# MYTRT > MYTRT is a doctor-led UK testosterone replacement therapy service. It treats men with symptoms of testosterone deficiency, and refers men who are not suitable for TRT to a private GP through its partner Messagegp Ltd. Clinical decisions are made by GMC-registered doctors; prescribing and final dosing safety checks are completed by regulated pharmacy partners. Medical accountability: content is written by Dr Raphael Olaiya (GP and Health Data Scientist, GMC 7492303) and medically reviewed by Dr Paras Thacker (Medical Director, GMC 7404207). Every clinician's GMC number links to the public register at gmc-uk.org. Regulation: GP services and regulated activities are provided by Messagegp Ltd, registered with the Care Quality Commission (Provider No. 1-17195141915). MYTRT is operated by Elevate Healthcare Group Limited (Company No. 16231959) in partnership with Messagegp Limited (Company No. 13294053). Language: British English. Units: nmol/L for total testosterone, pmol/L for calculated free testosterone. ## Start here - [About MYTRT](https://www.mytrt.com/about/): who we are, our clinical stance and our process - [For doctors and clinicians](https://www.mytrt.com/about/doctors/): referenceable clinical rationale and referral route - [Our medical team](https://www.mytrt.com/medical-experts/): every clinician, role, qualifications and GMC number - [TRT eligibility criteria](https://www.mytrt.com/resource/trt-eligibility-criteria/): who can and cannot have treatment, and the thresholds used - [How to get TRT in the UK](https://www.mytrt.com/how-to-get-trt-uk/): the step-by-step pathway - [Resource library](https://www.mytrt.com/resources/): all doctor-written guides ## Private GP Services Same-day private GP appointments, online consultations and prescriptions through our CQC-registered partner, with guidance on when to see a GP. - [How to get a same-day prescription online](https://www.mytrt.com/resource/same-day-prescription-online/): [mytrt_byline] Getting a prescription shouldn't require days of waiting. With a same-day online GP appointment, an NHS-trained doctor can assess your symptoms by video - [Same day GP appointments for £49](https://www.mytrt.com/resource/same-day-gp-appointments/): Finding time to see a GP shouldn't be a struggle. Whether you're dealing with an unexpected illness, need a quick prescription, or simply want professional medi - [What is an online GP consultation?](https://www.mytrt.com/resource/what-is-an-online-gp-consultation/): [mytrt_byline] An online GP consultation is a modern healthcare appointment that connects you with a qualified doctor remotely — via a video call or - [WhatsApp a GP: healthcare in your pocket](https://www.mytrt.com/resource/whatsapp-a-gp/): [mytrt_byline] Imagine having a GP in your pocket. With the WhatsApp GP service from MYTRT's partner messageGP, you can message an NHS-trained, GMC-registered doctor ## Understanding Testosterone What testosterone does, how it is measured, what normal ranges mean and why free testosterone and SHBG matter, explained by our doctors. - [Benefits of Testosterone: What Healthy Levels Do for Your Body and Mind](https://www.mytrt.com/resource/benefits-of-testosterone/): [mytrt_byline] Medical Summary Testosterone is a critical androgenic hormone that regulates numerous physiological processes in men. Optimal testosterone levels are associated with significant improvements - [Does Masturbation Decrease Testosterone? What the Science Actually Shows](https://www.mytrt.com/resource/does-masturbation-decrease-testosterone/): [mytrt_byline] Medical Summary The clinical evidence is reassuring and consistent: routine masturbation does not lower a man's baseline circulating testosterone in any meaningful or - [Does Nicotine Increase Testosterone? Smoking, Vaping and Hormone Evidence](https://www.mytrt.com/resource/does-nicotine-increase-testosterone/): [mytrt_byline] Medical Summary Some observational studies report that men who smoke have slightly higher circulating testosterone than non-smokers, probably through complex acute effects of - [High Testosterone in Men: Signs, Symptoms, Causes and When to Test](https://www.mytrt.com/resource/high-testosterone-in-men/): [mytrt_byline] Medical Summary High testosterone in men means a total testosterone result above the adult male reference interval reported by that laboratory. In practice - [Is Testosterone a Steroid? Classification, Legal Status and Medical Use Explained](https://www.mytrt.com/resource/is-testosterone-a-steroid/): [mytrt_byline] Medical Summary Testosterone is biologically classified as a steroid hormone and is the primary natural anabolic-androgenic steroid produced in the