TRT in Ireland
Restore Your Vitality With Online Testosterone Treatments
Testosterone Replacement Therapy (TRT) is a safe, medically approved treatment used to restore healthy hormone levels in men with low testosterone. In Ireland, more and more men are choosing TRT to address a range of symptoms linked to hormonal imbalance — including fatigue, low libido, reduced muscle mass, and poor mood. While testosterone naturally declines with age, lifestyle factors, stress and certain health conditions can also contribute to low levels, even in younger men.
Urban TRT offers fully regulated, doctor-led TRT services online for patients across Ireland. Our experienced British medical team provides expert consultations, personalised treatment plans, and ongoing support — all from the comfort of your home. TRT is legal in Ireland when prescribed by a licensed physician following appropriate testing and diagnosis.
If you’re concerned about low testosterone, we can guide you through a simple process of testing, diagnosis, and treatment to help you feel like yourself again.
Symptoms of low testosterone
Testosterone is a naturally occurring hormone that plays a crucial role in maintaining male vitality, supporting physical strength, mental clarity, and sexual health. Found in both men and women, it exists in significantly higher concentrations in males and is responsible for the development of features such as deeper voice, muscle tone, facial hair, and healthy reproductive function.
Testosterone levels tend to reach their highest during early adulthood before slowly declining from the age of 30. When levels fall too low, men may experience a wide range of issues including:
- Fatigue
- Reduced sex drive
- Erectile problems
- Loss of muscle mass
- Low mood
- Difficulty concentrating.
At our Irish TRT clinic, we offer expert assessment and tailored Testosterone Replacement Therapy (TRT) to help restore balance and improve quality of life.
Causes of testosterone deficiency in men
Low testosterone, or hypogonadism, can develop due to a range of underlying factors. At our Irish TRT clinic, we assess each patient’s unique medical background to determine the root cause and provide appropriate treatment.
Some individuals are born with conditions that affect hormone levels, such as Klinefelter’s syndrome or undescended testicles, while others develop testosterone deficiencies later in life due to trauma, viral infections like mumps, or treatments such as chemotherapy.
In many cases, hormonal disruption originates in the brain, particularly the hypothalamus or pituitary gland, with contributing factors including chronic illness, obesity, medications, or ageing.
Some men experience a mix of both testicular and brain-related causes, especially as they get older or undergo long-term medical treatment.
Ways to boost testosterone naturally
In line with best practice guidelines in Ireland, health service doctors usually follow similar protocols when treating patients with low testosterone. They focus initially on non-medical interventions.
Men experiencing a natural decline in testosterone are not immediately prescribed hormone therapy by their GP, being recommended instead to try lifestyle improvements. These can include regular exercise and resistance training, a nutritious diet, stress management, getting quality sleep and controlling their weight. It is also recommended to tackle underlying health conditions such as obesity or diabetes.
While these changes can often boost testosterone, sometimes restoring it to healthy levels, there's little evidence that they provide a permanent solution. If, after six months of committed lifestyle adjustments, blood tests still show low testosterone alongside ongoing symptoms, you may be considered for testosterone therapy by your GP.
This can be a drawn out process. If you'd like to find out straight away whether your symptoms are linked to a hormone imbalance, book a blood test from Urban TRT Ireland. Our doctors will assess your results, and, if you wish, help you start your TRT journey.
Testosterone Treatment Options
At Urban TRT Ireland we offer can offer TRT in 3 different formats, depending on your preferences and medical needs.
Testosterone injections are the most widely used, especially with Testosterone Cypionate, which allows for painless subcutaneous use due to its thinner oil. This method typically offers faster, more stable results and requires only one to two doses per week.
Topical gels are applied daily to the skin and offer a convenient, non-invasive alternative for men who'd prefer to avoid needles. They carry a risk of skin irritation however, and also transfer of the hormones to others through contact, which needs to be avoided.
Testosterone tablets are the easiest format to take, but they can be expensive and slower to show results.
Our medical team can explain the pros and cons of each approach and recommend the best for your particular circumstances. The first step to start your TRT journey is to book a blood test.
Urban TRT Irelands provides easily accessible blood testing via our network of clinics and online consultations. Our safe and effective approach ensures a personalised and medically sound approach to restoring hormonal balance.
Can I expect any TRT side effects?
Testosterone replacement therapy (TRT) is generally well-tolerated when properly monitored, but it can carry the risk of certain side effects. Most of these can be managed by your Urban TRT doctor, who will analyse your regular blood test results and adjust your personal treatment protocol as needed.
Without proper medical care, commonly reported issues associated with testosterone therapy can include acne, oily skin, fluid retention and increased red blood cell count, which can raise the risk of blood clots.
Some men may experience breast tenderness or enlargement (gynaecomastia), changes in mood or libido as well as disturbed sleep. TRT can also suppress natural testosterone production and sperm count, potentially affecting fertility. These symptoms can be caused by raised oestrogen, so your levels of this hormone will be monitored carefully by our doctors. We can provide medication to block excess production if needed and will ensure your hormones are kept in balance.
