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Physician-Led TRT · From $99/mo

Feel like yourself
again.

Physician-supervised testosterone therapy for men whose labs and symptoms warrant it. Transparent monthly pricing. Fertility-preserving options built in. Real oversight — not a subscription box.

Licensed U.S.
physicians
DEA-compliant
EPCS pharmacies
Discreet
direct shipping
Check eligibility See plans & pricing

Testosterone-deficient men who meet clinical criteria deserve real medicine — not marketing. We only treat you if your labs support it.

Plans & pricing

Choose the goal. We build the protocol around it.

Every plan is physician-directed, transparent, and free of pointless upsells. Bloodwork is billed directly to you by the reference lab — never marked up inside a subscription. Anastrozole is included at no extra cost when your labs indicate it.

Aurafil testosterone cypionate vial

Foundation

Straightforward testosterone therapy done right.

$ 99 / month

3-month minimum · then month-to-month

  • Testosterone cypionate — weekly SubQ or IM, physician-dosed
  • Injection supplies (syringes, needles, alcohol pads) shipped monthly
  • Initial physician consultation + one clinical follow-up per quarter
  • Unlimited async secure messaging with your care team
  • DEA-compliant electronic prescribing to a licensed pharmacy in your state
Check eligibility
Most chosen
Aurafil testosterone cypionate and HCG vials

Fertility Preserve

TRT that protects testicular function and future fertility.

$ 149 / month

3-month minimum · then month-to-month

  • Everything in Foundation
  • HCG included — dosed to preserve intratesticular testosterone and spermatogenesis on TRT
  • Testicular size and semen-parameter discussion at intake
  • Priority prescription refills
  • Ideal for men who want to protect fertility while on testosterone
Check eligibility
Non-TRT alternative
Aurafil enclomiphene 12.5mg pill bottle with tablets

Enclomiphene Monotherapy

Raise your own testosterone. No injections. No exogenous hormones.

$ 89 / month

3-month minimum · then month-to-month

  • Compounded enclomiphene — oral, once daily, physician-dosed (12.5–25 mg)
  • Initial physician consultation + quarterly clinical follow-up
  • LH, FSH, and Total T re-checks at 8 and 16 weeks
  • Preserves natural HPG axis — testicular size and fertility maintained
  • Best fit: secondary hypogonadism, men 21–40, men planning kids
Check eligibility
Aurafil TRT + fertility formulary — testosterone, HCG, and enclomiphene

Complete Optimization

Tighter cadence and deeper monitoring for men dialing in the full protocol.

$ 179 / month

3-month minimum · then month-to-month

  • Everything in Fertility Preserve (testosterone + HCG)
  • Monthly physician touchpoint, not quarterly
  • Personalized dose-titration reviews after every lab draw
  • Biannual comprehensive lab panel review (Total T, Free T, Estradiol Sensitive, LH, FSH, SHBG, CBC, CMP, lipid panel, PSA)
  • Same-day priority secure messaging
Check eligibility
  • HSA / FSA eligible
  • Licensed U.S. pharmacies
  • Cancel anytime after 3 months
  • Full refund if labs don't support TRT
Aurafil TRT and fertility-preservation product formulary — testosterone cypionate, HCG, enclomiphene, anastrozole
The Aurafil formulary

Four medications. One coherent protocol.

Every Aurafil plan draws from a deliberately small formulary — the medications with the strongest evidence for safety, efficacy, and steady physiologic response. No peptide stacks. No growth-hormone secretagogues. No anabolic bundles. That's not an oversight — it's a clinical safety line we won't cross at any price point.

First-line therapy

Testosterone Cypionate

Weekly self-administered injection (subcutaneous or intramuscular) at physician-directed dosing. Delivers steady, physiologic testosterone levels with the strongest long-term evidence base and the most favorable cost profile of the available formulations. The default first-line choice at Aurafil.

Included in all plans
Fertility preservation

HCG

Human chorionic gonadotropin — the only fertility-preserving adjunct FDA-approved for use in men. Preserves intratesticular testosterone, testicular volume, and spermatogenesis while you remain on TRT. Discussed with every patient — never bolted on as an upsell.

Included in Fertility Preserve & Complete
Fertility monotherapy

Enclomiphene

The isolated trans-isomer of clomiphene. Raises endogenous LH, FSH, and testosterone in men with secondary hypogonadism — while preserving or improving sperm counts, unlike exogenous testosterone. The right first move for younger men who want to protect fertility from the outset.

Included in Fertility Preserve & Complete 503A compounded
Adjunct, PRN

Anastrozole

An aromatase inhibitor reserved for the small subset of patients with persistent, symptomatic high estradiol confirmed on a sensitive assay. Used carefully and only when clearly indicated — routine use is not evidence-supported and can drive estradiol too low, harming bone, lipids, mood, and libido.

Included when clinically needed

What Aurafil doesn't prescribe — and why.

We don't offer testosterone pellets via telehealth (safe insertion requires in-person care). We don't offer alkylated oral testosterone (worse safety profile, expensive, less established). And we don't offer “stacks” that combine TRT with anabolic steroids, unregulated peptides, or growth-hormone secretagogues. If any clinic is upselling you those things online, that's a red flag — not a feature.

How it works

From questionnaire to first injection — usually under two weeks.

01

Eligibility & intake

A short symptom questionnaire plus a review of your medical history. If you're clearly not a candidate — recent cardiac event, active prostate concern, actively trying to conceive without adjuncts — we tell you before you spend a dollar.

