Testosterone treatment

Sometimes, the most effective treatment isn’t officially licensed for that exact uses — even if evidence and expert guidelines support it. That’s called off-label prescribing.

In the UK, this means a medication is being used in a way that’s not on its official license — for example, a different dose or patient group.

It doesn’t mean it’s unsafe. It just means the licensing process hasn’t yet caught up with the clinical data — which is especially common in women’s health.

Our clinicians follow the latest evidence, guidance from bodies like NICE, and always put your safety and wellbeing first.

A baseline blood test is usually required before starting testosterone treatment. It helps your clinician understand your current levels, confirm whether testosterone is likely to help, and ensure your treatment is safe and well-targeted from the start.

Regular blood tests are an important part of safe testosterone treatment.

You’ll usually have a check at 3 months after starting, and then annually if your levels are stable.

If your levels need adjusting, or if symptoms change, your clinician may recommend more frequent testing. You’ll always be guided clearly on what’s needed — both in your consultation and your clinic letter.

Testosterone prescribing isn’t based on blood levels alone. Symptoms matter, and some people can benefit from testosterone treatment even if their level falls within the reference range.In women, testosterone levels are often low-normal, and blood tests don’t always reflect how much testosterone is available to your tissues. This means symptoms such as low libido, fatigue, reduced motivation or brain fog can occur despite a “normal” blood result.
For this reason, testosterone may still be prescribed when symptoms are consistent and other causes have been considered. Treatment is always started and continued under clinical guidance.Blood tests are used alongside symptom review to make sure your testosterone level stays within a safe range and doesn’t become too high. This is an essential part of safe prescribing and helps your clinician adjust your dose if needed.

Everyone responds differently — but most women start to notice changes within 6 to 12 weeks.

Improvements in libido are often felt first. Other effects, like energy, mood, and cognitive clarity, may take a little longer and build gradually over time.

We’ll check in regularly to monitor your response, adjust your dose if needed, and make sure you’re getting the support you need along the way.

We don’t offer prescription-only plans because hormone treatments like testosterone need to be prescribed alongside ongoing clinical review.Even when things are going well, a clinician needs to review how you’re feeling and check your monitoring blood tests before continuing treatment. This is a required part of safe prescribing and helps ensure your dose stays right over time.Your plan includes the necessary blood tests and clinical reviews, so everything needed to continue your prescription is built into the plan.

Not when prescribed and monitored correctly. At the low doses used for women, testosterone is carefully balanced to support things like libido, energy, and mental clarity — without causing male physical traits.

Side effects like increased facial hair or acne are rare, and if they do happen, your dose can be adjusted. That’s why regular monitoring is key — and why our clinicians are here to guide you safely every step of the way.

Lifestyle changes can help support healthy testosterone levels in women.
‍Things like:

• Managing stress, through mindfulness or rest
• Eating well, with enough protein, healthy fats, vitamin D, and B vitamins
  
• Exercising regularly, especially strength training
  
• These steps won’t replace medical treatment if levels are significantly low — but they can support your hormones and overall wellbeing, whether you're on testosterone therapy or not. Your clinician will discuss these with you.