Blog Post
How to Get Prescribed Testosterone
If you're dealing with persistent fatigue, a disappearing sex drive, stubborn weight gain, or just don't feel like yourself anymore, low testosterone might be part of the picture. But figuring out how to get prescribed testosterone legally and safely can feel confusing. Whether you're wondering how to get a testosterone prescription from your doctor or how to get testosterone prescribed through telemedicine, the process is more straightforward than you might think.
This guide walks you through the real process on who can prescribe testosterone, what tests you'll need, how to find the right provider, and what to expect from your first visit to getting your prescription in hand. Whether you're considering testosterone replacement therapy (TRT) for the first time or just want to understand the process better, here's what you need to know.
Understanding Testosterone Replacement Therapy (TRT)
What is Low Testosterone (Hypogonadism)?
Low testosterone clinically called hypogonadism happens when your body doesn't produce enough testosterone to support normal function. Testosterone is the primary male sex hormone, but it does far more than support your sex drive. It plays a role in muscle mass, bone density, red blood cell production, mood regulation, energy levels, and cognitive function.
Total testosterone levels naturally decline about 1-2% per year after age 30. For some men, that decline is steeper or starts earlier due to illness, injury, medications, or genetic factors. When testosterone drops low enough to cause symptoms and falls below clinical thresholds, that's when a diagnosis of hypogonadism may be appropriate.
Who Qualifies for a Testosterone Prescription?
To get prescribed testosterone, you generally need to meet two criteria:
Low testosterone levels on blood work: Most clinicians use a threshold of total testosterone below 300 nanograms per deciliter (ng/dL), confirmed with two separate morning blood tests. Some providers also evaluate free testosterone, which measures the hormone available for your body to use.
Clinical symptoms: Lab numbers alone aren't enough. You also need to experience symptoms consistent with low testosterone, such as:
Persistent fatigue or low energy
Reduced sex drive (low libido)
Loss of muscle mass or increased body fat
Mood changes, irritability, or depression
Brain fog or difficulty concentrating
Poor recovery from exercise
Your provider will consider both your symptoms and your lab results together. Some men have testosterone levels in the 200-400 range and feel fine; others have similar levels and struggle daily. That's why the diagnosis of hypogonadism requires the full picture.
Why Testosterone Requires a Prescription (Controlled Substance)
Testosterone is classified as a Schedule III controlled substance in the United States. This means it's illegal to buy, sell, or use testosterone without a valid prescription from a licensed healthcare provider.
The FDA regulates testosterone because of potential health risks, including cardiovascular concerns, prostate health, fertility impact, and red blood cell changes that require medical supervision. Your provider will monitor your labs, adjust your dose as needed, and watch for side effects to keep you in a safe, physiologic range.
That's why legitimate testosterone therapy always starts with a prescription. Any website or clinic offering testosterone without requiring a medical evaluation and blood work is operating illegally and puts your health at risk.
Step-by-Step: Getting a Testosterone Prescription
Step 1: Recognize the Symptoms of Low Testosterone
The first step is recognizing whether your symptoms might be related to low testosterone. Common signs include:
Physical symptoms:
Chronic fatigue that doesn't improve with rest
Weight gain, especially around the midsection
Loss of muscle mass or strength
Decreased bone density (sometimes discovered after a fracture)
Hair loss or thinning
Mental and emotional symptoms:
Low mood, mild depression, or loss of motivation
Irritability or mood swings
Difficulty concentrating or memory problems
Reduced sense of well-being
Sexual health symptoms:
Decreased sex drive
Erectile dysfunction or difficulty maintaining erections
Reduced frequency of morning erections
Many of these symptoms overlap with other conditions like thyroid problems, sleep apnea, depression, diabetes, or just stress and poor sleep. That's why a comprehensive evaluation is essential before starting testosterone therapy.
Step 2: Choose the Right Type of Doctor
One of the most common questions is: who can prescribe testosterone? The good news: several types of providers can evaluate you for TRT and write a prescription if appropriate. Getting a prescription for testosterone doesn't require a specialist, though specialists can offer advantages in certain situations.
Urologists vs. Endocrinologists vs. Primary Care
Urologists are specialists in male reproductive and urinary health. Many men's health experts, including those at Atlantic Urology, consider urologists the safest choice for testosterone therapy because of their expertise in managing prostate health, fertility concerns, and other hormone-related issues. If you have existing prostate concerns or fertility goals, a urologist may be especially helpful.
