The cost of private testosterone replacement therapy is not the wholesale cost of testosterone. Patients are paying for a doctor-led clinical service that assesses whether treatment is appropriate, takes responsibility for prescribing, interprets blood results, monitors safety and coordinates the practical delivery of ongoing care.
MYTRT treatment eligibility
MYTRT treats men only when they have compatible symptoms and meet both biochemical limits: total testosterone of 15 nmol/L or below, and free testosterone of 0.35 nmol/L or below.
MYTRT packages the routine clinical and practical elements of an agreed TRT plan into a monthly fee of £129.95. The arrangement begins with a three-month minimum commitment and continues on a rolling basis, with payment taken monthly. This guide explains what the fee funds and why comparing a regulated treatment service with the acquisition cost of a medicine gives patients an incomplete picture.
Medical summary
TRT should be considered only after an appropriate clinical and biochemical assessment. A doctor reviews compatible symptoms alongside properly collected testosterone results, the possible cause, medical history, fertility plans, contraindications and safety risks. A low result or a request for treatment does not create an automatic right to a prescription.[1] [2]
Once treatment starts, clinical responsibility continues. The service must arrange appropriate monitoring, interpret the results, respond to adverse effects, review whether treatment is helping and change or stop the prescription when the benefit–risk balance changes.[1] [2]
This is why the patient-facing cost of private TRT covers substantially more than the medicine supplied.
What are patients paying for with private TRT?
Private TRT is a continuing healthcare service. The fee supports work performed before, during and after a prescription is issued.
| Part of the service | What it involves |
|---|---|
| Clinical assessment | Medical and symptom history, review of existing records, fertility goals, contraindications and suitability |
| Blood-result interpretation | Checking sample timing and completeness, reviewing testosterone and related safety markers, and deciding whether more investigation is needed |
| Prescribing responsibility | Selecting an appropriate treatment plan, issuing prescriptions and accepting professional responsibility for those decisions |
| Follow-up | Reviewing response, adverse effects, adherence, fertility implications and changes in health or medication |
| Safety monitoring | Reviewing testosterone levels, blood count/haematocrit and other markers relevant to the individual and treatment stage |
| Clinical communication | Routine GP letters, pharmacy communication, laboratory coordination, record keeping and referrals where appropriate |
| Practical treatment support | Supplies where relevant, delivery coordination, reminders and access to the support team |
| Clinical governance | Policies, audits, incident handling, complaints processes, safeguarding, data protection and medicines-management systems |
The BMA describes private healthcare as a direct professional and contractual relationship between a patient and a doctor or team of doctors. It also identifies indemnity, administration, legal, financial, data-protection, staffing and regulatory obligations as part of operating a private medical practice.[3]
Specialist TRT doctor time costs £279 per hour
MYTRT’s standard rate for a specialist TRT doctor is £279 per clinical hour. This reflects the training, experience and professional responsibility involved in assessing and managing testosterone treatment.
A patient is not buying one isolated hour every month. Doctor time is used at different points across the care pathway, including:
- reviewing the medical history and symptoms;
- examining existing treatment plans and prescriptions;
- interpreting blood-test results;
- making or declining a prescribing decision;
- documenting the clinical rationale;
- answering treatment-related questions;
- reviewing response and adverse effects;
- assessing monitoring results;
- changing a dose or formulation when appropriate;
- communicating with a GP, pharmacy or other healthcare professional; and
- escalating, pausing or stopping treatment when safety requires it.
The monthly subscription shares the cost of this professional input across the treatment pathway rather than charging the patient the full hourly rate each time routine doctor review is required.
Why medicine prices do not explain the cost of TRT
Published wholesale, acquisition or raw-material prices are not consumer prices and are not a reliable guide to what a patient will pay for treatment. They can exclude prescribing, dispensing, pharmacy handling, clinical review, monitoring, supplies, delivery and the infrastructure required to provide safe ongoing care.
The medicine also cannot be treated as a standalone consumer product. Testosterone is prescription-only, and the decision to prescribe remains a clinical decision made by an authorised prescriber. The cost of responsible private TRT therefore includes the professional service and governance surrounding the prescription, not simply the physical product.
For this reason, this page does not provide vial, ampoule, sachet, raw-material or wholesale medicine prices. Those figures are not an offer to consumers and may create a misleading comparison with a complete treatment service.
The cost of professional indemnity and regulated care
Doctors practising privately in the UK must have adequate and appropriate insurance or indemnity for the full scope of their work. This protects patients and supports the handling of claims, professional advice and medico-legal risk.[4]
A regulated healthcare provider also needs systems for safe medicines management, consent, record keeping, incident reporting, safeguarding, staff training, governance and quality assurance. CQC registration guidance requires providers to demonstrate procedures for the safe and effective management of medicines and associated equipment.[5]
These obligations create real operating costs. A sustainable private TRT service must fund:
- specialist doctors and clinical leadership;
- professional indemnity and business insurance;
- medicines-management and prescribing governance;
- trained support and administrative staff;
- secure clinical records and data-protection systems;
- laboratory and pharmacy coordination;
- quality assurance, audits, complaints and incident processes;
- patient communication and continuity systems;
- technology, premises and equipment where required;
- accounting, legal, regulatory and compliance work; and
- the financial resilience needed to continue supporting patients throughout treatment.
