Men’s Testosterone Therapy (Topical, Cream)

What it may help with

What's included

• Evaluation, lab review, and prescription by a licensed clinician, when appropriate
• Testosterone cream compounded by a state-licensed pharmacy
• 2-day, discreet monthly shipping
• Ongoing access to a board-certified clinical team for questions and dose adjustments
• The ability to pause, delay, or cancel your subscription at any time

Why patients choose this

• For men with lab-confirmed low testosterone and symptoms, it addresses the underlying deficiency rather than masking it.
• Many men report improvements in energy, libido, mood, and body composition once levels are restored, typically over the first few months.
• A needle-free alternative you self-administer at home, with everything shipped to your door.
• Your dose is personalized and adjusted over time based on follow-up labs and how you respond.
• Ongoing lab work keeps your testosterone, estradiol, and other markers in a healthy range for the long term.

Your timeline

1. Prior to orderingComplete the necessary lab testing (Men's TRT Initial Panel) or bring your own results.
2. OrderPlace your order and complete medical intake form.
3. Days 1-2Clinical team reviews your medical history and lab results in 1-2 business days and invites you to schedule a consultation.
4. ConsultationSchedule and attend the video consultation with a board-certified clinician, who prescribes when appropriate.
5. 2-3 days after prescribingPharmacy prepares your order and it is shipped directly to you with 2-day shipping.
6. 2 days after shippingYour order arrives in discreet packaging.
7. Every 4 weeksYour order renews. Payment is processed and the product shipped to you.
8. Within 60-90 daysComplete lab testing (Men's TRT Maintenance Panel) to continue your treatment.
9. AnnuallyComplete lab testing (Men's TRT Maintenance Panel) to continue your treatment.

What to expect

1. Getting startedApply daily to clean, dry skin as directed. Let it fully absorb before dressing or skin-to-skin contact.
2. Weeks 1-2Most men don't feel much yet. Daily application is building steady levels in your system.
3. Weeks 4–6Many men start to notice improvements in energy and libido as levels stabilize.
4. Months 2–3Mood, mental clarity, and workout recovery often continue to improve.
5. Months 3–6Changes in body composition tend to build here, alongside consistent training and nutrition.
6. OngoingYour clinician tracks your levels and health markers with regular labs, adjusting your dose as needed.

Lab work requirement

Men's testosterone therapy is only prescribed to patients with documented low testosterone or specific hormonal symptoms confirmed by lab work.

To Start: You'll need recent blood work (within the last 6 months). We recommend completing the lab work PRIOR to ordering testosterone. If you don't have recent labs, you can order our Men's TRT Initial Panel for a low cost or complete it independently and upload your results.

The lab test must be drawn between drawn between 7am and 10am and include: CMP, CBC, TSH, Free T4, Testosterone (free and total), Estradiol, LH and FSH, SHBG, DHEA, Sulfate, PSA (free and total), Cortisol serum AM, Prolactin, Ferritin.

To Continue After 90 Days: To monitor your response and ensure your testosterone stays within the appropriate range for men, you will need to complete a lab test within the first 90 days of using testosterone therapy. You can order our Men's TRT Maintenance Panel or complete it independently. The lab test must include the following biomarkers: CMP, CBC, Testosterone (total + free), Estradiol, LH and FSH, SHBG, PSA (free and total)

Annually: After the 90-day check in, the Men's TRT Maintenance Panel will be required annually.

Possible side effects

Important information

A note on transfer

Topical testosterone can transfer to others through skin contact, and exposure can be harmful to women and children. Apply to clean, dry skin, let the cream fully absorb, and cover the application site with clothing once dry. Wash your hands thoroughly after applying, and avoid skin-to-skin contact at the application site with partners or children until the cream is fully absorbed and the area is covered or washed. Your clinician and care team can answer any questions about safe application.

A note on fertility

Testosterone replacement therapy can suppress the body's own testosterone and sperm production, which can affect fertility. If you're planning to have children in the future, talk with your clinician about whether enclomiphene or hCG might be a better fit for you, or whether adjunct hCG can be used alongside TRT to help preserve fertility.

A note on what TRT is and isn't

TRT is a medical treatment for clinically low testosterone, not a performance enhancer or wellness booster. Testosterone given to men with normal levels does not improve performance and carries real risks. Your clinician will only prescribe TRT if your labs and symptoms support a clinical need.

Important to know

• Testosterone is a prescription medication and a controlled substance in the United States, requiring evaluation by a licensed clinician.

• TRT is intended for men with documented low testosterone confirmed by lab work. It is not appropriate for men with normal testosterone levels, and it is not a treatment for general fatigue, aging, or athletic performance.

• This medication is compounded, meaning it's custom-prepared by a state-licensed pharmacy based on your clinician's prescription, at a concentration 3%. FDA-approved branded topical testosterone products are also available; your clinician can discuss whether a compounded or branded option fits your needs.

• TRT is not appropriate for men with active prostate cancer, certain heart conditions, untreated severe sleep apnea, or significantly elevated red blood cell counts. Your clinician will review your full medical history.

• TRT can suppress sperm production and affect fertility. Discuss this with your clinician if having children in the future is a priority.

• Long-term TRT typically requires ongoing monitoring of testosterone, estradiol, hemoglobin, and prostate markers.

• Results vary and are not guaranteed.