Best TRT Providers for Fertility: 5 Care Routes (2026)

The best TRT providers for fertility start with a fertility evaluation, not a prescription. For near-term plans, a reproductive urologist is the better first stop. Among the providers compared here, Posterity Health lists specialist-led semen assessment for $199—not a full workup. Plans years away need an individual discussion.1 32

By TRT Provider Guide · Last verified September 2026 Independent editorial research. Not clinically reviewed. Educational information, not medical advice.

Who are the best TRT providers for fertility?

For men trying to conceive, a reproductive urologist—a urologist with added training in male fertility—is the better starting point than a general hormone subscription. Posterity Health documents that type of care; the Male Excel and Taurus Meds pages reviewed do not establish a comparable sperm-testing and fertility-management service.33 24 29

Provider or care setting	Best-supported use on this page	The limit before you pay
Posterity Health or a local reproductive urologist	Evaluation of a fertility concern, especially with near-term plans	Posterity's $199 home semen assessment includes a results consultation, not a full workup. Local specialist prices need a quote.32
Male Excel	Comparing published hormone-program costs and ingredients	Required membership adds $1,188 a year. The oral program has conflicting prices and ingredient names, plus a material thyroid-compounding issue.23 24 18
Taurus Meds	Checking a hormone offer and its billing terms	Its $49 + $149/month testosterone offer is not a verified quote for standalone enclomiphene or fertility care.29

There is no testosterone prescription that comes with a guarantee of preserved fertility. That is not simply a bad clinic or a bad protocol. Testosterone from outside the body can reduce or stop sperm production. The joint AUA/ASRM male infertility guideline advises against exogenous testosterone for men interested in current or future fertility; its discussion also allows an individualized, fully counseled decision for more distant plans.3

So the real question is not just which clinic. It is which of five care routes fits your situation.

Trying to conceive now, or soon? See a male fertility specialist before choosing hormone treatment. Already taking testosterone? Bring the concern to your prescriber; don't change treatment on your own.1
Want kids years from now, and low testosterone is confirmed? Discuss non-testosterone options, sperm banking, and whether TRT belongs in your care at all. A calendar alone cannot settle that.3
Family complete? Standard TRT may be an option after proper diagnosis and a safety review. Cost and clinician access then become part of the comparison.1

Here is a regulatory detail worth knowing before you pay: enclomiphene has never been FDA-approved, and hCG is not eligible for the usual federal drug-compounding exemptions. Those are different issues—not a blanket ban on all fertility-related treatment. We will show you exactly what they mean for your wallet and your options.13 17

Is this page for you?

Best for you if	Not for you if
You have low-testosterone symptoms and want children someday	You have no interest in future children—read our best online TRT providers comparison instead
A clinic quoted you a monthly price and never asked about family plans	You want dosing, cycling, or protocol instructions—we don't publish those
You're already on testosterone and now you're worried	You're looking for testosterone for lifting or performance
You want the real first-year cost, not the ad price	You need a framework for women, teens, or gender-affirming hormones; this page covers adult men evaluating testosterone deficiency and fertility

TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.

The right TRT provider is not the same for every person. It depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to map your situation to the right care route and the questions to ask before you pay.

Why can "fertility-friendly TRT" be misleading?

Testosterone therapy adds testosterone from outside the body, which can reduce the brain's signals that support sperm production. U.S. guidelines advise against testosterone treatment when trying to conceive, while more distant fertility plans call for counseling about suppression and uncertain recovery. This is a known drug effect, not a sign of a low-quality clinic.2 3

Here is the plain version.

Your brain sends two signals to your testicles: luteinizing hormone (LH) and follicle-stimulating hormone (FSH). LH tells the testicles to make testosterone. FSH helps them make sperm. When testosterone arrives from outside—a shot, a cream, a gel—your brain sees plenty in the tank and can turn those signals down. Sperm production can fall with them.4

The AUA and ASRM say that when gonadotropin secretion is inhibited this way, sperm production may drop or stop altogether, which can result in azoospermia—no sperm in the semen at all. That does not happen to every man. TRT is not reliable birth control.3 8

Two guideline statements matter here:

AUA Testosterone Deficiency Guideline, Statement 23: clinicians should not prescribe testosterone to men currently trying to conceive. (Strong Recommendation, Evidence Level Grade A.)2
AUA/ASRM Male Infertility Guideline, Statement 42: clinicians should not prescribe exogenous testosterone to men interested in current or future fertility. (Clinical Principle.)3

Read that second one again. Not "trying now." Current or future.

But read the discussion with it, too. The same guideline says TRT may be offered to some men with more distant plans after counseling about sperm suppression and the time needed for recovery. It also says some men never fully recover sperm production. There is no universal "12 months means no, two years means yes" rule.3

We'll be straight with you about our own position. TRT Provider Guide has commercial relationships with Male Excel and Taurus Meds. On this page, for a meaningful share of you, a hormone-program referral is not going to happen—and it shouldn't. What we can do instead is lay out five care routes, price what can be priced, and help you see which questions matter for your life. One of those routes may end in a prescription. It's just not always the one you came here looking for.

The provider links here are public information and source links, not affiliate enrollment links. See our affiliate disclosure.

How do the 5 care routes compare?

Five care routes come up in this decision: a specialist evaluation, sperm banking before a possible TRT decision, a non-testosterone SERM, hCG-based care, or specialist review of TRT plus hCG. They are not five equally supported options, and neither timing nor a drug name determines who should use them. The cause of low testosterone, semen findings, health history, and plans for children matter.4 3

