What if I want to add hCG or another supporting medication?

Your specialist can add supporting medications where clinically appropriate — including hCG (to support fertility), aromatase inhibitors (to manage oestrogen), clomifene (to support your body's own production), or tadalafil (for sexual function). This is decided together during your consultation, based on your symptoms and your goals.

Can I buy testosterone online without a prescription in the UK?

No. Testosterone is a prescription-only medicine (POM) in the UK, which means it must be prescribed by a registered clinician after a proper assessment — including blood tests and a consultation. Anyone selling it without that is operating outside the law and putting your safety at risk.

Any time, through your account. There are no long contracts and no difficult conversations. If you'd prefer to pause rather than cancel, your specialist can work with you on that too.

How do I apply testosterone cream?

Apply your dose to clean, dry skin on your shoulders or the back of your upper arms once a day — ideally after your morning shower so it becomes part of your routine. Use gloves or wash your hands thoroughly afterwards. Let the cream dry fully (around 3–5 minutes) before putting on clothing, and keep the area dry for at least an hour. Avoid swimming or heavy exercise for the first 2 hours after application.

How much cream should I use?

Your starting dose depends on your blood test results. Sachets typically deliver 50mg of testosterone in a 5g sachet; pump dispensers typically deliver around 40.5mg per two pumps. Your specialist will set your starting dose and adjust it based on your follow-up blood tests.

Can I transfer testosterone to my partner or children through skin contact?

Yes — this is the most important safety consideration with topical testosterone. Wash your hands thoroughly after every application, wait for the cream to dry before getting dressed, and keep the application area covered by clothing. Avoid skin-to-skin contact with partners, children and anyone who is pregnant or trying to become pregnant until the cream has fully absorbed (normally several hours). If household transference is hard to manage, an injectable option may suit you better — your specialist can switch your plan at any consultation.

Is testosterone cream as effective as injections?

For many members, yes — it gives the same steady restoration of testosterone levels without needles. For some members, absorption through the skin is slower, and testosterone levels don't rise as quickly as they would on injections. Your specialist will review your blood tests at 6 weeks and 3 months and can switch you to an injectable or adjust your dose if absorption is the issue.

Are there any allergy considerations?

Some testosterone creams and gels contain carrier ingredients that can trigger reactions in members with specific allergies (for example, certain formulations contain ingredients derived from soy). If you have a known allergy, let your specialist know during your consultation and they'll prescribe a formulation that's safe for you.

How do I store testosterone cream?

At room temperature, out of direct sunlight, and out of reach of children. Sachets and pump dispensers don't need to be refrigerated. Always check the expiry date printed on the packaging.

Testosterone cream — daily topical TRT

What is testosterone cream?

Testosterone cream is a topical form of testosterone replacement therapy, applied to the skin once a day, where it's absorbed into the bloodstream gradually across several hours.

Because absorption is gradual and continuous, testosterone cream gives you a steady daily top-up rather than the peaks and troughs that some injectable formats can create. It's often the first option we consider for members who'd rather not inject, or who want to start with gentler titration.

References

^¹

Borst, Stephen, and Yarrow, Joshua F. “Injection of Testosterone may be Safer and More Effective than Transdermal Administration for Combating Loss of Muscle and Bone in Older Men,” American Journal of Physiology - Endocrinology and Metabolism, vol. 308, issue 12, 2015:E1035–E1042 https://pmc.ncbi.nlm.nih.gov/articles/PMC6189635/

^²

El-Osta, Austen, et al. “A Cross-sectional Survey of Experiences and Outcomes of Using Testosterone Replacement Therapy in UK Men.” Translational Andrology and Urology, vol. 14, no. 4, 2025:1295-1307 https://pmc.ncbi.nlm.nih.gov/articles/PMC12170005/

^³

Lakshman, Kishore M, and Basaria, Shehzad. “Safety and Efficacy of Testosterone Gel in the Treatment of Male Hypogonadism,” Clinical Interventions in Aging, vol. 4, 2009:397-412 https://pmc.ncbi.nlm.nih.gov/articles/PMC2785864/.

^⁴

Miller, Jodi, et al. “Pharmacokinetics and Relative Bioavailability of Absorbed Testosterone After Administration of a 1.62% Testosterone Gel to Different Application Sites in Men with Hypogonadism,” Endocrine Practice, vol. 17, issue 4, 2011:574-583. www.endocrinepractice.org/article/S1530-891X(20)41752-5/abstract.

^⁵

Pastuszak, Alexander W., et al. “Comparison of the Effects of Testosterone Gels, Injections, and Pellets on Serum Hormones, Erythrocytosis, Lipids, and Prostate-specific Antigen,” Sexual Medicine, vol. 3, issue 3, 2015:165-173 https://academic.oup.com/smoa/article/3/3/165/6956248.

^⁶

Saad, Farid, et al. “Onset of Effects of Testosterone Treatment and Time Span until Maximum Effects are Achieved,” European Journal of Endocrinology, vol. 165, issue 5, 2011:675-685. https://academic.oup.com/ejendo/article/165/5/675/6677022.

^⁷

“Testogel 16.2mg/g gel,” Electronic Medicines Compendium, 2024. www.medicines.org.uk/emc/files/pil.8919.pdf. Accessed 20 Oct. 2025.

^⁸

“Testogel 50mg transdermal gel in sachet,” Electronic Medicines Compendium, 2024 www.medicines.org.uk/emc/files/pil.6808.pdf. Accessed 20 Oct. 2025

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