Is TRT safe?
Numerous scientific studies continue to be conducted into the safety of of Testosterone Replacement Therapy. For many years doctors have debated whether the treatment poses a risk to cardiovascular health, but the most recent research has provided reassuring evidence that this is not the case. A major study, published in 2023, looked at the health of 5200 men aged between 45 and 80 who had low testosterone. The findings showed that TRT did not increase the risk of heart attack or stroke in these men compared to placebo.
The latest clinical trials have also dispelled previous concerns linking TRT to prostate cancer risk. In particular, a randomised clinical trial published in JAMA Network Open observed no significant difference in the incidence of any prostate cancer between men receiving TRT and those on a placebo over a three-year period.
Further reassurance was provided by a large Finnish epidemiological study conducted in 2023, which showed that testosterone replacement therapy is not associated with increased prostate cancer incidence, prostate cancer-specific, or cardiovascular disease-specific mortality.
When taking TRT, regular blood tests and medical reviews are essential to ensure that the treatment remains safe and effective in the long term. It's vital, when buying TRT online, to purchase from a medically accredited company with TRT experts who will support you and monitor your care.
Taking a balanced approach to HRT for Irish men
At Urban TRT, we understand the vital importance of supporting natural hormone function alongside Testosterone Replacement Therapy. That’s why, where appropriate, we incorporate hCG (Human Chorionic Gonadotrophin) into treatment plans. hCG helps to stimulate the testes, maintaining their size and natural testosterone production, which can protect fertility—something standard TRT may compromise. It also helps preserve hormonal balance by encouraging the production of other essential hormones, particularly those linked to sperm health.
While not everyone responds to hCG in the same way, especially those with primary testicular dysfunction, many men with secondary hypogonadism benefit significantly. Backed by medical research, this combined approach offers a more comprehensive and long-term solution to low testosterone.
When undergoing testosterone replacement therapy, it’s possible for oestrogen levels to rise if hormone balance isn’t carefully monitored. This is because the body naturally converts surplus testosterone into oestrogen. This hormonal imbalance can trigger a number of unwanted effects, such as breast tissue growth in men, reduced fertility, fluid retention, lowered sex drive, mood disturbances, and increased anxiety.
To minimise these risks, we routinely monitor your hormone levels with regular blood tests. If necessary, our doctors may prescribe medication to limit oestrogen production. While not all men experience a rise in oestrogen during TRT—since individual responses vary—we will always tailor your treatment to maintain your hormonal balance and ensure your wellbeing.
Why choose Urban TRT for Testosterone Replacement Therapy in the Ireland?
Accessing testosterone replacement therapy (TRT) through the public healthcare system in Ireland can be challenging. This is due to limited specialist availability and the fact that GPs have traditionally adopted a cautious approach to hormone therapy. Many men with symptoms of low testosterone can struggle to get a diagnosis or prescription via the HSE, with doctors often prioritising lifestyle factors—such as diet, stress reduction and sleep—before considering a hormonal treatment. Some doctors can be reluctant to prescribe TRT due to outdated concerns about cardiovascular or prostate risks (see details above on the latest research which provides reassurance on this).
Strict national and European clinical guidelines also mean that TRT is generally only offered if blood tests consistently show testosterone levels well below the normal range, alongside persistent symptoms. If you receive a referral to an endocrine specialist, this can often involve long wait times. As a result, many men in Ireland are turning to private clinics for quicker access to personalised hormone therapy and more flexible treatment options.
The experienced team at Urban TRT delivers safe, effective treatments for men with low testosterone. We have established ourselves as a leading TRT clinic in the UK and our services are now available in Ireland. We are dedicated to providing effective, discreet and accessible treatments for modern men. Our focus is on improving confidence, vitality, and overall well-being and we offer the very latest for testosterone treatments as well as a wide range of health screening tests.
Recent Reviews for Urban TRT
What sets us apart is our commitment to patient care, as demonstrated in these recent reviews:
'Urban TRT Truly Care About Men's Health'
I've had an outstanding experience with Urban TRT from start to finish. The entire team is professional, knowledgeable, and genuinely invested in patient care. From my initial consultation to ongoing treatment, everything has been clearly explained, and I’ve felt supported every step of the way. My energy levels, mood, and overall well-being have improved significantly since starting TRT here. The process has been smooth, discreet, and tailored to my individual needs. Highly recommended for anyone considering TRT and looking for a clinic that truly cares.
'Testosterone Replacement at Urban TRT Changed My Life'
Urban TRT are very friendly and easy to deal with. The doctor is amazing and they really care about making a positive change to your life. The treatment has given me a new lease of life, my mental attitude has changed completely, no more brain fog, my sex drive is through the roof, my body composition has changed significantly. It’s not a magic wand but it is life changing.
Testosterone Replacement Therapy : FAQs
Can younger men suffer with low testosterone?
«Yes, while it’s true that testosterone levels gradually decline with age, low testosterone can affect men at any stage of life.
Contributing factors such as stress, poor nutrition, limited physical activity, excess alcohol as well as underlying medical conditions can lead to reduced testosterone even in younger men. TRT can help restore hormonal balance and enhance quality of life, whatever age you start treatment.
