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 10 licensed states 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.

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10
States available
$199
To start, medication included
0
In-person visits 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.

Enclomiphene is not FDA-approved for treating low testosterone in men and is prescribed off-label. Off-label prescribing is legal and common when supported by evidence and clinical judgment. Risks, benefits, and alternatives are reviewed with you before anything is prescribed.

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 10 licensed states 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 baseline, 90 days, then every 6 months Labs at baseline, 90 days, then every 6 months

Neither option is better in the abstract. Which one fits depends on your labs, your history, whether your testes are still responsive, and what you want from treatment. That is what the evaluation determines.

Who It Fits

Enclomiphene is usually the better starting point if:

You may want children
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.
You live outside Texas
Testosterone requires an in-person visit in Texas. Enclomiphene does not, so we can evaluate and treat you by virtual care in all ten licensed states.
You do not want to inject
Enclomiphene is a daily oral capsule. No needles, no sharps disposal, no injection schedule to manage.
You would rather not commit indefinitely
Because your own axis stays active, stopping is generally more straightforward than coming off testosterone replacement.
Your testes still respond
Enclomiphene works by stimulation, so it needs a system that can respond. Your LH, FSH, and testosterone tell us whether that is the case.
You are early in the process
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. 6.25mg, 12.5mg, and 25mg are all the same monthly price. Choose whether we handle your labs or you arrange your own.

Getting Started One time, includes medication
First Month
Your evaluation, screening, protocol design, and your first month of medication · You bring labs from the last 90 days · Virtual care in all 10 states
Starting at $199
First Month with Labs
Everything above, plus your baseline hormone panel ordered and paid by us
Starting at $299
After Month One Monthly
Enclomiphene Program
Medication included at any dose · Protocol management, refills, and secure messaging · You arrange your own labs every 6 months
Starting at $159/mo
Enclomiphene Program with Labs
As above, with two lab panels per year ordered, paid, and scheduled for you
Starting at $199/mo
90-Day Prepay Three months, one shipment
Enclomiphene Program · 90 Days
One shipment, one charge. Saves $58 against paying monthly.
Starting at $419
Enclomiphene Program with Labs · 90 Days
One shipment, one charge, labs included. Saves $68 against paying monthly.
Starting at $529
Optional Add-On
Tadalafil · As Needed
10 tablets · Ships with your enclomiphene at no extra shipping cost
Starting at $35
Tadalafil · Daily
Low-dose daily therapy, 30-day supply
Starting at $75/mo

$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. No contract and no cancellation fee, so you can stop any time.

All pricing shown is a starting point. Final cost is confirmed at your consultation and depends on your individual plan. Prices are subject to change. Navara Health is a cash-pay practice and does not bill insurance. Financing is available through Cherry.

Common Questions

What men ask us most.

Is there a separate consultation fee?
No. Your first payment of $199 covers the evaluation, screening, protocol design, and your first month of medication. After that it is $159 a month. If you want us to order and pay for your baseline labs, the first month is $299.
What is enclomiphene?
Enclomiphene is an oral medication that signals the brain to increase the body's own testosterone production, rather than replacing testosterone from outside. It works on the hypothalamic-pituitary axis, prompting the pituitary to release more LH and FSH, which in turn stimulates the testes.
How is enclomiphene different from TRT?
Testosterone replacement supplies testosterone from an outside source, and the body responds by reducing or stopping its own production. Enclomiphene works in the opposite direction, stimulating your own production. That difference matters most for fertility and for whether the treatment can be stopped.
Does enclomiphene affect fertility?
This is the main reason men choose it. Testosterone therapy suppresses the signals that drive sperm production and can significantly reduce fertility, sometimes for months after stopping. Enclomiphene raises LH and FSH instead, so sperm production is generally maintained. If you may want children, raise this before starting any testosterone protocol.
Is enclomiphene FDA-approved?
No. Enclomiphene is not FDA-approved for treating low testosterone in men and is prescribed off-label. Off-label prescribing is legal and common when supported by evidence and clinical judgment. The risks, benefits, and alternatives are reviewed with you before anything is prescribed.
Do I need an in-person visit?
No. Unlike testosterone, which is a controlled substance requiring an in-person evaluation in Texas, enclomiphene can be evaluated and prescribed entirely by virtual care in all ten states where we are licensed: Texas, Arizona, Colorado, Connecticut, Florida, Iowa, Oklahoma, Vermont, Virginia, and Washington.
What labs do I need?
A baseline panel including total, free, and bioavailable testosterone, LH and FSH, sensitive estradiol, prolactin, CBC, CMP, thyroid, and PSA. Labs are repeated at 90 days and then every six months. If you have recent labs from another provider we can often work from those.
How long until I notice a difference?
Most men see laboratory changes within four to six weeks. Symptom changes such as energy, drive, and mental clarity typically lag the labs and are usually assessed at the 90-day mark. Response varies and not everyone responds.
Can I switch from TRT to enclomiphene?
Sometimes, and it is a conversation worth having if fertility has become a concern or you would rather not stay on testosterone indefinitely. The transition requires planning and monitoring, because the axis needs time to recover. This is evaluated case by case.
Is there a dose difference in price?
No. The program is one price at any dose, whether 6.25mg, 12.5mg, or 25mg. Your dose is set by your response and your labs, not by what you are willing to pay.

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.

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