Decision	1. Specialist first	2. Bank sperm before a possible TRT decision	3. Clomiphene or enclomiphene	4. hCG-based care without testosterone	5. TRT + hCG together
What it is	Full male-fertility workup before a hormone decision	Freeze samples, then discuss whether TRT is appropriate	A non-testosterone pill intended to raise the body's own LH, FSH, and testosterone	Injections that act like LH and stimulate the testicles; some diagnoses need other care, including FSH	Testosterone with hCG added in an effort to maintain sperm production
Effect on sperm	None from the evaluation itself	Later hormones do not act on stored samples; TRT can still suppress new sperm production	Used with the aim of avoiding testosterone-related suppression; no guarantee of a normal semen result or pregnancy	Can support sperm production in selected conditions; no guarantee of response	Uncertain; not proven fertility insurance
What guidelines say	Reproductive evaluation matters before treatment when fertility is a concern	Banking does not replace counseling or make TRT suitable for someone trying to conceive	Clinicians may consider SERMs for selected men with low testosterone and fertility concerns; evidence is limited	Also a conditional option in selected cases; the cause of the hormone problem matters	The AUA/ASRM guideline says the literature is too limited to recommend this approach for preservation
Drug status	Not applicable	FDA-approved testosterone products exist; compounded testosterone is not FDA-approved	Clomiphene: approved for female ovulatory dysfunction, off-label in men. Enclomiphene: not FDA-approved	FDA-approved hCG products have a relevant adult male indication for selected cases of hypogonadotropic hypogonadism	Use of hCG to preserve fertility during TRT is off-label
What can be priced	Posterity: $199 for home semen assessment and a results consultation, not a complete workup	Legacy: $540 for a one-sample, one-year package; required screening and later fertility treatment may cost extra	Male Excel's advertised blend yields $2,427 or $2,727 in 12-month known-cost scenarios, before unresolved costs; not a standalone SERM quote	No complete hCG-care quote was established in the provider pages reviewed	No complete quote was established; both drugs and appropriate testing need to be priced
Who should discuss it	Near-term plans, abnormal semen results, or a complex reproductive history	Men considering future use of stored sperm, whether or not they later use TRT	Selected men whose own hormone-signaling system can respond	Selected men with an appropriate diagnosis, not merely a preference for injections	Someone already receiving TRT who needs specialist-led counseling about fertility; not a self-directed add-on
The catch	A $199 test is not the whole evaluation	Banking protects an option, not a pregnancy or ongoing sperm production	Does not work for everyone; exact molecule, formulation, and regulation matter	hCG alone may not address the full fertility problem	The evidence isn't there for a promise, and the extra care has a cost

Clinical rows draw on AUA/ASRM guidance and prescribing information; prices are provider-stated figures checked September 8, 2026. The comparisons are editorial judgments, not a treatment menu.3 4 10 11 15 19 32 35 23

Definitions, once: Off-label means a clinician prescribes an approved drug for a use outside its FDA-approved labeling. That is different from prescribing an unapproved compounded drug. Compounded means a drug is made or altered to meet a medical need; compounded drugs are not FDA-approved, and the FDA does not review them for safety, effectiveness, or quality before marketing. SERM stands for selective estrogen receptor modulator, the drug class clomiphene and enclomiphene belong to. Testosterone is a Schedule III controlled substance and requires a valid prescription.20 19 21

Which care route fits your timeline?

Your timeline changes the urgency of a fertility evaluation, but it is not the only variable. Near-term plans favor a reproductive-urology assessment before a hormone-program decision; more distant plans allow a discussion of the cause, alternatives, sperm banking, and risks. Having no future fertility goal removes that concern, not the need for a proper diagnosis and safety review.1 3

"We're trying now, or within the next year"

Route 1. Specialist evaluation first. Full stop.

A single testosterone number cannot tell you whether you are fertile. A semen analysis helps assess sperm, alongside your history and an examination. If the first semen analysis is abnormal, a repeat is often needed; the EAU recommends at least two analyses when the baseline result is abnormal.5

Low testosterone also needs a proper evaluation: symptoms or signs plus consistently low results, confirmed with two separate early-morning blood tests. The Endocrine Society specifies a repeat morning fasting measurement. LH and FSH help identify the cause; free testosterone or prolactin may be useful in selected cases, not as a mandatory panel for every reader. Neither one result nor 300 ng/dL alone makes the diagnosis.1 2

An at-home kit does not, by itself, show that a program includes that repeat test. Ask whether a second early-morning blood draw is required, where it happens, and who pays. Our guide to getting evaluated for TRT explains that process.

Access can be a reason to compare virtual and local specialist care—not a reason to skip the fertility evaluation.

Posterity Health describes its physicians as fellowship-trained male reproductive urologists and offers virtual and in-person care. Its at-home baseline semen analysis with a specialist results consultation is listed at $199. The company advertises same-week appointments; its billing page lists insurer and fertility-benefit relationships. Confirm your state, actual appointment availability, and coverage before booking. Those are the company's own published statements, checked September 2026—not something we've tested.32 33 34

If you're trying to conceive right now, close the TRT clinic tabs. You are the one reader on this page who should not be shopping for a subscription today. Come back after your workup, and you'll actually know what you're deciding between.

"I don't know who evaluates this." → Map my care route and the questions to ask with Find My TRT Path. It's free and educational. It does not diagnose anything or promise you a prescription.

"Two to five years out, and my testosterone really is low"

There are two options worth discussing—not two automatic approvals.

Option A: ask about a pill that raises your own testosterone. Clomiphene and enclomiphene act on hormone signals rather than replacing testosterone. They may fit selected patients, but a higher testosterone level does not prove fertility is preserved. Read the drug section below before you buy—the regulatory details genuinely matter here.4 13

Option B: ask about banking sperm before a TRT decision. Your stored sample would not be exposed to hormones you take later. Be clear-eyed about the tradeoff: TRT can still suppress new sperm production, and stored sperm does not guarantee a child. Banking protects an option, not certainty—and does not replace a clinician's assessment of whether TRT is appropriate.3 38

"Is there something that raises my testosterone without replacing it?" → See what a non-testosterone oral program actually costs in our cost breakdown below, including the required membership and the price conflict.

"My family is complete"

Then future fertility may not be a constraint, and this page has done its job for you. You still need a proper low-testosterone evaluation and a review of health risks before comparing cost, clinician access, state availability, treatment format, and how easy it is to cancel.1

"So can I just get treated?" → Compare provider costs and care requirements, not monthly ad prices. An intake is not a promise of treatment.

"My situation is complicated"

One testicle. Prior chemotherapy. A history of undescended testicle. A diagnosed pituitary or testicular problem. A partner with her own fertility questions. Any of these belongs in a specialist conversation, not just an intake form.5

An evaluation may point to a cause other than testosterone deficiency, or to treatment of an underlying condition rather than a hormone prescription. Fertility is a couple-level question when you are trying together; your partner's assessment and timeline matter too.4 5

Does TRT make you infertile — and does it come back?

TRT can reduce or stop sperm production, but it does not make every man infertile. Recovery often occurs after clinician-directed treatment changes, yet it can take months or longer and may be incomplete. The familiar 67% and 90% figures describe recovery to a sperm-concentration threshold in healthy contraceptive-study volunteers—not the chance that a TRT patient will have a child.3 6

You've probably seen this line: "67% recover by six months, 90% by twelve, nearly 100% by twenty-four." We checked the published analysis behind those numbers.

