Abstract
One of the most frequently asked questions by men considering testosterone replacement therapy (TRT) is: how much does it cost? While the answer depends on a range of factors - from how you access treatment (NHS vs private) to the type of medication prescribed - this guide will help you understand the real financial considerations behind starting TRT in the UK.
We won’t duplicate the pricing tables available on our TRT Pricing Overview, but we will break down the broader costs involved, compare NHS and private options, and explore what you’re really paying for.
The Two Routes: NHS vs Private TRT
As with many healthcare services in the UK, you can pursue TRT through the NHS or via a private clinic. While the NHS is low-cost or free, access is limited. Private clinics, on the other hand, offer faster access, broader assessments, and more effective treatment options, but at a cost.
NHS TRT Costs:
- Initial blood test: Free (arranged by your GP)
- Endocrinology referral: Free but can take months
- Medication: Covered by NHS, subject to standard prescription charges (currently £9.65 per item)
- Monitoring: Typically limited to annual reviews
Private TRT Costs:
- Initial consultation + comprehensive bloodwork: £300-£400 each
- Treatment plan and prescription: Included in consultation or follow-up
- Medication: Varies based on type (e.g. injections, creams)
- Follow-ups and blood monitoring: Ongoing - every 3 to 6 months, at additional cost
For full details, see our TRT Pricing Overview.
What Are You Paying For with Private TRT?
It’s important to understand that with private TRT, you’re not just paying for testosterone. You’re paying for:
- Speed: Appointments within days, not months
- Advanced testing: Blood panels beyond what the NHS offers, including free testosterone, SHBG, oestradiol, DHEA, and prolactin but also anything else that you want tested, for example vitamins, minerals, specialist tests for osteoporosis and heart health etc.
- Clinical time: Longer appointments, symptom-based care, and personalised protocols
- Choice of medications: Including fast acting injectables (e.g. cypionate),compounded creams, daily gels or long-acting injectables (e.g. Nebido)
- Convenience: Flexible follow-ups, remote appointments, and more responsive care
- Monitoring and safety: Routine bloodwork to monitor haematocrit, PSA, and cardiovascular markers
Men often describe it as paying for control: of their symptoms, progress, and long-term wellbeing.
For a step-by-step explanation, read our guide on How to Start TRT in the UK.
How Medication Type Affects Cost
Not all testosterone medications are priced equally. Some forms are significantly more expensive due to their formulation, delivery method, or duration of action.
Common TRT options in the UK include:
- Cypionate (fast-acting injection): Mid-range cost, but requires frequent administration
- Nebido (long-acting injection): Higher upfront cost, but longer dosing intervals (every 10-12 weeks)
- Testosterone gels (e.g. Testogel, Tostran): Mid-range cost, daily application, widely used on NHS
- Compounded creams: Bespoke formulas from private pharmacies, often at a premium
- Testosterone pellets: Rare in the UK and typically more expensive, but long-lasting
At Omniya, we help patients assess the best balance of convenience, efficacy and cost when selecting a medication. No one-size-fits-all approach. For more information on the types of medication, please visit our page regarding TRT treatment options or which TRT is right for me?
Are There Hidden Costs with TRT?
Beyond consultations and prescriptions, there are additional considerations to factor into your TRT budget:
- Ongoing blood tests (every 3-6 months) to monitor safety and dosage
- Fertility preservation treatments such as HCG, which may be added to your plan
- Lifestyle supplements or diagnostics that enhance treatment outcomes
- Time off work for appointments (though remote reviews can reduce this significantly)
While private TRT is an investment, it often offsets wider health costs: less time feeling unwell, reduced fatigue, improved mental clarity and stronger libido.
Is Private TRT Worth the Cost?
That depends on your priorities. If cost is the only factor, NHS treatment is clearly more affordable. But for many men, private TRT offers access, responsiveness, and personalisation that simply isn’t available in the public system.
Most patients who choose private care do so after months (or years) of frustration - being told they’re “within range”, there is no further scope for personalisation, facing long waiting lists, or struggling to access consistent care.
Private TRT gives you:
- Control over your treatment
- Access to specialists who understand male hormone health
- The ability to act quickly and adjust when needed
- Convenience
- Utmost personalisation
You can see examples of how our clinic works in our TRT Process guide.
FAQs
Does insurance cover TRT in the UK?
Most UK private health insurance policies do not cover TRT unless related to an underlying condition (like pituitary disease). Always check with your provider.
Can I move from NHS to private TRT?
Yes. Many men begin NHS treatment and later transition to private care for improved flexibility and service. Prescriptions cannot always be transferred, but medical records help build continuity.
Is there a cheaper way to access private TRT?
Some clinics offer packages or payment plans to spread the cost. At Omniya, we aim to make pricing transparent and manageable. We also offer testosterone blood testing as a standalone service.
Summary: Understanding the Real Cost of TRT
TRT in the UK ranges from under £15/month (via NHS) to £150-£300/month privately, depending on the medication and level of service. Private care offers more than medication - it provides clarity, convenience, and long-term health investment.
If you’re unsure where to begin, read our guide on How to Start TRT in the UK or speak to our team about the right plan for you.
Explore pricing in full at our TRT Pricing Overview, or book a consultation to start your journey.
