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Testosterone Blood Tests

What testosterone blood tests are needed to start TRT or HRT?

The British Society of Sexual Medicine (BSSM) guidelines recommend a minimum of 2 separate blood tests, performed on differing days, to determine if there is a testosterone deficiency.

In addition, prior to commencing therapy, baseline tests must include Full blood count, Biochemistry, Kidney and Liver Function Tests, Lipid Profile and hormones.

If you are looking to begin your TRT/HRT journey, or just would like a blood test to look at hormone levels, then using one of the blood tests below will allow you to do just that.

If you would prefer not to use the buttons below or are unsure which is right for you please call 02039003209 and an experienced team member will help you find the correct tests and take your order over the phone.

There are a large number of blood tests available, not just general health and hormones screening but we have assembled the most relevant tests needed below to allow you to get started on your hormone balancing journey.

Why use our testosterone blood testing services?

  • Accurate Results, Reliable Service
  • Confidential- Personal information and results are kept private and secure through individual patient portal access.
  • Discreet Packaging- Blood test kits are sent in double layer packaging with no mention of our service or what the contents may include.
  • Accredited Labs process your results and are regulated by CLIA and uphold the highest standards. (Link to information below.)
  • Balance My Hormones are the original TRT treatment company in the UK, you are in safe hands.

Please allow 3-5 business days for shipping of blood test kits from our clinic. If you have not received your kit within 5 days, please contact us to follow-up.

Get Started

Testosterone Plus Test
Men Only

Required test before starting TRT.

Testosterone, Free (calculated testosterone), SHBG, Albumin

Optional more advanced TRT test.

Testosterone is the male hormone that declines with age or injury to the testes. This test profile not only meausures Total testosterone but calculated free testosterone as well. Calculated free is superiour to Free testosterone assays which are not consistant from lab to lab or test to test.
Finger Prick Test

If from the EU please contact us before ordering.

If from the EU please contact us before ordering.
TRT Check Ultra
Men Only

Optional more advanced TRT test, usually whilst on TRT.

Testosterone, SHBG, Albumin, Calculated Free T, Oestradiol, PSA, LH, FSH, Prolactin, TSH, Free T4, Free T3, Full Blood Count, Haemoglobin, Haematocrit, Cholesterol, HDL, LDL, Triglycerides
This test is required 6 weeks after starting TRT and can be used at 18 month or as a general screening tool.
Those who are looking to undergo TRT would need the Balanced Comprehensive Test paired with either this test or the Testosterone Plus Test.
Finger Prick Test

If from the EU please contact us before ordering.

If from the EU please contact us before ordering.
Balanced Comprehensive Blood Test
For Men and Women

Required test before starting TRT.

Full Blood Count, Biochemistry, Kidney Function, Liver Function, Bone Screen, Lipids, Hormones (PSA for men or CA125 for women Markers), Immunology (includes thyroid anti-bodies), 3 key Vitamins. Over 66 different Tests included. This test is required before starting TRT. To expedite your journey to the doctor we recommend having this test done first and ordered. Our staff will contact you to arrange a location of the blood draw. This test must be done by a qualified health care professional and cannot be done with a finger prick test.

Note for Women: If you are menopausal you can take this test at any time. If you are having menstrual cycles the test needs to be taken on day 1-5 of your next monthly cycle or period.

Venepuncture test only. Please contact the office to have blood draw location arranged and invoiced.

If from the EU please contact us before ordering.

Male TRT Hormone Check
Testosterone, Free (calculated testosterone), SHBG, Albumin, Oestradiol, Prolactin
This test is ideal for checking your levels of hormones when on TRT (testosterone replacement therapy).
It can also provide more information to the doctor as a screening tool as well. Sometime lack of libido may be related to elevated prolactin or too much or too little oestradiol as much as it is to low testosterone.
Finger Prick Test

If from the EU please contact us before ordering.

If from the EU please contact us before ordering.
Thyroid Basic Profile
TSH (Thyroid Stimulating Hormone), FT4 (Free Levothyroxine T4), FT3 (Free Triiodothyronine T3)
This basic thyroid test can be used as a quick screen or to monitor ongoing thryoid hormone treatment.
Finger Prick Test

If from the EU please contact us before ordering.

If from the EU please contact us before ordering.
TRT with Thyroid Check
Testosterone, Free (calculated testosterone), SHBG, Albumin, Oestradiol, Prolactin, TSH, T4, T3
This combination test is normally used to monitor on going TRT and Thyroid treatment to help the doctor monitor and adjust dosing.
Finger Prick Test

If from the EU please contact us before ordering.

If from the EU please contact us before ordering.

Blood Draw Services

blood testing

Prices starting from £35, contact the office for more details.

If you have access to a health care professional who can draw you blood the then all you need to do is order the test here and click the waiver saying you do not need a blood draw service. Our staff will arrange to have your kit posted to you with a warning to only have a qualified person draw your blood.

The laboratories that partner with Balance My Hormones are fully licenced and accredited by the CQC and ACAS.

Certificate of Accreditation for County Pathology
Certificate of Accreditation for TDL The Doctor’s laboratory

Blood testing companies used are regulated by the CQC. Balance My Hormones is not a provider of care.


Finger Prick Testing Guide

Learn how to do a finger prick blood test below

Why get a testosterone blood test?

