Hormones · prescription telehealth

Your own testosterone, raised — not replaced.

compounded enclomiphene · daily tablet · prescription only

For low testosterone. Compounded enclomiphene is one tablet a day that signals your body to make more of its own testosterone — nothing to inject, and no switching off the production you already have, which is why it can preserve fertility. Labs first, a licensed clinician decides, and your strength is set by your follow-up results rather than a fixed script.

Start the intake See plans on this page

About eight minutes. A licensed clinician reviews every answer — and your labs.

Form

one tablet a day · nothing to inject

Production

your own supply stays switched on

Labs

baseline and follow-up, read by your clinician

About Enclomiphene

What enclomiphene does, and what to expect.

What it does

It raises testosterone by getting your body to make more of it, not by adding it from outside. Enclomiphene blocks the estrogen signal that tells the pituitary to ease off, so the pituitary sends more LH and FSH to the testes — the two messages that drive testosterone and sperm production together. 1

How it's taken

One tablet a day, at home. Labs come first: your clinician reads your testosterone, LH and related markers alongside your symptoms and, if enclomiphene is appropriate, sets your starting strength. Follow-up labs some weeks in show where your levels settled, and the strength is adjusted from there — up, down or held.

What to expect

The signals move within days; testosterone typically rises over the first several weeks, into the normal range rather than above it, and how you feel tends to follow the number rather than lead it. 2 Headache, mood changes, hot flushes and acne are the most reported effects, usually mild. 3 It only works when the testes can answer the signal — one more reason labs come first.

What the intake asks, and why.

How the strength moves

The strength follows your labs.

Your clinician moves it only on results — with notice before anything changes. Here is the loop, in order.

Baseline labs

Before anything is prescribed: total testosterone, LH and related markers, read together with your symptoms. Low testosterone with a low signal is the pattern enclomiphene can act on. 1

A starting strength

Your clinician sets it from those results. One tablet a day, at home; the signals move within days and testosterone typically rises over the following weeks. 2

Follow-up labs

After several weeks, when your clinician says so: testosterone, LH, estradiol, hemoglobin and PSA. This is where the strength is decided, not guessed.

Adjusted — or held

Up, down or held, on results. Any change comes with notice before your billing changes, and you can ask to hold at your current strength where clinically appropriate.

If your levels don't move, that is information too: your clinician looks for why — the testes have to be able to respond — and tells you straight.

The other routes

The other routes, and what each one can't do.

Most men land here having weighed at least one of these. Here is the plain comparison — no strawmen.

The route

What it can't do

What calibrated care does

The route

Testosterone replacement

What it can't do

Replaces the hormone from outside. Your own production switches off while you're on it, sperm counts can fall, and stopping means starting again from low. Right for some men — and prescribed here too, when it fits.

What calibrated care does

Enclomiphene works upstream: your own production stays on, fertility can be preserved, and if you stop, your system picks up where it left off. 1 A decision you and your clinician can revisit on labs, not a one-way door.

The route

Over-the-counter "test boosters"

What it can't do

Supplements aren't prescription medicine. The ingredients vary from bottle to bottle, most have no evidence of moving testosterone meaningfully, and nobody reads your labs.

What calibrated care does

A prescription with a known mechanism, a baseline and a follow-up result — so you know whether it worked, in numbers, not in marketing.

The route

Clomiphene, the older mixed version

What it can't do

Clomiphene is two isomers in one tablet. One of them lingers in the body for weeks and is the isomer associated with clomiphene's estrogen-like effects — mood and vision complaints among them.

What calibrated care does

Enclomiphene is the single active isomer, without the long-lasting one. 4 Your clinician still weighs which fits you.

The route

"Research-use" enclomiphene from online sellers

What it can't do

Sold without a prescription, made somewhere you can't check, dosed by guesswork, with no labs and nobody responsible when something's off.

What calibrated care does

Prepared for your prescription by a state-licensed U.S. compounding pharmacy, named on your label — with a clinician who reads your results and adjusts.

