hCG With TRT: Do You Need It? 2026 Evidence + Costs

hCG with TRT is optional, not automatic. It can support testosterone production inside the testicles, but evidence that it reliably preserves fertility is limited. If children matter now or later, discuss fertility before relying on this combination. Using hCG to preserve sperm during TRT is off-label, and it cannot guarantee pregnancy.

By TRT Provider Guide · Editorial research, not clinically reviewed · Last verified: October 2026 (studies, labels, guidelines and clinic pages checked October 23, 2026)

Last updated: October 23, 2026.

Here's the hard part of the TRT and hCG decision: adding hCG has not been shown to reliably cancel out testosterone's effect on fertility. Guidelines advise against testosterone when fertility is planned in the near term. We'll show you what they do say, why men discuss hCG anyway, and what to ask before paying for it. (Endocrine Society; Hsieh study)

Best for: U.S. adult men weighing an hCG add-on to prescribed TRT. Not for you if: you want a dose or a steroid-cycle plan. Trying for a baby? Start with the fertility route below.

The 20-second version:

Trying for a baby now or soon? Talk to a reproductive urologist before you change anything. A TRT add-on is the wrong starting point for a fertility evaluation.
Kids are a "maybe someday"? Discuss fertility before relying on TRT plus hCG. Ask about a baseline semen analysis and sperm banking.
Done having kids, and testicle size doesn't bother you? Ask what goal hCG would serve before paying for it. See who may not need it ↓
Not diagnosed with low testosterone yet? Testing comes first. How low T is diagnosed

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.

Educational information, not medical advice. hCG and testosterone are prescription drugs. A licensed clinician decides whether either fits your health and fertility goals.

How we make money: TRT Provider Guide has affiliate relationships with Male Excel, Hone Health and Taurus Meds and may earn commissions through affiliate links. These relationships do not decide which care route fits you. Read our affiliate disclosure.

Jump to: Do I need it? · How it works · Does it protect fertility? · Shrinkage · Side effects · Where to get it · Cost · Skip hCG? · Compounded hCG · Gonadorelin · Adding it later · State rules · Checklist · FAQ

Do you need hCG with TRT? It depends on one question

Answer: Whether hCG belongs in your TRT plan depends on your goal, your diagnosis and your fertility timeline. If children matter now or later, discuss the whole treatment plan rather than assuming hCG protects sperm. If fertility and testicle size are not concerns, ask what other medical goal the add-on would serve.

Some men are told on forums that hCG should always go with TRT. Or a clinic adds it at checkout. Then they wonder if they need it. Reddit user u/Affectionate-Net-680 put it simply in his thread title: "Is HCG with TRT really worth it?"

The honest answer: it depends on what you want it to do. Find your row.

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 1: Do you need hCG with TRT? It depends on one question
Your situation	Is hCG with TRT the usual answer?	The route that usually fits	What to ask	What it adds to your bill
Trying to conceive now	Do not rely on an add-on to solve this. Testosterone can suppress sperm.	A reproductive urologist (a urologist who focuses on male fertility). Ask about semen testing and a treatment plan.	"How should we handle my testosterone treatment, and what is the fertility plan?"	Specialist visits and semen tests
Want kids soon	A fertility assessment comes first.	Reproductive urologist. Discuss your timeline, current treatment and whether sperm banking fits.	"How does my timeline change the treatment plan, and how will we check my sperm?"	Specialist care, testing, possible sperm freezing
Maybe kids someday, not soon	A discussion option, not assured protection	Discuss fertility-preserving care options before choosing TRT; ask about a baseline semen analysis and sperm banking.	"Is TRT right for me, or should we consider a non-testosterone option first?"	Medication, testing and follow-up; get a written quote
No more kids planned, but shrinkage bothers you	Optional discussion	Ask whether hCG is likely to help your specific concern. Strong evidence for routine prevention of TRT-related shrinkage is lacking.	"What result are we aiming for, and how will we know it's working?"	Medication and follow-up; get a written quote
No more kids planned, and size doesn't bother you	No automatic reason to add it	Review the purpose of each medicine with your TRT prescriber. hCG would add cost and injections.	"Is there any medical reason I need hCG?"	No hCG cost if it is not part of the agreed plan
Not yet diagnosed	Not yet a question	Symptoms or signs plus consistently low testosterone, confirmed with repeat morning fasting testing; LH and FSH help identify the cause.	"Have we confirmed this properly?"	Lab costs
Primary hypogonadism (your testicles themselves aren't working well)	hCG may do little	Urology or endocrinology	"Does hCG even make sense if my testicles are the problem?"	Specialist care

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 1: Do you need hCG with TRT? It depends on one question: read as text

Trying to conceive now

Is hCG with TRT the usual answer?: Do not rely on an add-on to solve this. Testosterone can suppress sperm.
The route that usually fits: A reproductive urologist (a urologist who focuses on male fertility). Ask about semen testing and a treatment plan.
What to ask: "How should we handle my testosterone treatment, and what is the fertility plan?"
What it adds to your bill: Specialist visits and semen tests

Want kids soon

Is hCG with TRT the usual answer?: A fertility assessment comes first.
The route that usually fits: Reproductive urologist. Discuss your timeline, current treatment and whether sperm banking fits.
What to ask: "How does my timeline change the treatment plan, and how will we check my sperm?"
What it adds to your bill: Specialist care, testing, possible sperm freezing

Maybe kids someday, not soon

Is hCG with TRT the usual answer?: A discussion option, not assured protection
The route that usually fits: Discuss fertility-preserving care options before choosing TRT; ask about a baseline semen analysis and sperm banking.
What to ask: "Is TRT right for me, or should we consider a non-testosterone option first?"
What it adds to your bill: Medication, testing and follow-up; get a written quote

No more kids planned, but shrinkage bothers you

Is hCG with TRT the usual answer?: Optional discussion
The route that usually fits: Ask whether hCG is likely to help your specific concern. Strong evidence for routine prevention of TRT-related shrinkage is lacking.
What to ask: "What result are we aiming for, and how will we know it's working?"
What it adds to your bill: Medication and follow-up; get a written quote

No more kids planned, and size doesn't bother you

Is hCG with TRT the usual answer?: No automatic reason to add it
The route that usually fits: Review the purpose of each medicine with your TRT prescriber. hCG would add cost and injections.
What to ask: "Is there any medical reason I need hCG?"
What it adds to your bill: No hCG cost if it is not part of the agreed plan

Not yet diagnosed

Is hCG with TRT the usual answer?: Not yet a question
The route that usually fits: Symptoms or signs plus consistently low testosterone, confirmed with repeat morning fasting testing; LH and FSH help identify the cause.
What to ask: "Have we confirmed this properly?"
What it adds to your bill: Lab costs

Primary hypogonadism (your testicles themselves aren't working well)

Is hCG with TRT the usual answer?: hCG may do little
The route that usually fits: Urology or endocrinology
What to ask: "Does hCG even make sense if my testicles are the problem?"
What it adds to your bill: Specialist care

How we built this table: we matched each situation to the Endocrine Society guideline, ASRM fertility guidance, AUA/ASRM evaluation guidance and the studies further down. The "usual answer" column is our editorial judgment from those sources. It is not a prescription.

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 the appointment checklist to prepare the questions for your current clinician or fertility specialist. TRT Provider Guide's Find My TRT Path tool also provides an educational guide to online TRT programs.

Not sure which row is you? Explore online programs with Find My TRT Path → It's free, it's educational, and it won't diagnose you or promise a prescription. Take fertility questions to your clinician before choosing a program.

What does hCG do when you're on TRT?

Answer: TRT can turn down the brain signals LH and FSH, which support testosterone and sperm production in the testicles. hCG acts like LH and can stimulate testosterone production inside the testicles while those signals remain low. It does not replace FSH or prove that sperm production is normal.

Think of it as a three-step chain:

Your brain sends a hormone signal called LH (luteinizing hormone) to your testicles.
Your testicles use that signal to make their own testosterone. A second signal, FSH (follicle-stimulating hormone), helps drive sperm production.
TRT adds testosterone from outside. Your brain senses plenty and turns the LH and FSH signals way down.

hCG (human chorionic gonadotropin) plugs in at step 2. It acts on the testicles the way LH does, even though your brain's signal is quiet.

Why that matters for sperm. Sperm production depends on testosterone inside the testicles, where levels are far higher than in blood. TRT can push your blood level up while the level inside your testicles falls. In one randomized study, testosterone inside the testicles fell about 94% in healthy men on testosterone alone. hCG reduced that fall, with the result varying between study groups. (Coviello, 2005)

Here's what each one actually tells you:

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 2: What does hCG do when you're on TRT?
	What it does	What it can't tell you
TRT	Raises testosterone in your blood	Whether your testicles are still making sperm
hCG	Gives your testicles an LH-like signal	Whether you'll be fertile or get your partner pregnant
Semen analysis (a lab test of a semen sample)	Measures sperm count, movement and shape at the time of testing	Whether a pregnancy will happen; results may need repeat testing and clinical interpretation

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 2: What does hCG do when you're on TRT?: read as text

TRT

What it does: Raises testosterone in your blood
What it can't tell you: Whether your testicles are still making sperm

hCG

What it does: Gives your testicles an LH-like signal
What it can't tell you: Whether you'll be fertile or get your partner pregnant

Semen analysis (a lab test of a semen sample)

What it does: Measures sperm count, movement and shape at the time of testing
What it can't tell you: Whether a pregnancy will happen; results may need repeat testing and clinical interpretation

How often does TRT drop sperm count to zero?