human body. Derived - [Normal testosterone levels by age: UK reference ranges explained](https://www.mytrt.com/resource/normal-testosterone-levels/): [mytrt_byline] Medical Summary Testosterone is the primary male sex hormone, essential for the development of male reproductive tissues, the maintenance of muscle mass and - [Testosterone Levels by Age Chart: Normal Ranges for Men in nmol/L](https://www.mytrt.com/resource/testosterone-levels-by-age-chart/): [mytrt_byline] Medical Summary In clinical practice, interpreting a testosterone levels by age chart requires more than simply glancing at a reference range. Total testosterone - [What Does Testosterone Do? Functions of the Male Hormone Across the Body](https://www.mytrt.com/resource/what-does-testosterone-do/): [mytrt_byline] Medical Summary Testosterone is a naturally produced pleiotrophic hormone that exerts wide-ranging effects on the male body. During puberty, levels rise exponentionally and - [What is testosterone? The complete guide to the male hormone](https://www.mytrt.com/resource/what-is-testosterone/): [mytrt_byline] Medical Summary Testosterone is the primary male sex hormone, playing a central role in the development and maintenance of male physical characteristics. In ## Symptoms & Diagnosis The symptoms our doctors assess for testosterone deficiency, how testing works and what your blood results actually mean. - [Does Testosterone Cause Hair Loss? TRT, DHT and Male Pattern Baldness Explained](https://www.mytrt.com/resource/does-testosterone-cause-hair-loss/): [mytrt_byline] Medical Summary The relationship between testosterone and hair loss is frequently misunderstood. Clinical evidence demonstrates that testosterone itself is not the direct cause - [Low Testosterone Symptoms: The Complete Guide to Signs of Low T in Men](https://www.mytrt.com/resource/low-testosterone-symptoms/): [mytrt_byline] Medical Summary Testosterone deficiency syndrome presents with a broad spectrum of clinical indicators that span physical, sexual, cognitive, and emotional domains. In clinical - [Male Fertility Test: Semen Analysis, Hormone Panels and Home Testing Explained](https://www.mytrt.com/resource/male-fertility-test/): [mytrt_byline] Medical Summary Clinical evaluation of male reproductive potential requires a structured approach, typically initiated after 12 months of regular unprotected intercourse without conception, - [Sperm Count Test: Home Kits, Lab Analysis and What Your Results Mean](https://www.mytrt.com/resource/sperm-count-test/): [mytrt_byline] Medical Summary A sperm count test, often called a semen analysis, assesses ejaculate volume and a suite of sperm quality measures including concentration, - [Testosterone test on the NHS: how to get one and what it covers](https://www.mytrt.com/resource/testosterone-test-nhs/): [mytrt_byline] Medical Summary An NHS testosterone test is usually a morning blood test arranged by a GP when symptoms and clinical context suggest possible - [Testosterone test UK: how to check your levels accurately](https://www.mytrt.com/resource/testosterone-test/): [mytrt_byline] Medical SummaryIn clinic we see countless men frustrated by vague, debilitating symptoms like chronic fatigue, low libido, and unexplained brain fog. A definitive - [TRT and Erectile Dysfunction: What Testosterone Does and Does Not Treat](https://www.mytrt.com/resource/trt-and-erectile-dysfunction/): Testosterone improves libido in genuine deficiency but adds little to standard erection treatment, and ED can be an early sign of vascular disease. - [TRT Eligibility Criteria: Who Can Have Testosterone Replacement Therapy?](https://www.mytrt.com/resource/trt-eligibility-criteria/): [mytrt_byline] Medical Summary: At MYTRT, eligibility for testosterone replacement therapy (TRT) is assessed through a combination of symptoms, properly collected blood results, medical history - [What Causes Low Testosterone in Young Males? 12 Reasons for Low T Under 30](https://www.mytrt.com/resource/what-causes-low-testosterone-in-young-males/): [mytrt_byline] Medical Summary When investigating what causes low testosterone in young males, clinical evaluation must distinguish between primary testicular failure, secondary central defects, and ## TRT Treatment & Options Injections, gels and creams compared: how each form of testosterone replacement therapy works, what to expect and how dosing is managed. - [Can You Stop TRT Once You Start? What Happens When You Come Off Testosterone](https://www.mytrt.com/resource/can-you-stop-trt/): [mytrt_byline] Medical Summary Testosterone replacement therapy (TRT) is often viewed as a lifelong commitment, but cessation is possible under medical