The route

Waiting it out, or training harder

What it can't do

Sleep, training and weight genuinely matter, and your clinician will say so. On their own they are slow and uncertain when labs are truly low — and habits and treatment were never rivals.

What calibrated care does

Treat the number and the habits together, and let follow-up labs show what changed.

A licensed clinician decides between these for you — that's what the consult is for.

The number you can check beats the promise you can't.

A principle of the house

How care works

Medicine, measured.

Results are personal, so treatment shouldn't be one-size. Here is the whole process, plainly.

An intake worth reading

About eight minutes of real questions — symptoms, health history, medications, and your recent labs if you have them. It is the basis of every decision that follows.

A clinician decides

A licensed U.S. clinician reviews your answers and your labs and decides whether enclomiphene is appropriate for you. Sometimes the answer is no — you'll hear it straight.

Prepared and delivered

If prescribed, your tablets are prepared for your prescription by a state-licensed U.S. compounding pharmacy — named on your label — and shipped in plain, unmarked packaging.

Calibrated over time

Your care doesn't end at delivery. Follow-up labs when your clinician says so; the strength moves only on results, with notice before anything changes — and the option to hold.

Plans & pricing

Straight terms, before you pay.

Every plan includes the provider evaluation, shipping, and ongoing support. What you see here is what you're agreeing to.

12.5 mg · monthly supply First month

Enclomiphene

A common starting strength — where many men begin, adjusted from follow-up labs.

$129 / first month

then $179/month from month 2 · cancel anytime

Compounded enclomiphene — one tablet a day, nothing to inject
Raises your own testosterone production; fertility can be preserved
Strength set by your clinician from your labs, adjusted with notice
Prepared by a state-licensed U.S. compounding pharmacy, shipped in plain packaging
Cancel anytime — every term disclosed before you pay

25 mg · monthly supply First month

Enclomiphene

For when a lower strength is well tolerated but your labs say more is needed. Your clinician makes that call.

$139 / first month

then $189/month from month 2 · cancel anytime

Compounded enclomiphene — one tablet a day, nothing to inject
Raises your own testosterone production; fertility can be preserved
Strength set by your clinician from your labs, adjusted with notice
Prepared by a state-licensed U.S. compounding pharmacy, shipped in plain packaging
Cancel anytime — every term disclosed before you pay

Two strengths, one decision. Choose the plan you'd like to start on; your clinician confirms the strength from your labs. If the strength prescribed differs from the plan you chose, your price moves to that plan's published price — with notice, before you're billed. There is no membership fee, and your card is charged for medication only once a clinician prescribes. Lab work isn't part of the plan price: you bring recent results, or your clinician tells you what's needed.

Eligibility

See if it's appropriate. That's the consult.

Enclomiphene is for men whose low testosterone comes from a low signal, not from testes that can't respond — a licensed clinician confirms which from your labs and history.

You may qualify if

You're an adult man aged 18 or over
You have symptoms consistent with low testosterone — low energy, low libido, low mood or drive, less strength
You'd rather raise your own production than replace it, or you want to keep your fertility
You have recent labs (total testosterone, LH, hemoglobin and PSA) or are prepared to get them
A clinician confirms it's appropriate for your labs and history

May not be suitable if

Your testes can't respond to the signal (primary hypogonadism) — enclomiphene raises the signal, so it can't help there
You have a history of prostate, breast or testicular cancer
You have liver disease, or a history of blood clots (DVT or pulmonary embolism)
You have an untreated thyroid or adrenal condition, a pituitary tumour, or unexplained vision changes
You've reacted to clomiphene or enclomiphene before

This is not an exhaustive list — your clinician reviews your full medical history before any prescribing decision. A licensed clinician makes the call; that's the consult.

Safety & honesty

Side effects and cautions, in plain words.

Most men tolerate enclomiphene well. Here is what shows up, what to watch for, and what your clinician keeps an eye on.