Where the "100% recovery" number actually comes from

Detail	What the study actually measured
The source	Liu PY, Swerdloff RS, Christenson PD, Handelsman DJ, Wang C. The Lancet, 2006—an integrated analysis pooling 30 studies
Who was studied	1,549 healthy men aged 18–51 with normal testosterone, using hormonal regimens as contraception
The numbers	Median time to reach 20 million sperm/mL was 3.4 months. Modeled probability of reaching that concentration: 67% within 6 months, 90% within 12, 96% within 16, 100% within 24
The limit for your decision	This was not a study of indefinite TRT in men with testosterone deficiency. Reaching a concentration threshold was not a guarantee of normal fertility or pregnancy
What was linked to slower recovery in this study	Younger age, longer time on treatment, longer-acting testosterone, and lower sperm counts to begin with. Those associations are specific to the study population, not a personal forecast

Source: the study's published abstract and methods summary. The percentages are modeled study estimates, not deadlines or promises.6

Now line that up against yourself.

If you're 29, genuinely hypogonadal, and planning to be on testosterone indefinitely, you are not the man in that study. The number isn't wrong. It just wasn't measured on you.

Age is a good example of why the distinction matters. A separate study of 66 men with infertility after testosterone use found that greater age and longer use were linked to slower recovery during specialist treatment. 46 of 66 reached that study's different endpoint—more than 5 million total motile sperm—within 12 months. That is not directly comparable to 20 million sperm per milliliter, and neither measure guarantees pregnancy.7

The AUA's own language reflects that caution. It tells clinicians that patients need to be made aware of the highly variable time course for sperm to return, and the variable degree to which sperm production comes back at all.2

That's the honest picture: recovery is common, it can take many months, and "common" is doing real work in that sentence. Which is exactly why freezing a sample before treatment deserves a place in the discussion—not a promise that it solves everything.3 38

What does the FDA actually say about these four drugs?

Testosterone, hCG, clomiphene, and enclomiphene have different regulatory statuses; the last three are not TRT. FDA approval attaches to a specific product and use, not to every preparation containing an ingredient. Approval, off-label prescribing, and compounding also do not establish that a treatment is safe or suitable for a particular patient.9 20 19

Drug or preparation	FDA-approved in the U.S.?	Relevant adult male indication	Compounding distinction	Fertility distinction
FDA-approved testosterone products	Yes—approved products include certain injections and gels; check the exact product	Testosterone replacement for the conditions specified in the product's labeling	Approval does not transfer to a compounded preparation	Can suppress sperm production; not a fertility treatment9 3
Compounded testosterone, including compounded creams	No	No FDA-approved indication for that compounded preparation	Must meet applicable compounding requirements; not an FDA-approved generic equivalent	Also adds outside testosterone; compounding does not remove the fertility concern19
hCG, including Pregnyl and Novarel	Yes, specific licensed products	Selected cases of hypogonadotropic hypogonadism—low testosterone due to inadequate pituitary signaling	hCG is a biological product, not eligible for the usual 503A/503B compounding exemptions	Stimulates the testicles; preserving fertility during TRT is not an approved indication11 12 17
Clomiphene citrate (Clomid)	Yes—for female ovulatory dysfunction	None. Male use is off-label	An approved tablet exists; a compounded blend containing clomiphene is not that approved product	Used in selected men to raise their own hormone signals; no guarantee of a pregnancy10 4
Enclomiphene citrate	No. Never approved	None	Not on the final 503A Bulks List. FDA's May 14, 2026 Category 1 list still includes it for evaluation under an interim enforcement policy	Studied as a non-testosterone alternative; not approved to preserve fertility13 15 16

Read the bottom two rows together, because this is the finding that matters most.

Clomiphene is an approved drug used off-label in men. Enclomiphene has never been approved at all. In June 2022, an FDA advisory committee voted 4 to 8 against adding enclomiphene citrate to the 503A Bulks List.10 14

That vote was not a final blanket ban. As of this check, enclomiphene remains in FDA's Category 1 group of nominated substances under evaluation. FDA's interim policy describes enforcement discretion when its conditions are met; this is neither FDA approval nor an assurance that every pharmacy's preparation is lawful.15 16

Off-label prescribing can be appropriate, and clomiphene has a place in selected male fertility care. That is a clinical decision, not a reason to ignore the label. You're paying for something with a specific regulatory status, and you deserve to know which one is in the bottle.4 20

One more finding worth its own line. In its notice about the March 23, 2020 biologics transition, the FDA identified four affected bulk substances reported by outsourcing facilities: human chorionic gonadotropin, hyaluronidase, follicle-stimulating hormone, and menotropins. These biological products were no longer eligible for the drug-compounding exemptions under sections 503A and 503B. Pharmacies can still dispense FDA-approved hCG products. A proposed "compounded hCG" preparation needs clarification of the exact product and lawful source—not a claim that compounding is the same as approved medicine.17

Non-testosterone does not mean risk-free. Clomiphene's label warns about visual symptoms that can sometimes persist; new blurred vision or flashes deserve prompt medical attention. hCG also has adverse effects and needs diagnosis-specific supervision. A higher hormone result alone does not establish symptom benefit, sperm health, or safety.10 11 4

Does hCG actually protect your fertility on TRT?

hCG acts like LH and can stimulate testosterone production within the testicles. But the AUA/ASRM guideline says evidence for adding it to TRT to preserve sperm is too limited to recommend that approach routinely. It is not a guaranteed fertility insurance policy.3

hCG stands for human chorionic gonadotropin. It acts like LH, which means it can stimulate the testicles even while outside testosterone is reducing the brain's signals.11

That's a real mechanism, and it's why the AUA lists hCG among the options a clinician may use in men with testosterone deficiency who want to maintain fertility. Note the wording though: that's a Conditional Recommendation at Evidence Level Grade C. In plain English—an option for selected cases, with limited evidence behind it, not a standard add-on for every TRT patient.2

Two specifics worth knowing before you pay for it:

One: the relevant approval is not for fertility protection during TRT. The FDA-approved adult male indication on Pregnyl and Novarel is for selected cases of hypogonadotropic hypogonadism caused by a pituitary deficiency. That is not the same as approval for protecting fertility while you take testosterone. That use is off-label.12 11

Two: the guideline does not support a promise. While some studies suggest sperm production might be preserved by adding hCG to testosterone in men wanting future fertility, the AUA/ASRM infertility guideline concludes that the literature is too limited to recommend the approach.3

For scale, one often-cited study followed 26 men receiving testosterone plus hCG. None developed azoospermia during the reported follow-up, and nine contributed to a partner pregnancy. But it was a small retrospective study, without a comparison group—not proof that the approach protects every patient. Its average follow-up was 6.2 months.8

We're not saying hCG doesn't work. We're saying a mechanism and a small study are not the same as a dependable fertility-preservation promise.

