A real hormone panel for $50, reviewed by a licensed physician on a video visit from your couch. If your testosterone is low, there's a way to raise it that doesn't cost you sperm production.
Get the panel: $50Testosterone is the number everyone knows. The two that matter for fertility are the ones almost nobody orders:
Both signals come from the brain. Standard testosterone therapy switches them off. That's how it works, not a side effect. Which is why plenty of men feel great on it and end up with a sperm count of zero.
| Standard TRT | Enclomiphene | |
|---|---|---|
| How it works | Replaces testosterone from outside | Stimulates your own production |
| LH and FSH | Shut off | Turned up |
| Sperm production | Suppressed, sometimes to zero | Not suppressed |
| Fertility | Compromised | Preserved |
Enclomiphene is prescribed off-label, compounded, and not FDA-approved. A physician decides whether it's appropriate for you. The studies behind this table.
Some men don't qualify. A program that treats everyone isn't a medical program.
For men with low testosterone, bringing it back into range may help with:
For men whose panel shows low testosterone, enclomiphene raises testosterone by increasing LH and FSH, the brain's own signals to the testes, instead of replacing testosterone from the outside. FSH is the signal for sperm production, so enclomiphene doesn't suppress it the way traditional testosterone therapy can. Physicians describe it as a fertility-preserving option for men with low testosterone. It is not a fertility treatment, and individual results vary.Read the studies.
Enclomiphene boosts your own production instead of shutting it down, so it doesn't cause the dependence testosterone therapy can. If you stop, your levels usually drift back to where they started. Your physician decides how long to stay on it and rechecks your labs.
Side effects are uncommon, and your physician keeps an eye on things with regular labs.
In trials of about 1,400 people, the most common side effect was headache, in about 1 in 60. Hot flushes and nausea hit about 1 in 100. Your physician watches your estradiol. Rarely, drugs like this can cause blood clots or vision changes, so report any vision change right away. Compounded, not FDA-approved, and long-term data is limited. Some men don't qualify.
Tell the physician exactly what you're on. Switching is a medical decision they'll make with you. Don't stop testosterone on your own. Enclomiphene is one of the options they can discuss.
Men with liver, thyroid, or adrenal disease, a history of blood clots, a pituitary or brain tumor, or elevated prolactin generally aren't candidates. The intake screens for these before you pay, and labs catch the rest. If you're not a fit, you'll get a clear next step, not a dead end. What that looks like.
No. It treats low testosterone. The point is that it does so without shutting down sperm production, which standard testosterone therapy can. If your partner sent you here, that's probably why.
I found out my count was zero at 28, on testosterone therapy, with no warning. Four months on a physician-supervised protocol later, I'm back inside the reference range. Emmett Stark, founder. I own Viro Health Group. My numbers are mine, not a promise of yours.