Common, usually early, usually easing

Headache
Mood changes or irritability
Hot flushes
Acne or oilier skin
Nausea
A shift in libido, in either direction

Stop and tell your clinician

Any change in vision — blurring, spots, sensitivity to light
Breast tenderness or swelling
Leg pain or swelling, chest pain or sudden shortness of breath — seek urgent care

Not prescribed if

Primary hypogonadism — the testes can't respond to the signal, so enclomiphene can't help
A history of prostate, breast or testicular cancer
Liver disease, or a history of blood clots
Untreated thyroid or adrenal conditions, or a pituitary tumour
A previous reaction to clomiphene or enclomiphene

Medicines that need care

Tell your clinician about every medication and supplement you take, including anything hormonal.

Monitoring

Enclomiphene raises estradiol alongside testosterone, and hemoglobin and PSA move with the testosterone too. That is what follow-up labs are for, and why your clinician sets the strength rather than you. 2

What it is for

It only works when the testes can answer the signal. If your LH is already high, more signal won't help — your clinician reads that at baseline. 1

If you stop

Stop the tablet and your signals return to where they were within weeks; there is no suppressed system to recover. Your levels fall back too — the benefit doesn't outlast the treatment. 2

Compounded enclomiphene is not FDA-approved. Compounded medications are not reviewed by the FDA for safety, effectiveness or quality before they are prescribed.

Results vary. No outcome is guaranteed — your clinician will discuss what's realistic for you.

What happens next

Your first weeks, in order.

What actually happens after the intake — and what arrives at your door.

The decision

A licensed clinician reads your answers and your labs. If enclomiphene is appropriate, the pharmacy prepares your tablets for your prescription; if it isn't, you hear why.

The first days

Your tablets arrive in plain packaging. One tablet a day, at the same time each day. The signals move within days — you won't feel that yet.

The first weeks

Testosterone typically rises over the first several weeks. 2 How you feel tends to follow the number, not lead it — give it the full window before judging.

The follow-up

When your clinician says so, follow-up labs. The strength is adjusted or held on those results, with notice before anything changes.

Then, month by month

Refills ship on your plan and every price stays published. You can hold, change or stop from your account — stopping is a conversation, not a taper.

What arrives

The bottle

Enclomiphene tablets, prepared for your prescription — the strength your clinician set, nothing you have to measure.

The label

The pharmacy's own label: your name, the prescribed strength, and the state-licensed U.S. compounding pharmacy that prepared it.

The box

Plain and unmarked, with a packing slip inside. Nothing on the outside says what it is.

Certified

LegitScript-certified healthcare merchant

Private

HIPAA-compliant platform · discreet, unmarked packaging

Clinician-led

licensed U.S. providers review every case

Your pharmacy

prepared by a state-licensed U.S. compounding pharmacy, named on your prescription label

Questions, answered plainly

Questions about enclomiphene

Do I need blood work?

Yes — low testosterone is diagnosed on symptoms and labs together, never symptoms alone. If you have results from the last six months that include total testosterone, LH, hemoglobin and PSA, you'll upload them in the intake. If you don't, you can still complete the intake; your clinician tells you what's needed before anything is prescribed, and when to re-test once you've started.

What if my labs come back normal?

Then enclomiphene isn't the right call, and your clinician will say so. A normal level with real symptoms points somewhere else — sleep, thyroid, mood, another medication — and that is worth knowing rather than treating around.

Will it preserve my fertility?

That is the point of the mechanism. Enclomiphene raises the pituitary signals that drive both testosterone and sperm production, and in clinical trials of enclomiphene sperm counts held while a testosterone gel suppressed them. 1 2 Professional guidelines list this class of medicine as an option for men with low testosterone who want to keep their fertility. 5 It is not a fertility treatment in itself, and results vary — if conceiving is your goal, say so in the intake.

How is it different from testosterone therapy?

Testosterone therapy replaces the hormone from outside; your own production switches off while you take it, and fertility can suffer. Enclomiphene works upstream, so your own production stays on. Your clinician chooses between them on your labs, your symptoms and what you want from treatment — both are prescribed here.

