TRT Cost in the UK: Complete Pricing Guide 2025

One of the first questions men ask when considering testosterone replacement therapy is: how much does it actually cost? The answer is not always straightforward. Prices vary between clinics, some fees are bundled while others are itemised, and what is "included" can mean different things depending on who you ask.

This guide breaks down TRT cost in the UK — what you are paying for, what affects the price, and what good monitoring should include so you can budget realistically and choose wisely.

How Much Does TRT Cost in the UK?

Private TRT typically costs £100–£200 per month for medication and monitoring, plus initial consultation and blood test fees of £200–£500 to get started.

Initial Setup Costs

Initial setup costs cover everything before treatment begins:

• Initial consultation: £100–£250 (some clinics offer a free introductory call)
• Comprehensive blood testing: £150–£350
• Follow-up consultation: £50–£150 (may be included or charged separately)

Altogether, expect to invest £250–£500 before treatment starts.

Ongoing Medication Costs

Monthly medication typically costs £50–£150 depending on the type and dose. Injectable testosterone is generally cheaper long-term than gels or creams, though the right choice depends on your lifestyle and preferences, not just price.

Monitoring Costs

Monitoring costs are often underestimated:

• Blood tests: £100–£250 per panel
• Follow-up consultations: £50–£150
• Annual monitoring budget: approximately £200–£500 once stable

What Is Included in Private TRT Fees?

"All-inclusive" sounds straightforward until you discover what is not actually included.

Common Inclusions

• Consultation time with a prescribing clinician
• Treatment plan and prescription
• Basic follow-up support via email or messaging
• Some clinics bundle initial blood tests into the consultation fee

Common Exclusions

• Blood tests (frequently charged separately)
• Medication (may be separate from consultation fees)
• Additional consultations beyond your initial protocol
• Urgent or unscheduled appointments
• Phlebotomy fees, sharps bins, injection supplies

Questions to Ask Before Committing

1. What exactly is included in the quoted price?
2. Are blood tests included or charged separately?
3. What does ongoing monitoring cost?
4. How much are follow-up consultations?
5. Is there a fee for dose adjustments?
6. What if I need support between scheduled appointments?

Why Is There Such a Range in TRT Pricing?

You will find significant variation in pricing between clinics. Understanding why helps you evaluate what you are getting.

Factors That Increase Cost (Often for Good Reason)

• Comprehensive blood panels testing free testosterone, SHBG, LH, FSH, and safety markers
• Longer consultations with thorough assessment
• Clinicians with specific expertise in hormone health
• Regular monitoring with proper follow-up protocols
• Accessible support between appointments
• Quality medications from reputable UK pharmacies

Factors That Reduce Cost (Sometimes at a Cost to Care)

• Basic testing (total testosterone only)
• Shorter consultations with less thorough assessment
• Less frequent monitoring
• Limited support between appointments
• Telemedicine-only models

The "too cheap" warning: Extremely low prices often mean corners cut on monitoring. Prescribing without adequate testing is a red flag. "Cheap" TRT that leads to complications because monitoring was inadequate is not cheap at all — it is a false economy.

Is TRT Available on the NHS?

Yes, the NHS does provide TRT — but the reality is more complicated than "it is free."

When the NHS Provides TRT

Men with confirmed hypogonadism — clinical symptoms plus biochemical evidence of low testosterone — can access treatment through the NHS. This usually requires referral to endocrinology.

NHS Limitations

• Referral wait times often stretch to months
• Testing is typically limited to total testosterone initially
• Treatment options may be restricted
• Monitoring frequency may be less regular than optimal
• Appointment access can make timely follow-up difficult

Why Men Choose Private

• Faster access to assessment and treatment
• More comprehensive blood testing from the outset
• Greater choice of treatment options
• More frequent and thorough monitoring
• Easier access to your clinician
• Appointments at times that fit your life

How to Budget Realistically for TRT

Realistic budgeting means understanding that the first year costs more than subsequent years.

First Year Costs

• Initial consultation: £100–£250
• Baseline blood panel: £150–£350
• Follow-up to start treatment: £50–£150
• 6–12 week monitoring: £150–£300
• Medication for 12 months: £600–£1,800

Total first year: approximately £1,050–£2,850

Ongoing Annual Costs

• Medication: £600–£1,800 per year
• Monitoring blood tests (1–2 annually): £200–£500
• Follow-up consultations (1–2 annually): £100–£300

Total ongoing: approximately £900–£2,600 per year

Ways to Manage Costs

1. Ask about package deals or subscription pricing
2. Compare total annual cost, not just consultation fees
3. Do not skip monitoring to save money — it is essential for safety
4. Consider that proper monitoring prevents problems that would cost more to fix

What Does Good Monitoring Include?

Monitoring is not optional — it is what makes TRT safe.

What Monitoring Should Cover

• Testosterone levels — confirming you have reached the target range
• Haematocrit — red blood cell levels (too high increases clot risk)
• PSA — prostate-specific antigen for prostate health
• Oestradiol — oestrogen can rise with testosterone
• General health markers — liver function, lipids, blood glucose
• Symptom review — are you actually feeling better?

Monitoring Frequency

• First check: 6–12 weeks after starting treatment
• Stabilisation period: additional checks in the first 6 months
• Once stable: every 6–12 months
• After dose changes: wait 4–6 weeks then check new levels

Red Flags in TRT Pricing

Not all cheap TRT is good value. Here is what to watch for:

Pricing Red Flags

• Prices dramatically below market rate with no explanation
• "All-inclusive" claims with no detail on what is included
• No mention of blood testing costs
• Monitoring described as optional
• Hidden fees that appear after signing up
• Pressure to commit before understanding full cost

Clinical Red Flags

• Prescribing without comprehensive blood tests
• No follow-up or monitoring protocol
• Difficulty reaching anyone after payment
• No qualified doctor involved in care
• Generic, one-size-fits-all protocols

Is Private TRT Worth the Cost?

For men with confirmed low testosterone and symptoms affecting quality of life, properly monitored TRT often delivers value that exceeds its cost.

What You Are Paying For

• Faster access to assessment and treatment
• Comprehensive testing that identifies the full picture
• Protocols personalised to your response and preferences
• Regular monitoring that catches problems early
• Accessible support when you have questions

The Cost of Not Treating

• Ongoing symptoms affecting work and relationships
• Reduced quality of life
• Potential long-term health implications
• Lost productivity, motivation, and engagement with life

The question is not just "what does TRT cost in the UK?" It is "what is it worth to feel like yourself again?"

Next Steps

If you are considering TRT and want to understand what proper treatment costs, we are happy to be transparent.

• View our pricing
• Learn about TRT
• Book a consultation

Eden Clinic provides transparent pricing for testosterone replacement therapy with comprehensive assessment, proper monitoring, and ongoing support.