Proper assessment for testosterone deficiency, with confirmatory morning bloods before any treatment decision.
Assessed and prescribed by a GMC-registered GP
Prescriptions sent electronically to a pharmacy
Monitoring and follow-up included where it is needed
Your NHS records in the room, with your consent
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
Five-star Google reviews from the people we have looked after
Registered with the Care Quality Commission
Testosterone replacement is a long-term commitment with real consequences, and it should only follow a proper diagnosis. That means confirmed low readings on two separate early-morning blood tests, alongside genuine symptoms — not a single borderline result.
We assess honestly, including telling you when your symptoms are more likely explained by something else. Fatigue and low mood have many causes, and low testosterone is far from the commonest.
Testosterone replacement restores levels to the normal range, usually by gel or injection. Testosterone is a Schedule 4 controlled drug in the UK and is prescribed accordingly.
Fatigue and low mood have many causes, and low testosterone is far from the commonest. A substantial proportion of men who come asking about TRT turn out to have normal levels and a different problem — often thyroid, sleep, iron or depression.
Finding that out is a good outcome, not a wasted appointment.
Initial consultation and diagnostic bloods, including total testosterone, LH, FSH, prolactin, SHBG, FBC and PSA where appropriate. A second confirmatory morning sample follows.
If deficiency is confirmed, treatment options are discussed and ongoing monitoring is arranged — this is not a treatment that can be started and left alone.
Haematocrit, PSA, testosterone levels and symptoms, at defined intervals. This is not optional — testosterone thickens the blood, and unmonitored treatment is genuinely dangerous.
Testosterone raises red blood cell count, which requires regular monitoring as it can thicken the blood. Other effects include acne, oily skin, fluid retention, breast tenderness and worsening of sleep apnoea.
Treatment suppresses natural testosterone production and reduces fertility, often significantly. This matters if you may want children, and is discussed before any decision.
Not suitable with prostate or breast cancer, an unexplained raised PSA, severe untreated sleep apnoea, a haematocrit above the safe threshold, or where fertility is a current priority.
Gels require care to avoid skin transfer to partners and children.
Testosterone thickens the blood, and unmonitored treatment is genuinely dangerous. If you are not prepared to attend monitoring, we will not start you — and that is said at the outset rather than discovered later.
Timing of the sample matters and depends on the preparation — mid-interval for injections, and a set number of hours after application for gels. A level taken at the wrong time is uninterpretable.
Testosterone raises red cell count, and a rising haematocrit is the commonest reason TRT has to be reduced or stopped. Thickened blood raises the risk of clot and stroke.
Above roughly 0.54 the dose is reduced or treatment paused, and venesection is sometimes needed. This is not a formality — it is why the blood tests exist.
TRT suppresses sperm production, often substantially, and sometimes it does not fully recover. This is the consequence men most regret not being told about.
If children are a possibility — even years away — raise it before starting, not after. Alternative approaches exist that raise testosterone without suppressing fertility, and sperm storage is worth considering.
Natural production is suppressed while on treatment and takes months to recover, if it fully does. Symptoms usually return, often more sharply than before.
This is a long-term commitment. Anyone starting should understand that from the beginning rather than discovering it when they try to come off.
A substantial proportion of men who come asking about TRT have normal levels and a different, treatable problem. Finding that out is a good outcome, not a wasted appointment.
The usual candidates:
Obesity lowers testosterone through conversion to oestrogen in fat tissue, and weight loss raises it measurably. For men whose levels are borderline, this often resolves the problem without lifelong treatment — see weight management.
TRT is the wrong treatment. Where testosterone is low because of a pituitary cause, hCG or clomifene can raise levels while preserving sperm production — usually specialist territory, and worth a referral rather than accepting TRT by default.
PDE5 inhibitors for erectile difficulty work regardless of testosterone level and are far simpler than lifelong hormone treatment.
Over-the-counter "testosterone boosters" have no good evidence, are unregulated, and occasionally contain undeclared pharmaceutical ingredients. Save your money.
Anabolic steroids bought online are a different matter entirely — doses many times therapeutic, no monitoring, and real cardiac, fertility and mental health consequences. If you are using them, tell us. We will not judge and we can help you come off safely, which is genuinely difficult to do alone.
