Men's Health · Fertility-preserving T support

Prescribed by U.S.-licensed physicians

Boost your own testosterone. Keep your fertility.

Name: Testosterone Replacement Therapy (TRT) via OPTML
Brand: OPTML
Price: 199 USD
Availability: MadeToOrder

Enclomiphene is a selective estrogen receptor modulator (SERM) that signals your body to produce more of its own testosterone. No exogenous hormone, no shutdown of natural production, fertility preserved. $129/mo flat retail. Onset of effect varies by individual; your physician will discuss what to expect.

✓ Licensed US providers✓ 2-3 day shipping✓ Cancel anytime

Get started How it works

Includes a consultation with a U.S.-licensed physician

Starting at $129/mo · HSA/FSA eligible · Cancel anytime

LegitScript CertifiedHealthcare Merchant

Drag to estimate

Estimate your T level

Slide to compare your current total testosterone to optimal ranges.

350 ng/dL total T

1001200 ng/dL

Your Range

Low (Candidate for TRT)

Typical symptoms: fatigue, low libido, brain fog.

Reference ranges vary by lab. Always confirm with bloodwork before treatment.

Quick Answer

Testosterone Replacement Therapy (TRT) uses pharmaceutical-grade testosterone, most commonly testosterone cypionate 200 mg/mL, to restore total T to optimal range in men with biochemically confirmed low T. Typical dosing: 80-200 mg weekly via subcutaneous or intramuscular injection, calibrated to total T, free T, SHBG, and estradiol labs. Standard symptoms screened: low energy, low libido, brain fog, poor sleep, and reduced morning erections.

Step 1 of 4 · Choose your path

TRT or enclomiphene? It depends on fertility.

OPTML offers both. Your provider helps you choose based on labs, age, and whether you want to preserve fertility now or later.

Injection

Boosts testosterone directly.

Exogenous testosterone delivered via injection to raise total T levels quickly and predictably.

Direct hormone replacement
Fastest path to optimal range
Suppresses natural T production
Not for men planning pregnancy

Oral pill

Stimulates your body's natural T.

Encourages your body to produce its own testosterone while helping preserve fertility.

Endogenous T production
Fertility-preserving
Once-daily oral capsule
Best for men under 40 or planning to conceive

Option 1 · Most popular

TRT · Direct replacement

Testosterone cypionate

Pharmaceutical-grade testosterone, weekly subcutaneous injection. Fastest, most predictable T elevation.

Total T rises within 24-72 hours of first dose
Suppresses fertility — best for men done with childbearing
Standard maintenance: 80-200 mg/wk calibrated to labs

$199/mo annual

Start TRT consult

Option 2 · Fertility-preserving

Enclomiphene · Oral pill

Enclomiphene citrate

Daily oral capsule. Raises your body's own testosterone via the LH/FSH pathway — testicular function and fertility preserved.

Total T rises 200-400 ng/dL by weeks 8-12
Preserves fertility — sperm production maintained
Daily oral capsule — no needles, no cold-chain shipping
Best fit for men still planning to have children, or under 40

$129/mo · flat retail

Start your enclomiphene consult

Not sure which fits? Take the 60-second protocol quiz, it asks 4 questions about your fertility plans, age, and goals, then routes you.

What you get

Everything in your enclomiphene protocol

Pharmaceutical-grade enclomiphene citrate, a simple once-daily oral protocol, lab-driven dose calibration, and a provider behind every refill.

Enclomiphene citrate

Pharmaceutical-grade oral capsules. Dose calibrated to your labs.

Once-daily protocol

One capsule a day. No injections, no needles, no schedule juggling.

Fertility-preserving

Stimulates your body's own testosterone production while keeping sperm production intact.

Lab-based dose tuning

Bring your own labs or order through OPTML at member rates. Provider adjusts your dose to your numbers.

Provider + care messaging

Direct provider messaging. Dose adjustments handled by your physician.

Step 2 of 4 · See if you qualify

Sound like you?

Four quick questions used by clinicians to flag low-T candidates. No email required, your answers stay in your browser.

Persistent low energy or fatigue, even after sleep?

Drop in libido or sexual performance vs. years past?

Brain fog, low motivation, or mood flatness?

Sleep that no longer feels restorative, waking tired?

Stays on your device ~60 seconds HIPAA-grade pathway Reviewed by U.S. provider

Get labs + provider review

How it works

Start enclomiphene in 4 simple steps.

From intake to first injection in 2-3 days. No in-person visits. No insurance needed.

Step 1 of 5

What are you trying to optimize?

Energy & drive

Sleep & recovery

Vitality

Mood & focus

Continue →

1
Start your online visit
Answer a few questions about your symptoms, history, and goals, all online—no in-person doctor's office visit necessary.
2
Provider evaluation
A U.S.-licensed physician reviews your intake and labs (Total T, free T, estradiol, SHBG, PSA, CBC, metabolic), then prescribes the right protocol, if appropriate.
3
Personalized plan
Enclomiphene citrate capsules arrive in plain packaging in 2–3 days. Dose tailored to your range and tolerance.
4
Ongoing support
Message your provider anytime. Re-checks at week 6 & 12 keep dose dialed for optimal range and safe hematocrit.

