TRT & Men's Health
Testosterone evaluation and therapy, with baseline and ongoing lab monitoring.
$169/ month$199 to start, labs and evaluation included
Conditions and concerns
Low testosterone
Lab-based evaluation for low testosterone with state-licensed providers. Baseline bloodwork, clinical review, and therapy when appropriate.
Fertility preservation on therapy
Testosterone therapy suppresses sperm production. Learn what a licensed provider evaluates when fertility matters, and which protocols exist.
Ongoing hormone monitoring
Testosterone therapy requires ongoing laboratory monitoring. See which markers are tracked, how often, and why each one matters.
What a provider may prescribe
Testosterone cypionate
Testosterone cypionate is an injectable ester of testosterone with a long half-life, typically administered we…
Enclomiphene
Enclomiphene is a selective estrogen receptor modulator taken orally. Rather than supplying testosterone from …
Gonadorelin
Gonadorelin is a synthetic form of gonadotropin-releasing hormone. In men's health it is sometimes prescribed …
Anastrozole
Anastrozole is an aromatase inhibitor that reduces the conversion of testosterone to estradiol. In men's hormo…
Weighing the options
Enclomiphene vs Testosterone therapy
Enclomiphene raises your own testosterone; replacement supplies it directly. How the two differ, and what determines which is appropriate.
Subcutaneous vs Intramuscular
Two injection routes for testosterone cypionate. How they differ in practice, and what determines which your provider recommends.
Markers reviewed in this area
Every marker below has a reference page explaining what it measures and why it is tracked.
Questions people ask
How is low testosterone diagnosed?
Low testosterone is diagnosed from laboratory testing interpreted alongside symptoms — not from symptoms alone. Guidelines generally call for total testosterone measured on at least two separate morning draws, since levels vary through the day. A provider will typically also review free testosterone, SHBG, LH and FSH to establish whether the cause is primary or secondary, and order a CBC and metabolic panel as a baseline.
Do I need bloodwork before starting testosterone therapy?
Yes. A baseline hormone panel is required before a provider can determine whether testosterone therapy is appropriate. Prescribing testosterone without baseline laboratory work is not consistent with accepted practice. Baseline results also establish the reference point every later result is compared against.
How often do I need labs while on testosterone therapy?
Monitoring intervals are set by the treating provider. A common pattern is follow-up bloodwork within the first few months of starting or changing a dose, then periodically thereafter. Haematocrit is monitored throughout because testosterone can raise it, and PSA is monitored where age-appropriate.
Why is haematocrit monitored on testosterone therapy?
Testosterone can increase red blood cell production, which raises haematocrit — the proportion of blood made up of red cells. Because a rise can occur without symptoms, it is tracked with periodic bloodwork rather than by how you feel. If haematocrit rises beyond an acceptable range, a provider may adjust the dose, change the interval, or pause therapy.
Is testosterone therapy lifelong?
Not necessarily, but it is generally an ongoing therapy rather than a short course. Because exogenous testosterone suppresses the body's own production, stopping usually means levels return toward — or briefly below — their pre-treatment baseline until the axis recovers. Any decision to stop should be made with your provider rather than abruptly.
Does testosterone therapy affect fertility?
Yes. Exogenous testosterone suppresses the hormonal signals that drive sperm production, and this can reduce or halt spermatogenesis while on therapy. If you intend to conceive now or in future, raise it before starting. Providers may consider alternatives such as enclomiphene, which raises endogenous testosterone without the same suppressive effect, or adjunct protocols alongside testosterone.