Testosterone gels and injections, paid to your pharmacy. Injections are generally cheaper per month than gels. We do not dispense and earn nothing from what is prescribed.
This is the honest part. TRT is a lifelong commitment, and the cost is not the first prescription — it is medication plus two to four monitoring appointments and blood tests every year, indefinitely.
Work out the annual figure before starting, because stopping after a year leaves you worse off than before: natural production is suppressed and takes months to recover, if it fully does.
Genuine testosterone deficiency is treated on the NHS, and if two morning samples confirm it, your own GP can prescribe and monitor — free in Scotland, Wales and Northern Ireland, and at prescription charge in England.
We will say so if that is the better route for you.
Private testosterone clinics are a commercially aggressive corner of medicine, and the incentives are not always aligned with you. Be cautious of any service that:
We charge for consultations and tests, and for nothing else. There is no subscription, and no fee that depends on you being prescribed anything.
No, and anyone who does is not diagnosing properly. Diagnosis needs two separate early-morning samples — testosterone follows a daily rhythm and is highest in the morning — alongside genuine symptoms, and with other causes excluded.
An afternoon sample can look low in a man with entirely normal levels.
Not on that basis alone, and this is where we will differ from some private clinics.
A borderline result with symptoms is far more often explained by sleep apnoea, depression, thyroid disease, iron deficiency, alcohol, poor sleep or weight than by testosterone deficiency — and starting lifelong hormone treatment for a problem you do not have means the real cause goes untreated.
We will look for the real cause. That is what the appointment is for.
Yes, substantially, and this is the thing men most often say they were not told. It suppresses sperm production, sometimes to zero, and recovery after stopping is not guaranteed.
If children are a possibility, even years away, say so before starting. Alternatives exist that raise testosterone without suppressing fertility, and sperm storage is worth considering.
You can, but understand what that means. Natural production is suppressed while on treatment and takes months to recover — sometimes not fully. Symptoms usually return, often more sharply than before.
Treat this as a long-term commitment from the beginning.
Mainly haematocrit. Testosterone raises red cell count, thickened blood raises clot and stroke risk, and a rising haematocrit is the commonest reason treatment has to be reduced or stopped.
Also PSA, blood pressure, and sleep apnoea, which testosterone can worsen. Monitoring is a condition of continued prescribing here — no monitoring, no prescription.
The evidence does not show that testosterone causes prostate cancer. But it can accelerate an existing one, which is why PSA is checked before starting and monitored afterwards, and why an unexplained raised PSA rules it out until investigated.
Injections — less frequent, cheaper, and levels fluctuate more between doses.
Gels — steadier levels and daily application, but transfer to partners and children through skin contact is a real risk. Cover the area, wash your hands, and do not let a child rest against it.
If testosterone deficiency is genuinely the cause, often yes. If it is not, no — and that is the far commoner situation.
Fatigue has many causes and low testosterone is not among the commonest. Treating the wrong one costs money, carries risk, and leaves the real problem in place.
No good evidence, unregulated, and occasionally containing undeclared pharmaceutical ingredients. Save your money.
Anabolic steroids are a separate and more serious matter — doses many times therapeutic, no monitoring, and real cardiac, fertility and mental health consequences. If you are using them, tell us. We are not here to judge, and coming off safely is difficult without help.
Yes — Schedule 4 in the UK, and prescribed accordingly, with the record-keeping and monitoring that implies.
Chiefly in what we are prepared to say no to, and in how we are paid.
We charge for consultations and tests, and nothing else — no subscription, no medication margin, no supplements. Which means there is no financial reason for us to find you deficient.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 23, 2026
On this page
Ongoing
Time to be seen
Appointment length
Your NHS record in the room
Written treatment plan
Told when a test isn’t needed
Cost
Same day, usually
20 minutes
Yes, with your consent
Included
Yes, and told why
£40 for 20 minutes
Varies by practice
Typically 10 minutes
Yes, your full record
Not routinely
Usually
Free
Same day
Often 10 to 15 minutes
Usually not
Sometimes charged
Varies by provider
Often a subscription
Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.
Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.
Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.
No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.
Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.
£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.
It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.
Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.
If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.
Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.
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