Our Services
Non-Binary
Hormone Therapy
Goal-directed, evidence-based hormone therapy for non-binary individuals, designed around your identity, not a template.
250+
5-star Google reviews from our patients
Gender is
not binary
Non-binary, genderqueer, genderfluid, agender, and other gender-diverse people exist across a wide spectrum of identities, and their relationship to hormone therapy is equally varied. Some non-binary individuals wish to pursue a full hormonal transition; many others seek a carefully crafted, partial approach designed to achieve specific physical changes that feel authentic to their sense of self.
At The Gender Hormone Clinic, we provide tailored, goal-directed hormone therapy under the informed consent model. We do not require patients to pursue a binary transition pathway. Instead, we work collaboratively with you to design a plan that reflects your unique identity, whether that means low-dose testosterone, partial feminisation, or something that does not fit neatly into any prior template.
Our clinical approach is grounded in the WPATH Standards of Care 8, which explicitly recognise and affirm non-binary gender identities and support individualised, goal-directed care for all gender-diverse patients.
6+
Years of specialist experience
100%
Informed consent model
3
UK clinic locations
Tailored Treatment
Hormone therapy options
Two broad hormonal pathways are available (masculinising and feminising), and both can be offered at standard or low ("microdose") levels. Your clinician will work with you to choose the right approach for your goals.
Masculinising Approaches
Testosterone Therapy
Testosterone therapy produces masculinising changes including voice deepening, body and facial hair growth, fat redistribution toward the abdomen, increased muscle mass, and cessation of menstruation. For non-binary patients, the same therapy is available, but we work with you to determine which changes matter most, and tailor dosing accordingly.
Available Formulations
Topical Testosterone Gel
Daily application to skin. Allows precise, incremental dose adjustment, ideal for microdosing approaches.
Intramuscular Injections
Sustanon or Nebido, given every 1-14 weeks depending on formulation. Less frequent administration than gel.
Microdosing Note
Microdosing testosterone involves starting at a lower dose than typically used in full binary transition, often one-quarter to one-half of the standard dose. This allows a gradual introduction of masculinising changes, giving you the ability to observe how your body responds and pause or adjust before effects become more pronounced.
A Considered Choice
Why choose
microdosing?
For many non-binary individuals, a gradual, lower-dose approach offers a way to explore hormonal changes while retaining a greater sense of control over the pace and extent of transition.
Gradual Change
Allows physical changes to occur slowly, giving you time to observe and reflect on each development.
Greater Control
Easier to pause or adjust your dose if the changes do not feel right, before they become more established.
Time to Reflect
Some patients find the slower timeline helpful for processing emotional and social aspects of transition.
Important Clinical Considerations
Hormones at any dose affect the whole body systemically, including the cardiovascular system, liver, bone density, and reproductive organs.
Blood tests and regular clinical review are essential regardless of dose level.
Some changes will still be permanent, even at low doses, including voice deepening from testosterone and breast development from oestrogen.
The rate and extent of changes from microdosing is unpredictable and varies significantly between individuals.
In depth
Medication guides
Whichever direction you choose, here are plain-English guides to the options we prescribe, including at low (microdosing) doses.
Masculinising HRT
Testosterone
A clear guide to testosterone therapy: what it does, how it's taken, and what to expect.
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
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
What to Expect
Timeline of changes
Toggle between masculinising and feminising timelines. All timeframes are based on standard doses; microdosing will produce changes more slowly.
Change
Typical Timeframe
Permanent?
Increased Oiliness & Acne
1-3 months
Libido Increase
1-3 months
Clitoral / Bottom Growth
1-3 months
Voice Deepening
3-12 months
Body Hair Growth
3-24 months
Menstrual Changes / Cessation
3-6 months
Facial Hair Growth
6 months - 5 years
Fat Redistribution (abdominal)
3-6 months
Individual results vary. Microdosing will produce changes more slowly and to a lesser extent. "Reversible" indicates changes typically reverse upon cessation of therapy, but this is not guaranteed. Your clinician will discuss realistic expectations at your consultation.
Your Safety
Safety &
Monitoring
Regular monitoring is a cornerstone of safe hormone therapy, at any dose level. Our CQC-regulated service ensures every patient receives rigorous clinical oversight.
