Blood Testing Questions

Why do I need to have my blood tested?

Regular blood testing lets us monitor your hormone levels to make sure you're in the effective and safe range.

Also, taking certain medications puts you at risk for certain health complications. For example:

  • If you’re taking spironolactone, you need to monitor your potassium level to make sure it isn’t high, which can cause irregular heart rhythms.
  • If you’re taking cyproterone, you need to monitor your liver enzymes to make sure your liver function isn’t impaired.
  • If you’re taking testosterone, you need to check your haematocrit level. High levels can cause irregular blood pressure and heart disease.


How do I talk to someone about my blood results?

To discuss your blood results and how they impact your gender-affirming care and general health, you can book a Doctor Consultation at your convenience.

If you just need to get your results analysed, please submit them in the Treatment Recommendation form and we’ll check them for you. You’ll see the full analysis in the recommendation.


How often should I have blood tests while using testosterone gel?

Initially, blood tests are required every 3 months to monitor your hormone levels. Once your levels are stable, testing can be reduced to once a year.


What happens if I forget to apply the gel one day? Should I still take the blood test?

If you’ve missed one dose, just skip that dose and continue with the next one as planned. Do not double up your dose.

If you’ve only missed one or two doses since your last blood test, please still take the blood test and submit your results. If you’ve missed more or are worried, please speak to us.


What should I know before a blood test?

Make sure to follow any specific instructions from your healthcare provider regarding fasting or medications. If you are on other hormone therapies or medications, inform us as they may affect the test results. Always be consistent with the time of your testosterone application and blood tests to get the most accurate assessments over time.


What if I have blood test results to share with you but don’t need a prescription?

You submit your test results via the Treatment Recommendation form and we will send you an updated recommendation for your medication. You don't need to choose to get a new prescription.


What should I do if my lab results are not showing up in my account?

For now, submit your blood results with your Treatment Recommendation request to get the most up-to-date recommendations.


Do I need to share blood test results with you if I am a returning GenderGP member?

We’ll start you on standard doses or continue with any medication doses you are currently taking and review your blood test results when you have them available.

Blood tests should be submitted via your Treatment Recommendation.

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Order Your At-Home Finger Prick Test Through the GenderGP Blood Test Portal Now (Available for Members and Non-Members)

To use the finger prick test, you need to be 16 or older and not taking spironolactone. Vitall, the service provider, will send your blood test results directly to your email address.


If you’re taking spironolactone, you’ll need an intravenous blood sample. You can get this through an online blood test service of your choosing, through your GP if they’re willing to help, or at a private clinic/hospital. 

If you need a Blood Test Referral Letter to advise your GP or healthcare provider, you can purchase one through the Treatment Recommendation form for £20 or order it separately here. The letter explains why you need blood tests and which ones you’ll need to get.

When you have your results, please submit them in the Treatment Recommendation form for analysis.