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Testosterone replacement therapy

Testosterone Replacement Therapy (TRT)

TRT is an evidence-based treatment for men with low testosterone, helping restore vitality, strength, and mental clarity.

Whether you're experiencing fatigue, reduced libido, or diminished performance, our specialists create a targeted plan to safely optimise your testosterone levels.

At our clinic, we take a personalised, evidence-based approach to testosterone replacement therapy. We begin by assessing your symptoms and hormone levels, then develop a treatment plan tailored to your individual needs. With regular monitoring and expert guidance, we focus on helping you achieve healthy testosterone levels while supporting your long-term health and wellbeing.

  • →Advanced hormone diagnostics
  • →Personalised testosterone plans
  • →Performance optimisation
  • →Continuous clinical monitoring
Book TRT consultation
Dr Amit Sra, Medical Director

Dr Amit Sra

M.D, MuDr, FRSM • Medical Director

Dr Amit Sra is one of the leading global Physicians in Testosterone Replacement Therapy (TRT) treatment and men's health. Educated at one of Europe's oldest medical schools, Charles University, First Faculty of Medicine, he has provided patient care across Germany, Spain, and the United Kingdom. He trained and held practising privileges at major London teaching institutions, including Guy's and St Thomas' NHS Foundation Trust, working under the guidance of internationally renowned consultants across both medical and surgical specialties.

Dr Sra further advanced his expertise through postgraduate education at Harvard Medical School, undertaking focused training in wellness, nutrition, and testosterone optimisation over several years.

A recognised Key Opinion Leader for several medical devices, he contributes to clinical education, innovation, and best practice within the field. An international speaker and educator, Dr Sra has taught clinicians and allied healthcare professionals worldwide.

He advocates for appropriate testosterone support therapy in both men and women, delivered through integrated care at Harley Street TRT & HRT, as part of a multidisciplinary team encompassing urology, cardiology, gynaecology, oncology, nurse specialists, fitness experts, and emotional therapy practitioners.

“Good TRT care is built on careful assessment, clear expectations, and regular review so that treatment remains both safe and genuinely useful for the patient.”

Understanding your hormones

What does testosterone do?

Advanced hormone diagnostics

Supports everyday energy and resilience.

Personalised testosterone plans

Helps maintain lean muscle and performance.

Performance optimisation

Supports emotional balance and self-belief.

Continuous clinical monitoring

Can improve libido and sexual function.

Focus and clarity

Supports concentration and mental sharpness.

Bone health

Contributes to healthy bone density.

Body composition

Supports healthier fat and muscle balance.

Quality of life

Helps you feel more like yourself.

Symptoms and support

Signs of low testosterone

Low testosterone can show up in ways that are easy to dismiss. The ADAM Test is a brief screening questionnaire that can help identify whether your symptoms may be associated with testosterone deficiency. It is not a diagnosis, but it is a useful starting point for a clinical conversation.

01

Persistent fatigue or low energy

02

Reduced libido or sexual function

03

Changes in mood or confidence

04

Difficulty maintaining muscle

05

Poor sleep or reduced resilience

06

Trouble focusing

07

Changes in body composition

08

Lower motivation

09

Reduced exercise recovery

010

Feeling unlike yourself

Take the ADAM Test

The difference treatment can make

How therapy can support you

Treatment is individual and closely monitored. Your specialist will explain what changes may be realistic for you and review your progress over time. Testosterone Replacement Therapy (TRT) is a treatment for managing low testosterone and testosterone deficiency in men. It may help improve symptoms and health concerns associated with low testosterone, including reduced energy, sexual function, muscle mass, and bone density. Men with low testosterone and osteoporosis may also benefit from TRT as part of a broader approach to improving bone health. Interpreting testosterone results and deciding whether TRT is appropriate isn't always straightforward. Testosterone levels naturally fluctuate throughout the day, so repeat blood tests alongside a detailed review of your symptoms and medical history are often important. Starting TRT and determining the right dose should always be guided by a qualified medical professional.

Testosterone replacement therapy consultation at Harley Street TRT & HRT
Benefit area
1–3 months
4–6 months
7–12 months
Energy
Early improvements may begin
More consistent daily energy
Sustained vitality with review
Mood
Notice changes in wellbeing
Greater emotional steadiness
Confidence supported over time
Body composition
Begin a structured plan
Improved training response
Long-term habits reinforced
Sexual wellbeing
Discuss changes openly
Track response with your clinician
Adjustments made when needed
Monitoring
Baseline assessment
Regular clinical review
Ongoing safe supervision

Clinical assessment

Blood Tests for Measuring Testosterone

Accurate blood testing is an important part of assessing testosterone levels, understanding your overall health, determining whether treatment may be appropriate, and maintaining your safety throughout care.

Alert

4 markers

Basic

56 markers

Advanced

59 markers

Comprehensive

69 markers

Useful for identifying potential low testosterone, but not sufficient to initiate treatment or assess a complete health profile.

The essential blood tests required to diagnose low testosterone and initiate appropriate treatment.

An advanced blood panel providing a more comprehensive assessment of your overall health.

Our most comprehensive blood test, designed to provide a detailed understanding of your overall health.

For patients seeking to determine whether their testosterone levels are low, without yet considering treatment options.

The preferred choice for patients who want to understand their testosterone and overall health, and may be ready to begin treatment.

Our most popular choice for patients seeking a detailed health assessment before initiating treatment.

Recommended for those seeking a highly detailed understanding of their health, particularly active men and athletes.

Effective treatment starts here

A clear pathway, medically supervised

01

Consultation

In-clinic or online, we discuss your symptoms, history, goals, and arrange appropriate testing.

02

Personalised plan

Your specialist reviews your results and creates a treatment plan designed around your needs.

03

Medical supervision

Regular reviews and monitoring help us refine your plan and support lasting results.

04

Choose your subscription

Choose the subscription that best suits your treatment plan and ongoing care needs.

Book consultation

Questions

Frequently asked

How do I know if TRT is right for me?+

TRT is considered when symptoms are consistent with testosterone deficiency and supported by appropriate clinical testing. Your specialist will assess your full history before recommending treatment.

How is TRT monitored?+

Your plan includes scheduled reviews and blood tests so your specialist can assess progress, safety, and whether adjustments are needed.

How soon might I notice a difference?+

Every patient responds differently. Your specialist will explain what to expect and review your progress throughout your care.

Begin your consultation

A clearer path to feeling like yourself.

Book consultation
Harley Street TRT & HRTHarley Street TRT & HRT Clinic
121 Crawford Street, London, W1U 6BE(+44) 0207-935-1127WhatsApp: (+44) 0207-935-1127
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