In a World Health Organization male-contraception trial of 271 healthy, fertile men, the estimated chance of reaching a confirmed zero sperm count within six months was 65%—about two out of three. That trial was testing testosterone as male birth control. It does not tell you your personal risk on prescribed TRT, and TRT is not dependable contraception. (WHO, 1990)

Recovery can take months. In pooled data from 1,549 healthy volunteers in hormonal-contraception studies, the estimated chance of recovering to at least 20 million sperm per milliliter after stopping the hormonal treatments was 67% by six months, 90% by a year and 100% by two years. That was a modeled estimate for a sperm-count threshold, not a guarantee of fertility or a return to each man's starting count. Men treated for low testosterone may have different results. Treat those numbers as context, not a promise. (Liu, 2006)

What hCG is, and what it isn't

It's a prescription hormone. U.S.-licensed urinary hCG products include Novarel, Pregnyl and unbranded chorionic gonadotropin. Product labels and approved uses ↓
It's not testosterone, and it's not TRT. It works by prodding your own testicles.
Using it to preserve sperm during TRT is off-label. Off-label means a licensed drug is used for a purpose not approved on its label. The urinary hCG labels for males cover selected cases of hypogonadotropic hypogonadism caused by pituitary deficiency, and certain cases of undescended testicles in boys. The FDA has not approved these products specifically to preserve fertility during TRT. See the labels ↓

Does hCG with TRT protect your fertility?

Answer: Small studies suggest hCG may help some men maintain sperm production during TRT, but reliable fertility protection has not been established. In one uncontrolled study, none of 26 men became azoospermic—meaning no sperm were found in semen—and nine contributed to a partner pregnancy. Guidelines still advise against testosterone when fertility is planned in the near term. (Hsieh; Endocrine Society)

Before the evidence, one thing that makes it easier to read. Studies measure four different "finish lines":

Hormone levels (like testosterone inside the testicles)
Sperm count in a semen sample
Pregnancy
A baby born

Most hCG-with-TRT research stops at line 1 or 2. That doesn't make it useless. It means a study that "preserved sperm" hasn't promised you a baby.

What the studies actually showed

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 3: What the studies actually showed
What people say hCG does on TRT	Best evidence we found	Study type and size	Our plain-English verdict
Keeps you making sperm	Hsieh, Journal of Urology, 2013: no man on TRT plus hCG became azoospermic during observed treatment; nine contributed to a partner pregnancy	Looked back at records of 26 men, mean follow-up 6.2 months, no comparison group	Encouraging, not proven. It cannot give you a reliable pregnancy probability.
Keeps testosterone production inside the testicles	Coviello, J Clin Endocrinol Metab, 2005: about a 94% drop on testosterone alone; hCG reduced that fall	Randomized, 29 healthy men, 3 weeks	Strong on the mechanism. But it measured a hormone, not sperm or babies.
Raises testosterone inside the testicles in an experimental model	Roth, J Clin Endocrinol Metab, 2010: hCG increased testicular testosterone after researchers suppressed hormone signals with acyline	Randomized, 10 days; 37 men completed the study, with 31 in the suppressed-gonadotropin analysis	Supports the mechanism. This was not a routine TRT add-on trial and does not establish a fertility-protecting dose.
Prevents testicle shrinkage	Konsam 2026 measured testicular volume during treatment that included hCG, FSH and testosterone in congenital hypogonadotropic hypogonadism	Specialized disease population and combination treatment	The routine add-on question remains unresolved. This does not prove hCG alone prevents shrinkage in typical TRT patients.
Helps sperm come back after TRT	Wenker, J Sex Med, 2015: sperm returned or counts improved in 47 of 49 men, with an average response time of about 4.6 months	Looked back at 49 men with no sperm or very low counts, no comparison group; hCG was combined with other drugs	Promising for recovery. That treatment was specialist-run, not a simple add-on. The average is not a personal recovery timetable.
Recovery while continuing testosterone	Stocks, Fertility and Sterility, 2025: sperm concentration improved in 74% of men treated with hCG plus FSH; 27 continued testosterone and 50 stopped	Looked back at 77 men, one center	Newer and encouraging. It was recovery treatment, not preventive hCG alone. Similar percentages do not prove the two approaches equivalent; 74% is not a pregnancy rate.
Randomized evidence in men with lifelong low hormones	Konsam, Frontiers in Endocrinology, 2026: 45 adults with congenital hypogonadotropic hypogonadism, comparing specialist hCG/FSH/testosterone approaches	Randomized, open-label, small	Different population. These men were born with the condition. It does not establish routine hCG add-on fertility protection for typical TRT patients.
Raises estrogen	Hsieh 2013 reported a rise in mean estradiol that was not statistically significant	26 men	Possible, but not predictable from this study. Ask whether estradiol testing fits your symptoms and treatment.
Gonadorelin works just as well	The research reviewed here does not establish that routine gonadorelin injections protect sperm during TRT	No directly applicable comparative evidence identified	Unproven. More on this below.

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 3: What the studies actually showed: read as text

Keeps you making sperm

Best evidence we found: Hsieh, Journal of Urology, 2013: no man on TRT plus hCG became azoospermic during observed treatment; nine contributed to a partner pregnancy
Study type and size: Looked back at records of 26 men, mean follow-up 6.2 months, no comparison group
Our plain-English verdict: Encouraging, not proven. It cannot give you a reliable pregnancy probability.

Keeps testosterone production inside the testicles

Best evidence we found: Coviello, J Clin Endocrinol Metab, 2005: about a 94% drop on testosterone alone; hCG reduced that fall
Study type and size: Randomized, 29 healthy men, 3 weeks
Our plain-English verdict: Strong on the mechanism. But it measured a hormone, not sperm or babies.

Raises testosterone inside the testicles in an experimental model

Best evidence we found: Roth, J Clin Endocrinol Metab, 2010: hCG increased testicular testosterone after researchers suppressed hormone signals with acyline
Study type and size: Randomized, 10 days; 37 men completed the study, with 31 in the suppressed-gonadotropin analysis
Our plain-English verdict: Supports the mechanism. This was not a routine TRT add-on trial and does not establish a fertility-protecting dose.

Prevents testicle shrinkage

Best evidence we found: Konsam 2026 measured testicular volume during treatment that included hCG, FSH and testosterone in congenital hypogonadotropic hypogonadism
Study type and size: Specialized disease population and combination treatment
Our plain-English verdict: The routine add-on question remains unresolved. This does not prove hCG alone prevents shrinkage in typical TRT patients.

Helps sperm come back after TRT

Best evidence we found: Wenker, J Sex Med, 2015: sperm returned or counts improved in 47 of 49 men, with an average response time of about 4.6 months
Study type and size: Looked back at 49 men with no sperm or very low counts, no comparison group; hCG was combined with other drugs
Our plain-English verdict: Promising for recovery. That treatment was specialist-run, not a simple add-on. The average is not a personal recovery timetable.

Recovery while continuing testosterone

Best evidence we found: Stocks, Fertility and Sterility, 2025: sperm concentration improved in 74% of men treated with hCG plus FSH; 27 continued testosterone and 50 stopped
Study type and size: Looked back at 77 men, one center
Our plain-English verdict: Newer and encouraging. It was recovery treatment, not preventive hCG alone. Similar percentages do not prove the two approaches equivalent; 74% is not a pregnancy rate.

Randomized evidence in men with lifelong low hormones

Best evidence we found: Konsam, Frontiers in Endocrinology, 2026: 45 adults with congenital hypogonadotropic hypogonadism, comparing specialist hCG/FSH/testosterone approaches
Study type and size: Randomized, open-label, small
Our plain-English verdict: Different population. These men were born with the condition. It does not establish routine hCG add-on fertility protection for typical TRT patients.

Raises estrogen

Best evidence we found: Hsieh 2013 reported a rise in mean estradiol that was not statistically significant
Study type and size: 26 men
Our plain-English verdict: Possible, but not predictable from this study. Ask whether estradiol testing fits your symptoms and treatment.

Gonadorelin works just as well

Best evidence we found: The research reviewed here does not establish that routine gonadorelin injections protect sperm during TRT
Study type and size: No directly applicable comparative evidence identified
Our plain-English verdict: Unproven. More on this below.

We built this table from the original papers. We kept each study's population, design and what it measured side by side, because those are what decide whether it applies to you. We didn't pool them into one "success rate," because they asked different questions in different men.

