MYTRT was founded by a small group of doctors with backgrounds in the NHS and private practice. Across our clinical work, we repeatedly encountered men describing the same difficulties: persistent fatigue, low mood, poor sleep, reduced libido, declining strength and motivation, and a growing sense that they no longer felt like themselves.

For many of these men, accessing a comprehensive assessment that considered the full picture proved difficult. Some faced long waiting lists. Others felt that their symptoms had been dismissed because a single testosterone result fell just inside a laboratory reference range.

These experiences reflect a much wider issue. Symptomatic testosterone deficiency is estimated to affect approximately 40% of men aged over 45 [1], with prevalence increasing with age and in men with conditions such as obesity and type 2 diabetes.

There is also growing evidence of a generational decline in male testosterone levels that cannot be explained by ageing alone. A major analysis presented in 2026, involving more than 118,000 men across five countries, reported that average total testosterone levels declined by approximately 54% between 1972 and 2019 [2]. Earlier longitudinal studies have reported reductions of approximately 25–33% over periods of 17–20 years [3]. The causes are likely to be complex and may include rising rates of obesity, metabolic disease, poor sleep, physical inactivity, chronic stress and environmental exposures.

We created MYTRT to help close this gap.

MYTRT is a doctor-led clinic, not simply a prescription service. Every blood result is clinically reviewed by a doctor, and every recommendation considers the patient’s symptoms, medical history, repeat blood results and wider health. Patients have direct access to ongoing clinical support throughout their care. Where medication is appropriate, prescribing and final dosing are undertaken by our expert doctors with treatment supplied through our regulated pharmacy partner.

Being doctor-led also means being honest about who TRT is and is not appropriate for.

A diagnosis of testosterone deficiency requires compatible symptoms together with consistently low testosterone levels, confirmed through appropriate repeat morning blood testing. We will never recommend TRT based on symptoms alone, a single blood result or the pursuit of an arbitrary idea of being “optimal”.

Our objective is to restore testosterone to a healthy physiological range where there is a clear clinical indication [4], while monitoring each patient carefully and adjusting treatment according to their individual response.

We also believe that men who do not meet the criteria for TRT should not simply be turned away. We treat the patient, not the numbers.

A man may have low testosterone levels without the symptoms required for a clinical diagnosis. Equally, he may experience significant symptoms despite testosterone levels that are not clinically low. In either situation, further investigation may be needed.

That is why our pathway extends beyond testosterone treatment. Through our trusted clinical partner, messageGP, a CQC-registered online GP service, we can facilitate a private GP consultation so that other possible causes, including thyroid disease, anaemia, sleep disorders, medication effects, mental health conditions and metabolic illness, can be properly considered and investigated.

Our goal is simple: to help men understand what is happening to their health, provide safe and evidence-based treatment where appropriate, and ensure that no man is left without a clear path forward.