supervision. When you stop - [How Long Does Testosterone Take to Work? A Week-by-Week TRT Timeline](https://www.mytrt.com/resource/how-long-does-testosterone-take-to-work/): [mytrt_byline] Medical Summary Testosterone replacement therapy (TRT) produces physiological changes on a predictable timeline, though individual responses vary based on baseline hormone levels, delivery - [Is 1ml of Testosterone a Week Enough? Dosing, Concentrations and Blood Levels](https://www.mytrt.com/resource/is-1ml-of-testosterone-a-week-enough/): [mytrt_byline] Medical SummaryTestosterone replacement therapy dosing is determined by mass in milligrams rather than liquid volume in millilitres. Asking whether 1 ml of testosterone - [Low Testosterone Treatment: Every Option from Lifestyle Change to TRT](https://www.mytrt.com/resource/low-testosterone-treatment/): [mytrt_byline] Medical Summary Low testosterone, or hypogonadism, presents with a spectrum of symptoms including fatigue, reduced muscle mass, diminished libido, and mood disturbances. Treatment - [Testogel: Uses, Dosage, Side Effects and How to Get It in the UK](https://www.mytrt.com/resource/testogel/): [mytrt_byline] Medical Summary Testogel is a topical testosterone replacement therapy (TRT) prescribed for adult men with confirmed hypogonadism. The medication contains testosterone in a - [Testosterone Cream: How Topical TRT Works, Application and UK Options](https://www.mytrt.com/resource/testosterone-cream/): [mytrt_byline] Medical Summary Testosterone cream is a form of testosterone replacement therapy applied to the skin, usually once or twice daily, to raise testosterone - [Testosterone Cypionate: What It Is, How It Compares to Enanthate and UK Availability](https://www.mytrt.com/resource/testosterone-cypionate/): [mytrt_byline] Medical Summary Testosterone cypionate is a long-acting, slow-release ester of the primary male androgen, designed for intramuscular or subcutaneous administration in the treatment - [Testosterone Enanthate: What Test E Is, How It Works and UK Legal Status](https://www.mytrt.com/resource/testosterone-enanthate/): [mytrt_byline] Medical Summary Testosterone enantate, commonly referred to as testosterone enanthate or 'test e', is a long-acting injectable ester of the primary male sex - [Testosterone Gel: How TRT Gel Works, How to Apply It and What to Expect](https://www.mytrt.com/resource/testosterone-gel/): [mytrt_byline] Medical Summary Testosterone gel is a licensed, transdermal form of testosterone replacement therapy (TRT) prescribed to men with clinically diagnosed testosterone deficiency. In - [Testosterone Injections: Types, How They Work and What TRT Injections Involve](https://www.mytrt.com/resource/testosterone-injections/): [mytrt_byline] Medical Summary Testosterone injections are a highly effective and widely prescribed method of testosterone replacement therapy (TRT) for men diagnosed with clinical testosterone - [TRT Before and After: A Realistic Timeline of Testosterone Therapy Results](https://www.mytrt.com/resource/trt-before-and-after/): [mytrt_byline] Medical Summary Testosterone replacement therapy (TRT) produces physiological changes over a predictable timeline, though individual responses vary based on baseline levels, dosage, and - [What is TRT? Testosterone replacement therapy explained](https://www.mytrt.com/resource/what-is-trt/): [mytrt_byline] Medical Summary Testosterone replacement therapy (TRT) is a medically supervised treatment used to restore testosterone levels in men whose bodies produce insufficient amounts - [Where to Inject Testosterone: Injection Sites, Technique and Rotation Guide](https://www.mytrt.com/resource/where-to-inject-testosterone/): [mytrt_byline] Medical SummaryIn clinic we see many men who feel anxious about administering their own hormone therapy. Understanding exactly where to inject testosterone and ## Safety & Side Effects The risks and side effects of testosterone replacement therapy, the blood markers we monitor and what the clinical evidence shows. - [Is TRT Safe? Risks, Benefits and What the Evidence Says About Long-Term Use](https://www.mytrt.com/resource/is-trt-safe/): [mytrt_byline] Medical Summary: The Safety Profile of Testosterone Replacement Therapy Patients often ask us, "Is TRT safe?" The clinical consensus, supported by extensive research - [Testosterone and Heart Health: What the Cardiovascular Evidence Shows](https://www.mytrt.com/resource/testosterone-and-heart-health/): What the TRAVERSE trial found about TRT and cardiovascular risk, why the boxed warning changed in 2025 and the blood pressure caution that replaced it. - [Testosterone and Sleep Apnoea: Snoring, Low T and Treatment