What the guidelines actually say

This is the part to check before relying on a clinic's fertility claim. Here's the guideline language, in plain words:

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 4: What the guidelines actually say
Guidance we could read directly	What it says	Recommendation type
Endocrine Society, 2018, recommendation 1.1	Diagnose testosterone deficiency from symptoms or signs and consistently low testosterone; confirm with repeat morning fasting testing.	Strong recommendation
Endocrine Society, 2018, recommendation 1.3	Measure LH and FSH to help distinguish a testicular problem from a pituitary or hypothalamic problem.	Strong recommendation
Endocrine Society, 2018, recommendation 2.2	Recommends against testosterone in men planning fertility in the near term.	Strong recommendation
AUA/ASRM male-infertility evaluation guideline, Part I, 2020; published 2021	Initial male fertility evaluation includes a reproductive history and one or more semen analyses; abnormal results or presumed male infertility call for evaluation by a male reproductive expert.	Clinical principle for history; strong recommendation for semen analysis; expert opinion for specialist evaluation
ASRM committee opinion, 2023, decreased libido section	Avoid exogenous testosterone when attempting conception; selected non-testosterone treatments may be considered by the clinician.	Committee opinion

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 4: What the guidelines actually say: read as text

Endocrine Society, 2018, recommendation 1.1

What it says: Diagnose testosterone deficiency from symptoms or signs and consistently low testosterone; confirm with repeat morning fasting testing.
Recommendation type: Strong recommendation

Endocrine Society, 2018, recommendation 1.3

What it says: Measure LH and FSH to help distinguish a testicular problem from a pituitary or hypothalamic problem.
Recommendation type: Strong recommendation

Endocrine Society, 2018, recommendation 2.2

What it says: Recommends against testosterone in men planning fertility in the near term.
Recommendation type: Strong recommendation

AUA/ASRM male-infertility evaluation guideline, Part I, 2020; published 2021

What it says: Initial male fertility evaluation includes a reproductive history and one or more semen analyses; abnormal results or presumed male infertility call for evaluation by a male reproductive expert.
Recommendation type: Clinical principle for history; strong recommendation for semen analysis; expert opinion for specialist evaluation

ASRM committee opinion, 2023, decreased libido section

What it says: Avoid exogenous testosterone when attempting conception; selected non-testosterone treatments may be considered by the clinician.
Recommendation type: Committee opinion

What this means for you: hCG can have a role in specialist fertility treatment. That does not make TRT plus hCG a proven fertility-preservation plan. If children matter to you, ask about the full treatment plan, semen testing and alternatives before relying on the combination.

Get a baseline before you start

If kids are even a "maybe," two things are worth asking about before you start TRT, with or without hCG:

A semen analysis. It gives you a "before" picture. AUA/ASRM guidance includes reproductive history and semen analysis in a male fertility evaluation. (Guideline)
Sperm banking (freezing a sample). If sperm are present, banking stores a sample for possible future fertility treatment. It costs money, and it's not a guarantee of a future pregnancy. Ask about collection, storage and later treatment costs. (Endocrine Society, fertility section)

If you're trying to conceive right now

Tell your testosterone prescriber, and ask about a reproductive urology evaluation. The Endocrine Society advises against testosterone when fertility is planned in the near term, and ASRM advises avoiding exogenous testosterone when attempting conception. Don't stop or change a prescription on your own. Make the plan with a clinician. (Endocrine Society; ASRM)

Planning a pregnancy soon? Ask your clinician for a reproductive urology referral. Urology Care Foundation: finding a urologist → Ask for one who focuses on male infertility. Then take the checklist below to that visit. For more on care routes when fertility is the priority, see TRT and fertility care routes.

Why there are no fertility success stories on this page: one person's sperm count or pregnancy outcome cannot predict yours, so we use studies to explain possible benefits.

Does hCG stop testicle shrinkage on TRT?

Answer: Strong evidence that routine hCG add-on treatment prevents or reverses shrinkage in typical TRT patients is lacking. A 2026 trial did measure testicular volume, but it studied a different condition and a combination that included FSH. Size alone cannot tell you whether sperm production is normal. (Konsam)

Size and sperm are two different questions. Testicles that look "normal" can still be making very little sperm. If fertility matters to you, a semen analysis answers the question that counts. A mirror doesn't.

Can hCG reverse shrinkage you already have? The evidence does not let us promise that for a typical TRT patient. Ask your clinician what result you're aiming for and how you'll judge it.

For the full picture on size changes, see TRT and testicular shrinkage.

One safety line: sudden, severe pain in a testicle needs emergency care right away. A new lump, or a change that worries you, needs a clinician's exam. Neither is something to wait out. (NHS testicle-pain guidance)

What are the side effects of adding hCG to TRT?

Answer: The hCG labels list headache, irritability, restlessness, depression, tiredness, fluid retention, breast tissue growth (gynecomastia) and injection-site pain. Serious allergic reactions have also been reported. Ask how your clinician will check side effects and hormone changes after adding it. (Pregnyl; Novarel; chorionic gonadotropin)

And it's one more injection and one more cost.

From the FDA-approved labels (generic chorionic gonadotropin, Pregnyl and Novarel):

Headache
Irritability, restlessness, or depression
Fatigue
Fluid retention (edema)
Breast enlargement (gynecomastia)
Pain at the injection site
Allergic reactions, including anaphylaxis, a severe whole-body reaction, have been reported

The labels don't give reliable percentages for men on TRT, so we don't either.

Does hCG raise estrogen on TRT?

It can. Your testicles make some estradiol too. In the Hsieh study, the mean estradiol level rose, but the change was not statistically significant. That small study cannot predict the change for a typical man. (Hsieh)

What to do with that: ask which labs your clinician will check after adding hCG, and when. Don't assume you also need an estrogen-blocking pill (an aromatase inhibitor like anastrozole). Some clinicians prescribe one. Ask what symptoms and test results would justify it, and what the risks are. More on this in TRT and estradiol levels.

The practical downsides

More injections. Your clinician decides how often.
Storage. The urinary hCG vials listed below come as powder. Follow the pharmacy's instructions for preparation, storage and the discard date.
Cost. The two directly comparable examples below add $80.01 or $150 a month to the treatment rate; required tests and other fees can add more (see the math).
Supply switches. If a clinic proposes gonadorelin instead of hCG, ask why and what evidence supports it for your goal (why that matters).

Get emergency help if you have trouble breathing, or swelling of your face, lips or throat, after a dose.

Where can you get TRT with hCG? U.S. clinics checked October 2026

Answer: As of October 23, 2026, these U.S. clinics have public hCG listings or describe hCG care: TRT Boss, TRT Nation, AlphaMD, PeterMD, TRT Kingdom, Marek Health, Viking Alternative Medicine, Defy Medical and Maximus. A listing does not confirm a prescription, stock or service in your state. Check the exact product and the whole care plan before you sign up.

These are provider-stated offers, not endorsements or independently verified care outcomes. Our affiliate relationships are disclosed above. A clinic's offer of hCG does not establish that it provides reproductive urology or semen testing.

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 5: Where can you get TRT with hCG? U.S. clinics checked October 2026
Clinic	How hCG is offered	Is the product named?	Price the clinic states	Labs	States	Commitment and refunds
TRT Boss	Bundle: TRT + hCG (testosterone cypionate, supplies, shipping, initial and follow-up blood panels)	Calls it "FDA-approved, pharmaceutical-manufactured" hCG. No brand named.	$299/month bundle. hCG alone: $398 per 10,000-unit vial.	Routine bloodwork included in bundle; fertility testing not established	General footer lists 41 states; confirm hCG specifically	Terms: monthly plans have a 3-month minimum; cancel at least 48 hours before renewal after the commitment; dispensed prescriptions nonrefundable, subject to law. A 5% fee applies to eligible electronic refunds.
TRT Nation	TRT + hCG together	hCG product not named in the page checked	$180/month for TRT + hCG; $99.99 for TRT alone. California pricing may vary.	FAQ: $129 panel or accepted recent outside results; follow-up labs also required	State eligibility confirmed during intake; current hCG-specific list not established	Policy: 2.5-month minimum purchase; no refunds or returns; patients must request refills
AlphaMD	Add-on; requires an active TRT subscription	hCG product not named	TRT: $98/month equivalent, paid annually ($1,176); $109/month equivalent, paid every six months ($654); or $129 paid monthly with a three-month commitment; hCG $300 per 10,000 units	First labs covered; later labs charged	hCG-specific coverage not established	Published plan commitments apply. Cancellation can leave a balance for medication already shipped.
PeterMD	hCG item and add-on offer	No hCG brand named	hCG $147 for 5,000 units. Public offer: 10,000 units $301 initially, $412 later; checkout not tested. TRT: $79/month on 12 months, $109 on 6 months, $139 month to month.	Panels: $95 new-patient assessment; $124.50 follow-up; other panels may be required	Provider excludes hCG in AK, AL, AR, CA, DC, HI, IA, ID, IN, KY, LA, MA, MD, MI, MS, NC, ND, NE, NH, NJ, NV, SC, TN, VA and WA	Policy: treatment sales final once medication received; report damage within 24 hours; cancel renewal at least 48 hours ahead
TRT Kingdom	hCG sold as its own item	"Commercial vial," no brand named	hCG $299 per 10,000 units. TRT: $99/month on 2.5 months, $89 on 6 months, $79 on 12 months.	FAQ: $149 when labs are required, generally every 6 months; extra testing may be needed	Not all treatments available in all states; confirm hCG	Policy: prescription sales final; telehealth consultation fees nonrefundable; error/damage provisions apply
Marek Health	Built into clinician-designed plans	Names Pregnyl	General program pricing: $299 intake + labs from $450 + $80–$200/month ongoing; not an hCG-combination quote	Foundational labs from $450; later testing additional	hCG-specific coverage not established	No subscription, minimum commitment or cancellation fee advertised; obtain applicable refund terms before paying
Viking Alternative Medicine	Clinician-built plans (also lists gonadorelin)	hCG product not named	Clinic says most patients pay $100–$150 a month; general treatment average, hCG not itemized	Full hCG testing cost not itemized	General service list: all but AL, HI and MS; confirm hCG	Pricing page lists a $25 missed-appointment fee; hCG cancellation/refund terms not established
Defy Medical	Pay per service; public store lists hCG for approved patients	Names Pregnyl 10,000-unit vial and Empower pharmacy; listed in stock when checked	hCG price not public. General TRT average under $175/month in year one is not an hCG-inclusive quote.	Labs and consults included in that general average, not a guaranteed hCG price	hCG-specific current coverage not established	No monthly membership fee advertised; completed services and dispensed medicines/supplies are nonrefundable. Cancellation under 24 hours may incur the full consultation fee.
Maximus	Injectable TRT + hCG program	hCG product not named; a reference to compounding pharmacies does not identify the hCG supplied	$299.98/month on 12 months, $349.98 on 3 months, $399.98 month to month; price may vary by prescription/state	Recent accepted uploaded labs or at-home testing; full lab charges not established	Confirm exact program in your state	Plan length changes price; confirm payment schedule and refund terms. Conflicting introductory offers excluded here.
Your local pharmacy	Fill a valid prescription from a clinician authorized to treat you	Exact licensed product depends on the prescription and pharmacy	GoodRx displayed about $270 with a coupon and $444 displayed retail for one 10,000-unit vial	Visits and labs extra	Pharmacy, location and stock vary	Coupon example checked October 23, 2026; not a quote or stock confirmation

