Last updated: 20 April 2026.
One of the first questions UK men ask when they start looking into TRT in the UK is simple: how much does it cost? The honest answer is "it depends" — but not wildly. After working with thousands of UK patients, we can give you realistic 2026 numbers for private TRT in the UK, broken down stage by stage, plus a direct comparison to NHS costs.
TRT UK Cost at a Glance (2026)
- Initial consultation: £75–£150
- Comprehensive TRT blood panel: £120–£250
- Medication (monthly): £45–£120
- Follow-up bloods & reviews (every 3–6 months): £150–£300
- Typical all-in first year: £1,500–£2,400
- Typical monthly cost once stable: £100–£200
1. Initial Consultation
Most UK TRT clinics charge £75–£150 for a first consultation, either in person or by video call. A good UK TRT doctor will spend at least 30–45 minutes with you on this first appointment — reviewing your symptoms, medical history, lifestyle and goals, and explaining the bloods they want to run.
Be wary of any UK clinic offering a "free" consultation with no time allocated — you usually end up paying either way, and often with far less clinical depth.
2. Blood Tests — The Biggest Cost Variable
A meaningful UK TRT blood panel should never just be "total testosterone". You want:
- Total and free testosterone
- SHBG (sex hormone binding globulin)
- Oestradiol (E2) — ideally sensitive assay
- LH & FSH
- Prolactin
- PSA (for men over 40)
- Full blood count (for haematocrit)
- Liver, kidney and lipid panels
- Thyroid (TSH, free T4)
- HbA1c and vitamin D
A full UK TRT panel like this typically costs £120–£250. Cheap "£50 testosterone check" kits exist, but they almost never give enough information to prescribe TRT safely.
3. TRT Medication Costs in the UK
Injections
Most UK patients end up on injectable testosterone — either Sustanon 250, Testosterone Enanthate or Nebido. At typical UK private pharmacy prices:
- Sustanon/Enanthate injections: £45–£75 per month
- Nebido (long-acting, ~10-weekly): works out to £60–£90 per month
Gels & Creams
Testogel, Tostran and compounded creams usually cost £55–£120 per month in the UK, depending on dose. They tend to cost more than injections per mg delivered because absorption is less efficient.
Adjuncts
hCG (for fertility preservation) typically adds £40–£80 per month. Aromatase inhibitors are rarely needed in well-managed UK TRT, but if prescribed they're around £5–£20 per month.
4. Ongoing Monitoring Costs
UK TRT isn't set-and-forget. Expect at least one follow-up blood panel at 6–8 weeks, then every 3–6 months thereafter. Reputable UK clinics include 2–3 follow-ups in year one, either in your package price or for £80–£200 each. Skipping monitoring to save money is the fastest way to end up with side effects — avoid any UK clinic that doesn't insist on regular bloods.
5. What About TRT on the NHS?
NHS TRT is either free (if you're exempt) or £9.90 per NHS prescription. Consultations and bloods on the NHS cost nothing directly. So on paper it looks cheaper — and if you qualify, it often is. But consider:
- Waiting times of 3–12+ months for an endocrinology referral
- A much narrower eligibility threshold (roughly < 8 nmol/L)
- Typically only Sustanon every 10–14 weeks — less stable levels
- Limited monitoring panel
- Less time with the prescribing doctor
For a deeper dive, see our NHS vs Private TRT UK comparison.
6. Hidden Costs UK Men Should Watch For
- Mandatory "membership" fees — a red flag unless they genuinely replace consult fees.
- Paid-per-message support — quality UK clinics give you included access to clinicians between consults.
- Mark-ups on standard medications — compare against typical UK pharmacy prices.
- "Extra" blood tests framed as optional when they're actually essential for safety.
7. Is Private TRT in the UK Worth It?
For most symptomatic UK men who don't meet NHS thresholds or can't wait months for a referral, yes — £100–£200/month is typically life-changing value when weighed against fatigue, low libido, poor sleep and low mood. For men who do qualify on the NHS and have clinical access, that's often a reasonable starting point — though many end up switching to private care for the flexibility and more tailored protocols.
TRT UK Pricing — TRT South
TRT South publishes clear UK pricing with no hidden extras. Most UK patients end up at around £150/month all-in, including medication, ongoing bloods and unlimited clinician support via our patient portal.