Frequently asked questions

TRT, or testosterone replacement therapy, is prescription treatment for testosterone deficiency. A licensed provider diagnoses it from your symptoms and morning blood tests, and if treatment is appropriate, monitors it with follow-up labs.

Take the 2-minute check or call us. A care coordinator talks with you about your symptoms and goals, explains each step and its cost, and arranges the morning blood panel your provider orders at a lab near you. Then you meet a licensed provider at your local office or by secure video.

A licensed provider, after reviewing your symptoms, history and lab results with you. Your coordinator handles scheduling and payments but does not make medical decisions. Treatment isn't right for everyone, and if it isn't appropriate for you, nothing is prescribed.

Yes. Care is for adults 18 and older, and the 2-minute check asks for your state and confirms your age first.

Yes, with a prescription. Testosterone is a Schedule III controlled substance, so it can only be prescribed by a licensed provider after an evaluation, and some states and federal rules require an in-person exam.

Because symptoms alone can't show whether your testosterone is low. Guidelines call for consistently low morning test results together with symptoms, and the same panel checks safety markers such as red blood cell levels before anything is decided.

Guidelines recommend a fasting, early-morning blood sample for testosterone, because levels change during the day. Your coordinator tells you how to prepare when your panel is ordered.

At a partner lab near you. Your coordinator arranges the panel your provider orders and sends you the address, and in most cases you can walk in.

Your provider looks at your results with your symptoms and history and may order a repeat morning test or a second type of testosterone measurement before deciding anything. A single borderline number is not a diagnosis.

Visits are at your local office or by secure video. Some states require an in-person exam before testosterone can be prescribed, and federal telemedicine rules for controlled substances are currently set to change after December 31, 2026. Your coordinator tells you which visit options are available where you live.

Vitality has 135 offices in 33 states. Enter your ZIP code in the office finder and the offices in your state come first, each with its address, hours and phone number.

Your provider goes through your symptoms, history and lab results with you, explains the options and the risks, and decides, with your input, whether treatment is appropriate. If it is, your provider explains the plan and your coordinator then goes over the order and its cost with you.

The cost has three parts, each paid as you reach it: your lab panel, a provider fee that covers your provider's visits and reviews for a set period and, if your provider prescribes treatment, a medication supply paid in full up front for a set period. Your coordinator gives you the cost of each step before you pay.

No. There's no membership, no long-term contract and no automatic billing. Each supply needs your provider's prescription and your OK, and you get a receipt by email after each payment.

Yes. Because you pay for your own care, you receive a written Good Faith Estimate when a lab panel, a provider visit or a medication supply is scheduled. You can also ask for one at any time. Ask your coordinator, or see our Good Faith Estimate page.

Not necessarily. Your lab panel and provider fee pay for an evaluation. If your provider decides treatment isn't appropriate, nothing is prescribed and you don't buy a medication supply.

Yes, at any time, by not ordering your next supply. Talk to your provider before you stop so they can advise you on doing it safely. Ask your coordinator before you pay how a payment is handled if you stop.

TRT has known risks, so it is started only after labs and monitored while you're on it. Testosterone can raise blood pressure and red blood cell count, reduce sperm production and fertility, and requires monitoring of the prostate and blood levels. Your provider weighs these against your history and re-checks them with follow-up labs.

It can. The prescribing information says testosterone can increase blood pressure, which can increase cardiovascular risk over time, and it is not recommended for people with uncontrolled high blood pressure. Your provider checks your blood pressure before and during treatment.

It can. The prescribing information lists male-pattern hair loss, acne and oily skin among the reported side effects of androgens. Tell your provider about any changes so they can review your plan.

It varies from person to person, and no one can promise a result or a timeline. Your provider reviews your symptoms and your follow-up labs at each check and adjusts or stops the plan based on what they show.

Testosterone is not a weight-loss treatment. The Endocrine Society says that when low testosterone is linked to excess weight with no other cause, weight loss is usually the first step. Your provider can talk with you about medical weight management if that fits your goals.

It can reduce sperm production and fertility. Guidelines advise against starting testosterone in men who plan to have children soon, so tell your provider about your plans before anything is decided and talk through the options first.

If treatment is appropriate, your provider chooses the medication that fits your labs, history and preferences, and explains why. Some prescribed medications may be compounded. Compounded medications are not FDA-approved, and FDA does not review them for safety, effectiveness, or quality before they are marketed. Your provider tells you which applies to you.

A licensed pharmacy fills the prescription your provider writes and ships it to you. Your coordinator goes over the order and its cost with you before it's placed.

Yes. Women's hormone care for perimenopause and menopause starts the same way, with your history and lab work, and a licensed provider decides what fits. Read the Important Safety Information for hormone therapy before you start.

Medical weight management is available with a licensed provider, who may prescribe a GLP-1 medication if it is appropriate for you. Read the Important Safety Information for GLP-1 weight-loss medications.

Yes. A licensed provider evaluates erectile dysfunction, including possible underlying causes, and decides whether medication is appropriate. Read the Important Safety Information for ED medications.

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