Hormone therapy, shaped around you.
Gender-affirming hormone therapy helps your body better reflect who you are. There is no single right way to do it: the right plan is the one that matches your goals, at a pace that feels right for you. We are an adults-only service (18+), and we will be alongside you the whole way.
Choose your path
Pick the path that fits your goals.
Transfeminine / AMAB
Feminising therapy
Oestrogen-based care, with a testosterone blocker and progesterone where they help.
Explore
Transmasculine / AFAB
Masculinising therapy
Testosterone, by daily gel or longer-acting injection, adjusted to you.
Explore
Non-binary
Non-binary & microdosing
Lower-dose, goal-led options for when you want some changes and not others.
Explore
Considering hormone blockers, or under 18? Please read our position first.
How we keep it safe
How we keep your care safe.
We start low and adjust
You begin on a modest dose and we build up gradually, guided by how you feel and what your bloods show.
Blood tests guide everything
Regular monitoring keeps your levels in a healthy range and catches anything that needs attention early.
Reviews built in
Every six months for your first two years, then yearly once you are settled.
Aligned with WPATH SOC 8
Delivered by an experienced, CQC-registered, nurse-led team.
Your medication
Medication guides
Plain-English guides to every hormone, blocker and add-on we prescribe: how to take it, what to expect, and how we keep it safe.
Masculinising HRT
Testosterone
A clear guide to testosterone therapy: what it does, how it's taken, and what to expect.
Read guide
Testosterone injection (3-weekly)
Sustanon Injections
A blend of four testosterone esters delivered by intramuscular injection every 3 weeks.
Read guide
Long-acting testosterone (12-weekly)
Nebido Injections
A long-acting testosterone undecanoate injection given every 12 weeks for stable serum levels.
Read guide
Daily oestradiol gel
Estrogen Therapy
A daily oestradiol gel applied to the inner thighs or lower abdomen, our default starting point for feminising HRT.
Read guide
Testosterone blocker
Testosterone Blockers
The medicines that lower or block testosterone alongside oestrogen: GnRH analogues, cyproterone, spironolactone and bicalutamide.
Read guide
Injectable testosterone blocker
GnRH Analogue Injections
Prostap, Decapeptyl and Zoladex: long-acting injectable blockers that suppress testosterone at the source, given every 4–12 weeks.
Read guide
Optional progesterone add-on
Progesterone Therapy
An optional nightly add-on after the first 12 months of feminising HRT, for mood, sleep, and breast maturation.
Read guide
Shortage guidance
Progynova Shortage: Alternatives
What to do if your pharmacy can't source Progynova: alternatives, dose equivalence, and how to switch safely.
Read guide
Shortage guidance
Sustanon Shortage: Alternatives
What to do if Sustanon isn't available at your pharmacy: substitutes, schedules, and how to bridge safely.
Read guide
Before you start
A note on fertility
Hormone therapy can affect your fertility, sometimes permanently, and it is not a form of contraception. If having biological children might matter to you, it is worth thinking about preservation before you start. We will talk it through with you and write any letters you need.
Fertility preservationReady when you are.
Tell us a little about where you're at, and we'll guide your next step.