  • To find out if your testosterone levels are abnormal, this applys to both men and women.
  • Measurements may give you insight into why you are suffering from symptoms like erectile dysfunction or low mood.
  • Having not enough testosterone in your body can cause reduced sperm levels and quality, increasing your infertility.
  • If you are a woman a testosterone blood test can help diagnose conditions such as polycystic ovarian syndrome (PCOS).
  • To find out if you have other symptoms that relate to the Male Menopause.

When to get a testosterone blood test?

  • If you suspect you have symptoms that of low testosterone.
  • If you've been to the doctor and he/she thinks you maybe infertile or are unable to maintain an errection.
  • If you are a boy and have delayed or early on set of sexual maturity.
  • If you are a female but have excess facial/body hair, irregular or no periods or a deeper than average voice.
  • If you are a regular gym goer but do not easily put on muscle mass, get fatigued easily and suffer ED.

What do we test for in our testosterone blood tests?

  • Total testosterone levels - Including SHBG, Albumin and Calculated Free Testosterone.
  • Oestradiol - An estrogen steriod hormone that needs to be at the correct levels.
  • PSA - Prostate-specific antigen, a protein that is produced by normal and malignant cells of the prostate gland
  • LH - Luteinizing hormone produced by gonadotropic cells in the anterior pituitary gland.
  • FSH - Follicle-stimulating hormone is an important part of the reproductive system.
  • TSH - Thyroid-stimulating hormone that controls and stimulates metabolism in most tissues in the body.
  • Prolactin - A hormone that tells the body to make breast milk and over 300 other processes.
  • Free T4 - Free thyroxine testing is used to evaluate the thyroid function and diagnose diseases.
  • Free T3 - Free triidothyronine in your blood, similarly to Free T4 we evaluate thyroid functionality.
  • Full blood count - Checks the number of red, white cells and platelets to evaluate genral health and clues to underlying problems.
  • Haemoglobin - Measures the amount of haemoglobin in the red blood cells in your blood.
  • Haematocrit - Measures the proportion of red blood cells in your blood, having too few could be a sign of certain diseases.
  • Haematocrit - Measures the proportion of red blood cells in your blood, having too few could be a sign of certain diseases.
  • Cholesterol/Triglycerides - Measures your lipid profile to check your cholesterol and triglycerides in your blood.
  • HDL - High-density lipoprotein measurement to test the levels of good cholesterol in your blood.
  • LDL - Low-density lipoprotein measurement to test the levels of bad cholesterol in your blood.

FAQs for testosterone blood testing

Q: Do I have to travel to attend a clinic to get my blood drawn?
A: No. A number of blood tests can be performed by finger prick which involves filling a small tube with droplets from your finger. If you require a venous sample then we have a network of locations all around the UK that can be attended to have a blood sample taken.

Q: How long does it take for my results to come back?
A: Once a sample is received by the laboratory, results will usually be ready within a few days and available for you to view securely on your portal.

Q: Will my blood tests be comprehensive enough?
A: We do offer a very wide range of blood tests, outside of those used for TRT/HRT. However the blood tests that we use for TRT/HRT are the most comprehensive used in this area. Lots of doctors/clinics are using blood panels that miss key markers that may screen for underlying conditions that may have caused/ attributed to hormonal issues. This is why you will see the comprehensive test being used before TRT/HRT.

Q: Is my blood sample ok to be sent in the post? Could it not be damaged or take too long and in turn affect my blood results?
A: Although excessive time between sample being taken and reaching the lab can make the sample unusable, this is generally when it takes more than 7 days. As all packages are prepaid first class post, samples usually are at the lab within a few days, depending on location. Also the carrier tubes of all blood contain agents inside the tubes that preserve the blood samples ready for testing. European clients usually use a courier if they have any anxieties about this and most have been fine in the standard post.

Q: Are finger prick blood tests accurate?
A: There is a common misconception that a blood sample drawn from the vein is more accurate than finger prick blood testing. This isn’t always the case. There are a few blood test markers that are sensitive to extraction but that is the same in BOTH venous and fingerprick blood testing techniques. You will always be informed if your blood test does require certain instructions and for some of these less common tests, you may be informed that fingerprick testing is not suitable.

Q: Do I need to fast for my testosterone blood test?
A: No, for these tests you do not need to fast, it is simply not necessary, which makes testing all that bit easier.

Q: Can I get a testosterone test on the NHS?
A: Yes, however our tests are significantly more advanced and give us much more information about your overall health. We assess many other aspects of your hormones and blood that could be affecting your testosterone levels. The NHS will either refuse to test you or if they do agree to a test you then they will only look at the Total Testosterone level which does not give a full accurate picture of what is going on.

About the Author: Mike Kocsis

Mike Kocsis has an MBA with a focus on healthcare administration and is an entrepreneur and medical case manager for Balance My Hormones Ltd which offers medical services in the UK and Europe. Mike has over 20 years of experience in the healthcare sector, much of that working with people who have hormone imbalances. Mike has appeared on podcasts and radio and is an expert speaker on the subject of hormone imbalance. He specialises in Testosterone Replacement Therapy (TRT) and Hormone Replacement Therapy (HRT) and has helped thousands of people suffering from hormone imbalances recover and regain control of their lives. You can follow him on LinkedIn and on the Balance My Hormones YouTube Channel.

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Last update: September 21st, 2021

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