What happens when my strength changes?

Your clinician adjusts it from your follow-up labs, not on a schedule. A change comes with notice before your next billing, your price moves to the published price of the new strength, and you can ask to hold at your current strength where clinically appropriate.

What if it isn't working?

Your follow-up labs will say so before you have to guess. If the number or the symptoms haven't moved, your clinician can adjust the strength, look for a reason it can't work for you — the testes have to be able to respond — or recommend another route, including stopping.

What if I'm not approved?

Then you aren't charged for medication. Your card is authorized at checkout and charged only when a clinician prescribes; if the answer is no, the authorization is released and you're told why.

What if I want to stop?

Stop the tablet and your signals return to where they were; there is no dependency to taper off. Cancel your plan from your account at any time — you are never billed for a cycle you cancelled before it renewed.

Is compounded enclomiphene FDA-approved?

No. Enclomiphene is not FDA-approved in any form; in the U.S. it is available only as a compounded prescription, prepared for you by a state-licensed U.S. compounding pharmacy and not reviewed by the FDA for safety or effectiveness. Your clinician decides whether it is appropriate for you.

Who prepares my medication?

A state-licensed U.S. compounding pharmacy, for your prescription. The pharmacy that fills it is named on your label, and it ships in plain, unmarked packaging.

How does the telemedicine process work?

You complete an online intake, a licensed provider reviews your case, and if appropriate your treatment plan is prescribed and delivered directly to your door.

Do I need to visit a doctor in person?

No. All consultations, prescriptions, and follow-ups are handled 100% online through our secure telehealth platform.

Are the doctors licensed?

Yes. Every provider in our network is licensed and experienced in evaluating patients through compliant telemedicine workflows.

Is my personal information secure?

Your information is protected through secure systems and privacy-first processes designed to support HIPAA-aligned care delivery.

How is my medication delivered?

Approved medications are shipped discreetly to your home, with updates and follow-up support handled online for convenience.

Sources

What this page is based on.

5 sources showhide

Class-level evidence for enclomiphene and the medicines it belongs to. None of it was run on this compounded product, and none of it promises what you will get.

Kim ED, McCullough A, Kaminetsky J. Oral enclomiphene citrate raises testosterone and preserves sperm counts in obese hypogonadal men, unlike topical testosterone: restoration instead of replacement. BJU International. 2016;117(4):677–685. bjui-journals.onlinelibrary.wiley.com/doi/10.1111/bju.13337
Wiehle RD, Fontenot GK, Wike J, et al. Enclomiphene citrate stimulates testosterone production while preventing oligospermia: a randomized phase II clinical trial comparing topical testosterone. Fertility and Sterility. 2014;102(3):720–727. fertstert.org/article/S0015-0282(14)00537-8/fulltext
Hohl A, et al. Selective estrogen receptor modulators for male hypogonadism: a systematic review and meta-analysis of randomized trials. Archives of Endocrinology and Metabolism. 2025. pmc.ncbi.nlm.nih.gov/articles/PMC12510335/
Rodriguez KM, Pastuszak AW, Lipshultz LI. Enclomiphene citrate for the treatment of secondary male hypogonadism. Expert Opinion on Pharmacotherapy. 2016;17(11):1561–1567. pubmed.ncbi.nlm.nih.gov/27337642/
American Urological Association. Evaluation and Management of Testosterone Deficiency: AUA Guideline (2018, amended 2024), statement 27 on selective estrogen receptor modulators for men who wish to maintain fertility. auanet.org/guidelines-and-quality/guidelines/testosterone-deficiency-guideline

The right level. The right dose. For you.

Start the intake — a licensed clinician will take it from there.

Start the intake

Eligibility screening and a prescription are required for prescription treatments. Individual results vary and no specific outcome is guaranteed. A licensed clinician determines whether treatment is appropriate — treatment is not guaranteed.

Compounded enclomiphene is prepared by a state-licensed U.S. compounding pharmacy, which is named on your prescription label. Compounded drugs are not FDA-approved.