Men's Hormone Optimization
Enclomiphene: Raise Your Own Testosterone Without TRT
Enclomiphene signals your body to produce more of its own testosterone rather than replacing it from outside. That difference matters if you want to protect fertility, if you would rather not commit to testosterone indefinitely, or if you live outside Texas. Available by virtual care in all nine states where we see patients with no in-person visit required. $199 to start, which covers your evaluation and your first month of medication. $159 per month after that, at any dose.
medication included
required
What It Is
A different mechanism, not a weaker one.
Testosterone replacement gives your body testosterone from an outside source. Your body notices, and turns its own production down or off. That works, and for many men it is the right choice.
Enclomiphene works the other way around. It blocks estrogen receptors in the hypothalamus, which removes the brake on the signals that tell your testes to produce testosterone. Your pituitary releases more LH and FSH, and your own production increases.
You end up in a similar place. How you got there is what determines whether you keep your fertility and whether you can stop.
The brake comes off
Estrogen normally tells the hypothalamus to slow down testosterone signalling. Enclomiphene blocks that signal at the receptor, so the hypothalamus keeps calling for production.
LH and FSH rise
Your pituitary responds by releasing more luteinising hormone and follicle-stimulating hormone. LH drives testosterone production. FSH drives sperm production, which is why fertility is generally maintained.
Your testes do the work
Because the testosterone is yours, the axis stays active. That is what makes stopping more straightforward than coming off replacement, and it is also why the treatment requires testes that can still respond.
Side by Side
Enclomiphene compared to testosterone therapy.
| Enclomiphene | Testosterone Therapy | |
|---|---|---|
| How it works | Stimulates your own production | Replaces testosterone from outside |
| Effect on fertility | Generally preserved | Suppressed, sometimes for months after stopping |
| Form | Oral capsule, daily | Injection, cream, or pellet |
| Controlled substance | No | Yes, Schedule III |
| In-person visit | Not required | Required in Texas to start and annually |
| Where we can treat you | All nine states we serve | Texas only |
| Stopping | Axis generally recovers | Recovery can take months and is not guaranteed |
| Best suited to | Men with intact testicular function who want to preserve fertility or avoid long-term replacement | Men with primary testicular failure, or who have not responded to stimulation |
| Monitoring | Labs at start, a 10-week visit, then labs and a visit every 6 months | Labs at baseline, a 10-week visit, then labs and a visit every 6 months |
Who It Fits
Enclomiphene is usually the better starting point if:
This is the clearest reason. Testosterone therapy suppresses sperm production. If fertility is on the table now or later, this conversation should happen before you start anything.
Testosterone requires an in-person visit in Texas. Enclomiphene does not, so we can evaluate and treat you by virtual care in all nine states where we see patients.
Enclomiphene is a daily oral capsule. No needles, no sharps disposal, no injection schedule to manage.
Because your own axis stays active, stopping is generally more straightforward than coming off testosterone replacement.
Enclomiphene works by stimulation, so it needs a system that can respond. Your testosterone and SHBG tell us whether it makes sense to start. Your symptoms and your six-month panel confirm it: if LH, FSH, and testosterone rise, the system is responding.
Many men are told TRT is the only option. It is worth knowing whether stimulation would work before committing to replacement.
Pricing
One price, any dose.
Your dose is set by your labs and your response, not by what you are willing to pay. Every dose we prescribe is the same monthly price. Your baseline panel and your six-month repeat are included.
$199 to start. $159 a month after that.
Your first payment covers the evaluation and your first month of medication, so there is no separate consultation fee. Monthly billing carries a 3 month minimum term. If you cancel before your third monthly payment, a one-time fee equal to one month, $159, applies and nothing more. The 90 day plan satisfies the minimum. After that you can cancel with a written request at least 7 days before your next billing date.
The prices on this page are what you pay. Medication is included at every dose, and your six-month panel is included in the program. Your 10-week follow-up visit is included; labs at that visit are optional and self-pay. If your plan calls for something outside what is listed here, you get the price before anything is ordered. Navara Health is a cash-pay practice and does not bill insurance. Financing is available through Cherry.
Common Questions
What men ask us most.
Before You Book
How your visit actually works.
Not every visit needs a video call. What we do depends on what you are being seen for, your history, and what your state requires. Here is the whole process, start to finish.
Pick a time online. Nothing is charged at that moment. You will get an invoice by text and email straight after.
Your intake and consent form is linked with the service at booking. Your appointment is confirmed once that form and your payment are both complete. If you did not fill it in at booking, we send it to you.
