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TRT - Frequently Asked Questions

Find answers to the most commonly asked questions about our testosterone replacement therapy services.

General Information

Testosterone deficiency is a common condition that can be present from birth or develop later due to factors like aging, stress, illness, physical injury, lifestyle choices, or environmental influences. Research shows testosterone levels in men are notably lower than just a few decades ago, with approximately one in four men over 30 experiencing abnormally low levels.

Men with low testosterone often experience low mood, irritability, fatigue, anxiety, reduced sex drive, or erectile difficulties. Other common signs include mental fog, lack of motivation, decreased confidence, trouble losing weight, and difficulty building muscle mass. If you're experiencing several of these symptoms, it may be worth getting tested.

Blood testing is the only reliable way to confirm testosterone deficiency. We offer a simple at-home finger-prick test to initially check your levels. If results indicate low testosterone and you're interested in treatment, UK regulations require a second, more comprehensive venous blood test administered by a healthcare professional to ensure you can safely begin therapy.

Our TRT service includes a complete assessment and a custom plan made just for you. Your plan might feature medication, practical lifestyle tips, or quality supplements to help you feel your best. You'll have a consultation with one of our specialised doctors who will discuss your test results and design a personalised treatment approach tailored to your specific needs.

Treatment and Benefits

Each person's medical history is unique, so our doctors prescribe medication specifically suited to your needs. Effective hormone therapy involves finding the right dose and delivery method for you. Options include injections, pills, patches, creams, and implantable pellets. Testosterone injections are the most commonly prescribed form as they're convenient and effective for most men.

Yes, many men report significant improvements in energy levels and mental clarity when their testosterone levels are optimized. Testosterone plays a key role in cognitive function, mood regulation, and energy metabolism. Patients often describe feeling more alert, focused, and mentally sharp after beginning TRT. Additionally, the increased energy can help combat fatigue and lethargy that are common symptoms of low testosterone.

Testosterone plays a crucial role in male sexual function, and optimizing levels through TRT can improve erectile function for many men whose ED is linked to low testosterone. While TRT isn't a direct treatment for all forms of erectile dysfunction, many patients report improvements in sexual desire, performance, and satisfaction after beginning treatment. If erectile issues persist despite normalized testosterone levels, our doctors can discuss additional treatment options that might work alongside your TRT regimen.

Safety and Side Effects

TRT is safe when administered and monitored by specialised doctors. Like all medications, some people may experience side effects, but these are generally manageable with proper dosing and regular check-ups. Our team will monitor your testosterone levels throughout treatment and address any concerns that may arise. You'll have ongoing support from our clinical team throughout your treatment journey.

If you experience side effects, we encourage you to contact our clinical team immediately. Many side effects can be addressed by adjusting your dosage or administration method. Our doctors will work closely with you to balance the benefits and any potential side effects, ensuring your treatment is both effective and comfortable. We offer ongoing support and regular check-ins throughout your treatment journey, and our medical team is always available to address any concerns that may arise.

Current evidence does not support the once-common belief that testosterone therapy increases the risk of developing prostate cancer. Modern research suggests that TRT, when properly administered and monitored, does not appear to increase prostate cancer risk in men without a history of the disease. However, we take prostate health seriously and include PSA (Prostate Specific Antigen) testing as part of our monitoring protocol. Men with a history of prostate cancer should discuss their specific situation with our doctors, as individualized assessment is essential.

When properly monitored, long-term TRT is generally considered safe and effective. Modern research indicates that optimizing testosterone levels can provide sustained benefits including improved mood, energy, body composition, and sexual function. Potential considerations for long-term use include effects on fertility, red blood cell production, and lipid profiles, which is why our program includes regular comprehensive blood testing and medical supervision. Our doctors carefully monitor these parameters throughout your treatment to ensure your long-term health and well-being.