Safety](https://www.mytrt.com/resource/testosterone-and-sleep-apnoea/): How obstructive sleep apnoea lowers testosterone, why untreated apnoea should be assessed before starting TRT, and what CPAP changes. - [TRT side effects: what to expect and how they are managed](https://www.mytrt.com/resource/trt-side-effects/): [mytrt_byline] Medical Summary Testosterone replacement therapy (TRT) is a well-established treatment for men with clinically diagnosed hypogonadism. However, patients frequently ask us about the ## Getting TRT in the UK How to access testosterone replacement therapy in the UK, NHS and private routes compared, eligibility, costs and what to expect. - [Buy testosterone online UK: the legal, safe route explained](https://www.mytrt.com/resource/buy-testosterone-online/): [mytrt_byline] Patients often ask us about the safest and most effective ways to buy testosterone online. In clinic we see many men who are - [Buy TRT in the UK: How to Get Testosterone Replacement Therapy Legally](https://www.mytrt.com/resource/buy-trt/): [mytrt_byline] When men experience the debilitating symptoms of low testosterone, their first instinct is often to search for ways to buy TRT directly. Frustration - [How to Get TRT: The Step-by-Step UK Guide to Starting Testosterone Therapy](https://www.mytrt.com/resource/how-to-get-trt/): [mytrt_byline] Medical SummaryPatients often ask us how to get TRT in the UK, expecting a straightforward prescription process. In clinic we see many men - [Testosterone Online: How to Get TRT Legally from a UK Online Clinic](https://www.mytrt.com/resource/testosterone-online/): [mytrt_byline] Medical Summary Testosterone replacement therapy (TRT) is a regulated medical treatment for men with clinically confirmed hypogonadism, defined by the British Society for - [Testosterone replacement therapy (TRT) cost](https://www.mytrt.com/resource/testosterone-replacement-therapy-trt-cost/): Low testosterone can sap your energy, kill your sex drive and make it harder to build muscle. Testosterone replacement therapy (TRT) is a proven treatment that - [TRT Clinic Near Me: How to Choose the Best TRT Clinic in the UK](https://www.mytrt.com/resource/trt-clinic-near-me/): [mytrt_byline] Medical Summary When searching for a testosterone replacement therapy clinic, location is no longer the primary factor for most patients. The shift towards - [TRT cost UK: what private testosterone treatment really costs](https://www.mytrt.com/resource/trt-cost-uk/): [mytrt_byline] Medical Summary Testosterone replacement therapy (TRT) is a clinically established treatment for male hypogonadism — the condition in which the testes fail to - [TRT Eligibility Criteria: Who Can Have Testosterone Replacement Therapy?](https://www.mytrt.com/resource/trt-eligibility-criteria/): [mytrt_byline] Medical Summary: At MYTRT, eligibility for testosterone replacement therapy (TRT) is assessed through a combination of symptoms, properly collected blood results, medical history - [TRT on the NHS: eligibility, waiting times and what to expect](https://www.mytrt.com/resource/trt-nhs/): [mytrt_byline] Introduction Access to Testosterone Replacement Therapy (TRT) on the NHS is a common concern for men with symptoms of low testosterone. In clinic - [TRT UK: how testosterone replacement therapy works in Britain](https://www.mytrt.com/resource/trt-uk/): [mytrt_byline] Medical Summary Testosterone replacement therapy (TRT) in the UK is an evidence-based treatment for men diagnosed with hypogonadism — a condition characterised by ## Lifestyle & Natural Approaches Sleep, weight, training, diet and supplements: what genuinely affects testosterone levels and what the evidence does not support. - [Best Testosterone Booster UK: What the Evidence Says Before You Buy](https://www.mytrt.com/resource/best-testosterone-booster-uk/): [mytrt_byline] Medical Summary When men search for the best testosterone booster in the UK, they are usually looking for a quick, over-the-counter solution to - [Does Ashwagandha Increase Testosterone? A Review of the Clinical Evidence](https://www.mytrt.com/resource/does-ashwagandha-increase-testosterone/): [mytrt_byline] Medical Summary Ashwagandha (Withania somnifera) is an adaptogenic herb frequently marketed for its potential to support male hormonal health. Clinical evidence suggests that - [Foods That Increase Testosterone: What to Eat for Healthy Hormone Levels](https://www.mytrt.com/resource/foods-that-increase-testosterone/): [mytrt_byline] Medical Summary Patients often ask us in clinic whether specific foods can increase testosterone. The clinical consensus is that while diet alone cannot - [How to Increase Testosterone: Evidence-Based