Secure online questionnaire with provider review, a scheduled audio visit, or a HIPAA-compliant video visit. See below for how that is decided.
How we decide the format
Your provider chooses based on what you are being seen for, your medical history, what your state requires, and whether anything needs to be discussed or examined directly. Some visits are straightforward and a questionnaire is genuinely enough. Others need a conversation. We will not stretch a fifteen-minute question into a video call, and we will not shortcut something that needs one.
Reviewed by your provider. Best for refills and straightforward follow-ups.
When something needs talking through but not looking at.
For new starts, complex histories, and anything needing visual assessment.
If laboratory testing is needed, treatment recommendations and prescriptions, where clinically appropriate, follow after your results and history have been reviewed. We do not prescribe before we have read what we ordered.
Before booking, please review our Payment & Cancellation Policy Terms & Conditions, and Privacy Policy. All new patients complete a General Intake & Consent Form. The link appears with the service when you book. If you have not completed it by then, we will send it to you, and your appointment is confirmed once both the form and payment are in. By scheduling, you acknowledge that you have reviewed and agree to these policies. Booking or billing questions? Text (469) 653-3124.
Laboratory Work
Two panels a year included. Everything else, your choice.
Your baseline panel when you start and a repeat at six months are both ordered, paid for and scheduled by us. Sometimes your results or symptoms call for a check before the next scheduled panel. When that happens you have three ways to handle it.
Included in your program
Baseline panel at enrollment and a repeat monitoring panel at six months. Ordered, paid for, and scheduled by us. Nothing is billed to you for these. Your 10-week follow-up visit is included. Labs at that visit are optional and self-pay.
Use your insurance
We send the order to Quest or LabCorp and they bill your plan directly.
We cannot guarantee coverage. Your plan, your deductible, and how your insurer classifies the test decide what you owe. Insurers frequently deny hormone testing as not medically necessary. Call the number on your card or contact Quest before your draw to confirm.
Bring labs from your PCP
If your primary care provider orders similar testing and it is covered under your plan, bring us the results.
As long as they are current, include the markers we need, and come from an accredited laboratory, we will use them. This is often the least expensive route, and we will tell you exactly what to ask your PCP to order.
Pay cash
We build a bundle of only the markers your situation calls for rather than a full panel.
You get the price before the order is placed, so there are no surprises. A single follow-up marker is often under $30.
Safety monitoring is not optional. On enclomiphene we track testosterone, LH, FSH, estradiol, hematocrit, and PSA, because raising testosterone through your own axis can still raise red cell mass and shift estradiol. Where a test is required for safe prescribing, we will tell you it is required rather than optional, and treatment continues once it is completed.
How Care Works Here
Start with answers. Stay with a plan.
Every new patient begins the same way. One consultation, the right labs, and a full results visit where we walk through every number and build your plan together. Then you decide how your care continues.
01
Your Start Visit
Your symptoms, your history, your medications and what you have already tried. Your lab order goes out the same day.
02
Your Results Review
Every result explained in plain language, what it means for you, and exactly what happens next.
03
You Choose
Membership or pay per visit. Both are laid out below, so you know exactly what you are getting before you book.
Start Visit: $199 with labs from the last 90 days, or $349 with your labs ordered for you. Your Results Review is included either way.
Recommended
Membership
- Your Start Visit counts as your first month. Weight loss programs bill from your first medication order.
- Message your provider, answered the same or next business day
- Refills handled by message, no visit needed
- Dose changes and scheduled follow-ups included
- Six-month labs included in hormone and enclomiphene memberships
- Lab reviews included
For stable patients
Pay Per Visit
- Start Visit paid in full, separately
- No portal messaging with your provider
- Refills at a booked refill visit, $50
- Dose changes and follow-ups, $150 each
- Labs ordered and paid separately
- Lab reviews, $100 each
A forty-minute phone call is a medical visit. It deserves a chart, a real plan, and your provider's full attention, so clinical questions are answered at a scheduled visit or, for members, by message. And membership means you never wait for an appointment to ask.
Booking, pricing or billing questions? Text (469) 653-3124. Medical questions are answered at your visit.
Ready to Start?
Find out whether stimulation would work for you.
Not sure whether enclomiphene or testosterone therapy fits? Take the free men's assessment first, or book an evaluation and we will work it out from your labs. $199 to start, medication included, no in-person visit required in any of the nine states we serve.
Financing available through Cherry · Apply in minutes