Endocrinologists specialize in hormones and metabolic conditions. They treat a wide range of hormonal imbalances, including low testosterone, thyroid disorders, and diabetes. Endocrinologists are a good fit if you have other hormonal or metabolic conditions alongside low testosterone.
Primary care physicians can and do prescribe testosterone. If your family doctor is experienced with TRT and willing to monitor your labs regularly, this can be a convenient and cost-effective option. However, some primary care providers feel less comfortable managing TRT long-term and may refer you to a specialist.
Men's Health Clinics vs. Traditional Practices
Specialized men's health clinics focus exclusively on conditions like low testosterone, erectile dysfunction, and male sexual health. These clinics often streamline the process, offer same-day lab reviews, and provide ongoing support as part of a subscription or membership model. The convenience can be worth it for many men.
However, not all clinics operate with the same standards. Some operate more like med spas, prioritizing sales over medical care. Red flags include providers who don't require blood work, promise specific results, or push high doses without discussing risks. Choose a clinic with licensed clinicians, transparent pricing, and a clear monitoring protocol.
Step 3: Initial Consultation and Medical History
When you schedule your first appointment your provider will want to understand your full picture. Expect questions about:
Your symptoms: when they started, how severe, and how they affect your daily life
Medical history: past surgeries, chronic conditions, medications, and family health history
Lifestyle factors: diet, exercise, sleep quality, alcohol use, and stress levels
Sexual health: libido, erectile function, and fertility goals
Your provider will also ask about any medications or supplements you're taking, since some can affect testosterone levels or interact with TRT. Be honest and thorough, this isn't about judgment. It's about figuring out whether testosterone therapy is appropriate and safe for you.
Step 4: Blood Testing Requirements
To diagnose low testosterone, you'll need blood work. Most providers require two separate blood tests to confirm consistently low levels.
Why Two Morning Tests Are Required
Testosterone levels fluctuate throughout the day, peaking in the early morning and declining as the day goes on. To get an accurate baseline, blood tests should be drawn in the morning. Ideally between 7 and 10 a.m. before you've eaten.
A single low result could be a fluke due to poor sleep, stress, illness, or just normal variation. That's why two tests, taken on separate days, are the standard for diagnosis. If both tests show total testosterone below 300 ng/dL (or free testosterone below the normal range), combined with symptoms, you may meet the criteria for hypogonadism.
Understanding Your Testosterone Levels (Total vs. Free)
Your blood work will typically measure:
Total testosterone: The total amount of testosterone in your blood, including both bound and unbound hormone. Normal range is generally 300-1,000 ng/dL, though this varies slightly by lab.
Free testosterone: The portion of testosterone not bound to proteins, this is the "active" form your body can use. Free testosterone is often measured if total testosterone is borderline or symptoms are present despite normal total levels.
Other markers: Your provider may also check luteinizing hormone (LH), follicle-stimulating hormone (FSH), estradiol, prolactin, PSA (prostate-specific antigen), complete blood count (CBC), and lipid panel to rule out other causes and establish a safety baseline.
Step 5: Diagnosis and Treatment Plan
If your blood work confirms low testosterone and your symptoms align, your provider will discuss whether TRT is right for you. This is a shared decision, not an automatic prescription.
Your provider will explain:
How TRT works and what changes to expect
Different delivery methods (injections, gels, pellets, oral)
Potential benefits and realistic timelines
Risks and side effects, including impacts on fertility
Monitoring requirements and long-term commitment
If TRT isn't appropriate perhaps because your testosterone is borderline, or another condition is causing your symptoms. Your provider may recommend lifestyle changes, treatment for sleep apnea or thyroid issues, or further evaluation first.
Step 6: Receiving Your Prescription
Once you and your provider agree on a treatment plan, you'll receive a prescription for testosterone. How to get testosterone prescription filled depends on your provider and the type of therapy:
Injections: You'll get a prescription for testosterone cypionate or enanthate, along with syringes and needles. Many men learn to self-inject at home; others visit a clinic weekly or bi-weekly.
Gels or creams: You'll receive a prescription for topical testosterone (like AndroGel or compounded creams) to apply daily.
Pellets: Your provider may schedule an in-office procedure to implant testosterone pellets under your skin, which release hormone over 3-4 months.