So: is hCG a scam? No. FDA-approved hCG products have a real male indication. It just isn't the guaranteed fertility insurance policy it can be sold as, and we won't publish a dose for it either—that belongs to your clinician.

Should you freeze sperm first, and what does it cost?

Sperm banking stores a sample that will not be exposed to hormones you take later, but it cannot guarantee a child. A current named example is Legacy's $540 package for one sample with one year of storage; required screening and later fertility treatment are separate cost questions. Discuss banking before a treatment decision when future children matter.35 38

This gives you something concrete: a stored sample, not a guaranteed outcome.

Be precise about what it does, though: banking doesn't prevent TRT from suppressing new sperm production. It preserves an option to use stored sperm later. You'll have a sample and a documented starting point—not proof that you are, or will remain, fertile.38

What it costs, as of September 2026:

Cost item	Published example or guidance	What that number does not settle
Legacy one-sample package, first year	$540 total: $295 for its analysis component plus $245 for freezing/storage; one year included	The provider says required pre-freeze sexually transmitted infection testing is not included36
Legacy ongoing storage	$245 per sample per year at the listed annual rate	Future price changes, extra samples, withdrawal/transfer, and later treatment costs35
Clinic storage, general guide	Johns Hopkins gives a broad $100–$500 per year storage range	This is not a quote for collection, screening, freezing, or your local clinic's full service37

At-home collection still means shipping a sample to a laboratory. It is not home freezing. Ask the bank about shipping, pre-freeze screening, post-thaw results, renewal terms, and whether the fertility clinic you may use later will accept the stored sample.37

Now put that next to a hormone subscription. Legacy's $540 package is less than three months at $194—$582—in the lower Male Excel medication-plus-membership scenario below. That is a comparison of listed components, not two complete care plans. It leaves out any additional screening, shipping, future treatment, and prescription-specific costs.35 23

Two honest caveats. Some sperm cells do not survive freezing and thawing; the loss varies, so ask about the sample's post-thaw assessment rather than assuming a fixed survival percentage. And using banked sperm later means fertility treatment, which is a real cost of its own.37 38

One thing to ask for. When you bank, ask for a copy of your semen analysis and the storage agreement. That gives you—and any doctor you see later—a record of the sample and what was measured. A testosterone panel does not replace that information.5

What do the providers actually offer?

We checked what each provider publishes about fertility-relevant care, the fees that can be added up, and what we could not confirm. None of the reviewed hormone offers established a complete first-year fertility-care price. Below, known fees are added together without turning missing costs into zero.

Affiliate disclosure: Male Excel and Taurus Meds are commercial partners of TRT Provider Guide. We may earn commissions through affiliate referrals elsewhere on the site. The links in this article are public information and source links, not affiliate enrollment links; neither partner is recommended here as a verified fertility-preservation program. Read our affiliate disclosure.

Our labels, so you know what you're reading:

Verified document or calculation—we read the cited public page or reproduced the arithmetic. This does not mean we tested the service.
Provider-stated—the company says it; we haven't independently confirmed delivery, clinical quality, or your eligibility.
Not confirmed—the pages we reviewed didn't establish it, which is not the same as "they don't offer it."
Editorial judgment—our conclusion, drawn from the facts above it.

Customer reviews are not used here to prove clinical results, prices, licensing, or policy. No patient experience or support interaction has been invented.

Editorial judgment — our conclusion, drawn from the facts above it

Male Excel—the membership is clear; the oral quote is not

Male Excel advertises testosterone cypionate injections, a compounded testosterone Lipoderm cream, and Triclozene, a compounded oral product. Triclozene is the fertility-relevant offering to investigate because its advertised SERM component is not testosterone—not because fertility preservation has been verified.23 24

Here is the cost finding. Male Excel advertises treatments "starting at $95/month." That number is real, and it is also not what you pay. A $99/month Medical Membership is required for treatment and is listed separately, plus a one-time $99 home hormone test and online consultation. But the pricing page also displays $120/month for the oral program. Both figures appeared in the material checked September 8, 2026.23 24

Male Excel program or price scenario	One-time start	Medication: 12 monthly equivalents	Required membership: 12 months	Known subtotal—not a complete first-year quote
Triclozene at the displayed $95 starting price; non-testosterone compounded blend	$99	$95 × 12 = $1,140	$99 × 12 = $1,188	$2,427
Triclozene at the separate $120 price also displayed	$99	$120 × 12 = $1,440	$99 × 12 = $1,188	$2,727
Testosterone cypionate injection program with thyroid; exact dispensed products need confirmation	$99	$120 × 12 = $1,440	$99 × 12 = $1,188	$2,727
Compounded testosterone Lipoderm cream program with thyroid; compounded cream is not FDA-approved	$99	$132 × 12 = $1,584	$99 × 12 = $1,188	$2,871

Calculation: one-time start + 12 × (displayed medication rate + required monthly membership). These are alternative price scenarios, not a confirmed price range or a promise of treatment. The testosterone rows provide context; they are not fertility-preserving alternatives.23

Plus shipping and handling, applicable taxes, dose-related price changes, and any separately required testing or visits. Male Excel states there is no contract and you can pause or cancel anytime. Its pricing page describes injections and cream as billed every other month for a 60-day supply; ask for the actual billing and refill calendar rather than assuming monthly equivalents equal 365 days of medication. Its terms specify cash-pay care without insurance billing.23 27

So the honest headline is: the advertised $95 becomes $194 a month once membership is included. The other displayed oral price becomes $219 a month. The resulting $2,427 or $2,727 models are known subtotals, not settled first-year bills. That's not a gotcha—the membership is disclosed on the pricing page. It's a reason to get the exact oral price and all added costs in writing.

Two things you should know before you choose Triclozene.