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 5: Where can you get TRT with hCG? U.S. clinics checked October 2026: read as text

TRT Boss

How hCG is offered: Bundle: TRT + hCG (testosterone cypionate, supplies, shipping, initial and follow-up blood panels)
Is the product named?: Calls it "FDA-approved, pharmaceutical-manufactured" hCG. No brand named.
Price the clinic states: $299/month bundle. hCG alone: $398 per 10,000-unit vial.
Labs: Routine bloodwork included in bundle; fertility testing not established
States: General footer lists 41 states; confirm hCG specifically
Commitment and refunds: Terms: monthly plans have a 3-month minimum; cancel at least 48 hours before renewal after the commitment; dispensed prescriptions nonrefundable, subject to law. A 5% fee applies to eligible electronic refunds.

TRT Nation

How hCG is offered: TRT + hCG together
Is the product named?: hCG product not named in the page checked
Price the clinic states: $180/month for TRT + hCG; $99.99 for TRT alone. California pricing may vary.
Labs: FAQ: $129 panel or accepted recent outside results; follow-up labs also required
States: State eligibility confirmed during intake; current hCG-specific list not established
Commitment and refunds: Policy: 2.5-month minimum purchase; no refunds or returns; patients must request refills

AlphaMD

How hCG is offered: Add-on; requires an active TRT subscription
Is the product named?: hCG product not named
Price the clinic states: TRT: $98/month equivalent, paid annually ($1,176); $109/month equivalent, paid every six months ($654); or $129 paid monthly with a three-month commitment; hCG $300 per 10,000 units
Labs: First labs covered; later labs charged
States: hCG-specific coverage not established
Commitment and refunds: Published plan commitments apply. Cancellation can leave a balance for medication already shipped.

PeterMD

How hCG is offered: hCG item and add-on offer
Is the product named?: No hCG brand named
Price the clinic states: hCG $147 for 5,000 units. Public offer: 10,000 units $301 initially, $412 later; checkout not tested. TRT: $79/month on 12 months, $109 on 6 months, $139 month to month.
Labs: Panels: $95 new-patient assessment; $124.50 follow-up; other panels may be required
States: Provider excludes hCG in AK, AL, AR, CA, DC, HI, IA, ID, IN, KY, LA, MA, MD, MI, MS, NC, ND, NE, NH, NJ, NV, SC, TN, VA and WA
Commitment and refunds: Policy: treatment sales final once medication received; report damage within 24 hours; cancel renewal at least 48 hours ahead

TRT Kingdom

How hCG is offered: hCG sold as its own item
Is the product named?: "Commercial vial," no brand named
Price the clinic states: hCG $299 per 10,000 units. TRT: $99/month on 2.5 months, $89 on 6 months, $79 on 12 months.
Labs: FAQ: $149 when labs are required, generally every 6 months; extra testing may be needed
States: Not all treatments available in all states; confirm hCG
Commitment and refunds: Policy: prescription sales final; telehealth consultation fees nonrefundable; error/damage provisions apply

Marek Health

How hCG is offered: Built into clinician-designed plans
Is the product named?: Names Pregnyl
Price the clinic states: General program pricing: $299 intake + labs from $450 + $80–$200/month ongoing; not an hCG-combination quote
Labs: Foundational labs from $450; later testing additional
States: hCG-specific coverage not established
Commitment and refunds: No subscription, minimum commitment or cancellation fee advertised; obtain applicable refund terms before paying

Viking Alternative Medicine

How hCG is offered: Clinician-built plans (also lists gonadorelin)
Is the product named?: hCG product not named
Price the clinic states: Clinic says most patients pay $100–$150 a month; general treatment average, hCG not itemized
Labs: Full hCG testing cost not itemized
States: General service list: all but AL, HI and MS; confirm hCG
Commitment and refunds: Pricing page lists a $25 missed-appointment fee; hCG cancellation/refund terms not established

Defy Medical

How hCG is offered: Pay per service; public store lists hCG for approved patients
Is the product named?: Names Pregnyl 10,000-unit vial and Empower pharmacy; listed in stock when checked
Price the clinic states: hCG price not public. General TRT average under $175/month in year one is not an hCG-inclusive quote.
Labs: Labs and consults included in that general average, not a guaranteed hCG price
States: hCG-specific current coverage not established
Commitment and refunds: No monthly membership fee advertised; completed services and dispensed medicines/supplies are nonrefundable. Cancellation under 24 hours may incur the full consultation fee.

Maximus

How hCG is offered: Injectable TRT + hCG program
Is the product named?: hCG product not named; a reference to compounding pharmacies does not identify the hCG supplied
Price the clinic states: $299.98/month on 12 months, $349.98 on 3 months, $399.98 month to month; price may vary by prescription/state
Labs: Recent accepted uploaded labs or at-home testing; full lab charges not established
States: Confirm exact program in your state
Commitment and refunds: Plan length changes price; confirm payment schedule and refund terms. Conflicting introductory offers excluded here.

Your local pharmacy

How hCG is offered: Fill a valid prescription from a clinician authorized to treat you
Is the product named?: Exact licensed product depends on the prescription and pharmacy
Price the clinic states: GoodRx displayed about $270 with a coupon and $444 displayed retail for one 10,000-unit vial
Labs: Visits and labs extra
States: Pharmacy, location and stock vary
Commitment and refunds: Coupon example checked October 23, 2026; not a quote or stock confirmation

Prices and terms are what each clinic states on its own site, checked October 23, 2026. We didn't buy anything or go through intake. "Not established" means the checked public pages did not settle the question, not that the service or policy does not exist. A monthly figure may be a monthly equivalent within a prepaid plan.

Quick reads (our take):

A bundle with routine bloodwork: TRT Boss publishes $299 a month and says the hCG is commercially made. Ask for the exact product and whether semen testing is separate.
A lower published combination rate: TRT Nation lists $180 a month. The catch: labs are extra, its policy says no refunds, and the minimum purchase covers 2.5 months.
Names the brand: Marek Health and Defy Medical list Pregnyl; Defy's store also names Empower pharmacy. If knowing exactly what's in the vial matters to you, that's worth something. Confirm the product on your own prescription.
Watch the upsell timing: PeterMD's public offer lists a 10,000-unit vial at $301 initially and $412 later. Confirm the prescribed plan and applicable price before you approve the order.

One customer-experience note: TRT Nation's own reviews page attributes this comment to Danforth Smith: "Great, but their HCG is very, very expensive." That's one person's view, published by the clinic; we did not independently authenticate the reviewer or any compensation. It's also a reason to get any add-on price in writing before you commit.

What about Male Excel, Hone Health and Taurus Meds? We did not verify an hCG offer in their public treatment pages. That is not proof they never prescribe it. Hone's current men's catalog does not list hCG. Ask about the exact product and care plan before enrolling or arranging care with another prescriber.

Want standalone hCG without switching your TRT? See hCG online for men. It compares clinics that prescribe hCG by itself.

How much does TRT with hCG cost?

Answer: The directly priced TRT-with-hCG programs checked here advertise monthly equivalents from $180 to $399.98, with different commitments and testing charges. Their treatment-rate subtotals run from $2,160 to $4,799.76 for 12 months, before any separately required fees. A complete first-year quote must include tests, visits, medication, supplies, shipping and payments due under the chosen plan.

