What testosterone replacement actually costs per month in the UK

The first honest thing anyone should tell you about testosterone replacement therapy in the UK: how much is TRT per month depends almost entirely on which clinic you choose and which form of testosterone your doctor prescribes. There’s no single answer, which is precisely why so many men end up surprised at the till.

A man walks into a private clinic asking about TRT. He’s read that it costs “about £150 a month” online. Six weeks later, he’s paid £250 for an initial consultation, £90 for blood tests, £120 for his first month of gel, and then discovers his next blood test will be another £150. Suddenly “£150” has become nearly £500. This happens constantly, and it shouldn’t. We’ve built Evernu’s pricing model differently — but first, let’s break down what you’ll actually encounter across the market.

The actual breakdown: what you’re paying for

TRT monthly cost UK figures you’ll see quoted online rarely include everything. They’ll mention the medication itself and conveniently forget clinic fees, consultations, or monitoring bloods. Here’s what the real bill actually contains:

The medication (the obvious bit)

This varies wildly based on delivery method. Testosterone itself isn’t expensive — it’s one of the oldest pharmaceuticals on the NHS formulary — but the formulation you receive determines the price. Intramuscular injections (typically testosterone enanthate or cypionate) run £80–£150 monthly. Topical gels and creams cost £120–£200 monthly. Patches sit around £150–£220 monthly. These are the figures you’ll see on private clinic price lists, and they’re real — but they’re also incomplete.

The consultation

Your first appointment with a private doctor isn’t free. Most clinics charge £100–£250 for an initial face-to-face or video consultation. Some bundle this into your first month’s treatment. Many don’t. Evernu includes this as standard — you won’t see a separate invoice.

Blood tests and monitoring

This is where many men’s eyes widen. After you start testosterone, you need blood work to check your levels, haematocrit (red blood cell count), liver function, and cholesterol. NICE guidelines recommend monitoring at baseline, 3 months, and then annually as a minimum. Each test costs £150–£300 depending on the provider and the panel. Do the maths: if you’re paying £150 a month for medication but £300 for bloods every 6 months, your true monthly cost is actually closer to £200.

Prescription and pharmacy fees

Some clinics charge a separate prescription fee (£10–£30) on top of consultation and medication. Others include it. Private pharmacies may add dispensing fees. Evernu’s model folds these into one price so you know what you’re paying upfront.

TRT monthly cost UK: comparing delivery methods honestly

Not all testosterone is delivered the same way, and the method affects both cost and your life. It’s worth understanding what you’re trading off.

Injections

Cheapest option. Weekly or fortnightly injections of testosterone enanthate or cypionate cost £80–£150 per month. You’ll need to either self-inject or attend a clinic for administration. Some men save money by learning to self-inject at home; others find needles genuinely difficult and prefer alternatives. If you’re in the second camp, this “cheap” option becomes less attractive when you’re paying for nurse administration every fortnight.

Gels and creams

More expensive than injections (£120–£200 monthly) but arguably more convenient. You apply them daily, absorption is relatively stable, and there’s no needle anxiety. The trade-off: they’re messy, they transfer to partners and children if you’re not careful, and they take up space in your bathroom cabinet. Testosterone gel is MHRA-approved and well-established in UK practice, though watch out for cheaper unregulated products online — they’re not worth the risk.

Patches

Sit at the pricier end (£150–£220 monthly). Change twice weekly, deliver steady hormone levels, and some men report fewer mood swings than with injections. Downsides: skin irritation is common, they’re visible if you’re uncomfortable about that, and they’re finicky about staying stuck during exercise or sweating. Cost-per-benefit, they’re not for everyone.

The hidden costs nobody mentions

Private clinic marketing rarely touches these, but they stack up.

Repeat consultations. After your initial assessment, you might need a check-in consultation every 6–12 months. That’s another £80–£150 depending on your clinic. Evernu includes annual reviews as standard.

