Guide · updated 13 November 2026
NHS vs private TRT: cost, access and what to expect
You can get testosterone replacement therapy on the NHS or privately. The difference is mostly cost, speed and how much of the process you control.
On the NHS
A GP or NHS specialist decides whether treatment is clinically appropriate, usually after blood tests. Standard NHS prescription charges apply in England. Access and waiting times vary by area.
Privately
Private clinics and online providers charge for blood tests, consultations and ongoing care, but are often faster and offer more choice of treatment form and follow-up. Prices vary widely, which is why we compare them.
Moving between the two
Some men start privately and later move to NHS care, or the reverse. Private providers that accept existing patients are marked 'Already on TRT' in our table.
Prices from providers' own pages, checked 13 November 2026. Not medical advice.