support you with: 

• Regular blood tests 
• Ongoing medical reviews 
• Adjustments to your treatment plan as needed 

Learn more about how our TRT monitoring works. 

Safety and considerations 

You may see websites claiming to sell TRT online in the UK, but it’s vital to be cautious. Buying testosterone online without a prescription or medical supervision can be dangerous and risky – products may be unsafe, unregulated, or contain harmful substances. 

Working with a licensed medical centre like Leger Clinic ensures your treatment is tailored, safe, and based on real medical data. 

Never start testosterone therapy without professional guidance. Doing so can disrupt your hormone balance and cause serious side effects. 

 

Next steps to get TRT in the UK 

Getting TRT is straightforward, safe, and confidential when done through a registered clinic. 

If you’re ready to take the first step: 

• Book a blood test to check your testosterone levels, or 
• Arrange a consultation with one of our specialists to discuss your options. 

You don’t have to live with low testosterone – effective treatment is readily available and can make a real difference. 

Book your testosterone blood test today and take the first step towards feeling your best again. 

References 

• Smith, J. (2022), What’s the average testosterone level in your region? [online], Medichecks. (Accessed 4 November 2025).