Boost Testosterone
Without Shutting Down Fertility.
Enclomiphene stimulates your body's own testosterone production — raising T levels while preserving sperm count. An alternative to TRT for men who want to optimize hormones and keep their fertility options open.
Important: What You Should Know Before Choosing Enclomiphene
Enclomiphene is a compounded medication — it is not FDA-approved as a commercial product and is not covered by insurance. It is prescribed by our physicians when clinically appropriate and is best suited for:
- Men with active fertility goals who want to preserve sperm production while raising testosterone
- Younger men who want to avoid long-term dependence on exogenous testosterone
- Men coming off TRT who need support restarting natural hormone production
For most TRT patients, we prescribe FDA-approved testosterone cypionate — a generic covered by all major WA insurance plans at $0–30/month. Your physician will discuss which approach is appropriate for your situation and explain pricing for both options before recommending anything.
What Is Enclomiphene?
Enclomiphene citrate is an oral medication that works by blocking estrogen receptors in the brain, specifically the hypothalamus and pituitary gland. This tricks your body into increasing its own production of LH (luteinizing hormone) and FSH (follicle-stimulating hormone) — the signals that tell your testes to produce more testosterone and maintain sperm production.
Unlike traditional TRT (which replaces your testosterone from an external source), enclomiphene stimulates your body's own production. This means it raises testosterone levels without suppressing spermatogenesis — making it an important option for men who want hormonal optimization while preserving fertility.
Enclomiphene is the trans-isomer of clomiphene (Clomid) — but without the cis-isomer (zuclomiphene) that causes many of Clomid's side effects. It's better tolerated, more targeted, and more effective at raising testosterone.
How It Works
The hypothalamus "sees" less estrogen and signals for more testosterone.
These hormones stimulate the testes to produce more testosterone AND maintain sperm.
Your body produces its own testosterone — levels increase while fertility is preserved.
Who Benefits Most
Planning for a Family
Traditional TRT suppresses sperm production. Enclomiphene raises testosterone while keeping your fertility intact — ideal if you want children now or in the future.
Younger Men
For younger patients, stimulating the body's own production may be preferable to committing to lifelong exogenous testosterone. Enclomiphene preserves the HPG axis while addressing symptoms.
Coming Off TRT
Stopping exogenous testosterone can mean a prolonged period of very low natural T while your HPG axis restarts. Enclomiphene can help restart natural hormone production more quickly and support recovery.
Borderline Low T
If your testosterone is in the 250–400 ng/dL range, enclomiphene can provide meaningful improvement without committing to lifelong TRT. It's a less aggressive first step.
Enclomiphene vs. Traditional TRT
Both are valid treatments. The right choice depends on your goals, lab values, and whether fertility matters to you.
Your physician will help you decide. During your first visit, we review your labs, symptoms, fertility goals, and preferences. Some patients start with enclomiphene and transition to TRT later. Others combine both. The right protocol is the one that fits your life.
Physician-Monitored Protocol
Lab Work at Every Stage
We check total T, free T, LH, FSH, estradiol, SHBG, and metabolic markers before starting, at 6 weeks, and at regular follow-ups. Dosing is adjusted based on your response — not a one-size-fits-all protocol.
Side Effect Management
Enclomiphene is generally well-tolerated. Some patients experience mild headaches or visual changes early on — we monitor for these and adjust dosing as needed. Side effects are significantly less common than with clomiphene (Clomid).
Find Out if Enclomiphene
Is Right for You
Book your first visit for $99 — includes a physician consultation and comprehensive lab panel. We'll evaluate whether enclomiphene, TRT, or a combination approach is the best fit for your goals.
Book Your First Visit →Or call us: (206) 960-4770 · Seattle · Kirkland · Federal Way