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 6: How much does TRT with hCG cost?
Option	How we calculated it	What the first-year figure does—and does not—cover
TRT Nation TRT + hCG	$180 × 12 = $2,160 treatment-rate subtotal. If three $129 panels are needed: $2,160 + $387 = $2,547.	Lab example assumes three clinic panels. Its FAQ lists testing after the first 10 weeks, 6 months after the first lab appointment, then annually; confirm how that schedule applies to your start date. Accepted outside results can change costs. Minimum purchase is 2.5 months; actual cash paid may cover time beyond month 12.
TRT Boss TRT + hCG bundle	$299 × 12	$3,588 annualized bundle rate, including routine bloodwork, supplies and shipping. Semen testing, sperm banking or outside specialist care are not established as included. Confirm actual billing schedule.
Maximus injectable TRT + hCG	12 × $299.98, $349.98 or $399.98	$3,599.76 at the 12-month rate; $4,199.76 if four 3-month plans renew at the same rate; $4,799.76 month to month. Labs and other unverified charges are extra to this comparison. No introductory discount assumed.
Defy Medical general TRT context	Under $175 × 12	Under $2,100, based on the clinic's general first-year average including labs and consults. Not a TRT + hCG quote: hCG is not itemized.
Marek Health general program context	$299 intake + $450 starting labs + 12 × $80–$200	$1,709–$3,149, plus later labs, from published general components. Not a TRT + hCG quote: hCG is not itemized. The page's separate $1,599 average does not reconcile with 12 months of those components.
AlphaMD, PeterMD, TRT Kingdom	TRT price + prescribed hCG fills + tests and other fees	Depends on the prescription and required fills. Their listed 10,000-unit hCG prices span $299–$412. A vial's unit count does not establish how many months it can be used.

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 6: How much does TRT with hCG cost?: read as text

TRT Nation TRT + hCG

How we calculated it: $180 × 12 = $2,160 treatment-rate subtotal. If three $129 panels are needed: $2,160 + $387 = $2,547.
What the first-year figure does—and does not—cover: Lab example assumes three clinic panels. Its FAQ lists testing after the first 10 weeks, 6 months after the first lab appointment, then annually; confirm how that schedule applies to your start date. Accepted outside results can change costs. Minimum purchase is 2.5 months; actual cash paid may cover time beyond month 12.

TRT Boss TRT + hCG bundle

How we calculated it: $299 × 12
What the first-year figure does—and does not—cover: $3,588 annualized bundle rate, including routine bloodwork, supplies and shipping. Semen testing, sperm banking or outside specialist care are not established as included. Confirm actual billing schedule.

Maximus injectable TRT + hCG

How we calculated it: 12 × $299.98, $349.98 or $399.98
What the first-year figure does—and does not—cover: $3,599.76 at the 12-month rate; $4,199.76 if four 3-month plans renew at the same rate; $4,799.76 month to month. Labs and other unverified charges are extra to this comparison. No introductory discount assumed.

Defy Medical general TRT context

How we calculated it: Under $175 × 12
What the first-year figure does—and does not—cover: Under $2,100, based on the clinic's general first-year average including labs and consults. Not a TRT + hCG quote: hCG is not itemized.

Marek Health general program context

How we calculated it: $299 intake + $450 starting labs + 12 × $80–$200
What the first-year figure does—and does not—cover: $1,709–$3,149, plus later labs, from published general components. Not a TRT + hCG quote: hCG is not itemized. The page's separate $1,599 average does not reconcile with 12 months of those components.

AlphaMD, PeterMD, TRT Kingdom

How we calculated it: TRT price + prescribed hCG fills + tests and other fees
What the first-year figure does—and does not—cover: Depends on the prescription and required fills. Their listed 10,000-unit hCG prices span $299–$412. A vial's unit count does not establish how many months it can be used.

These are our calculations from each clinic's stated prices on October 23, 2026. They're examples, not quotes. We didn't turn per-vial prices into a yearly cost, because that depends on your prescription and product's discard limits. Shipping and taxes are excluded unless the clinic includes them. A required but unlisted charge remains unknown.

Monthly rate versus cash paid: TRT Nation's 2.5-month minimum at $180 equals $450. If every fill uses that same block, five purchases would cost $2,250 and cover 12.5 months, before labs. Confirm the actual refill and billing plan; $180 × 12 alone does not show every payment due in year one. (Product; refill policy)

What adding hCG really adds:

TRT Nation: $99.99 a month for TRT alone vs $180 with hCG. That's $80.01 more a month, before differences in required testing. (Prices)
TRT Boss: its lab-inclusive plain TRT plan is $149 a month vs $299 with hCG. That's $150 more a month. Its $99 plain plan excludes labs, so it is not the same comparison. (Plain TRT; combination)

Three cost traps to avoid

Teaser prices. Ask what month 13 costs, not just month 1.
Unknown fees. If a required fee isn't listed (follow-up labs, consults, shipping), it's an open question, not $0.
Lock-ins. A low monthly price with no refunds and multi-month billing can cost more than a pricier plan you can cancel.

Does insurance cover hCG with TRT?

The figures above are advertised cash prices. Coverage depends on your plan, the exact drug, the diagnosis, the prescriber and any prior-authorization rules; off-label use alone does not settle the answer. Ask the clinic what it bills directly, and ask your insurer what it may cover or reimburse before paying.

Not planning more kids? You may not need hCG at all

Answer: Not every man on TRT needs hCG. If you're done having kids and shrinkage doesn't bother you, ask what other goal would justify the added cost and injections. If fertility is your top priority and you haven't started TRT yet, ask whether a non-testosterone option fits your diagnosis.

On r/Testosterone, u/overthinker345 asked what hCG would do for him besides fertility when he wasn't planning more kids. It's the right question. The evidence above is mainly about sperm and hormones inside the testicles. It does not establish routine extra energy, mood or sex-drive benefits from adding hCG for typical TRT patients. The 2026 trial in congenital hypogonadotropic hypogonadism reported sexual-function and quality-of-life benefits with a specialist combination, but it studied a different condition. Personal reports cannot tell you what benefit you'll get.

So if fertility and size aren't on your list, focus on getting the TRT plan right before adding another drug. That means a proper diagnosis, regular blood work, and a clinic that's easy to deal with.

Lane 1: plain TRT, no hCG

This lane is worth discussing if: your low testosterone has been properly diagnosed, a clinician has found TRT appropriate, you're done having kids (or never plan to), and testicle size changes don't bother you.

We did not verify an hCG offer from Male Excel. If having TRT and hCG under one roof is your priority, confirm that service before enrolling; the comparison above shows explicit hCG listings. For men whose clinicians do not recommend hCG, Male Excel is one plain-TRT option to examine. Its injection page identifies compounded testosterone cypionate, which is not FDA-approved. Its FAQ says blood tests may be needed at six months and one year, but it does not establish that comprehensive panels or all lab charges are included. (Injection page; FAQ)

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 7: Lane 1: plain TRT, no hCG
Plain TRT (injections)	What the clinic states	First-year cost (our math)
Male Excel — general pricing-page package	$99 one-time online consult + $99/month membership + $120/month for injections with thyroid medication and supplies, shipped as a 60-day supply; shipping extra	$2,727, plus shipping and any required lab charges not established as included. This is that named package, not a verified lowest plain-TRT quote; thyroid medicine needs its own clinical reason.
Male Excel — separate injection-page offer	Compounded cypionate from $62.50/month, billed $125 every 60 days; syringes $15/month; membership $99/month or $79/month on an annual plan; shipping extra	$2,118 at the monthly membership rate or $1,878 at the annual membership rate for 12 monthly equivalents of medicine, syringes and membership. Initial charges, all labs and shipping are not settled by this offer. Do not combine it with another package's terms without confirmation.
Hone Health — Plus membership	$135/month, plus medication. Guide lists a $45 initial test, a second testosterone test with other safety labs at $45 in a lab or $80 at home, and included routine follow-up labs/consults.	$1,710–$1,745 before medication, using that guide's initial and confirmatory tests plus 12 × $135. Its injection guide lists from $28/vial, while the sales page says from $28/month; get the actual medicine/fill quote.

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 7: Lane 1: plain TRT, no hCG: read as text

Male Excel — general pricing-page package

What the clinic states: $99 one-time online consult + $99/month membership + $120/month for injections with thyroid medication and supplies, shipped as a 60-day supply; shipping extra
First-year cost (our math): $2,727, plus shipping and any required lab charges not established as included. This is that named package, not a verified lowest plain-TRT quote; thyroid medicine needs its own clinical reason.

Male Excel — separate injection-page offer

What the clinic states: Compounded cypionate from $62.50/month, billed $125 every 60 days; syringes $15/month; membership $99/month or $79/month on an annual plan; shipping extra
First-year cost (our math): $2,118 at the monthly membership rate or $1,878 at the annual membership rate for 12 monthly equivalents of medicine, syringes and membership. Initial charges, all labs and shipping are not settled by this offer. Do not combine it with another package's terms without confirmation.

Hone Health — Plus membership

What the clinic states: $135/month, plus medication. Guide lists a $45 initial test, a second testosterone test with other safety labs at $45 in a lab or $80 at home, and included routine follow-up labs/consults.
First-year cost (our math): $1,710–$1,745 before medication, using that guide's initial and confirmatory tests plus 12 × $135. Its injection guide lists from $28/vial, while the sales page says from $28/month; get the actual medicine/fill quote.

Checked October 23, 2026, on each company's own pages. These are different offers, not interchangeable complete-care quotes. Male Excel's injection page and Hone's cypionate product page both describe compounded products. Compounded testosterone is not FDA-approved. If you want an FDA-approved testosterone product, ask your clinician for that exact product and confirm the dispensing pharmacy before choosing a program.

Hone's TRT testing schedule separately lists the in-lab confirmatory test at $50, rather than $45. That would make the pre-medication example $1,715. Confirm the applicable test and medication charges in writing.

Does this sound like your situation? See Male Excel's current injection pricing → Ask for the full written quote, exact formulation and lab plan. A Male Excel clinician reviews your history and labs. A prescription isn't guaranteed.

