Longevity Ledger

TRT Telehealth Options: What to Compare

Testosterone therapy has solid evidence in confirmed hypogonadism and can affect fertility, red blood cell count and more. This page is informational and not medical advice. Compare diagnostic rigor (two morning labs), monitoring plans and fertility counseling.

OptionTypeEvidencePriceRegions
Marek HealthHormone & TRT Clinics4/5 GoodMembership plus labs; check siteUSVisit
Hone HealthHormone & TRT Clinics3/5 MixedMembership plus treatment; check siteUSVisit
MaximusHormone & TRT Clinics3/5 MixedMembership plus treatment; check siteUSVisit
Defy MedicalHormone & TRT Clinics3/5 MixedPrograms; check siteUSVisit
Fountain TRTHormone & TRT Clinics3/5 MixedPrograms; check siteUSVisit
Endocrinologist or urologist (in-person)Hormone & TRT Clinics5/5 StrongInsurance-dependent; check providerGlobalVisit

Gold standard

In-person evaluation by an endocrinologist or urologist.

Telehealth

Look for lab-first evaluation, monitoring of hematocrit, PSA and estradiol, and transparent pricing.

FAQ

Does TRT affect fertility?

Yes, it can suppress sperm production. Discuss with a clinician if you want more children.

Prices and features change; confirm on each provider's site. Some links are affiliate links.

Longevity Ledger provides information, not medical advice. Consult a licensed clinician before changing medication, hormones, supplements or training. Some links are affiliate links; see our affiliate disclosure.