Specialist TRTConsultation for Men.
A 50-minute, doctor-led consultation focused entirely on your male hormonal health — your testosterone, your symptoms, and whether testosterone replacement therapy is the right clinical pathway for you.
Book Your TRT Consultation01
Panel
What's Covered
Testosterone replacement therapy (TRT) restores testosterone to optimal levels in men whose natural production has declined. At EGA, every treatment decision follows a comprehensive clinical assessment covering your full hormonal picture, medical history, and long-term health goals.
01Full symptom assessment
Your doctor will take a detailed account of your current symptoms — fatigue, low energy, reduced libido, erectile dysfunction, poor sleep, low mood, brain fog, loss of muscle mass, and increased body fat. Many men present with a cluster of symptoms that individually seem unremarkable but together form a clear clinical picture of testosterone deficiency.
02Comprehensive medical history
Your full personal and family medical history is reviewed — including cardiovascular history, prostate health, fertility intentions, any previous hormonal treatment, and medications. These are all clinically relevant to TRT prescribing decisions.
03Review of previous blood results
If you have had prior testosterone testing — whether through your NHS GP or elsewhere — your doctor will review these results in context. A single total testosterone measurement is rarely sufficient; free testosterone, SHBG, LH, FSH, oestradiol, and other markers are relevant to the full picture.
04Discussion of TRT options
Your doctor will explain the available TRT formulations — including testosterone gels, injections (short-acting and long-acting), and other preparations — and discuss the clinical considerations, practical differences, and relative merits of each.
05Assessment of underlying causes
Not all low testosterone is primary hypogonadism. Your doctor will assess whether your picture reflects primary testicular failure, secondary hypothalamic-pituitary dysfunction, or a reversible contributing factor — such as obesity, sleep apnoea, or lifestyle factors.
06Fertility considerations
TRT suppresses the body's own testosterone and sperm production. If you have any current or future fertility considerations, your doctor will discuss these fully and explore alternatives that preserve fertility where relevant.
You will leave with a personalised treatment recommendation — whether that is to proceed with TRT, undertake further testing, address reversible factors, or explore other interventions.
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Audience
Who It's For
This consultation is appropriate for men who:
- Are experiencing symptoms consistent with low testosterone and want a specialist assessment
- Have been told their testosterone is 'normal' by their GP but continue to experience significant symptoms
- Are considering TRT and want a thorough clinical assessment before making a decision
- Have been declined TRT through the NHS and want a specialist second opinion
- Are concerned about the long-term impact of declining testosterone on their cardiovascular health or cognitive performance
- Want to understand their full male hormonal picture (including SHBG, LH, FSH, prolactin) in the context of their overall health
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Deliverable
What You Leave With
A defined hormonal assessment pathway and, where appropriate, a treatment plan.
- A written clinical summary and personalised hormonal plan
- Recommendations on which investigations to undertake
- Where clinically appropriate, a proposed TRT regimen and monitoring schedule
- Clear next steps for follow-up review approximately 6–8 weeks after starting treatment
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Difference
The EGA Approach to TRT
At EGA, TRT is a clinical intervention — not a lifestyle product. It is initiated only where a comprehensive assessment supports it, and managed with structured monitoring throughout.
Full hormonal assessment
Total testosterone alone is insufficient. Free testosterone, SHBG, LH, FSH, oestradiol, prolactin, full blood count, haematocrit, PSA, and metabolic markers are all part of a responsible TRT workup.
Symptom and biochemistry integration
A low testosterone result in an asymptomatic man is different from the same result in a man with significant symptoms. We assess both together to form a clinical decision.
Ongoing safety monitoring
TRT requires regular blood monitoring — haematocrit, PSA, oestradiol, and testosterone levels — to ensure safety and optimise response. Follow-up is not optional.
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Questions
Common Questions
What testosterone level qualifies for TRT?
There is no single threshold. Total testosterone is one data point. Free testosterone — the biologically active fraction — is often more clinically relevant. NHS guidance typically requires total testosterone below 8 nmol/L with symptoms; EGA assesses the full hormonal picture alongside symptoms, which may support treatment in men whose NHS GP would not prescribe.
Do I need blood tests before this consultation?
Not necessarily. Your doctor will assess what testing is required during the consultation. If you have recent testosterone or hormone blood results, please bring them. If testing is needed, this can be arranged at EGA.
My GP says my testosterone is normal. Could it still be causing my symptoms?
Yes. 'Normal' on a standard NHS test means within the laboratory reference range. A total testosterone that is technically in range may still represent a clinically significant decline from your personal baseline, particularly if your SHBG is elevated. This consultation is designed to assess the full picture.
Does TRT affect fertility?
Yes. TRT reduces or stops sperm production during treatment. This effect is usually reversible, but recovery time varies. If you have fertility intentions, this must be discussed before initiating TRT. Other fertility-preserving treatments may be appropriate; your clinician will discuss the options with you.
What are the risks of TRT?
Potential risks include elevated haematocrit (increased red blood cell count) and changes in PSA, which require regular monitoring. Current evidence does not support a meaningful cardiovascular risk for properly monitored TRT. Your doctor will discuss your individual risk profile in full.
Will I be on TRT for life?
Not necessarily — but for many men, it is a long-term treatment. Testosterone levels typically do not recover to pre-treatment levels on discontinuation, especially after long-term use. Some men trial TRT for 3–6 months to assess response before a longer-term commitment.
How long before I notice results?
Energy, mood, and libido typically show improvement within 4–6 weeks. Changes in muscle composition, fat distribution, and bone density occur over months. Full assessment of treatment response requires a minimum of 3–6 months.
Do I need a GP referral?
No. You can book directly online or by phone.
06 · Next Step
Ready to book?
Specialist TRT
- 01Book online or by phoneNo referral needed. A £100 deposit secures your appointment and is deducted from the consultation fee.
- 02Attend your 50-minute TRT ConsultationIn clinic at EGA Clinic, London. Bring any previous blood results or medical letters.
- 03Receive your written clinical summaryYour doctor's recommendation — whether that is a TRT protocol, further testing, or an alternative plan.
- 04Plan next stepsIf a prescription is issued, your follow-up will be scheduled approximately 6–8 weeks after starting treatment.