Want to compare a plan with routine follow-up labs included? Check Hone Health's Plus plan and pricing → Its current membership guide puts hormone care on Plus, not the $25 Basic tier. Medication and initial testing cost extra.

Taurus Meds advertises a $49 blood test and consultation, then $149/month for prescribed medication. We did not establish an hCG offer or a complete written treatment quote. Its page also contains conflicting product descriptions, so it does not resolve this hCG decision.

Lane 2: fertility first, and you're not on TRT yet

This lane is worth discussing if: your low testosterone is confirmed, you're not on TRT yet, and preserving fertility matters. Whether a pill fits depends on why your testosterone is low; wanting to avoid injections does not decide that.

Some clinicians use pills called SERMs that nudge the brain to send more LH and FSH. They can raise testosterone in selected men and are studied as alternatives to testosterone, but they do not guarantee fertility. Two are discussed here: (ASRM)

Clomiphene. FDA-approved products treat ovulatory dysfunction in women. Use in men is off-label. A compounded clomiphene preparation is not itself FDA-approved. (Drug status)
Enclomiphene. Not FDA-approved for any use. Hone lists a compounded tablet; that does not establish FDA approval. (Drug status)

Neither one is TRT. Neither is risk-free. Neither is expected to work well when the testicles themselves cannot respond to hormone signals. A clinician should first identify the cause of low testosterone and consider the full fertility plan. (ASRM; Endocrine Society)

Hone Health lists compounded clomiphene from $38 a month and compounded enclomiphene from $42 a month, plus $135/month Plus membership. With the guide's $45 initial test, 12 months at those starting rates equals $2,121 or $2,169, respectively, before any other individually required charges. These are non-testosterone medication examples, not fertility-success estimates. (Plus guide) Male Excel sells an oral product called Triclozene; its public pages disagree on the clomiphene/enclomiphene description and show $95–$120 medication figures plus membership. Ask exactly what is in it and what it costs before considering it. (General prices; injection-page oral listing)

If that sounds like your situation: Review Hone Health's clomiphene and enclomiphene options → If you are trying to conceive now or soon, start with a reproductive urologist before choosing a medicine.

Is compounded hCG legal? What will you actually get?

Answer: Since March 23, 2020, hCG has not qualified for the usual federal exemptions for compounded drugs under sections 503A and 503B. FDA has separate policies for certain mixing, dilution and repackaging of licensed biological products. Ask for the exact product and manufacturer, and do not assume a pharmacy's own hCG preparation is FDA-approved. (FDA notice)

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 8: Is compounded hCG legal? What will you actually get?
Product	Maker	Approved uses in males
Novarel	Ferring	Selected cases of hypogonadotropic hypogonadism (low hormone signals caused by pituitary deficiency); certain cases of undescended testicles in boys
Pregnyl	Organon	Selected cases of hypogonadotropic hypogonadism; certain cases of undescended testicles in boys
Chorionic gonadotropin (unbranded)	Fresenius Kabi	Selected cases of hypogonadotropic hypogonadism; certain cases of undescended testicles in boys
Ovidrel (choriogonadotropin alfa)	EMD Serono	No approved male indication. Its U.S. label covers female fertility treatment; use in a man would be off-label.

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 8: Is compounded hCG legal? What will you actually get?: read as text

Novarel

Maker: Ferring
Approved uses in males: Selected cases of hypogonadotropic hypogonadism (low hormone signals caused by pituitary deficiency); certain cases of undescended testicles in boys

Pregnyl

Maker: Organon
Approved uses in males: Selected cases of hypogonadotropic hypogonadism; certain cases of undescended testicles in boys

Chorionic gonadotropin (unbranded)

Maker: Fresenius Kabi
Approved uses in males: Selected cases of hypogonadotropic hypogonadism; certain cases of undescended testicles in boys

Ovidrel (choriogonadotropin alfa)

Maker: EMD Serono
Approved uses in males: No approved male indication. Its U.S. label covers female fertility treatment; use in a man would be off-label.

Using any of these to protect sperm while on TRT is off-label.

Fair warning before you judge a clinic: a clinic that uses a compounding pharmacy isn't automatically doing anything wrong. Those pharmacies can also dispense licensed hCG vials. The FDA restriction concerns the ordinary compounded-drug exemptions; it does not ban licensed hCG. One question helps you check what is being offered: (FDA)

"What's the exact product name and manufacturer on the vial you'll send me?"

If they can't or won't answer, that tells you something.

hCG without a prescription: skip it. hCG is prescription-only. Websites that sell it with "no paperwork" give you no way to know what's really in the vial or how it was stored.

For a deeper look at which clinics still use "compounded hCG" language, see hCG online for men.

hCG vs gonadorelin vs enclomiphene on TRT: why did my clinic switch?

Answer: hCG acts on the testicles like LH, while gonadorelin and enclomiphene act earlier in the hormone pathway. They are not interchangeable fertility add-ons to TRT. The studies reviewed here do not establish that routine gonadorelin injections protect sperm during TRT, and enclomiphene is not FDA-approved.

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 9: hCG vs gonadorelin vs enclomiphene on TRT: why did my clinic switch?
	hCG	Gonadorelin	Enclomiphene / clomiphene
How it works	Acts on the testicles like LH	Acts on the pituitary gland, the brain's hormone control center, to release LH and FSH	Blocks estrogen feedback in the brain, so it sends more LH and FSH
FDA status in the U.S.	Licensed urinary hCG products include Novarel, Pregnyl and unbranded chorionic gonadotropin	FDA lists both human products Factrel and Lutrepulse Kit as discontinued	Enclomiphene: not approved. Clomiphene: approved for ovulatory dysfunction in women; male use is off-label. (OPSS)
Used with TRT or instead of TRT?	With (off-label) or instead	Marketed by some clinics as "with"	Usually instead
Evidence it protects sperm on TRT	Small studies (above)	Not established in the research reviewed here	Studied mainly as alternatives to testosterone; not established as equivalent add-ons
Banned for tested male athletes (WADA)?	Yes	Yes	Yes

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 9: hCG vs gonadorelin vs enclomiphene on TRT: why did my clinic switch?: read as text

How it works

hCG: Acts on the testicles like LH
Gonadorelin: Acts on the pituitary gland, the brain's hormone control center, to release LH and FSH
Enclomiphene / clomiphene: Blocks estrogen feedback in the brain, so it sends more LH and FSH

FDA status in the U.S.

hCG: Licensed urinary hCG products include Novarel, Pregnyl and unbranded chorionic gonadotropin
Gonadorelin: FDA lists both human products Factrel and Lutrepulse Kit as discontinued
Enclomiphene / clomiphene: Enclomiphene: not approved. Clomiphene: approved for ovulatory dysfunction in women; male use is off-label. (OPSS)

Used with TRT or instead of TRT?

hCG: With (off-label) or instead
Gonadorelin: Marketed by some clinics as "with"
Enclomiphene / clomiphene: Usually instead

Evidence it protects sperm on TRT

hCG: Small studies (above)
Gonadorelin: Not established in the research reviewed here
Enclomiphene / clomiphene: Studied mainly as alternatives to testosterone; not established as equivalent add-ons

Banned for tested male athletes (WADA)?

hCG: Yes
Gonadorelin: Yes
Enclomiphene / clomiphene: Yes

Why some clinics switched to gonadorelin

Changes to hCG's federal status in 2020 affected access through the usual compounding routes. That does not make a different hormone an equivalent substitute. (FDA)

The distinction: specialist treatment with pulsatile GnRH uses a pump to reproduce repeated hormone signals in selected patients. That evidence cannot be assumed to apply to intermittent gonadorelin injections marketed alongside TRT. Ask for evidence about the exact treatment and goal your clinic proposes.

If your clinic switched you: ask what evidence supports gonadorelin for your goal. If fertility matters, ask about semen testing and whether a reproductive urologist should review the plan.

Is there an hCG shortage right now? We did not find chorionic gonadotropin on the FDA current/resolved shortage list checked October 23, 2026. Availability can still differ by product and pharmacy. If a clinic tells you it's out, ask which product is affected, since when, and what it's proposing instead.

Can you add hCG later, or use it to come off TRT?

Answer: Clinicians may add hCG later or use hCG-based combinations in fertility treatment after testosterone exposure. Small recovery studies report improved sperm measures, but they do not establish a dependable timeline or prove that continuing testosterone gives the same result as stopping it. These are specialist-run treatments, and recovery is not guaranteed. (Stocks)

Adding hCG after months or years on TRT is something clinicians may consider. If fertility is the reason, ask about a semen analysis first, so you and your clinician know your starting point.
Already have a low or zero sperm count on TRT? That's a job for a reproductive urologist. In the Wenker study, sperm returned or counts improved in 47 of 49 men on specialist hCG-based combinations. In the Stocks study, hCG plus FSH was associated with improved sperm concentration in about three in four men. Similar rates in men who continued or stopped testosterone do not establish equivalent treatment. Neither study can predict your timeline.
Coming off TRT for good? Some clinicians use hCG or other medicines as part of a treatment plan after testosterone exposure. Whether your own hormone production recovers depends on the cause of low testosterone and other factors. That plan should come from your prescriber, not a forum. See Can you stop TRT?

We don't cover "PCT" (post-cycle therapy) after steroid cycles. That's a different situation with different risks.