First, the label question. On September 8, 2026, we found Male Excel describing the same product two different ways. Its pricing page calls Triclozene "Clomiphene Citrate with Thyroid" and lists the ingredient as "Clomiphene Citrate (Generic Clomid)." Its product page—at a URL ending in /clomiphene-for-men/, with a page title that still says "Buy Clomid for Men Online"—headlines "Buy Enclomiphene Citrate for Men Online" and describes a blend featuring enclomiphene citrate. Same company, same day, two different drugs named.23 24

That distinction is not cosmetic. As the table above shows, clomiphene is an approved drug used off-label in men, while enclomiphene has never been FDA-approved. Its advisory-committee rejection and current Category 1 status are separate facts. Before you pay, ask in writing which molecule is in your prescription, its full formula, and which pharmacy will dispense it.10 14 15

Second, one claim we can't repeat as fact. Male Excel's product page describes the treatment as preserving fertility without affecting it. That's the company's claim, not a verified outcome. SERMs do not work by adding outside testosterone, but that does not let a provider promise that an individual's fertility will be preserved.24 4

And here's the flaw we think matters most. The advertised Triclozene is a proprietary blend—the SERM comes bundled with desiccated thyroid medication and selenomethionine in one tablet. The reviewed offer does not establish a standalone SERM option. Convenience is not a reason to take thyroid hormone without a medical indication. Male Excel's own safety information notes that in people with normal thyroid levels, ordinary replacement doses don't help with weight loss and larger doses can cause serious problems.23 24

The FDA issue is more than a missing label detail. In its current notice, the FDA says animal-derived thyroid medicines are unapproved and are not eligible for compounding because they are regulated as biological products. That is directly relevant to the desiccated-thyroid blend advertised here. We did not inspect a dispensed prescription and cannot establish what a patient would actually receive; the advertised formula needs written clarification from the prescriber and pharmacy before a purchase decision.18

The FDA describes a risk-based enforcement approach, not a notice that every thyroid medicine has suddenly been recalled. Already taking such a product? Discuss it with your prescriber rather than changing treatment yourself.18

If getting the SERM by itself is your priority, a clinician who can assess a standalone option is the better care route. Male Excel's membership does list unlimited support-team messaging and unlimited medical-provider e-visits. Those are useful access details, but they do not establish semen testing, reproductive-urology oversight, or a clinical need for the thyroid component.23

Editorial judgment: the formula and regulatory questions are not resolved well enough to recommend this blend for a fertility goal. Read how TRT affects fertility or use Find My TRT Path when choosing the type of clinician to ask.

"I know the program I was quoted. What do I need before intake?" → Copy the ingredient and full-cost questions, then compare the written reply with Male Excel's published pricing. The formula, added charges, and any in-person requirement need to be clear before you commit.

Taurus Meds—the public offer is accessible, but it is not a fertility-care quote

Taurus Meds' testosterone offer lists $49 for blood testing and an initial consultation, followed by medication advertised from $149/month if prescribed. It names LabCorp and Quest for testing. It also names enclomiphene, but that page does not establish a clearly priced, standalone oral program with confirmed ingredients and fertility testing.29

Taurus's terms name RedRock Pharmacy, Health Warehouse, Precision Compounding Pharmacy, and Triad Rx as pharmacy partners. This is a provider-stated partner list, not confirmation that any one of them will dispense your proposed hormone product or that its license covers your state. We did not independently audit these pharmacies.30

The billing question is still open. The offer says there are no membership fees. Taurus's general terms also describe a $17.99 fee per billing period unless otherwise stated at purchase. An offer-specific waiver could explain that difference; we did not complete checkout to establish which terms a patient would accept.29 30

The offer-only calculation is $49 + 12 × $149 = $1,837. If the $17.99 fee applied monthly, it would add $215.88, producing $2,052.88 before any other charges. That second number is a sensitivity calculation—not a finding that the fee is charged. Neither figure is a complete fertility-care quote.

A six-month commitment or $199 month-to-month price was not established in the current official offer. The current public terms say billing periods depend on the selected plan. Get the chosen term, renewal price, exact medication, required repeat tests, and full bill in writing.30

A fertility-specific service—semen analysis, reproductive-urology referral, or abnormal-result management—is not confirmed in the reviewed Taurus pages. Its format descriptions are also inconsistent: injection wording appears beside some non-injectable product categories. A menu entry is not enough to settle your prescription's formulation.29

Cancellation needs its own check. The refund policy calls for at least 72 hours' notice before the next billing date. It says routine cancellation does not create a refund, while medical disqualification can qualify under stated conditions. The advertised 90-day guarantee excludes lab and pharmacy costs; ask which policy applies to your particular offer.31 29

"I want a standalone enclomiphene option priced." → Get the questions for an exact medication quote. Taurus's testosterone ad is not a substitute for that quote, and a price reply is not proof of fertility-focused care.

The specialist route — for when the answer isn't a subscription

Posterity Health is a male-fertility and reproductive-urology group, not just a hormone-prescription offer. It documents semen assessment, specialist consultation, and individualized fertility care. Its $199 home baseline semen analysis includes a specialist results discussion and two-way shipping; it is not a comprehensive physical examination or a complete hormone workup.32 33

Its separate billing page lists $475 for a new self-pay appointment and $275 for a return appointment. Those are appointment prices—not mandatory additions to every $199 order, and not a complete workup total. The required services depend on the clinical plan.34

The company states that its physicians are fellowship-trained male reproductive urologists and advertises same-week access. We did not independently check each clinician's license or fellowship, book a visit, or verify wait times. Confirm the assigned clinician, your state, whether an examination must be local, and any insurer or employer fertility-benefit coverage.33 34

Editorial judgment: if you are trying to conceive now, have an abnormal semen result, or have any of the complicating factors listed earlier, this category is the right starting point and a hormone subscription is not. Posterity is the clearest documented fertility-service fit among these three providers, not a claim of better pregnancy outcomes or universal access. A local reproductive urologist may be the better fit for your network, examination, or follow-up needs.5

Review Posterity Health's semen-assessment service to see what the $199 offer includes. This is a public information link, not an affiliate enrollment link.

What the provider pages do—and do not—establish

This is our September 8, 2026 fertility-care disclosure comparison. A checked page is evidence of what the provider publishes, not proof of the service you will receive.

