What is Testosterone replacement and what is it used for?

Testosterone replacement is a treatment related to sexual health. Hi-Doctor does not prescribe it today, but our licensed doctors can review your case and propose sexual health alternatives with robust clinical evidence and EU regulatory approval.

Why does Hi-Doctor not prescribe Testosterone replacement?

Our doctors only prescribe treatments with robust clinical evidence, an EU-approved indication and a reviewed safety profile. Testosterone replacement is not on that list today — it may be investigational, not approved, or outside the scope of what we handle via telemedicine.

What alternatives can I consider within sexual health?

Our doctors review your history and propose the most appropriate treatment among those authorised in the EU for sexual health. The plan is €25/month for weight loss or €15/month (billed €45 every 90 days) for hair growth; sexual health remains a €35 one-off consultation. If your case is not eligible, the applicable fee is refunded.

How would my sexual health consultation work?

You fill in an online medical questionnaire (~4 min). An EU-licensed doctor reviews it and replies in less than 4 hours on average via the private chat in your account. If eligible, they issue a prescription electronic prescription valid in any EU pharmacy.

Can I get a consultation for Testosterone replacement from Cologne?

Yes. Hi-Doctor runs 100 % online across the EU, so if you live in Cologne you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid in any EU pharmacy under Directive 2011/24/EU; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

Is my sexual health consultation fully confidential?

Yes. All communication happens in the private chat of your account, GDPR-compliant. The doctor treats discretion as a core of the service and there is no history visible outside your consultation.

What is the private electronic prescription and why is it valid across the EU?

The private electronic prescription (Receta Médica Privada Electrónica) is issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

How does Hi-Doctor work step by step?

1) Fill in an online medical questionnaire in about 4 minutes. 2) The plan is €25/month for weight loss or €15/month (billed €45 every 90 days) for hair growth; sexual health is €35 per consultation and a skin consultation is €40. 3) An EU-licensed doctor reviews your case and, if appropriate, issues an electronic prescription. 4) Collect it at any EU pharmacy. If the review is not approved, the applicable fee is refunded in full.

How much does it cost and what does the price include?

The plan is €25/month for weight loss or €15/month (billed €45 every 90 days) for hair growth; a one-off sexual-health consultation is €35 and a skin consultation — acne, rosacea, melasma, ageing skin — is €40. Each includes a licensed doctor's review and an electronic prescription if approved. If the review is not approved, the applicable fee is refunded in full. Medication is paid for separately at the pharmacy at the price it sets.

Testosterone replacement pack shot — a prescription medicine an EU-licensed doctor can prescribe online after a Hi-Doctor consultation in Cologne.

Testosterone replacement · Cologne

Testosterone replacement in Cologne: what you should know.

APPROVED IN THE EUTestosterone replacement is authorised in the EU.

We don't prescribe it today, but our doctors can review your case and propose an equivalent sexual health treatment with EU approval and clinical evidence.

Review my sexual health case

€35 one-offFull refund if a review is not approved

IN PLAIN TERMS

What Testosterone replacement is, and how to get treatment

Testosterone replacement therapy, often shortened to TRT, is a hormone treatment given as a gel, patch or injection for men whose bodies genuinely do not make enough testosterone, a condition called hypogonadism. Testosterone medicines are authorised across EU countries, but only for that diagnosis: European regulators require low testosterone to be confirmed by both symptoms and blood tests before treatment starts, and they require haemoglobin, liver function and blood fats to be checked regularly while it continues. It is not authorised as a lifestyle, anti-ageing or performance treatment, and it is not an erectile dysfunction medicine. Hi-Doctor does not prescribe testosterone online on demand, because starting it needs repeat blood tests, a physical assessment and long-term follow-up that an online questionnaire cannot replace; if the problem you actually want help with is erections, that is a separate conversation with a doctor.

Testosterone replacement is an authorised medicine in the EU, so a licensed doctor can prescribe it when it is clinically appropriate for you.

Can I get it?

Yes, if a doctor decides it is right for you. Testosterone replacement is authorised in the EU and can be prescribed after a medical review.

What can I take instead?

Our doctors review every Sexual health option and recommend what fits your history and goals.

See all Sexual health options

What do the studies show?

Every trial behind Testosterone replacement is listed below with its registry number, how many people took part, and whether the results are peer-reviewed or a company announcement.

Jump to the studies

Local consultation facts

Can I get Testosterone replacement in Cologne?

Not through Hi-Doctor. Hi-Doctor does not prescribe Testosterone replacement. People in Cologne, Germany, can request an online consultation for Sexual health with a licensed EU doctor, who may recommend an available option when clinically appropriate. If approved, the EU prescription arrives as a PDF for a pharmacist in Germany, who dispenses the locally marketed equivalent with the prescribed active ingredient.

Availability

Hi-Doctor does not prescribe Testosterone replacement. The links below show options in Sexual health that our doctors can assess.

Country: Germany
Language of service: Spanish and English
Prescription turnaround: In less than 4 hours on average, only if the doctor approves
Honoured locally: PDF honoured locally for the prescribed active ingredient

How the EU prescription works where you are: In Germany, show the approved prescription PDF to a pharmacist. They honour it under EU cross-border rules and dispense the locally marketed equivalent with the prescribed active ingredient.