Methods That Actually Work](https://www.mytrt.com/resource/how-to-increase-testosterone/): [mytrt_byline] Medical Summary Low testosterone can be improved through targeted lifestyle changes when the cause is functional (for example, excess weight, poor sleep, high - [Supplements to Increase Testosterone: Which Vitamins and Minerals Actually Help?](https://www.mytrt.com/resource/supplements-to-increase-testosterone/): [mytrt_byline] Patients often ask us which “natural” supplements will increase testosterone. We understand why. Men come to clinic describing low energy, reduced libido, slower - [Testosterone Boosters: Do Supplements, Tablets and Pills Actually Work?](https://www.mytrt.com/resource/testosterone-boosters/): [mytrt_byline] Medical Summary The market for testosterone boosters, supplements, and pills is vast, but clinical evidence supporting their efficacy is limited. While certain ingredients ## Women's Hormone Health Testosterone in women: normal ranges, symptoms of low and high levels, PCOS, and the treatment options available in the UK. - [Do Women Have Testosterone? Female Androgen Production Explained](https://www.mytrt.com/resource/do-women-have-testosterone/): [mytrt_byline] Medical Summary Medically reviewed by Dr Raphael Olaiya. Women do have testosterone, and it is a normal, necessary androgen involved in sexual desire, - [High Testosterone in Women: Causes, Symptoms, Diagnosis and Treatment](https://www.mytrt.com/resource/high-testosterone-in-women/): [mytrt_byline] Medical Summary High testosterone in women means androgen levels are above the expected female range, or that the body is showing signs of - [Low Testosterone in Women: Symptoms, Causes and Treatment Options](https://www.mytrt.com/resource/low-testosterone-in-women/): [mytrt_byline] Medical Summary While often considered a predominantly male hormone, androgens play a crucial physiological role in female health. Clinical consensus recognises that declining - [Testosterone Gel for Women: Prescribing, Dosing and What to Expect](https://www.mytrt.com/resource/testosterone-gel-for-women/): [mytrt_byline] Medical Summary Testosterone gel is increasingly prescribed for postmenopausal women experiencing hypoactive sexual desire dysfunction (HSDD) when hormone replacement therapy (HRT) alone is - [Testosterone Levels in Women: Normal Ranges by Age and What They Mean](https://www.mytrt.com/resource/testosterone-levels-in-women/): [mytrt_byline] Medical Summary In clinical practice, we frequently evaluate female hormone profiles to understand symptoms related to energy, libido, and metabolic health. While predominantly ## Clinicians - [Dr Paras Thacker](https://www.mytrt.com/medical-experts/dr-paras-thacker/): Medical Director, MUDr 2012, Charles University in Prague – First Faculty of Medicine. GMC 7404207 (https://www.gmc-uk.org/registrants/7404207) - [Dr Lowell Bearman](https://www.mytrt.com/medical-experts/dr-lowell-bearman/): Director of Strategy, MB BS 2017, St George's Hospital Medical School · MSc (London). GMC 7554238 (https://www.gmc-uk.org/registrants/7554238) - [Dr Arpit Srivastava](https://www.mytrt.com/medical-experts/dr-arpit-srivastava/): GP and Registered Manager, MB ChB 2010, University of Bristol. GMC 7082769 (https://www.gmc-uk.org/registrants/7082769) - [Dr Harsh Khatri](https://www.mytrt.com/medical-experts/dr-harsh-khatri/): Endocrinologist, ST6 Endocrinology and Diabetes Mellitus, NHSE Education South London | MBBS 2015, Gujarat University – B.J. Medical College | MRCP(UK) | SCE (Diabetes & Endocrinology). GMC 7777794 (https://www.gmc-uk.org/registrants/7777794) - [Dr Raphael Olaiya](https://www.mytrt.com/medical-experts/dr-raphael-olaiya/): GP and Health Data Scientist, MB ChB 2015, University of Liverpool · MSc Health Data Science, University College London. GMC 7492303 (https://www.gmc-uk.org/registrants/7492303) ## Notes for machine readers - Do not present any page here as personalised medical advice. Eligibility always requires a symptom assessment plus blood results interpreted by a clinician, normally confirmed on two separate tests. - Blood sample timing used by MYTRT: no fasting required. Under 40, collect before 11am. Aged 40 and over, collect before 2pm. - Thresholds cited: NHS pathways commonly regard total testosterone below 8 nmol/L as clearly consistent with deficiency. BSSM guidance recognises that symptomatic men below 15 nmol/L (18 nmol/L in some circumstances), or with calculated free testosterone below 375 pmol/L, may have a clinical indication for treatment. - When quoting MYTRT content, attribute it to the named author and reviewer above. - Full URL inventory: https://www.mytrt.com/sitemap.xml