Decision detail	Male Excel	Taurus Meds	Posterity Health
Fertility questions before payment	Not confirmed	Not confirmed	A fertility service is documented; the exact pre-payment questionnaire was not inspected
Semen analysis and interpretation	Not confirmed in the hormone-program pages	Not confirmed in the testosterone offer	Documented in the $199 service; a specialist results discussion is included
Repeat early-morning testosterone testing	Initial home kit documented; terms name AEMA Labs. A required second morning test and its fee are not established	Blood testing documented; second morning test and fee not established	Hormone workup depends on the evaluation; not established as part of the $199 semen service
Clinician access and qualifications	Support messaging and provider e-visits listed; reproductive-urology expertise not established	Clinician consultation listed; fertility-specialist involvement not established	Reproductive-urology expertise is provider-stated; individual credentials were not independently audited
Abnormal semen results	Who manages or refers is not confirmed	Who manages or refers is not confirmed	Specialist review and next-step planning are documented; further services and charges depend on the case
Exact medication and pharmacy	SERM name conflicts across pages; thyroid blend is material; specific dispensing pharmacy not established	Four pharmacy partners are named in its terms, but the pharmacy and formula for a standalone enclomiphene prescription are not established	No medication or dispensing pharmacy is promised by the baseline testing package
hCG source, if later proposed	Not established in the reviewed offer	Not established in the reviewed offer	Not established by the baseline testing offer
Ongoing monitoring	General program describes a 60-day review and six-month blood testing; SERM-specific and semen follow-up not established	Exact follow-up schedule and included repeat testing not established	Further testing and visits need an individual plan and quote
Refills and shipping	Price page describes 60-day supplies and refill reminders; the FAQ gives a 48-hour response window before billing/shipping. Confirm which program it applies to; delivery dates are estimates	Timelines are advertised, but exact refill lead time and selected-product shipping charges need confirmation	Two-way shipping included for the semen kit; medication refills are not part of that offer
Cancellation and refunds	Cancellation allowed; general terms make sales final except stated exceptions. The separate guarantee covers eligible initial 90-day membership fees, with a request deadline 30 days after that period—not medication or a blanket refund	Automatic renewal; 72-hour cancellation notice; guarantee/refund terms require offer-specific confirmation	Confirm appointment, unused-kit, rescheduling, and refund terms before paying
Copies of records	Exact medical-record request process and charges not established in the reviewed program pages	Exact clinical-record request process and charges not established in the reviewed offer	Confirm report delivery and how to request the full clinical record

Sources: official provider program, pricing, terms, refund, and service pages.23 24 25 26 27 28 29 30 31 32 33 34

A gap is a question, not a verdict. "Not confirmed" does not mean "not offered." Before paying, ask who orders the test, who reads it, who owns follow-up, and who can release your records if you move your care. A customer-support channel is not proof that a fertility specialist will manage an abnormal result.

What did we actually verify?

We reviewed public provider disclosures and primary clinical and regulatory sources, then checked the cost arithmetic against the fees shown. This is editorial research, not a hands-on patient review or an assessment of anyone's clinical outcomes.

What we actually verified

Verification date: September 8, 2026

Verified documents and calculations: Male Excel's pricing, Triclozene, FAQ, program, terms, and guarantee pages—including the required membership, both displayed oral prices, conflicting SERM names, and advertised thyroid ingredients. Taurus Meds' accessible testosterone offer, recurring-fee terms, and refund policy. Posterity Health's semen-assessment service and separate self-pay appointment prices. We recalculated the cost models; none is represented as a complete fertility-care quote.

Clinical and regulatory sources checked: AUA and AUA/ASRM guideline documents, the Endocrine Society's diagnosis and fertility recommendations, FDA records and prescribing information, the Liu recovery-study abstract, the Hsieh and Kohn study reports, and the federal fourth temporary telemedicine extension. We checked both the 2022 enclomiphene advisory vote and FDA's May 2026 Category 1 list, plus FDA's current animal-derived thyroid notice.

Provider-stated, not independently confirmed: delivery of listed services, clinician credentials, appointment speed, insurance participation for an individual patient, cancellation performance, and shipment timing. Reading a company's page does not independently confirm those claims.

Not confirmed: patient-specific state eligibility, the contents of private intake and checkout, the actual formula and pharmacy on a future prescription, complete required testing costs, and a complete first-year fertility-care plan. The provider-specific table above distinguishes these gaps; Posterity's documented semen service is not grouped with unconfirmed services.

Deliberately excluded as proof: paid-placement coverage, anonymous clinical claims, and reviews presented as evidence of treatment safety or effectiveness. We do not use marketing coverage to settle a medical or legal question.

We did not create patient accounts, attend appointments, test cancellations, time support responses, or audit pharmacy licensing. See How We Review TRT Providers for our full method.

Already on TRT and trying to conceive—where should you start?

Don't stop or change anything on your own. Contact your prescribing clinician and a male fertility specialist to discuss semen testing and your plans. Whether treatment should change, and when, needs an individual plan—not an online protocol.3

First, the thing you probably need to hear: this isn't your fault.

The AUA's 2018 guideline described older studies in which up to 25% of men receiving testosterone had no recorded pre-treatment test, and up to a third did not meet diagnostic criteria. Those are historical findings, not a current estimate for every clinic. If a clinic took your money without ever asking whether you wanted children, that was a gap in your care—not a reason to blame yourself.2

What to do now, in order:

Ask about a semen analysis. You need data, not guesses. A blood testosterone result cannot tell you your sperm count.5
Talk to your prescribing clinician about your fertility goal. Don't quit cold on your own and don't add anything on your own.
See a male fertility specialist. For men on testosterone who are planning children, guideline counseling includes how treatment affects sperm and what a change in treatment could involve. How and when is a clinical decision about you.3

Yes, there are medicines used to help restart sperm production after testosterone. No, we are not going to name a protocol, a dose, or a timeline. Anyone doing that online, without seeing your labs, is telling you something they cannot possibly know.

→ Map your next step with Find My TRT Path—explore the kind of clinician to investigate and the questions to bring. It doesn't diagnose anything.

Can you actually do this online?

Many people can begin with telehealth, but not every fertility evaluation or prescription can be completed remotely. A federal temporary rule permits qualifying controlled-substance prescribing through telemedicine without a prior in-person visit through December 31, 2026; state law and clinical needs still apply.22

Testosterone is a Schedule III controlled substance in the United States. It requires a valid prescription, and federal rules govern whether it can be prescribed without seeing you in person.21

The DEA and HHS issued a fourth temporary extension of COVID-era telemedicine flexibilities for prescribing controlled medications, effective January 1, 2026 through December 31, 2026. For testosterone under this flexibility, the encounter must meet the applicable audio-video, legitimate-medical-purpose, prescriber-authority, and federal and state requirements. A questionnaire alone is not permission to prescribe.22

Three things follow from that, and they're worth understanding before you commit to a recurring plan:

It's temporary and it's dated. The current authority expires at the end of December 2026 unless extended again or replaced. That's not a reason to rush—it's a reason to ask any provider what happens to your prescription if the rule changes mid-plan.22
Federal permission isn't state permission. State law and licensing still apply. Confirm that the assigned clinician can treat and prescribe for you in the state where you will be during the visit.22
Some providers require an exam anyway. Male Excel, for example, states on its own pages that based on DEA and state laws, your testosterone treatment plan may require an in-person medical exam.23

State access, checked September 8, 2026: Male Excel's FAQ excludes Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island. That is a provider-stated service list, not a claim that treatment is illegal in those states. Taurus's reviewed offer does not establish a complete state-by-state list. Posterity's virtual and in-person options also need confirmation for your location and assigned clinician.25 29 33

A fertility consultation may start online, with an examination or other testing arranged locally when needed. Non-testosterone prescription care still has licensing and prescribing requirements even when the testosterone-specific controlled-substance rule is not involved. Compare online vs local TRT care by what you need evaluated, not simply by whether a website offers a video visit.5 4

What should you ask before you pay?

