Hormone therapy

Hormone therapy is often a vital part of transition-related healthcare for trans people. This section will explain some of the hormone options available and how hormone treatment is monitored.

[Please note we do not control external links and they may use trans-exclusive language.]


For trans men and non-binary people who were assigned female at birth:

There are several types of testosterone therapy available on the NHS for trans people to use. These include:

  • Nebido (injection) - More info
  • Sustanon (injection) - More info
  • Testogel (gel) - More info
  • You may also be prescribed a non-branded Testosterone injection, usually called ‘Testosterone Enantate’ or ‘Testosterone Undecanoate’.


For trans women and non-binary people who were assigned male at birth:

There are many types of estrogen therapy available on the NHS for trans people. These include:


Monitoring your hormone therapy:

Once your GIC has sent a letter of recommendation to your GP for hormone therapy, NHS England expects your GP to cooperate with you and the GIC. This means they should prescribe and monitor your hormones, without undue delay.

If your GP is unsure of how to prescribe and monitor your hormone therapy, you can:

  • Ask them to look at the NHS best practice guidance - PDF version here
  • Ask them to visit this section of our website!
  • Contact your Lead Care Planner / someone at your GIC for advice.

If you experience any negative side effects from a particular form of hormone therapy, you should let your GP know as soon as possible, to avoid delay in switching to a different form.

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