02

Bloodwork

Two early-morning total testosterone measurements plus a baseline panel: Free T, Estradiol Sensitive, LH, FSH, SHBG, PSA (age 40+), CBC, CMP, and lipids. Drawn at a Quest or Labcorp near you and billed directly to you by the lab — never marked up inside your subscription.

03

Physician evaluation

A licensed Aurafil physician reviews your labs, symptoms, and goals. If TRT is clinically indicated and safe, we write the prescription. If it isn't, we say so directly — and refund your commitment in full.

04

Medication & monitoring

Medication ships discreetly to your door from a licensed U.S. pharmacy. Follow-up labs at 6 weeks, then quarterly. Your physician titrates dose to target serum testosterone in the mid-normal range (450–600 ng/dL), not the highest number you can chase.

Who this is for

TRT isn't for every man — and we won't pretend otherwise.

Likely a fit
  • Two morning total testosterone measurements consistently below 300 ng/dL
  • Symptoms that align with the labs — low libido, persistent fatigue, loss of morning erections, cognitive fog, loss of lean mass
  • Willing to draw labs and follow up on a real cadence
  • Not actively trying to conceive in the next 3 months (or willing to use HCG / enclomiphene to preserve fertility)
  • No untreated severe sleep apnea, active prostate cancer, elevated PSA without workup, or recent MI/stroke
Not a fit right now
  • Labs consistently in the normal range — TRT isn't the answer for optimization above the mid-normal range
  • Actively trying to conceive without a fertility-preserving protocol in place
  • Untreated prostate cancer, unexplained elevated PSA, or breast cancer
  • MI or stroke within the last 6 months
  • Hematocrit >50% before starting — needs workup first
  • Untreated severe obstructive sleep apnea
Frequently asked

The questions worth answering honestly.

How is Aurafil different from the other online TRT clinics?

Three ways. First, we won't start you if your labs don't support it — and we'll refund your commitment if that's the outcome. Second, we discuss fertility preservation at intake with every patient, not as an upsell after you've paid. Third, our formulary is deliberately narrow: we prescribe testosterone, HCG, enclomiphene, and anastrozole when indicated — and nothing that lacks strong evidence. No peptide stacks. No growth-hormone secretagogues. No “anabolic” add-ons.

Will TRT make me infertile?

Exogenous testosterone suppresses your body's LH/FSH signal to the testes, which suppresses intratesticular testosterone and can cause azoospermia (no sperm in the ejaculate) within about 10 weeks of starting TRT. In most men this reverses when TRT stops — but up to roughly 10% of men remain azoospermic even after cessation. That's why our Fertility Preserve and Complete plans include HCG (or enclomiphene as a monotherapy alternative) — dosed to preserve intratesticular testosterone and spermatogenesis while you remain on treatment.

What does bloodwork cost, and why isn't it in the subscription?

Because burying lab fees inside a subscription is how clinics hide margin. Bloodwork is billed directly to you by Quest or Labcorp at the reference-lab rate — not marked up 3–5x inside your monthly fee. Baseline panels typically run $150–250 depending on the specific tests. HSA/FSA cards work for labs.

Do I need anastrozole?

Probably not. The Endocrine Society explicitly recommends against routine aromatase-inhibitor use in men on TRT. Anastrozole is only warranted when estradiol is meaningfully elevated on a sensitive assay and the patient has estrogen-related symptoms. When it's genuinely indicated, we include it in your plan at no extra cost — and we monitor closely to avoid over-suppression, which harms bone density, lipids, mood, and libido.

How is testosterone shipped, and is it legal?

Testosterone is a Schedule III controlled substance under federal law. All prescriptions are issued through DEA-compliant electronic prescribing (EPCS) to a licensed pharmacy in your state of residence. The medication ships to you discreetly in insulated packaging with no external branding indicating what's inside.

Do you accept insurance?

Not currently. But every Aurafil plan is HSA/FSA eligible, and cash-pay TRT via a physician-led telehealth clinic often ends up less expensive than the deductible and copay burden of running TRT through primary care.

Can I cancel?

Yes — after your 3-month initial commitment, plans are month-to-month. Cancel anytime with 30 days notice. If your initial labs don't support TRT, your commitment is refunded in full.

Start today

A 3-minute questionnaire is where it starts.

If your labs and history support it, you could be on a physician-supervised protocol within two weeks. If they don't, you'll know that quickly — and pay nothing.

Check my eligibility Back to plans
Medical disclaimer & program terms.

Enrollment does not guarantee a prescription. Treatment decisions are made solely by a licensed Aurafil physician based on your laboratory results, medical history, and clinical evaluation. Every plan requires a 3-month minimum commitment before transitioning to month-to-month billing; you may cancel at any point after with 30 days notice. If your labs and clinical history do not support the initiation of testosterone therapy, no prescription is written and your commitment is refunded in full. Bloodwork is billed directly by the reference laboratory and is not included in the monthly subscription. Insurance is not currently accepted; HSA/FSA cards are accepted. Testosterone is a Schedule III controlled substance under U.S. federal law — all prescriptions are issued via DEA-compliant electronic prescribing (EPCS) to a licensed pharmacy in the patient's state of residence. Aurafil Health does not prescribe testosterone pellets, alkylated oral testosterone, anabolic-steroid combinations, or unapproved peptide stacks under any circumstance.