Can you get TRT and hCG online in your state?

Answer: Access depends on your state, the prescriber and the dispensing pharmacy. hCG has no federal controlled-substance schedule, but New York, North Carolina, West Virginia and Nevada list it as Schedule III under state law. California's removal took effect January 1, 2026; testosterone remains federally Schedule III.

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 10: Can you get TRT and hCG online in your state?
State	hCG status under state law	What it means for you
New York	Schedule III	Your prescriber needs controlled-substance authority in NY. Some clinics won't ship there.
North Carolina	Schedule III	Same. PeterMD, for example, doesn't offer hCG in NC.
West Virginia	Schedule III	Same
Nevada	Schedule III	Same. PeterMD doesn't offer hCG in NV.
California	Removed from Schedule III effective January 1, 2026	A clinic may still have its own state restrictions; confirm hCG service before paying.

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 10: Can you get TRT and hCG online in your state?: read as text

New York

hCG status under state law: Schedule III
What it means for you: Your prescriber needs controlled-substance authority in NY. Some clinics won't ship there.

North Carolina

hCG status under state law: Schedule III
What it means for you: Same. PeterMD, for example, doesn't offer hCG in NC.

West Virginia

hCG status under state law: Schedule III
What it means for you: Same

Nevada

hCG status under state law: Schedule III
What it means for you: Same. PeterMD doesn't offer hCG in NV.

California

hCG status under state law: Removed from Schedule III effective January 1, 2026
What it means for you: A clinic may still have its own state restrictions; confirm hCG service before paying.

These examples come from New York law, North Carolina law, West Virginia law, §60A-2-208(i), Nevada's regulation as reproduced by Cornell LII, and the California Board of Pharmacy's 2026 law changes. We did not check all 50 states. A state restriction in a clinic's policy is not the same as a statewide ban. Confirm both the clinician's authority and the pharmacy's ability to serve you before paying.

Telehealth rules. Testosterone is a Schedule III controlled substance, so it needs a valid prescription. The DEA/HHS temporary extension permits qualifying telemedicine prescribing without a prior in-person visit through December 31, 2026, subject to its conditions and federal and state law. A clinic can still require an in-person evaluation. Confirm its process before paying.

Tested athletes and military. hCG, LH and gonadorelin are prohibited at all times for male athletes under the WADA 2026 Prohibited List. Clomiphene and enclomiphene are prohibited too. If you are subject to anti-doping rules, ask your sport's medical team about therapeutic use exemption (TUE) requirements before treatment. Military members should discuss prescribed medicines with their military healthcare provider. (Operation Supplement Safety)

Before you add hCG: your appointment and quote checklist

Answer: Before you agree to hCG, get five things clear: what it's meant to do for you, how you'll know it's working, the exact product, the follow-up plan, and the full added cost in writing. This checklist keeps those answers in one place. Print it or screenshot it, then bring it to your visit.

My starting point

I am: thinking about TRT / already on TRT / thinking about changing my plan.
My main reason for hCG: fertility / testicle size / a clinic recommended it / not sure.
Kids: trying now / within a year / maybe someday / no plans.
Bring: your current medicine list, past testosterone results, any semen test results, and the clinic's written quote.

Ask about the reason

What exactly is hCG supposed to do for me?
Does the evidence fit my diagnosis and my goal?
How will we know if it's working, and when will we check?
If fertility matters: should I get a semen analysis first, and should I consider sperm banking?
What are my other options, like a non-testosterone treatment instead of TRT?

Ask about the medicine

What's the exact product name and manufacturer (for example, Novarel, Pregnyl or Fresenius Kabi chorionic gonadotropin)?
Which pharmacy dispenses it, and who answers my medication questions?
Is my testosterone a commercially made, FDA-approved product, or compounded?
Which labs will you check after adding hCG, including testosterone and hematocrit, and how often? Would estradiol testing fit my symptoms or treatment?
What side effects should I report, and who do I contact between visits?
If supply runs short, will you switch me to something else? What, and what's the evidence for it?

Ask about the money

What's the total added cost per month, and for the first year?
Are labs, consults, supplies and shipping included, or extra?
Is the price a promo? What does it cost after the first few months?
What's the minimum commitment, cancellation notice and refund policy?
How are refills approved, and how much do I pay at each refill?
Does the quoted lab price include any needed repeat early-morning testosterone test and semen testing?
If I change clinics, how do I get my medical records and arrange a safe handover?

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 11: Before you add hCG: your appointment and quote checklist
My added-cost worksheet	Amount quoted	Already in my TRT price?
hCG medication: price per fill × expected fills in year one	$_____	☐
Extra membership or consult fees	$_____	☐
Follow-up blood tests	$_____	☐
Semen analysis	$_____	☐
Sperm banking (if chosen)	$_____	☐
Supplies and shipping	$_____	☐
Anything else required	$_____	☐
Total added cost, first year	$_____	Date quoted: _____

hCG with TRT evidence, treatment goals, clinic offers and complete-care quotes table 11: Before you add hCG: your appointment and quote checklist: read as text

hCG medication: price per fill × expected fills in year one

Amount quoted: $_____
Already in my TRT price?: ☐

Extra membership or consult fees

Amount quoted: $_____
Already in my TRT price?: ☐

Follow-up blood tests

Amount quoted: $_____
Already in my TRT price?: ☐

Semen analysis

Amount quoted: $_____
Already in my TRT price?: ☐

Sperm banking (if chosen)

Amount quoted: $_____
Already in my TRT price?: ☐

Supplies and shipping

Amount quoted: $_____
Already in my TRT price?: ☐

Anything else required

Amount quoted: $_____
Already in my TRT price?: ☐

Total added cost, first year

Amount quoted: $_____
Already in my TRT price?: Date quoted: _____

Rule of thumb: if a required cost is "we'll let you know later," write it down as unknown, not zero. Ask the clinician or pharmacist to confirm how many fills the quote assumes, including any discard-date limits. Add only charges not already covered by your TRT price, and include prepaid blocks due during the year.

Still not sure which care route fits your answers? Take this checklist to your current prescriber or a reproductive urologist. For an educational look at online programs, use Find My TRT Path →.

Quick routes: which hCG with TRT option fits you?

Answer: Match the route to your goal, not the cheapest price. If you're trying for a baby, start with a specialist; hCG does not make TRT a proven fertility-preservation plan. If fertility and size aren't concerns, ask what medical purpose the add-on would serve before paying for it.

Trying to conceive now: tell your testosterone prescriber and ask for a reproductive urology evaluation. Don't change a prescription on your own. Urology Care Foundation: finding a urologist
Kids soon: reproductive urologist. Ask how your timeline changes the treatment plan, about semen testing, and whether sperm banking fits.
Kids someday, already on TRT: discuss fertility with your prescriber before relying on an add-on. If hCG is prescribed, compare the named products, costs and terms, then get the complete quote in writing.
Kids someday, not on TRT yet: ask about Lane 2 (non-testosterone options) before choosing treatment.
No more kids, size matters to you: ask your current clinician about the concern and the limits of hCG evidence.
No more kids, size doesn't matter: discuss whether plain TRT meets your medical needs (Lane 1).
Your clinic swapped hCG for gonadorelin: ask for evidence about your goal and whether fertility specialist input is needed.
Not diagnosed yet: testing first.

How we checked this information

Answer: On October 23, 2026, we checked the official sources linked beside the clinical, product, price and policy claims on this page. We compared study populations and outcomes, separated published offers from complete treatment quotes, and recalculated the cost examples. This is public-source editorial research, not a hands-on review or a medical review.

What we actually verified

Date checked: October 23, 2026

Sources we read:

Clinic websites: the official program, pricing, product, laboratory and policy pages linked in the tables, including the nine hCG providers and Male Excel, Hone Health and Taurus Meds.

FDA and labels: the March 2020 notice to compounders; labels for chorionic gonadotropin, Pregnyl, Novarel and Ovidrel; and the discontinued human gonadorelin product records.

Guidance: the Endocrine Society's 2018 guideline and July 2026 statement, the linked AUA/ASRM fertility-evaluation guidance, and ASRM's 2023 committee opinion.

Research reports and abstracts: Hsieh 2013, Coviello 2005, Roth 2010, Wenker 2015, Stocks 2025, Konsam 2026, the WHO 1990 contraception trial and Liu 2006.

Law and regulation: the four state Schedule III examples, California's 2026 change, federal testosterone scheduling, the DEA/HHS telemedicine extension and WADA's 2026 list.

Other: the FDA current/resolved shortage list and the dated GoodRx vial-price example.

Verified facts: the cited product indications and label warnings; the recommendations quoted from the linked guidance; the reported study designs and results; and the specific regulatory provisions described. These do not prove that a clinic follows every clinical guideline.

Provider-stated (not independently confirmed): prices, service areas, program inclusions, product listings, stock displays, pharmacy names, follow-up schedules and billing/refund terms. A public listing does not confirm what a particular patient will be prescribed or charged.

Customer-experience signals: the attributed reader questions and the clinic-hosted price comment. They do not establish treatment effectiveness, typical cost or typical care quality.

What we couldn't confirm from the public pages: complete hCG-inclusive quotes where the table says so; every patient's required tests and fills; hCG-specific access in every state; exact products and pharmacies where unnamed; each treating clinician's credentials and availability; individual pharmacy licensure; response times; and record-transfer procedures. Ask for those details before paying.

