Blood test

Initial Testosterone Blood Test

trustpilot
4.3/5 on Trustpilot

Initial diagnosis test which measures your testosterone levels and checks your eligibility for testosterone replacement therapy.

1 in 4 men over the age of 30 have low testosterone. Our Testosterone Blood Test checks your total and free testosterone levels conveniently at-home.

  • UK-leading TRT clinic
  • Top Specialist Doctors
  • Checks both Total and Free Testosterone
  • Results in 48 hours
£54.99 £28.95
Get Started

What this test measures

drop
5 BIOMARKERS ANALYSED
Tt
text
arrow

Testosterone is the hormone that is responsible for most male characteristics

For men, it regulates sex drive and fat distribution, increases bone and muscle mass, improves strength and increases the production of red blood cells and sperm.

It is also really important for a man’s mood, cognition and motivation.

Ft
text
arrow

Total testosterone is the amount of testosterone in the blood. However, there are components of the blood that bind to testosterone, namely SHBG and albumin, making it less available for use in the body.

We measure these and provide a free testosterone level which is more important to test than total testosterone alone as this may be low despite a normal testosterone level.

Sh
text
arrow

SHBG stands for Sex Hormone Binding Globulin. This is a molecule that binds to testosterone in the blood and helps to transport it around the body.

However, if levels are too high it can reduce the amount of testosterone available to cells in the body, causing low testosterone symptoms.

Al
text
arrow

A protein that binds weakly to testosterone in the blood.

If levels are too high it can reduce the amount of testosterone available to cells in the body, causing low testosterone symptoms.

Fa
text
arrow

Free Androgen Index (also known as FAI) is a ratio used to determine free testosterone levels in humans.

It is based on the amount of SHBG in the blood.

About this Testosterone Blood Test

If you are looking to understand your testosterone levels to see if you are appropriate for TRT, or just to check your levels, then we have you covered with this blood test.

What does this test look for?
arrow

This test looks at total and free testosterone for the best analysis of your testosterone levels.

Total testosterone is the amount of testosterone in the blood. However, there are components of the blood that bind to testosterone, namely SHBG and albumin, making it less available for use in the body. So we also track these and your free testosterone levels to get a full picture of your testosterone levels.

How many tests are needed to start treatment?
arrow

In line with current BSSM guidelines we require two blood test results, a full blood count (FBC) and a lipid screen to provide TRT treatment.

This test is a first eligbilty test to check your testosterone levels.

Our Enhanced Testosterone Blood Test provides a full set of tests including full blood count (FBC) and lipids.

We can accept most blood results from other sources, please contact us to check.

We also require documentation of prostate examination results for men over the age of 45 before starting treatment.

Is this test right for me?
arrow

If you have never done a testosterone blood test before, or you do not have a recent result measured in the last 6 months, this is the right test for you. It will measure both your total and free testosterone levels to assess your eligbility for treatment.

If you are currently an Manual patient, then please note that this test isn’t suitable for follow up or TRT monitoring blood tests for current patients, unless otherwise indicated or advised by Manual.

What if i've done a test with another provider?
arrow

We can accept most blood results from other providers, please contact us to check.

About trt

How it works

Choose test
1

Choose your blood test

Order an at-home finger-prick blood test or a venous blood testing kit that comes with everything you need - no need to wait for a GP appointment.

Collect sample
2

Collect your sample

Choose to have your blood taken at home, health clinic or nurse visit. Send it off to our lab in the secure packaging provided.

Review results
3

Review your results

Access your results on your online portal. Our experts will review your results and give you clear actionable advice.

Play button

How to take a blood sample

1m - By Dr. Earim Chaudry
Video

How to take a blood sample

Here’s our Chief Medical Officer, Dr. Earim Chaudry, with a step-by-step video that shows you how to take a blood sample safely and effectively.

Why check your testosterone levels with us?

Insights that matter

Access meaningful easy-to-understand insights into your testosterone levels and overall health any time from your secure online account.

Insights

Personalised advice

Our team of TRT specialists provide ongoing advice and treatment by factoring in your unique lifestyle, lab results, symptoms, and medical history.

Insights

Track your testosterone levels

Continuous monitoring of your testosterone health with quick, easy repeat testing lets us fine-tune your treatment to optimise your results.

Track
trustpilot logotrustpilot
4.3/5 • 4604 Reviews
trustpilot 5 stars

Excellent service. Results received 48 hours from sending them back. 👍👍

Ian, Trustpilot
trustpilot 5 stars

Amazing service. The blood kit is easy to use and I consider that is a good form to find answers to the health problem when the NHS's test are not enough.

