Am I eligible to start treatment if I have an existing condition?

Immediate Ineligibility

A patient cannot start TRT if they:

• Are under 18
• Are transgender
• Live outside mainland UK
• Have an active medical condition that is an absolute contraindication

Absolute and relative contraindications to treatment

Patients are not suitable for treatment if they have:

• Active breast or prostate cancer
• Classic Hodgkin Lymphoma cancer
• Haematocrit > 0.54
• Untreated or severe chronic cardiac failure (NYHA Class IV)
• Untreated hypertension (>180 mmHg)
• Untreated sleep apnoea (moderate to severe)
• Severe lower urinary tract symptoms
• Active liver cancer
• Blood results significantly outside the normal range
• Essential Thrombocythemia
• Actively trying to conceive
  • However, we have non TRT options that could be beneficial. This should be discussed with a doctor in a consultation first.

Service contraindications

Our service cannot treat or consult with patients who have:

• End-stage COPD / emphysema / respiratory disease requiring home oxygen
• Cirrhosis
• Moderate to severe learning disability, cognitive impairment, or dementia
• Transgender treatments — these follow different clinical protocols we are not set up to deliver