Testosterone therapy can influence cholesterol and lipid profiles, though the effects vary between individuals. Some men experience positive changes in their HDL/LDL ratio, while others may see less favorable shifts. This is why our comprehensive blood panels include lipid testing, allowing us to monitor these values throughout your treatment. If necessary, your doctor may recommend lifestyle adjustments or additional interventions to maintain healthy cholesterol levels while you're receiving TRT. Our holistic approach ensures we attend to your overall cardiovascular health, not just your hormone levels.

Practical Information

Our blood test kits typically arrive within three working days of your order. Delivery times may be longer during public holidays. Once you've completed your test and returned it to our lab, you'll receive your results within 2-3 business days, after which one of our TRT specialists will guide you through the findings.

Our initial at-home test kit costs £39, which includes a comprehensive analysis of your testosterone levels and related biomarkers. For those who proceed with treatment, we offer a monthly subscription service starting at £129 per month, which includes all required medication, regular follow-up consultations, ongoing blood monitoring, and continuous support from our clinical team. We strive to keep our pricing transparent and competitive, with no hidden fees. For a detailed breakdown of costs or information about our payment plans, please contact our customer service team.

For most patients, we recommend blood testing every 3-6 months during the first year of treatment as we optimize your protocol. Once your levels are stable and you're experiencing the benefits without any complications, testing may be reduced to every 6-12 months. However, this schedule is personalized based on your individual response to treatment, age, overall health, and any other medications you may be taking. Regular monitoring ensures your treatment remains both safe and effective throughout your journey.

Once your doctor has determined the appropriate treatment plan, prescriptions are processed through our partnered pharmacy, which specializes in hormone therapies. Your medication will be delivered directly to your home in discreet packaging, eliminating the need to visit a pharmacy. Each delivery includes all necessary supplies and clear instructions for administration. This convenient system ensures you'll never need to worry about running out of medication or making special trips to a pharmacy.

Yes, you can travel while on TRT, but some preparation is necessary. For domestic travel within the UK, you'll simply need to carry your prescription information. For international travel, we recommend obtaining a doctor's letter explaining your need for the medication and carrying your prescription in its original packaging. Different countries have varying regulations regarding testosterone, so we advise researching the specific rules of your destination before traveling. For longer trips, we can adjust your prescription schedule to ensure you have adequate supplies throughout your journey.

Absolutely. We take a holistic approach to men's health, recognizing that TRT works best when complemented by appropriate lifestyle modifications. Our doctors provide personalized advice on nutrition, exercise, sleep optimization, and stress management techniques that can enhance the effectiveness of your treatment. These recommendations are tailored to your specific health profile, goals, and lifestyle. Many patients find that these additional interventions, when combined with optimized testosterone levels, deliver synergistic benefits for overall health and wellbeing.

We accept all major credit and debit cards for both one-time purchases and ongoing subscription payments. For your convenience, we also offer direct debit options for monthly subscription services. While we don't currently offer formal financing plans, our subscription model helps make treatment more affordable by spreading costs over time rather than requiring large upfront payments. If you have specific financial concerns, please contact our customer service team who can discuss options to make treatment accessible for your situation.

Scheduling a consultation is simple. You can book directly through our website by clicking the "Book Consultation" button and selecting an available time slot that works for you. Alternatively, you can call our clinic during business hours, and our team will help you find a suitable appointment time. If you've already completed our at-home test kit, a consultation will automatically be arranged once your results are available. All consultations are conducted remotely via secure video call for your convenience.

To make the most of your initial consultation, please have the following information ready: a list of your current symptoms and how long you've experienced them, your medical history including any chronic conditions, a list of all medications and supplements you're currently taking, details of any previous hormone testing you've had done, and any specific questions or concerns you'd like to discuss. If you have recent blood test results from your GP or another provider, having these available can be particularly helpful. Being prepared allows our doctors to provide the most thorough and personalized assessment.

Medical Considerations

Most men begin to notice improvements in energy, mood, and cognitive function within 3-6 weeks of starting treatment. Sexual function typically improves within 3-12 weeks, while changes in body composition, including increased muscle mass and decreased fat, generally take 3-6 months to become noticeable. Results vary based on individual factors like age, lifestyle, and severity of deficiency.

