TRT — testosterone optimization
Fertility-preserving protocols (clomiphene, hCG) with lab monitoring.
Recent total testosterone labs (within 6 months) required.
- Consult
- $49 async · $149 video
- Status
- FDA-approved
- Decision
- 24–48 hrs
The clinical case.
Non-controlled TRT protocols (clomiphene, enclomiphene, hCG) raise endogenous testosterone production rather than replacing it. They preserve fertility — an important factor for men planning to have children — and avoid the DEA-scheduled status of injected testosterone.
- Eligibility
- ~2 min
- MD decision
- 24–48 hr
- Ships in
- 1–3 days
You're likely a fit if…
- Adult men 18+
- Symptoms of low T (low energy, libido, mood, muscle loss)
- Documented low total testosterone within last 6 months
- Fertility-preserving approach desired
Skip this program if…
- Prostate cancer or significantly elevated PSA
- Active heart failure or recent cardiovascular event
- Severe sleep apnea (untreated)
- Erythrocytosis / polycythemia
Contraindications are absolute. The eligibility quiz catches them up-front and declines politely.
From quiz to medication.
- 1
Eligibility screening
Symptoms + cardiovascular + prostate history. Lab upload required.
- 2
Medical intake
Comprehensive history including fertility plans + current medications.
- 3
Physician review
Provider reviews your labs, chooses the right protocol, and monitors via follow-up labs at 8 weeks.
- 4
Pharmacy fulfillment + follow-up
Your prescription goes to your pharmacy. We re-check labs at 8 weeks and re-assess clinically at 12 weeks.
What your physician can prescribe.
Clomiphene 25mg (off-label)
from $30/moOral every other day. Stimulates endogenous T production.
Enclomiphene 12.5mg
from $50/moOral once daily. Isomer of clomiphene with less estrogenic activity.
hCG 500 IU 2x/week SQ
from $80/moSubcutaneous injection. Preserves testicular function + fertility.
Medication cost is billed by your pharmacy directly using your insurance, GoodRx, or cash price. We never mark up medication.
What to expectSymptom improvement typically over 6–12 weeks. Side effects can include mood changes + visual disturbances (clomiphene). Hematocrit + PSA monitoring is required.
Asked and answered.
- Why non-controlled TRT?
- Injected testosterone is DEA Schedule III (controlled). Non-controlled protocols achieve similar symptom relief while preserving fertility and avoiding the DEA EPCS requirements telehealth must meet for controlled prescribing.
- Will this affect my fertility?
- Unlike exogenous testosterone, these protocols stimulate your own production — fertility is preserved or improved. Critical if you plan to conceive.
Know the contraindications first.
Read the full side-effect + contraindication summary before you start. For emergencies, call 911 — we're not a substitute for acute care.
Two minutes to know if you qualify.
No payment until a physician approves. Decline costs nothing — not your money, and not your time.
Check if you qualifyTalk to your provider before starting any prescription medication. Not a substitute for emergency care.