Medically reviewed by Dr Huda Qureshi, Clinical Director · Last reviewed 27 October 2026
How to choose a TRT clinic in the UK: eight questions to ask before you pay
Choose a clinic that confirms low testosterone properly, lets you speak to a named doctor, gives you a full 12-month price in writing and keeps monitoring you after the first prescription. Check its CQC and GMC registration yourself. A fast approval or low headline fee answers none of these.
Private TRT clinics in Britain look much alike from the outside: a clean website, a monthly price, a promise of convenience. The differences sit underneath — how the diagnosis is made, who takes clinical decisions, and what happens after the first prescription.
These eight questions apply to any clinic, including ours.
The scorecard
| Question | A good answer | A warning sign |
|---|---|---|
| Who is responsible? | A named prescriber on the GMC register; CQC-registered service | No named doctor |
| How is it diagnosed? | Symptoms plus two low morning results | One result, or a questionnaire |
| Will I speak to a doctor? | A live consultation with a doctor who has read your results | Background review only |
| Who answers problems? | Named people, clear response times | A general inbox |
| What is monitored? | A written schedule of safety bloods | "We'll let you know" |
| 12-month cost? | One written figure for everything | Monitoring and renewals left out |
| How much freedom? | A choice of plan; clear terms to cancel | One model, unclear exit |
| If I leave? | Records shared, handover planned | Delays releasing results |
1. Who is responsible for my care?
Ask for the name of the doctor making prescribing decisions and look them up on the GMC register. In England, check the clinic on the Care Quality Commission website; Scotland, Wales and Northern Ireland have their own regulators. Check the dispensing pharmacy on the GPhC register.
Registration does not prove a treatment is right for you. It does tell you someone is accountable.
2. How will low testosterone be confirmed?
UK guidance from the British Society for Sexual Medicine calls for symptoms plus two low testosterone results, taken in the morning, before treatment is considered. A good clinic also looks for an underlying cause.
If you might want children, raise it before starting: testosterone treatment can reduce sperm production, and your options should be discussed first.
3. Will I actually speak to a doctor?
Some services assess by questionnaire, with a clinician reviewing answers out of sight. That leaves little room for your questions. Ask whether you will have a live consultation, by video or in person, with a doctor who has read your results.
4. Who answers when something goes wrong?
Side effects, an abnormal result or a late delivery need a person, not an inbox. Ask who reviews abnormal results, how quickly, and whether you deal with the same people each time.
5. What is monitored, and how often?
Regular blood tests — blood count, PSA and other safety markers — are part of safe treatment, most often in the first year. Ask for the schedule in writing, where samples are taken and whether collection costs extra. Some clinics let you use your GP.
6. What will the next 12 months cost?
A low monthly fee can exclude medication, bloods and doctor time; a higher one can include them. Ask for one written figure covering a full year. Our TRT cost guide has a calculator for comparing quotes.
7. How much freedom will I have?
Some men want everything handled; others, once settled, prefer to run their own treatment and pay less. Ask whether you can choose, what the minimum term is and how you cancel.
8. What happens if I want to leave?
You are entitled to your records. Ask how the clinic shares results and prescription details with another provider and plans a handover. Our guide to switching TRT clinics covers the steps.
How Harrington answers these questions
- Accountable: registered with the Care Quality Commission. Clinical protocols are set by our Clinical Director, Dr Huda Qureshi, a GP on the GMC register (7499108). No prescription is issued without a named GMC-registered prescriber agreeing it is appropriate.
- Diagnosed properly: an at-home Initial Blood Test (£40, currently £32 with our launch offer), then, if indicated, a £169 assessment pairing an Enhanced Blood Test of more than 50 markers with a dedicated video consultation with a doctor. Some men are advised treatment is not right for them.
- People you can reach: every patient has a named GMC-registered doctor and a real person in our patient support team.
- Your choice of plan: Concierge, with injectable plans from £99 a month, includes medication, delivery and monitoring analysis, the same named doctor throughout and a named case manager; the type of medication you are prescribed is agreed with your doctor, based on your discussion and your preferences. Core, at £24 a month, suits settled patients who want to manage their own treatment, with medication ordered through our nominated pharmacy partner. Both have a six-month minimum term. See all prices and how it works.
Next step: Order your initial test · Already on TRT? Ask about switching · Book a free 30-minute call
Sources: BSSM, adult testosterone deficiency guidelines · GMC medical register · CQC, Harrington Clinic provider profile · GPhC register
Questions men ask
This article is general education, not a diagnosis. Reading it does not confirm a condition or guarantee that treatment is suitable for you — that always requires blood tests and an assessment with a clinician.
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How to switch TRT clinics in the UK without a gap in treatment
You can usually change TRT clinic without stopping treatment. Start before you run low, gather three documents, and let the new clinic review them before you pay anything. A doctor agrees your plan; only then give notice to your old clinic.
How much does TRT cost in the UK? The full first-year bill
Private TRT is priced in five parts: assessment, medication, monitoring bloods, blood collection and doctor time. At Harrington, ongoing care is £24 a month if you manage your own treatment, or from £99 a month all-inclusive on an injectable plan. Compare a full 12 months, not the headline fee.
Low Testosterone: Symptoms, Blood Tests & TRT Explained
In the first episode of the Harrington Health Podcast, Dr. Huda Qureshi discusses low testosterone symptoms, the role of blood testing, lifestyle factors, testosterone replacement therapy (TRT), fertility, prostate health and healthy ageing. This is a practical, clinician-led conversation about understanding symptoms in context—not self-diagnosing from one result.