Patients are therefore paying a healthcare business to organise and accept responsibility for a complete service. The business must cover its clinical and operating costs while maintaining the systems required for safe, reliable care.
What does MYTRT charge?
The MYTRT fee is £129.95 each month. Patients enter a three-month minimum rolling commitment, with monthly billing. Routine elements of the agreed plan are bundled together rather than presented as separate medicine, prescribing, doctor-review and monitoring charges. Depending on the individual treatment plan, the subscription includes prescribed topical or injectable testosterone, routine follow-up, ongoing medical support, monitoring blood tests, standard supplies where applicable, routine clinical correspondence and treatment-related delivery.
Pre-treatment diagnostic blood tests are separate unless the patient already has suitable recent results. A medicine, investigation or service outside the agreed TRT plan will be discussed before it is arranged.
For the complete patient-facing subscription explanation, see Testosterone replacement therapy cost with MYTRT.
MYTRT treatment subscription
£129.95 per month
Free full medical consultation for eligible patients
Eligible patients can remove up to £175 from their initial costs because MYTRT provides the full medical TRT consultation without charge. To qualify, a patient must provide either:
- an existing TRT treatment plan; or
- two testosterone blood-test results dated within the previous six months.
The bloodwork may come from the NHS, another private clinic or another provider. The clinical team must still check whether the records are sufficiently complete and suitable for assessment. Further testing may be required, and the free consultation does not guarantee treatment.
This offer reduces the initial professional cost for patients who already have relevant clinical documentation. It does not remove the doctor’s responsibility to review the evidence and decide whether prescribing is appropriate.
Why an all-inclusive subscription can be easier to compare
A low advertised medicine price can become more expensive when consultations, repeat prescriptions, monitoring blood tests, supplies, delivery and clinical correspondence are charged separately. Conversely, an apparently higher monthly fee may include most or all of those routine services.
Patients should therefore compare private TRT services by asking:
- Is prescribing and follow-up led by appropriately qualified doctors?
- What clinical reviews are included?
- Which routine monitoring blood tests are included?
- Are standard supplies and delivery included?
- Are prescription or dispensing charges added later?
- How quickly can a patient obtain clinical help when results or side effects need review?
- What happens if the treatment plan needs to change?
- Is the service clear about its minimum term and cancellation arrangements?
- Does the provider have appropriate clinical governance, indemnity and regulatory arrangements?
The relevant comparison is the total cost and quality of the continuing service, not the apparent price of testosterone in isolation.
NHS and private TRT use different cost models
NHS care is funded principally through taxation, with prescription charging arrangements differing across the UK. Private treatment is funded directly by the patient and must recover the cost of the clinical team and the business infrastructure through patient fees.
This does not mean that private care is simply an expensive version of a medicine available elsewhere. The private fee pays for access to the provider’s assessment pathway, professional time, prescribing responsibility, monitoring systems and continuity of care. Patients should consider availability, clinical model, communication, inclusions and total cost when deciding which route suits them.
Frequently asked questions
Why does private TRT cost more than the testosterone medicine?
The medicine is only one part of treatment. Private TRT also requires specialist assessment, prescribing, blood-result review, monitoring, follow-up, clinical records, pharmacy and laboratory coordination, professional indemnity and regulated-provider systems.
What is MYTRT’s specialist doctor rate?
MYTRT’s standard rate for a specialist TRT doctor is £279 per clinical hour. The subscription spreads routine clinical input across the pathway rather than charging the full hourly rate every time doctor review is required.
Does MYTRT charge £129.95 per month?
Yes. The MYTRT TRT subscription is £129.95 per month, with a three-month minimum rolling commitment, billed monthly. It is all-inclusive for the routine elements of the agreed treatment plan.
Does the £129.95 subscription include medication?
Yes. The prescribed topical or injectable testosterone within the agreed treatment plan is included, together with routine follow-up, monitoring, standard treatment supplies where applicable, clinical support and related delivery. Pre-treatment diagnostic bloodwork is separate unless suitable recent results are available.
Why are wholesale testosterone prices not shown?
Wholesale, acquisition and raw-material prices are not consumer treatment prices. They exclude the professional work and infrastructure needed to assess, prescribe, dispense and monitor TRT and may therefore mislead patients about the true cost of care.
Who can receive the free consultation?
The consultation is provided without charge, saving an eligible patient up to £175. Eligibility requires an existing treatment plan or two testosterone blood-test results dated within the previous six months. NHS and private results are accepted when they are suitable for clinical review.
Does paying for a consultation or subscription guarantee a prescription?
No. A specialist doctor must decide that TRT is clinically appropriate. The doctor may request more information, recommend another investigation or decline treatment when it is not indicated or safe.
References
[1] British Society for Sexual Medicine. *Guidelines on Male Adult Testosterone Deficiency, with Statements for Practice*. 2023. View source
[2] Endocrine Society. *Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline*. 2018. View source
[3] British Medical Association. *Setting up in private practice — overview*. Updated 8 May 2025. View source
[4] UK Government. *The Health Care and Associated Professions (Indemnity Arrangements) Order 2014*. View source
[5] Care Quality Commission. *Medicines management and prescribing policy*. Updated 2 February 2026. View source
