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By Mike Kocsis | 3 minutes read | Last updated: November 26, 2021 |
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  • Medically Reviewed by Dr. George Touliatos

    Evidence Based Research

    Getting testosterone replacement therapy on the NHS is not a straightforward matter. Despite its excellent standard of care, the NHS bureaucracy often prevents those who really need treatment from getting it.

    Its centralised structure can stifle doctors’ ability to make decisions on individual cases. And it lacks flexibility for the treatment of low testosterone.

    How TRT Works On The NHS

    When you experience the symptoms of low testosterone you should visit your GP to discuss them. Depending how sympathetic they are, they will send you off for a blood test for low testosterone.

    Although, the insistence for a blood test usually must come from the patient, believing their symptoms to be associated with testosterone deficiency. Because it’s unlikely a doctor will conclude their symptoms are due to this.

    They will normally send you for two lab tests to confirm a diagnosis of low testosterone. Tests are typically  done before 9am, which in theory is when testosterone production is at its peak.

    Once the GP receives the lab results back confirming your diagnosis of low testosterone, they will refer you to an endocrinologist. Then the endocrinologist will decide on your treatment.

    Testosterone replacement therapy NHS

    Generally speaking, the NHS standardised model of care works well for many medical conditions. Patients visit their doctors with symptoms, then have tests to confirm a diagnosis. They then receive treatment based on a combination of lab tests and symptoms.

    The Problem

    However, this system has serious flaws when it comes to the treatment of a condition as low testosterone.

    Firstly, the majority of GPs lack sufficient knowledge of testosterone replacement therapy. So you may end up receiving treatment for depression instead of testosterone deficiency.

    You may come  across an open-minded GP who is willing to listen to your concerns. But if blood tests show your testosterone levels to be within the so-called ‘normal’ range then you’re out of luck. Even if you are suffering with symptoms.

    This is because doctors are trained to treat testosterone deficiency only when tests show testosterone levels to be outside the normal range.

    Rubik's cube TRT

    Whatever happened to treating symptoms first?

    If you do manage to get a referral to an endocrinologist, you may have to wait several months for an appointment. Several months of low testosterone is not a nice place to be.

    What’s more once you do get an appointment, there’s no guarantee you’ll get the type of treatment you want. Prescribed methods of testosterone treatment tend to vary between endocrinologists. Some may prescribe testosterone injections, whereas others may prescribe gels.

    Those who do receive [proper] treatment on the NHS are indeed very fortunate. But there are many who fall foul of the standard care model and are frustrated because they are refused treatment.

    The Solution

    There are undoubtedly GPs and endocrinologists in the NHS who do an excellent job. But in order to qualify for testosterone replacement therapy on the NHS, patients have to jump through countless hoops.

    It can be a painful process that can frankly feel like a bit of a lottery.

    At Balance My Hormones you don’t have to wait months to see a specialist. You can start the process with an open-minded and experienced hormone replacement therapy doctor.

    You can get approval for treatment in as little as 48 hours, provided you have the appropriate blood tests and forms complete. If you don’t have a diagnosis of low testosterone, then you don’t pay a doctor’s fee. And we aim to treat patients as individuals – not just a lab number.

    Best of all, you don’t have to go out and visit your doctor. You can have a remote consultation in the comfort of your own home.

    The service is concierge – so you have the doctor’s email address should you want to ask questions. The staff at Balance My Hormones are also always on hand to assist in other aspects of care. If you want straight forward treatment that’s simple and affordable, get in contact with us today.



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    Evidence Based Research

    This article has been researched and written based on scientific evidence and fact sheets that have then been crossed checked by our team of doctors and subject matter experts.

    References, sources and studies used alongside our own in-house research have been cited below, most of which contain external clickable links to reviewed scientific paper that contain date stamped evidence.

    Our team of healthcare experts and GMC registered doctors are licensed to UK GMC standards. We strive to provide you with the latest evidence based, researched articles that are unbiased, honest and provide you with accurate insights, statistics and helpful information on the discussed topic to ensure you gain a better understanding of the subject.

    We value your feedback on our articles, if you have a well-researched paper you would like to share with us please contact us.

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    Low Testosterone Levels

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    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: November 26th, 2021

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