Travel or delivery. Some clinics charge for posting testosterone to your home; others include it. Factor in £5–£15 monthly for reliable delivery if you’re ordering privately.

Pharmacy markup. If your clinic partners with a specific pharmacy, you might pay more than you would ordering elsewhere. Private pharmacies in London, for instance, can charge 20–30% more than regional competitors.

Dose adjustments. If your first dose doesn’t suit you — too high, too low, or side effects emerge — you might need another blood test (£150–£300) and prescription adjustment. This isn’t routine, but it’s common enough that budgeting for one extra test annually makes sense.

What a realistic 12-month TRT spend actually looks like

Let’s walk through two scenarios to show what you’re genuinely committing to.

Scenario A: Injections, budget clinic. Consultation £100. Monthly injections £100 × 12 = £1,200. Baseline bloods £200, six-month check £200, one repeat assessment £150. Total: approximately £1,850 per year, or £154/month average.

Scenario B: Gels, premium clinic with full monitoring. Consultation £250. Monthly gel £160 × 12 = £1,920. Baseline bloods £300, three-month check £300, six-month check £300, one telehealth review £100. Annual prescription review fee £50. Total: approximately £3,220 per year, or £268/month average.

Same hormone therapy. Different delivery method, different clinic, vastly different bill. Scenario B isn’t inherently worse — some men prefer gels and want comprehensive monitoring — but you need to understand what you’re paying for.

Where Evernu’s transparent pricing differs

We charge one flat monthly fee that covers: initial video consultation with a doctor, blood test kit posted to your home, prescription if appropriate, medication delivery, and annual monitoring bloodwork. No surprise fees materialise later. No “oh, that’ll be another £150 for your next assessment.” You know the cost upfront because we’ve chosen to bundle everything rather than nickel-and-diming you at each step.

Your actual monthly spend with Evernu is competitive with the market — often lower when you add up what competitors charge separately. More importantly, it’s predictable. You budget for it, you get it, and there are no shocks when your prescription arrives or you need monitoring bloods.

We’ve also committed to MHRA-approved medications only. Cheaper testosterone exists from less reputable sources, but you’re gambling with quality control and purity. It’s not worth saving £30 a month on something you’re injecting into your body.

Frequently Asked Questions

Does the NHS cover testosterone replacement therapy?

The NHS does prescribe TRT for confirmed hypogonadism, but referral to an endocrinologist can mean 6–12 month waiting lists in many areas. Private clinics offer faster access. If you’re eligible for NHS TRT, you’d pay nothing for the medication itself — but you might wait a very long time.

Why is testosterone gel more expensive than injections?

Manufacturing and packaging cost more for topical formulations than for vials of injectable testosterone. The gel also requires specialised manufacturing standards to ensure consistent absorption through skin. Injections are simpler chemistry, hence cheaper.

Can I switch delivery methods mid-treatment?

Yes. Many men start with injections because they’re cheapest, then switch to gels after a few months if they prefer convenience. Your doctor can adjust your dose when switching because different routes absorb differently. A new blood test is wise when you change methods.

What happens if I stop TRT — do I need more blood work?

If you discontinue, you should have a final blood test a few weeks later to confirm testosterone levels have returned toward baseline. Most clinics recommend this but don’t automatically charge extra; it’s part of responsible treatment cessation.

Is private testosterone cheaper than a gym supplement stack?

Yes, if you’re comparing prescribed testosterone to illicit anabolic steroids from gym suppliers. Those “deals” often contain fakes, contaminants, or wrong dosages. Prescribed TRT, even at £150+ monthly, is safer and more reliable than dodgy black-market gear — and it’s legal.

The real cost of testosterone replacement isn’t mysterious once you know what to look for. Medication itself is affordable; it’s everything layered around it that varies. When you’re considering TRT, factor in consultation, bloods, ongoing monitoring, and delivery — then compare clinic by clinic. Evernu’s transparent model removes the guesswork. You’ll know exactly what you’re paying and why, which is how healthcare pricing should work.