TRT can potentially reduce sperm production and fertility. If you're planning to have children, it's important to discuss this with your doctor. There are alternative treatments or approaches that can help manage testosterone deficiency while preserving fertility. In some cases, fertility may return after discontinuing TRT, but this isn't guaranteed for all patients.

We treat men aged 18 and older who demonstrate clinical symptoms and blood test results confirming testosterone deficiency. While there is no upper age limit for TRT, treatment approaches may vary based on age. For younger men (under 40), we place special emphasis on investigating the underlying causes of low testosterone and may consider fertility preservation options. For older men, we carefully balance the benefits of TRT against any age-related health considerations. Each case is evaluated individually, with treatment plans tailored to your specific age, health status, and goals.

Unfortunately, the World Anti-Doping Agency classifies testosterone as a prohibited substance. Athletes who compete in regulated competitions cannot undergo testosterone replacement therapy unless they have a valid Therapeutic Use Exemption (TUE), which requires specific medical documentation and approval from relevant sporting authorities.

Legal and Regulatory Information

Yes, you'll have a consultation with one of our doctors who specialises in testosterone therapy for men. All our doctors are registered with the General Medical Council and have extensive experience in men's hormonal health. They'll review your test results, discuss your symptoms, and develop a personalised treatment plan suited to your specific needs.

Yes, it is legal to purchase testosterone replacement therapy online in the UK when acquired through a registered private clinic like Evermale. Our service complies with all relevant UK regulations, requiring appropriate testing and doctor consultations before any prescriptions are issued.

Yes, we gladly accept test results from established providers like Randox and Medichecks. If you've had a comprehensive hormone panel completed within the last 3 months, you can share these results with us during your initial consultation. This can save you time and money while still allowing our specialists to make an accurate assessment of your hormonal health.

Northern Ireland Services

Evermale is proudly based in Northern Ireland, serving clients throughout the region. As Northern Ireland's premier TRT specialists, we understand the unique healthcare landscape and needs of our local community. While our consultations are conducted remotely for your convenience, our clinical team and operations are fully established in Northern Ireland, allowing us to provide responsive care and support to our patients.

Yes, absolutely! While Evermale serves all of Northern Ireland, we understand that men in Northern Ireland, like any community, have unique needs and concerns. We provide tailored support, ensuring that our services are easily accessible and convenient for those living in and around Northern Ireland. Our remote consultation model means you can access expert TRT care from the comfort of your own home, without the need to travel. We also ensure that our team understands the local healthcare landscape, allowing us to provide relevant and effective support. If you have any specific questions about how we can help you in Northern Ireland, please don't hesitate to contact us.

Evermale operates as a private healthcare provider that complements the NHS services in Northern Ireland. While we work independently from the NHS, we maintain professional relationships with local healthcare providers and can communicate with your GP if you wish. Many of our patients choose our services due to the specialized nature of our care and the limited availability of comprehensive testosterone treatment within the NHS framework. We're familiar with the Northern Ireland healthcare system and can help you navigate between private and public healthcare when appropriate for your overall health needs.

We maintain connections with several men's health and wellbeing organizations across Northern Ireland that provide additional support beyond medical treatment. These include local fitness communities, mental health resources, and men's discussion groups where members can share experiences and strategies for improving overall wellbeing. Our team can provide specific recommendations based on your location and particular interests. Additionally, we host regular webinars and online community events specifically for our Northern Ireland patients to connect and learn more about optimizing their health.

We partner with both local Northern Ireland laboratories and specialized laboratories on the UK mainland, depending on the specific tests required. Our at-home finger-prick test kits are typically processed by our partner laboratory in Belfast, ensuring quick turnaround times for Northern Ireland patients. For more comprehensive venous blood testing, samples may be analyzed at specialized hormone testing facilities in the mainland UK. All laboratories we work with are fully accredited and meet the highest standards for accuracy and reliability.