Does testosterone make you angry?
«Balanced testosterone levels typically improve mood, reduce irritability and enhance overall emotional wellbeing.
Aggression is a difficult concept to measure accurately as it's subjective and personal. That said, studies have shown that aggressive behaviour is more commonly linked to hormonal imbalances or misuse of testosterone, not properly managed TRT.
Can I get TRT in Ireland from the HSE?
«Yes it is possible, under some circumstances, to access TRT from the HSE in Ireland. When you book an appointment to discuss possible low testosterone levels with your GP, they will first carry out tests to rule out any other causes for your symptoms. These can include stress, depression, poor diet, lack of exercise, excess alcohol, smoking and more.
If it is concluded that your symptoms are possibly caused by late-onset hypogonadism, you may be sent for additional blood tests. The threshold for qualifying for a diagnosis of low testosterone via the HSE is likely to be far lower than at a private clinic (diagnosis on the NHS in the UK requires a total testosterone level of as low as 8.6 nmol/L for total testosterone). In professional experience, men can begin to suffer symptoms such as low energy and reduced sex drive even at levels as high as 15 nmol/L - well above the typical clinical thresholds for diagnosis.
While TRT is available through the HSEl, the process can be lengthy and difficult to navigate. Waiting times for testing are reported to be several months and by the time treatment begins, your symptoms may have already had a significant impact on your quality of life.
By contrast, Urban TRT Ireland offers a faster, far more personalised alternative. Book a convenient at-home blood test today, and one of our fully qualified TRT specialists will follow up with a treatment plan tailored to your individual needs.
Do I have to use injections for TRT?
«No, there are are topical options available if you prefer. Gels, such as Testogel, are a convenient way to administer testosterone, which is absorbed through the skin into the blood stream after being rubbed in. Your Urban TRT doctor will discuss your treatment preferences with you and the options available, and prescribe the most appropriate for your needs.
How long does it take for TRT to work?
«How quickly TRT works is different for each individual who is treated. Some people will notice a slight improvement after their first TRT treatment, whilst in others it can take weeks or even months for the full effects to be felt. But everyone who is treated does feel better eventually, so it's important to be patient.
Increased energy levels are often the first sign that the treatment is taking effect. This is frequently coupled with improved mood, heightened concentration levels plus an improvement in morning erections.
Your Urban TRT doctors will monitor your progress and it's important that you let them know how you are feeling. They will adjust your dose as needed to ensure you make a full recovery from the debilitating symptoms of low testosterone.
Why is a PSA test important before starting TRT?
«A prostate-specific antigen test (PSA) is always recommended before starting TRT, in order to provide a baseline level. As a precaution, your PSA should checked again 6 - 12 weeks after starting therapy. Please note, however, that research does not support the claim that TRT increases the risk of prostate cancer. In fact, clinical studies have suggested that men with normal testosterone levels have a lower risk of aggressive prostate cancer than those with low levels.
At Urban TRT your health and wellbeing is always our top concern. We provide proper medical supervision during your treatment to ensure your safety and mitigate any concerns you may have.
We offer PSA blood tests from our own partner laboratory, but blood tests from other regulated laboratories are accepted, provided they are recent and contain testosterone and PSA levels.
How long will I have to take TRT for?
«The benefits of TRT will stop once you stop taking the treatment. It will be your decision how long you want to continue taking TRT for and whether you want to stay on the treatment for life. Typically TRT is viewed as along-term commitment.
Although you may not want to rely on TRT indefinitely, it's important to understand that stopping treatment would mean a full return of your symptoms.
If you are considering discontinuing the treatment, we recommend a balanced TRT approach, combined with HCG. This is the safest way to preserve your natural testosterone production.
Adopting a healthier lifestyle can also support your testosterone production and enhance wellbeing. We recommend eating a nutritious diet, exercising regularly, getting quality sleep and losing any excess weight.
Before stopping TRT, consult your Urban TRT doctor for a safe, controlled reduction plan
Who shouldn't take TRT?
«Certain individuals should avoid testosterone replacement therapy (TRT) due to potential health risks.
TRT is not advised in individuals with the following conditions:
- Active prostate cancer
- Male breast cancer
- Elevated red blood cell levels (haematocrit >54%)
- Severe, chronic heart failure.
If you are planning to start a family, you should discuss this with your doctor, who will be able to prescribe medication to protect your fertility.
How low do my testosterone levels need to be for me to be eligible for TRT?
«Generally, TRT treatment is offered to individuals whose testosterone levels fall below 15 u/nmol as an indication for therapy.
Do you offer Nebido testosterone injections?
«Nebido is a type of TRT injection that releases testosterone into the body gradually over a period of time. These treatments are known as a depot injection and are offered by the NHS in the UK to men with qualifying levels of low testosterone.
We do not currently offer this particular treatment at Urban TRT as in our experience, it does not result in steady testosterone levels. Book a blood test to understand your own testosterone levels and discuss your TRT options with one of our doctors.