Want the full screening checklist? Read the TRT eligibility & contraindications →

The OPTML protocol

Your first 12 weeks, on a monitored plan.

On the recommended schedule

Lab draws

Markers

MD reviews

Scroll, or tap a station, to move through ↓

Your numbers guide this protocol. Not a subscription timer.

A recommended monitoring schedule across your first 12 weeks, with every lab reviewed by a U.S. licensed physician. The difference between physician-led hormone therapy and a pill in the mail.

Get started

This describes the OPTML monitoring and care schedule. It is not a description or prediction of treatment results, which vary by individual and are evaluated by your physician. Compounded medications are not FDA-approved.

Step 4 of 4 · Start treatment

Transparent pricing. No surprises.

Physician consult, medication, and ongoing monitoring included. Labs available as a separate add-on.

Physician-directed care

A U.S.-licensed physician personally reviews every order before anything is prescribed.

U.S.-licensed physicians
Reviews every order
LegitScript Certified
503A pharmacy · USP <797>

Monthly

$129/month— cancel anytime

Billed monthly. Cancel anytime.

Compounded enclomiphene
Provider oversight via call or text
Free 2-3 day shipping
Cancel anytime

Start your enclomiphene consult

Best Value · Save $58

3-month supply

$110/month

$329 every 3 months. One shipment, billed quarterly. Cancel anytime.

Compounded enclomiphene
Provider oversight via call or text
Free 2-3 day shipping
Cancel anytime

Start your enclomiphene consult

Your monthly price includes everything.

Physician consultation, prescription, and ongoing medical oversight. No hidden fees. No separate membership. Just your optml protocol.

No surprises

Side effects, told straight.

Common >10%

Acne or oily skin (especially first month)
Mild fluid retention
Increased red blood cell count (we monitor with quarterly labs)
Injection-site discomfort

Most are mild and resolve as your hormones reach steady-state.

Less common 1-10%

Mood changes (rare with proper dosing)
Headache or sleep disturbance
Mild breast tenderness (managed with anastrozole if needed)
Reduced sperm count / fertility (consider enclomiphene if planning kids)

Tell your provider, dose adjustment or estradiol management usually fixes these.

Rare but serious <1%

Polycythemia (high hematocrit), managed with blood donation if needed
Worsening sleep apnea
Edema in patients with heart/kidney disease
Gynecomastia (with poor estradiol control)

Contraindicated

Active prostate cancer or untreated severe BPH
Active breast cancer (in men)
Hematocrit > 54%
Untreated severe sleep apnea
Trying to conceive (consider enclomiphene)

Call your provider right away if you have chest pain, severe headache, sudden vision changes, or trouble breathing. We recommend quarterly hematocrit, PSA, and estradiol monitoring. Labs are available as a separate add-on at member rates.

Frequently asked questions

Yes, TRT requires confirmed low testosterone (typically two morning labs below 300 ng/dL, or symptomatic men with free T in the low quartile). We order a comprehensive panel including total T, free T, estradiol, SHBG, PSA, CBC, and a metabolic panel.

TRT therapy requires ongoing safety monitoring. Your OPTML physician orders baseline labs, reviews them, redraws at week 6 and week 12, and monitors hematocrit, estradiol, lipids, and PSA on an ongoing schedule. Compounded medications are not FDA-approved. Individual results vary.

TRT suppresses the HPG axis and typically reduces sperm production. If fertility preservation is a priority, we offer Enclomiphene, which raises natural testosterone without suppressing fertility, or combination protocols with hCG.

We primarily prescribe testosterone cypionate as a subcutaneous or intramuscular injection, typically weekly or twice-weekly. Some patients prefer creams or pellets; speak with your physician about alternatives.

Common: acne, oily skin, mild fluid retention, mood changes early on. Less common but monitored: elevated hematocrit, high estradiol, worsened sleep apnea. Regular labs let us catch and adjust quickly.

OPTML currently services all 50 states with licensed telehealth physicians. Some states require additional documentation, we'll let you know during intake.

Boost your own testosterone. Keep your fertility.

Estimate your T level

TRT or enclomiphene? It depends on fertility.

Boosts testosterone directly.

Stimulates your body's natural T.

Testosterone cypionate

Enclomiphene citrate

Everything in your enclomiphene protocol

Sound like you?

Start enclomiphene in 4 simple steps.

What are you trying to optimize?

Start your online visit

Provider evaluation

Personalized plan

Ongoing support

Your first 12 weeks, on a monitored plan.

Your numbers guide this protocol. Not a subscription timer.

Transparent pricing. No surprises.

Side effects, told straight.

Common >10%

Less common 1-10%

Rare but serious <1%

Contraindicated

Frequently asked questions

Important safety information

Reclaim your testosterone. Without the trade-off.

Reclaim your testosterone. Without the trade-off.