TRT Cost in the UK: Clinic Prices and First-Year Budgets

Compare published clinic fees, diagnostic costs, monitoring inclusions and annual budgets, with clear treatment-specific Heracles prices.

Medically reviewed by
Peter Grice
Table of contents

Medically reviewed by Peter Grice, Clinical Lead. Review confirmed 9 October 2026.

About this guide: Written by the Heracles editorial team. Sources and service prices checked on 9 October 2026. General information, not an individual diagnosis or prescribing recommendation.

How much does TRT cost in the UK?

The cost of testosterone replacement therapy in the UK depends on the prescribed formulation and how a clinic charges for assessment, medication and monitoring. Compare the full first-year cost, then the recurring cost once treatment is established. A membership fee and a treatment package are different purchases.

At Heracles, Testogel plans start at £90/month and injectable testosterone plans at £130/month. Initial testing is separate. The published first test is £29.99 and the fuller confirmation panel £129.99. The plan has a three-month minimum and hCG is charged separately. Your clinician determines whether treatment is appropriate.

Published UK clinic prices compared

This is a provider-published price snapshot, not an independent quality ranking or a quote for an identical prescription. Heracles publishes this comparison and is one of the providers listed. The clinics use different formulations, diagnostic processes and billing models. Follow each source link and confirm your own complete quote before paying.

Provider and sourcePublished ongoing priceAssessment and important exclusions
Balance My Hormones£149/month testosterone package; £189 with hCGScheduled tests and follow-ups included. Diagnostic bundles extra; pay-as-you-go prices exclude tests and reviews.
HeraclesTestogel from £90/month; injectable TRT from £130/month£29.99 initial test; £129.99 fuller panel. Scheduled monitoring, reviews, medication and applicable supplies included. hCG extra; three-month minimum.
Leger Clinic£28/month membership, or £280/year, plus medication£149 initial consultation. Medication, testing, collection, delivery and some review calls extra. Published first-year injectable estimate: £1,477.
Manual£99/month Sustanon; £129 cypionate or creamIncludes scheduled monitoring, reviews and injection supplies. Initial diagnosis extra; home nurse monitoring visit £35 extra.
NumanFrom £89/month oral, £99 topical, £129 injectableMain TRT page includes follow-up tests and consultations. Diagnosis advertised up to £149. Confirm exact product and quote; help-page starting prices differ.
The Men’s Health ClinicItemised charges; medication quoted separatelyNew-patient consultation £280; eligible private-provider transfer £160. Follow-up £80–£160. Tests and medication extra.

Rows are alphabetical. Treatment-specific prices are shown because a gel, an injection and an oral product are not automatically interchangeable. Some oral low-testosterone treatments stimulate hormone production rather than replacing testosterone; ask which product is being proposed.

What is included in Heracles care?

The Heracles service page lists prescribed medication, applicable administration supplies, scheduled blood tests and doctor reviews at six weeks, three months, six months and 12 months, followed by six-monthly monitoring. These are Heracles service inclusions, not a universal schedule for every clinic.

The consultation stage is listed as included with a low result. A screening kit does not complete the diagnostic process. Ask whether further confirmatory samples, collection appointments, extra safety investigations or tests after a treatment change will be required and what they cost. The final plan and recurring charge are explained before prescribing.

Calculate an itemised first-year budget

Enter a written quote. This tool calculates a budget in your browser; it saves no amounts and does not recommend treatment.

Enter your quote in pounds

The initial values illustrate 12 months of a £90 plan plus £29.99 and £129.99 tests. Your diagnostic requirements and quote may differ.

Printable clinic comparison checklist

Download the two-page clinic checklist (PDF) to compare quotes privately.

Heracles first-year budgeting examples

These calculations use the starting prices, one £29.99 screening test, one £129.99 fuller panel and 12 months of the stated plan. They are arithmetic examples, not a guaranteed complete diagnosis or a personal quote. Additional testing, hCG or a different plan may increase the cost.

ExampleCalculationIllustrative first year
Testogel at the starting price£29.99 + £129.99 + (12 × £90)£1,239.98
Injectable TRT at the starting price£29.99 + £129.99 + (12 × £130)£1,719.98

At unchanged starting prices, 12 months of the established plan alone would be £1,080 for Testogel or £1,560 for injectable care. Heracles bills monthly with a three-month minimum. Review cancellation terms and statutory rights before committing; the budget above assumes a full year of treatment.

How to compare an itemised plan with a subscription

Use this calculation for every provider: diagnostic tests + sample collection + initial consultation + 12 months of membership and medication + monitoring tests + follow-up consultations + supplies and delivery + any additional care. A lower membership price may still be good value, but it cannot be compared directly with a fee that includes medication and scheduled monitoring.

  • Ask for the number of monitoring tests included, the collection method and charges for extra testing.
  • Check which doctor appointments are included and whether prescription fees apply.
  • Confirm that your quote is for your actual formulation and dose.
  • Check whether delivery, injection equipment and disposal supplies cost extra.
  • Ask about hCG or fertility-related care if relevant; do not assume a package guarantees preserved fertility.
  • Check the minimum term, cancellation rules and costs of transferring records.

What does NHS TRT cost?

Start with your GP. If the assessment suggests testosterone deficiency, you may be referred to an endocrinologist. NHS availability and local pathways depend on the clinical assessment; paying privately does not establish a diagnosis. Read the NHS access guidance.

NHS prescription charges may apply in England, with exemptions and prepayment certificates available. Check the current NHS prescription charge rather than assuming a monthly private-clinic fee applies to NHS care.

Frequently asked questions

Is the cheapest advertised monthly price the cheapest overall?

Only if it covers the same services and prescription. Add diagnosis, collection, medication, monitoring and follow-up fees before comparing.

Does paying for a test mean I will get TRT?

No. Testing and consultation may lead to repeat testing, investigation of another cause or advice against TRT.

Does Heracles charge £90 for injections?

No. The £90 starting price is for Testogel. Injectable testosterone plans start at £130/month; hCG is separate.

Are all monitoring tests included?

Heracles lists scheduled monitoring within its plan. Confirm charges for additional tests or investigations. Other clinics may charge separately for scheduled tests.

Can a private clinic guarantee NHS shared care?

No. Ask your NHS GP directly before budgeting on the basis that NHS prescriptions or private-treatment monitoring will be provided.

Related Heracles guides

Sources and price checks

  1. Heracles: published service costs and inclusions
  2. Leger: pricing
  3. Manual: treatment-plan prices
  4. Numan: TRT service prices
  5. Numan help centre: price range
  6. Balance My Hormones: pricing
  7. The Men’s Health Clinic: consultations
  8. NHS: assessment and referral