Low testosterone — clinically known as testosterone deficiency or hypogonadism — affects a significant number of men in the UK and can have a considerable impact on energy, mood, libido, muscle mass, and overall wellbeing. For those who have been diagnosed or suspect they may have low testosterone, understanding the cost of private TRT is often one of the first practical questions they ask.
This guide covers what TRT costs at The Private GP, what the monthly package includes, who TRT is suitable for, and what ongoing monitoring is required.
How Much Does TRT Cost Per Month in the UK?
At The Private GP in Birmingham, TRT is available as a comprehensive monthly package costing £450. This covers your GP consultation, testosterone medication, and clinical monitoring — all in one place, with no hidden costs.
No referral from your NHS GP is required. The first step is a private GP consultation to assess your symptoms and review your blood test results. Treatment is only started once a clinical diagnosis of testosterone deficiency has been confirmed.
What Is TRT and Who Is It For?
TRT is a medical treatment that restores testosterone levels to within the normal range in men diagnosed with testosterone deficiency. It is not a lifestyle supplement or a performance-enhancing treatment — it is a medication used to address a confirmed hormonal deficiency.
The British Society for Sexual Medicine’s practical guide on testosterone deficiency confirms that a diagnosis of testosterone deficiency requires two components: characteristic signs and symptoms, alongside reduced serum concentrations of total or free testosterone. The three most common presenting symptoms are erectile dysfunction, loss of early morning erections, and low sexual desire.
Other symptoms that may indicate testosterone deficiency include:
- Persistent fatigue and low energy
- Low mood, irritability, or depression
- Reduced muscle mass and strength
- Increased body fat, particularly around the abdomen
- Poor concentration and mental fog
- Reduced bone density
NHS clinical guidance on male hypogonadism notes that non-specific symptoms such as decreased energy, low mood, poor concentration, and reduced muscle bulk are all recognised features of testosterone deficiency — but also acknowledges that these symptoms can overlap with other conditions. This is why a thorough clinical assessment and confirmed blood test results are essential before any treatment is initiated.
Our private blood tests can check testosterone levels alongside other key markers including SHBG, LH, FSH, and oestradiol, giving a full hormonal picture before treatment decisions are made.
What Does the £450 Monthly Package Include?
The £450 monthly package at The Private GP is designed to provide everything required for safe, well-monitored TRT in a single fee.
GP consultation
Each monthly cycle includes a clinical review with your GP to assess how you are responding to treatment, review any symptoms.
Testosterone medication
The type of testosterone prescribed — whether injectable, gel, or another formulation — is determined at the initial consultation based on your clinical profile, preferences, and lifestyle. Your prescribing GP will discuss the options with you.
Blood monitoring
Regular blood tests are included to monitor your testosterone levels, haematocrit, prostate-specific antigen (PSA), and other safety markers throughout treatment. This is not optional — it is a clinical requirement for safe TRT.
Ongoing clinical support
Any concerns or questions that arise between appointments are handled by the clinical team.
Can You Get TRT on the NHS?
TRT is available on the NHS, but access is restricted and the pathway to treatment is more complex than through a private clinic.
NHS clinical guidance confirms that testosterone deficiency is typically diagnosed when total testosterone falls below 8 nmol/L alongside relevant symptoms, with levels between 8 and 12 nmol/L considered borderline and requiring further assessment. Treatment on the NHS generally requires a referral to secondary care — meaning an endocrinologist or urologist — rather than being initiated in primary care.
For many men, this means a wait of months before they are seen, assessed, and started on treatment. The range of testosterone formulations available on the NHS may also be more limited than through a private clinic, where treatment can be tailored more closely to individual preference and response.
Some men also find that their testosterone levels fall within the borderline range — symptomatic but not below the NHS threshold for treatment — and therefore do not qualify for NHS TRT despite experiencing a meaningful impact on their quality of life. In these cases, a private assessment and treatment programme provides an alternative route.
What Monitoring Is Required During TRT?
Ongoing monitoring is not optional with TRT — it is a clinical requirement for safe treatment and is built into the £450 monthly package at The Private GP.
Research published in PMC on the practical management of male hypogonadism confirms that testosterone therapy requires monitoring of blood markers throughout treatment. Key parameters checked include testosterone levels (to confirm the target range is being maintained), haematocrit (to monitor red blood cell concentration, which testosterone can elevate), PSA (prostate-specific antigen, as a safety marker for prostate health), and liver function.
TRT is contraindicated in men with prostate cancer or significant benign prostatic hyperplasia. It is also not appropriate in men who are trying to conceive, as exogenous testosterone suppresses natural sperm production. These are among the reasons that a full clinical assessment — including a detailed medical history — is essential before treatment begins.
Monitoring frequency is typically every three months in the first year of treatment, moving to every six months once stable. Your GP will advise on the appropriate schedule based on your individual response and results.
Frequently Asked Questions
Do I need a blood test before starting TRT?
Yes, always. A diagnosis of testosterone deficiency requires confirmed low testosterone levels on at least two separate blood tests, alongside relevant symptoms. Treatment is never started without this confirmation.
How long does TRT take to work?
Response varies between individuals and depends on the formulation used. Some men notice improvements in energy and mood within a few weeks. Full benefits, including changes to body composition and sexual function, typically develop over three to six months.
Is TRT safe?
When properly prescribed and monitored, TRT is considered safe for suitable candidates. Regular blood monitoring is essential to ensure testosterone levels remain within range and to check safety markers including haematocrit and PSA. It is not appropriate for all men — your GP will assess suitability at the consultation.
Can I start TRT without a diagnosis?
No. TRT is a medication and requires a confirmed clinical diagnosis of testosterone deficiency based on blood test results and symptoms. It cannot and should not be started without a proper medical assessment.
What happens if I stop TRT?
If TRT is stopped, testosterone levels will return to their pre-treatment baseline over time. Symptoms of deficiency are likely to return. Any decision to stop treatment should be discussed with your prescribing GP, who can advise on how to manage the transition appropriately.