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Start Here: The Order That Saves You Time, Money and Mistakes
Most men start with the solution: a booster, a clinic, a prescription. This page starts where the guidelines and the good urologists start: with an accurate measurement. Follow these five steps in order. Each links to the full guide as it’s published.
Step 1 Test correctly.
Testosterone is highest in the morning and varies day to day, so one afternoon number tells you very little. Get a morning draw, and if it comes back low, repeat it before anyone treats it. Ask for total testosterone, free testosterone, SHBG, LH, FSH, estradiol (sensitive assay), a blood count for hematocrit, and PSA.
Step 2 Read the results.
A “normal” total testosterone can hide a low free testosterone when SHBG is high, which is common as men age. LH and FSH tell you whether the problem starts in the testes or in the brain’s signal to them, and that decides which options can work.
Step 3 Fix the free levers.
Losing excess weight, treating sleep apnea and cutting heavy drinking raise testosterone in many men, and none of them requires a prescription.
Step 4 Compare the medical options.
TRT replaces testosterone and suppresses your own production and sperm production. Enclomiphene, clomiphene and hCG work by keeping your own system running, with their own trade-offs and a different regulatory status.
Step 5 Choose a provider carefully.
A good clinic insists on labs before prescribing, monitors you on a schedule, prices transparently and lets you cancel easily.
Nothing on this site replaces a conversation with your own doctor. It’s meant to make that conversation a better one.