Matt, Trustpilot
trustpilot 5 stars

My test was quick and easy to do myself. The results are self explanatory and easy to understand, they also recommended me a energy supplement. So far very happy.

RJ Charles, Trustpilot
trustpilot 5 stars

Hassle free. Blood from your finger, in the mail, results in a few days. Too easy.

Rob87, Trustpilot
trustpilot 5 stars

I suggest Manual because all is very easy simple and fast! Customer service also is very quick in the answers and very polite my experience was really good Thanks!

Bazy, Trustpilot
trustpilot 5 stars

I’ve used this online company a few times and found them really nice to deal with and super quick to get my results.

Steve, Trustpilot
trustpilot 5 stars

Really pleased with the service. Posted Monday morning, acknowledged receipt Tuesday and results on Wednesday. Expert advice and help if needed. First class.

Rupert, Trustpilot
trustpilot 5 stars

Quick and convenient! Highly recommend and going to be my go to for my annual screening.

AlanT, Trustpilot
trustpilot 5 stars

I ordered a complete test, and I received my results the day after I returned the sample. I had some questions and I've been very impressed by the quick reply. Excellent service.

DAVID, Trustpilot
swipe-arrow
swipe-arrow

Meet our team of experts

We have the UK's leading doctors and experts in testosterone replacement therapy. Meet our team.

Chris
Chris Airey
TRT Medical Expert
Alastair
Alastair Kennett
TRT Expert
Rana
Rana Mirzai
Clinician, TRT
Chris
Chris Airey
TRT Medical Expert
Alastair
Alastair Kennett
TRT Expert
Rana
Rana Mirzai
Clinician, TRT

Testosterone replacement therapy, everything you need to know

Curated by Dr. Chris Airey, TRT Medical Expert
Chris
What is Testosterone Deficiency (TD)?
arrow

Low testosterone is a common condition that men can be born with or develop due to age, stress, disease, physical trauma, an unhealthy lifestyle or environmental factors.

What are the key symptoms of TD?
arrow

Men with low testosterone often report low mood, irritability, fatigue, anxiety, reduced libido or difficulty achieving an erection. Other common symptoms include brain fog, lack of motivation, low confidence, difficulty losing weight and difficulty gaining muscle.

How do you test for TD?
arrow

Blood testing is the only way to know for sure if you have a testosterone deficiency. Our Initial Testosterone Blood Test (a simple finger-prick test) can be taken at home. If the results show that you have low testosterone and you’d like to start testosterone replacement therapy, UK regulations require you to take a second, more comprehensive blood test first to ensure that you can safely start treatment. This one is a venous test which has to be administered by a nurse or phlebotomist.

How common is TD?
arrow

Research has confirmed that testosterone counts in men are significantly lower than they were just a few decades ago. One in four men over the age of 30 may have abnormally low testosterone levels according to scientific studies.*

Around the age of 30 testosterone levels naturally begin to decline, but it’s usually a very gradual process. For most men, testosterone levels drop between one to two percent each year from the age of 35. Free testosterone levels also drop considerably as men age, making TD even more common. An increase in obesity, hormone-disrupting environmental chemicals, and anabolic steroid use is also making testosterone deficiency in younger men more prevalent than ever.

*The Journal of Clinical Endocrinology & Metabolism

Will I be able to talk to a licensed doctor?
arrow

Yes, you’ll have a consultation with one of our doctors to discuss your test results and they can provide a personalised treatment plan tailored to your needs. Our doctors specialise in TRT for men and are all registered with the General Medical Council.

How do these blood tests lead to treatment?
arrow

Our initial blood test will establish whether you have a testosterone deficiency. If the first test shows that you have low testosterone you’ll need to take our second, more comprehensive blood test if you’d like to start TRT - this is due to UK regulations. If both tests show that you have low T levels, you’ll discuss suitable treatment options with one of our doctors and during an in-depth consultation before starting treatment.

How soon will the test arrive?
arrow

Our blood test kits usually arrive within three working days. It may take longer over public holidays.

When will I get my results?
arrow

We’ll get in touch to give you your results within two to three business days. One of our TRT specialists will then walk you through the results, provide advice, and answer all of your questions.

Other blood tests

Enhanced blood test

Enhanced Testosterone Blood Test

From £95

A comprehensive venous blood test used to confirm the initial test results, learn more about your health, and assess whether it’s safe to start treatment.

Buy Now