Topical option for patients who don't respond to PDE5 inhibitors or have contraindications. The doctor assesses suitability.

Topical cream

€35 one-off

You pay for any medication separately at the pharmacy you choose. Hi-Doctor does not sell medications.

WHAT IT COSTS

One plan, reviewed by a doctor.

Sexual health

ONE-OFF

€35 one-off

One consultation, one doctor, one decision.

Nothing stored publicly, ever

Start consultation

Full refund if a review is not approved

WHAT'S INCLUDED

Consultation reviewed by an EU-licensed doctor
Electronic prescription if approved
Full refund if not approved

Full refund if a review is not approved

If a review is not approved, we refund the €35 consultation fee in full.

Read the refund terms

Note: The medication, if the doctor prescribes it, is paid separately at the pharmacy at the price it sets. Hi-Doctor does not sell medications.

VERIFIED EVIDENCE

Testosterone replacement: evidence and regulatory guide.

WHAT IT IS

How it works

Testosterone replacement tops up the body's own supply of the hormone when the testicles or the glands controlling them are not making enough, and the hormone then acts on androgen receptors in muscle, bone, brain and sexual tissue.

DEVELOPMENT STAGE

EU-authorised medicine

Trial register2 registered trials

Every NCT identifier links to its ClinicalTrials.gov record. A readout is not the same as peer-reviewed publication.

Registered trials for Testosterone replacement
TRIAL / NCT	POPULATION	PARTICIPANTS	STATUS	READOUT / COMPLETION
TRAVERSE (cardiovascular safety of testosterone-replacement therapy)NCT03518034	Men aged 45 to 80 with symptoms of hypogonadism, two fasting testosterone levels below 300 ng/dL, and existing or high cardiovascular risk	5,246	Read out	2023-07-13
The Testosterone Trials (including the Sexual Function Trial, n=470)NCT00799617	Men aged 65 and over with average testosterone below 275 ng/dL and symptoms suggesting low testosterone, at twelve US academic medical centres	790	Read out	2016-02-18

What the studies reported

Results are grouped by source and evidence grade so journal data and manufacturer announcements cannot be confused.

Peer-reviewed

Snyder PJ, Bhasin S, Cunningham GR, et al. Effects of Testosterone Treatment in Older Men. N Engl J Med 2016;374(7):611-624. doi:10.1056/NEJMoa1506119 (PMID 26886521); Cunningham GR, Stephens-Shields AJ, Rosen RC, et al. Testosterone Treatment and Sexual Function in Older Men With Low Testosterone Levels. J Clin Endocrinol Metab 2016;101(8):3096-3104. doi:10.1210/jc.2016-1645 (PMID 27355400)

Snyder PJ, Bhasin S, Cunningham GR, et al. Effects of Testosterone Treatment in Older Men. N Engl J Med 2016;374(7):611-624. doi:10.1056/NEJMoa1506119 (PMID 26886521); Cunningham GR, Stephens-Shields AJ, Rosen RC, et al. Testosterone Treatment and Sexual Function in Older Men With Low Testosterone Levels. J Clin Endocrinol Metab 2016;101(8):3096-3104. doi:10.1210/jc.2016-1645 (PMID 27355400)
DOSE OR GROUP	MEAN WEIGHT CHANGE	WEEKS
Testosterone gel for 1 year, men aged 65+ with testosterone below 275 ng/dL	Significantly increased sexual activity on the Psychosexual Daily Questionnaire (P<0.001), with significantly increased sexual desire and erectile function	52
Testosterone gel for 1 year, Sexual Function Trial (n=470)	10 of 12 measures of sexual activity improved compared with placebo; no threshold testosterone level was identified for any outcome	52

These results come only from men aged 65 and over whose low testosterone was confirmed by blood tests; they say nothing about men with normal testosterone levels, and the trial authors state the study was too small to draw conclusions about the risks of treatment.

Sources

Last reviewed 2026-07-27

NAMED SAFETY SIGNALS

What has been reported with Testosterone replacement.

Major cardiac events

In TRAVERSE a first cardiovascular death, non-fatal heart attack or non-fatal stroke occurred in 182 men on testosterone (7.0%) and 190 on placebo (7.3%); hazard ratio 0.96, 95% CI 0.78 to 1.17, meeting the trial's non-inferiority criterion.

Irregular heartbeat, kidney injury and blood clots in the lung

TRAVERSE reported a higher incidence of atrial fibrillation, acute kidney injury and pulmonary embolism in the testosterone group than in the placebo group.

Only authorised where deficiency is confirmed

After an EU-wide review that opened on 10 April 2014 and closed with the CMDh position of 8 January 2015, product information was changed to state that testosterone should only be used when an abnormally low hormone level has been confirmed by signs and symptoms and by appropriate laboratory tests. The EMA states that restoring levels in healthy older men is not an authorised use.

Ongoing monitoring required

The same EU review requires prescribers to monitor haemoglobin, liver function and blood lipids regularly during treatment, and added warnings for patients at increased cardiovascular risk.

FREQUENTLY ASKED QUESTIONS