What we didn't do: we didn't buy anything, complete intake, book consultations, order labs or contact clinic support. No clinician reviewed this page.

Our method: How We Review TRT Providers. It separates verified facts, provider statements, customer-experience signals and our own conclusions. We don't give clinics numeric scores on this page, and appearing on this page isn't an endorsement.

Read our editorial standards and privacy policy. Found a changed price or an error? Send a correction with its source.

FAQ: hCG for men on testosterone

Answer: The main questions are what hCG is meant to do, how strong the evidence is and what the full plan will cost. These answers apply to adult men discussing prescribed TRT; fertility concerns need a plan that includes more than a testosterone blood result.

Do I need hCG with TRT?

Not everyone on TRT needs hCG. Ask what goal it would serve and how your clinician would measure success. If children matter now or later, discuss fertility before relying on the combination; hCG does not guarantee protection.

Will hCG keep me fertile on TRT?

It cannot guarantee fertility. In one small uncontrolled study, none of 26 men became azoospermic during TRT plus hCG, but that does not predict your result. If fertility matters, ask about semen testing and sperm banking. (Hsieh)

Can I stay on TRT while trying to get my partner pregnant?

Guidelines advise against testosterone when fertility is planned in the near term and avoiding it when attempting conception. Talk to your prescriber and a reproductive urologist before making any change. Don't stop or adjust a prescription on your own. (Endocrine Society; ASRM)

Does hCG raise testosterone on TRT?

It can stimulate the testicles to produce testosterone, which may add to your blood level. That is one reason your clinician should review the combined treatment and monitoring plan.

Does a normal testosterone level mean my fertility is normal?

No. Blood testosterone and sperm production are different things. TRT can put your blood level in range while sperm production drops. A semen analysis measures sperm, and even a good result cannot guarantee a pregnancy.

Does hCG raise estrogen?

It can. Ask which labs fit your symptoms and treatment. Don't assume you'll need an estrogen-blocking pill too; ask what symptoms and test results would justify one. (Hsieh)

Is there a standard hCG dose with TRT?

This page doesn't give dosing. Your prescriber chooses and adjusts it based on your diagnosis, your goal and your labs. Doses used in studies, or posted on forums, shouldn't be copied for self-treatment.

How much does TRT with hCG cost?

The directly priced programs checked here advertise $180–$399.98 per month, with different commitments and testing fees. Twelve monthly equivalents total $2,160–$4,799.76 before separately required charges. Ask for the complete first-year bill, including tests and prepaid refill blocks. See the full breakdown.

Which TRT clinics offer hCG?

As of October 23, 2026, public hCG listings or care descriptions were found for TRT Boss, TRT Nation, AlphaMD, PeterMD, TRT Kingdom, Marek Health, Viking Alternative Medicine, Defy Medical and Maximus. The comparison table separates products, prices, testing and state limits. A listing does not guarantee stock, state access or a prescription.

Do Hone Health or Male Excel offer hCG?

We did not verify an hCG offer in their public treatment pages. Hone's current men's catalog does not list it; that is not proof that either clinic never prescribes it. Ask before enrolling. Their non-testosterone options are a separate treatment question, not interchangeable hCG add-ons. See the alternatives.

Is gonadorelin as good as hCG?

Equivalent fertility protection during TRT has not been established in the research reviewed here. FDA lists the human gonadorelin products Factrel and Lutrepulse Kit as discontinued. Ask for evidence about the exact product and purpose of any proposed substitution.

Is compounded hCG legal?

hCG is not eligible for the usual compounded-drug exemptions under sections 503A and 503B. FDA has separate policies for certain mixing, dilution and repackaging of licensed biologics. Ask what exact product the pharmacy will dispense; a compounded preparation is not automatically an FDA-licensed product. (FDA)

Can hCG be used without TRT?

Yes. Licensed urinary hCG products are approved for selected cases of hypogonadotropic hypogonadism caused by pituitary deficiency, and specialists use hCG in fertility treatment. Whether it fits you depends on the cause of your low testosterone. See the product labels.

Can I add hCG after being on TRT for a while?

Yes, clinicians may consider it. If fertility is the reason, ask about a semen analysis first. If you already have a very low or zero sperm count, ask for a reproductive urology evaluation.

Does insurance cover hCG with TRT?

It depends on your plan, the exact product, the diagnosis and any prior-authorization rules. The prices shown here are cash-price examples, not coverage decisions. Ask the insurer and clinic about direct billing or reimbursement before paying.

Is hCG a controlled substance?

Not federally. But New York, North Carolina, West Virginia and Nevada list it as Schedule III under state law. Testosterone is federally Schedule III everywhere.

Sources

Clinical and regulatory sources support the medical and legal statements above. Clinic links show what each provider published when checked; they are not independent proof of care quality or patient outcomes.

FDA and labels

U.S. Food and Drug Administration. Notice to compounders: changes that affect compounding as of March 23, 2020.
DailyMed. Chorionic Gonadotropin for Injection (Fresenius Kabi), label revised February 2025.
DailyMed. Novarel (Ferring).
Organon. Pregnyl U.S. prescribing information, revised March 2025.
EMD Serono. Ovidrel U.S. prescribing information.
FDA Drugs@FDA. Factrel, application 018123 and Lutrepulse Kit, application 019687.
Operation Supplement Safety. Clomiphene and enclomiphene: Drugs, not dietary supplements, updated January 12, 2026.

Guidelines and specialty guidance

Bhasin S, et al. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2018;103(5):1715–1744. Recommendations.
Endocrine Society. Statement on Testosterone Replacement Therapy, July 16, 2026.
AUA/ASRM. Diagnosis and Treatment of Infertility in Men, Part I, 2020; published 2021. Reproductive history, semen analysis and specialist evaluation.
ASRM. Diagnostic evaluation of sexual dysfunction in the male partner in the setting of infertility: a committee opinion, 2023.
European Association of Urology. Male infertility guidance, for the clinical distinction between testicular failure and hormone-signal deficiency, and specialist pulsatile GnRH treatment.

Studies

Hsieh TC, et al. Concomitant intramuscular human chorionic gonadotropin preserves spermatogenesis in men undergoing testosterone replacement therapy. J Urol 2013;189(2):647–650.
Coviello AD, et al. Low-dose human chorionic gonadotropin maintains intratesticular testosterone in normal men with testosterone-induced gonadotropin suppression. J Clin Endocrinol Metab 2005;90(5):2595–2602.
Roth MY, et al. Dose-dependent increase in intratesticular testosterone by very low-dose human chorionic gonadotropin in normal men with experimental gonadotropin deficiency. J Clin Endocrinol Metab 2010;95(8):3806–3813.
Wenker EP, et al. The use of HCG-based combination therapy for recovery of spermatogenesis after testosterone use. J Sex Med 2015;12(6):1334–1337.
Stocks BT, et al. Optimal restoration of spermatogenesis after testosterone therapy using human chorionic gonadotropin and follicle-stimulating hormone. Fertil Steril 2025;123(4):607–615.
Konsam et al. Comparing the response of triple therapy and conventional treatment in male congenital hypogonadotropic hypogonadism: a randomized controlled trial. Front Endocrinol 2026. doi:10.3389/fendo.2026.1777584.
WHO Task Force on Methods for the Regulation of Male Fertility. Contraceptive efficacy of testosterone-induced azoospermia in normal men. Lancet 1990;336:955–959.
Liu PY, et al. Rate, extent, and modifiers of spermatogenic recovery after hormonal male contraception. Lancet 2006;367:1412–1420.

Background review

Lee JA, Ramasamy R. Indications for the use of human chorionic gonadotropic hormone for the management of infertility in hypogonadal men. Transl Androl Urol 2018;7(Suppl 3):S348–S352.

Law, access and safety

New York Public Health Law §3306, Schedule III.
North Carolina General Statutes §90-91.
West Virginia §60A-2-208(i), in signed 2025 HB 3434.
Nevada Administrative Code 453.530, reproduced by Cornell LII.
California Board of Pharmacy. 2026 pharmacy law changes, including removal of hCG from Schedule III effective January 1, 2026.
DEA. Controlled-substance schedules.
HHS. DEA and HHS extend telemedicine flexibilities through 2026.
World Anti-Doping Agency. 2026 Prohibited List, sections S2 and S4.
NHS. Testicle pain, for urgent symptoms.

Prices and clinic information (checked October 23, 2026)

FDA Drug Shortages and GoodRx hCG price table.
TRT Boss: combination, hCG, plain TRT, billing/refunds.
TRT Nation: programs, labs and access FAQ, refills/refunds.
AlphaMD: plans, TRT/add-on requirement, hCG price, labs, cancellation.
PeterMD: hCG and state restrictions, TRT, blood tests and public hCG offer, billing/refunds.
TRT Kingdom: hCG, TRT, labs FAQ, refunds.
Marek Health: treatments, pricing.
Viking Alternative Medicine: medications, pricing, states.
Defy Medical: Pregnyl and dispensing pharmacy, general TRT cost, store terms.
Maximus: injectable TRT + hCG.
Male Excel: injection product and prices, general pricing, FAQ.
Hone Health: membership comparison, Plus guide, TRT testing schedule, medication catalog, cypionate product.
Taurus Meds: advertised testing and treatment offer.

Still comparing online TRT programs? Use our free Find My TRT Path tool. Bring fertility questions to your clinician before choosing a program.