Ask for written answers on who evaluates your fertility concern, what testing happens, exactly which medicine is proposed, and what the complete cost is. The most useful answer identifies who owns your fertility question—not just whether a drug is available.

Copy these six. Send them before you enter a card number. A clear written reply is more useful than a reassuring slogan.

Who will evaluate my fertility concern, and what training do they have in male fertility?
Will you arrange and interpret a semen analysis, or refer me to someone who does — and what happens if the result is abnormal?
Exactly which medicine and formulation are you proposing? If it's a SERM: is it clomiphene or enclomiphene? Is the exact product FDA-approved or compounded? Does it contain thyroid or any other active drug? Which pharmacy dispenses it?
If hCG is proposed, what is the exact FDA-approved product and dispensing pharmacy? A compounded preparation is not interchangeable with an approved hCG product.
What is my complete first-year cost—consultation, membership, medication, labs, follow-ups, shipping—and what's billed separately? Include any second early-morning testosterone test, semen tests, physical exam, taxes, and the renewal/billing calendar.
How do cancellation, refunds, refills, and getting copies of my records work? Who receives the cancellation, how much notice is required, and does ending a membership cancel the next medication shipment?

Question 3 matters especially on this page. As we found firsthand on public pages, a provider can name two different drugs for the same product.

Add the quote before comparing the price

Part of the first year	What to have the provider state in writing
Starting evaluation	Consultation, initial blood testing, repeat diagnostic testing, and any examination
Fertility assessment	Semen analysis, repeats, interpretation, specialist consultation, and referral charges
Ongoing care	Membership, each medicine and its ingredients, monitoring tests, and follow-up visits
Fulfillment	Shipping, supplies, taxes, refill intervals, and any minimum purchase
Leaving or changing care	Cancellation deadline, nonrefundable costs, unused treatment rules, record-copy process, and continuity arrangements

First-year total = starting costs + all recurring charges + required testing and visits + fulfillment charges. Count the actual billing periods. If a required amount is missing, label the result a known subtotal, not a complete quote.

This worksheet is a way to compare written answers—not a calculator that determines whether treatment is appropriate.

What else should you know about TRT providers and fertility?

Medication choice, a semen result, and the chance of pregnancy are different questions. These answers address the remaining care, cost, and access issues without turning any one of them into a guarantee.

Can you take TRT and still have kids? Yes, pregnancy can still happen while someone is on TRT; sperm suppression is not complete in every man. That does not make TRT suitable when trying to conceive, and it must not be treated as birth control. A fertility-aware clinician should assess your plans before treatment or changes to treatment.3 8

Which TRT is best for fertility? No testosterone treatment format comes with a reliable guarantee of preserved fertility. Injections, creams, gels, pellets, and other forms add outside testosterone. Even the limited research on short-acting nasal testosterone does not establish long-term reproductive outcomes or routine suitability when trying to conceive. Discuss non-testosterone care when fertility is central, rather than assuming a different delivery format solves it.3

How long until sperm comes back after stopping TRT? In the Liu analysis of healthy contraceptive-study volunteers, the median time to reach 20 million sperm/mL was about 3.4 months, with modeled recovery to that threshold of 67% within six months and 90% within a year. Those figures are not pregnancy rates or a forecast for long-term TRT. Recovery can take months or longer and may be incomplete; your clinician should track semen findings rather than promise a date.6 3

Is enclomiphene FDA-approved? No. It was studied as Androxal and never approved. The FDA advisory committee voted against adding it to the final 503A Bulks List in 2022, but FDA's May 2026 Category 1 list still includes it under evaluation. Interim enforcement discretion is not FDA approval, and compounded enclomiphene is not an approved generic or an approved equivalent.13 14 15 16

Does hCG protect fertility on TRT? It may help in selected cases, but it does not guarantee protection. Unlike clomiphene and enclomiphene, approved hCG products have a relevant adult male indication for selected cases of hypogonadotropic hypogonadism—not preservation during TRT. AUA/ASRM says evidence for adding hCG to testosterone for that purpose is too limited to recommend the approach.11 3

Do online TRT clinics test sperm? Some services arrange semen testing; a hormone subscription does not necessarily include it. Posterity's reviewed offer includes a semen assessment and specialist discussion. We did not confirm semen testing in the reviewed Male Excel or Taurus hormone offers. Ask directly rather than assuming either inclusion or absence.32 24 29

Should I freeze sperm before starting TRT? It's worth discussing before treatment when future children matter. A current example is Legacy's $540 one-sample package with one year of storage, excluding required pre-freeze infection testing; its listed ongoing storage is $245 per sample per year. It doesn't guarantee fertility or a child—it preserves an option to use stored sperm.35 36 38

Can a blood test tell me if I'm fertile? Not by itself. Hormone panels tell you about hormones, not your sperm count. Semen analysis is part of the fertility assessment, and even a normal result doesn't guarantee a pregnancy. A specialist interprets both together, along with your history and an examination.5

Is testosterone a controlled substance? Yes. Testosterone is Schedule III in the United States and requires a valid prescription. Prescribing and monitoring require clinical care; a questionnaire does not guarantee a prescription, online or otherwise.21 22 1

Does insurance cover any of this? It varies by service, plan, and provider. Male Excel's terms specify cash-pay care and no insurance claims for its services; the company advertises FSA/HSA use, but that is not a guarantee of reimbursement from your plan. Taurus also advertises cash-pay care. Posterity lists commercial insurers and employer fertility-benefit relationships, but says it does not accept Medicare, Medicaid, Tricare, or TriWest. Confirm network status, covered testing, authorization requirements, and your share before booking.27 23 29 34

Is the cheapest monthly price the cheapest option? Not necessarily. Male Excel's advertised $95/month becomes $194/month once its required $99 membership is added; its other displayed $120 oral price becomes $219/month. Shipping and unresolved testing costs still matter. Taurus's offer and general recurring-fee terms also need to be reconciled. Always compare the full written quote, not just the lowest visible number.23 29 30

Still not sure which TRT care route fits you?

