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Hormone therapy can be an important part of your gender-affirming journey, supporting physical changes that reflect who you are.
Gender-affirming hormone therapy (GAHT), sometimes called hormone replacement therapy (HRT), can help align your physical traits with your gender identity.
The clinical team will take the time to talk through your options. Including the different types of hormones, how they’re taken, and what to expect along the way.
Below, you can explore the available hormone therapies, including information on common formulations, how they’re used, and typical costs.
This page is here to help you better understand gender-affirming hormone therapies, including common options and typical costs. It is for general guidance only and is not a substitute for medical advice.
Treatment decisions should always be made in consultation with a qualified healthcare professional.
Testosterone can be prescribed as a gel or as an injectable. You’ll be able to discuss the different options in detail with your clinical team to find what works best for you.
Read on to learn more about the typical formulations that they can prescribe.
Testogel and Testavan are common brands of testosterone gel. They’re usually applied once a day to clean, dry skin; normally on the upper arms or thighs for best absorption.
It’s important to know that testosterone gel can transfer through skin contact.
The average cost is around £35 to £60 per bottle and each bottle can last for a few weeks to a month, depending on your dosage. Lower doses (i.e. one to two pumps a day) may last longer.
Sustanon is an injectable form of testosterone given into a muscle (intramuscular, or IM injection). It can be self-injected or administered by someone else into the outer thigh, outer hip, or upper arm.
It is usually injected every two to four weeks, with an average cost of £8 to £13 per vial.
Testosterone enanthate is similar to Sustanon and is administered in the same way, usually every two to four weeks.
The average cost for a vial of testosterone enanthate is around £43.
Nebido is a long-acting injectable testosterone that is typically injected into the gluteal muscle by a clinician or trained person.
For most people, it’s administered once every three months.
The average cost for a vial of Nebido is about £110.
Hormone therapy for trans-feminine people can include oestrogen, progesterone, and anti-androgens (also known as androgen or testosterone ‘blockers’).
The clinical team can prescribe oestrogen as a patch, gel, or tablet.
Oestrogen patches such as Evorel and Estradot are applied to clean, dry skin and replaced regularly, usually twice a week.
The cost for eight oestrogen patches ranges from £8 to £19.
Estradiol gel, such as Oestrogel, is usually applied once daily to clean, dry skin on the upper arms or thighs. Allow the gel to dry completely before dressing.
One 80g bottle of estradiol gel typically costs around £15 and lasts for about a month.
Estradiol tablets, such as Progynova, can be taken once or twice daily, depending on the dose required. A month’s supply of tablets will cost around £8.
Anti-androgens are usually prescribed as tablets. They work by blocking the effects of testosterone and reducing its production in the body.
Commonly prescribed options include cyproterone acetate and spironolactone.
Typical monthly costs range from £8 to £46, depending on the medication and dose.
Progesterone is sometimes included as part of feminising hormone therapy, although its role and benefits are still being studied.
Because of this, progesterone is not routinely recommended for everyone. Your clinician will help you decide if it’s appropriate for your treatment plan based on your goals, overall health, and emerging evidence.
The typical monthly cost is around £12, but this can vary depending on the brand and dosage.
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