CQC Regulated
We are registered with and regulated by the Care Quality Commission, the independent regulator of health and social care in England.
Regular Blood Panels
Comprehensive bloods at baseline and regular intervals, including sex hormones, haematocrit, liver function, lipids, and bone markers. Microdose-specific monitoring is tailored to your regimen.
CQC Registered Service
The Gender Hormone Clinic is registered and regulated by the Care Quality Commission, ensuring the highest standards of clinical governance, safety, and patient outcomes.
WPATH & EPATH Aligned
Our clinical protocols align with WPATH SOC 8 and EPATH guidelines, which explicitly recognise and include non-binary individuals in gender-affirming care frameworks.
NMC Registered Clinicians
Every prescribing clinician is registered with the Nursing and Midwifery Council (NMC), holding appropriate Independent Prescribing qualifications for hormone therapy.
GP Shared Care
We work collaboratively with your GP where possible. If your GP cannot enter a Shared Care Agreement, we can continue to provide your prescriptions privately without disruption.
Microdose-Specific Monitoring
Microdosing does not reduce the need for clinical oversight. We provide monitoring protocols specifically designed for lower-dose regimens, including tracking partial changes over time.
I never felt like I had to fit into a box. The clinician listened to exactly what I wanted, some changes but not others, and built a plan around that. Eighteen months in, I feel more at home in my body than I ever thought was possible.
Alex, patient since 2023
Your Pathway
From enquiry to your first prescription.
Most patients reach their first prescription about three months after their first video consultation, provided their bloods and GP medical summary arrive without delay.
Diagnosis
A signed diagnosis letter
UK law requires a written diagnosis of gender dysphoria or gender incongruence from an HCPC-registered psychologist or GMC-registered psychiatrist. We can recommend specialists if you don't have one yet.
Video consultation
A 45-minute remote call
Once your diagnosis is verified, you book a video consultation (typical wait 4-8 weeks). We discuss your medical history, goals, fertility options, and the path ahead. No bloods required at this stage.
Bloods & paperwork
4-6 weeks of prep
Between calls you arrange the baseline blood panel, request a medical summary from your GP, and complete the consent forms. The faster you submit, the faster the next step.
In-clinic appointment
First prescription, same day
Your first appointment is always in person, in London, Stafford, or Exeter. We check blood pressure, do an in-body analysis, review bloods and history, sign consent, and if everything is safe, issue your first prescription that day.
After your first prescription
Care continues, flexibly.
Shared care attempt
Within 2-3 weeks we send a shared-care agreement to your GP. If they sign, you get hormones on the NHS for ~£9.90 per item. If they decline, your prescriptions stay private and are included in your monthly plan.
Follow-up reviews
Reviews every 6 months for the first two years, then annually once stable. Most can be remote by video; only the very first appointment is mandatory in person.
Pause whenever you need
Therapy can be paused, restarted, or transferred to NHS care at any time without penalty. We'll always send a final summary letter to your GP.
Common Questions
FAQs about
non-binary
hormone therapy
We believe informed patients make empowered decisions. Here are the questions we are asked most often by non-binary patients, with our AI assistant on hand for anything else.
Common questions about getting started
Costs, diagnosis, locations and timings: the things most people ask before they enquire.
The Process
How it works
From your first enquiry to ongoing care, here is what to expect when you come to The Gender Hormone Clinic.
Enquiry
Submit an enquiry form through our website or call the clinic directly. Our team will respond promptly to answer initial questions and outline the process.
Consultation
A thorough consultation with one of our specialist clinicians, either in person at our London or Stafford clinics, or via video call. We explore your goals, discuss options, and answer all questions.
Pre-Clinic Bloods
Baseline blood tests are required before prescribing can begin. We will send you a blood test request form to take to your GP or a private phlebotomy service.
In-Person Appointment
Your first in-person appointment at one of our clinics. Your clinician reviews your bloods, completes any final assessments, and if everything is in order, issues your first prescription.
Ongoing Care
Regular follow-up appointments (typically every 6 months while we fine-tune your dose, then annually once stable) to monitor bloods, review changes, adjust your prescription, and ensure your continued wellbeing.
Start your non-binary hormone therapy.
Make an enquiry and our team will respond promptly to answer your questions, outline next steps, and help you begin the path to affirmative, goal-directed hormone care.