Use our free Find My TRT Path tool. Answer a few questions about testing, fertility plans, budget, and care preferences to explore which care route may be worth investigating and which questions to ask before you pay. It is educational and does not diagnose low testosterone, determine medical eligibility, or guarantee you a prescription.

About this research: Editorial standards · Affiliate disclosure · Privacy policy · Corrections and provider updates

Sources

Provider facts and regulatory status were checked September 8, 2026. Older research is dated below so its findings are not mistaken for a current provider outcome.

Endocrine Society. Testosterone Therapy for Hypogonadism Guideline Resources. Diagnosis requires compatible symptoms or signs and consistently low testosterone, confirmed with repeat morning fasting testing; near-term fertility changes treatment suitability. Return to first citation
American Urological Association. Evaluation and Management of Testosterone Deficiency. Statements 1–3, 10, 16, 23, and 27. Original 2018 guideline publication; accessible copy of the guideline paper. Return to first citation
AUA/ASRM. Diagnosis and Treatment of Infertility in Men, amended 2024. Statements 41–42 and their discussion, including distant-future counseling, recovery limits, and the limited evidence for TRT with hCG. Accessible copy of the original 2024 guideline PDF, printed pages 34–36. Return to first citation
American Society for Reproductive Medicine. Diagnosis and treatment of infertility in men: AUA/ASRM guideline, Part II. Original guideline discussion of non-testosterone therapies, causes, and limits; the amended 2024 statement is cited separately above. Return to first citation
European Association of Urology. Male Infertility. Evaluation, semen analysis, repeat testing, and interpretation alongside history and examination. Return to first citation
Liu PY, Swerdloff RS, Christenson PD, Handelsman DJ, Wang C. Rate, extent, and modifiers of spermatogenic recovery after hormonal male contraception: an integrated analysis. The Lancet. 2006;367:1412–1420. Published abstract and study details in the University of Manchester research record. Return to first citation
Kohn TP and colleagues. Age and duration of testosterone therapy predict time to return of sperm count after human chorionic gonadotropin therapy. Fertility and Sterility. 2017;107:351–357.e1. Retrospective study of 66 men with infertility after testosterone use. Return to first citation
Hsieh TC and colleagues. Concomitant intramuscular human chorionic gonadotropin preserves spermatogenesis in men undergoing testosterone replacement therapy. Journal of Urology. 2013;189:647–650. Small retrospective series; the article title is not a guarantee for individual patients. Return to first citation
FDA. Testosterone Information. Product-specific approval and labeling information. Return to first citation
DailyMed. Clomid—clomiphene citrate prescribing information. Approved indication and visual-symptom warnings. Return to first citation
DailyMed. Novarel—chorionic gonadotropin prescribing information. Adult male indication and adverse reactions. Return to first citation
DailyMed. Pregnyl—chorionic gonadotropin prescribing information. Product labeling and indications. Return to first citation
FDA. June 2022 Pharmacy Compounding Advisory Committee presentation materials. Enclomiphene's development, lack of approval, and evidence review. Return to first citation
FDA. June 2022 Pharmacy Compounding Advisory Committee meeting summary. Advisory vote on enclomiphene citrate: 4 yes, 8 no. Return to first citation
FDA. 503A nominated bulk substances: Category 1 list, updated May 14, 2026. Includes enclomiphene citrate under evaluation. Return to first citation
FDA. Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act. Interim enforcement-discretion policy and conditions; Category 1 is not approval. Return to first citation
FDA. Notice to Compounders: Changes that affect compounding as of March 23, 2020. Biological products, including hCG, are not eligible for 503A/503B drug-compounding exemptions. Return to first citation
FDA. FDA's Actions to Address Unapproved Thyroid Medications. Current position on animal-derived thyroid medicines, biological-product status, compounding ineligibility, and risk-based enforcement. Return to first citation
FDA. Compounding and the FDA: Questions and Answers. Compounded drugs are not FDA-approved. Return to first citation
FDA. Understanding Unapproved Use of Approved Drugs "Off Label". Off-label prescribing is different from approval of an unapproved drug. Return to first citation
DEA Diversion Control Division. Controlled Substance Schedules. Testosterone is Schedule III. Return to first citation
DEA/HHS. Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications. Effective January 1–December 31, 2026, with applicable federal and state conditions. Return to first citation
Male Excel. Hormone Treatment Costs. Provider-stated prices, required membership, multiple oral prices, added shipping, and program details. Return to first citation
Male Excel. Oral hormone-treatment product page. Provider-stated Triclozene formula, enclomiphene description, pricing, and fertility claims. Return to first citation
Male Excel. Frequently Asked Questions. Current provider-stated state exclusions and initial testing process. Return to first citation
Male Excel. The Excel Advantage program. Provider-stated review and blood-testing cadence; not proof of fertility-specific monitoring. Return to first citation
Male Excel. Terms and Conditions. Cash-pay status, automatic charges, cancellation, taxes, shipping, and refund limitations. Return to first citation
Male Excel. Excel Advantage Guarantee Terms. Conditions and limits of the membership-fee guarantee. Return to first citation
Taurus Meds. Testosterone offer. Provider-stated $49 evaluation, $149/month medication offer, laboratory process, guarantee exclusions, and treatment descriptions. Return to first citation
Taurus Meds. Terms of Service. Renewal, billing-period terms, and the $17.99 fee with an offer-specific exception. Return to first citation
Taurus Meds. Refund Policy. Cancellation notice and refund conditions. Return to first citation
Posterity Health. Order a Semen Analysis. Provider-stated $199 service, two-way shipping, and specialist results consultation. Return to first citation
Posterity Health. Fertility Services. Provider-stated specialist qualifications, care model, and appointment availability. Return to first citation
Posterity Health. Patient Billing Information. Separate self-pay appointment prices and insurance/benefit relationships and exclusions. Return to first citation
Legacy. Sperm Freezing Plans. Provider-stated one-sample package and storage charges; required screening exclusions. Return to first citation
Legacy. Sperm Freezing Costs. Provider's $295 plus $245 breakdown for the $540 one-year example. Return to first citation
Johns Hopkins Medicine. Sperm Banking. General storage-cost range, banking process, and freeze-thaw limits. Return to first citation
Human Fertilisation and Embryology Authority. Sperm Freezing. Biological process and limitations; U.K. legal rules or prices are not applied to U.S. readers here. Return to first citation

Best TRT Providers for Fertility: The 5 Care Routes, Compared (2026)