Oral testosterone: In some cases, providers prescribe Jatenzo, an oral testosterone option.
Your provider will also schedule follow-up blood work, typically 4-6 weeks after starting treatment to check your testosterone levels, hematocrit, PSA, and other markers This will help adjust your dose if needed.
How to Get Testosterone Prescribed Online (Telehealth)
If visiting a doctor's office in person isn't convenient, several legitimate telehealth platforms now offer testosterone evaluations and prescriptions through secure virtual visits. If you're wondering how to get testosterone prescribed online, the process is similar to an in-person visit but with added convenience.
Legitimate Online TRT Providers
Reputable online TRT providers include platforms that are specialized men's health telemedicine companies. These services connect you with licensed physicians who can evaluate your symptoms, order lab work, and prescribe testosterone if appropriate.
What makes an online provider legitimate:
Requires a medical consultation with a licensed provider in your state
Orders lab work (either at a local lab or via at-home testing kits)
Reviews your results before prescribing
Provides ongoing monitoring and follow-up
Is transparent about costs and what's included
Online Consultation Process
Here's how the online process typically works:
Complete an intake form: You'll answer questions about your symptoms, medical history, and health goals.
Virtual visit: A licensed clinician will meet with you via video or phone to discuss your situation.
Lab order: Your provider orders blood work, either at a local lab (like Quest or LabCorp) or through an at-home test kit.
Results review: Once your labs come back, your provider reviews them with you.
Prescription: If you qualify, your provider writes a prescription and coordinates medication delivery to your door.
Follow-up: Ongoing monitoring through virtual visits and repeat lab work.
At-Home Testing Kits
Some online providers offer at-home testosterone testing kits, where you collect a finger-prick blood sample and mail it to a lab. While convenient, these tests may be less accurate than traditional blood draws, especially for measuring free testosterone. If you're using at-home testing, make sure your provider is willing to confirm results with a traditional lab draw if levels are borderline.
Online vs. In-Person: Pros and Cons
Pros of telehealth:
Convenience: no waiting rooms, no commute
Access: great for rural areas or men with limited local options
Often lower cost than traditional clinics
Medication delivered to your door
Cons of telehealth:
Some men prefer the personal connection of an in-person provider
Lab coordination may require extra steps
Not ideal if you have complex medical conditions requiring hands-on evaluation
Insurance may not cover online-only providers
If you're considering telehealth for testosterone therapy, PeakPerforMAX offers comprehensive telemedicine evaluations and personalized TRT plans with ongoing support all from the privacy of your home.
Types of Testosterone Prescriptions
If you qualify for testosterone therapy, your provider will discuss which delivery method works best for your lifestyle, preferences, and health needs. Understanding how to get testosterone prescribed includes choosing the right form of treatment for your situation.
Testosterone Injections (Cypionate, Enanthate)
Injections are the most common form of TRT. Testosterone cypionate and testosterone enanthate are the two main injectable forms, both long-acting and effective.
Self-Administration vs. Clinic Visits
Many men learn to inject themselves at home, either intramuscularly (into the thigh or glute) or subcutaneously (into the fatty tissue of the abdomen or thigh). Subcutaneous injections use smaller needles and are easier for most people.
If you're not comfortable injecting yourself, you can visit a clinic for weekly or bi-weekly injections. Some men prefer this for the accountability and professional oversight.
Injection Frequency and Dosing
Typical injection schedules:
Weekly: Most common, keeps levels stable
Bi-weekly (every two weeks): Older protocol, can cause more fluctuation
Twice weekly or every 3-4 days: Increasingly popular for smoother levels and fewer side effects
Monthly: Long-acting formulations like testosterone undecanoate
Doses typically range from 50-200 mg per week, depending on your needs, body weight, and how your body metabolizes testosterone. Your provider will start you at a conservative dose and adjust based on follow-up labs.
Testosterone Gels and Creams
Topical testosterone is applied daily to the shoulders, upper arms, or abdomen. The hormone absorbs through the skin and provides steady levels throughout the day.
Pros:
No needles
Mimics natural daily testosterone rhythm
Easy to adjust dose
Cons:
Daily application required
Risk of transfer to partners or children through skin contact
Can be messy
May be more expensive than injections
Popular brands include AndroGel, Testim, and Axiron, as well as compounded creams from specialized pharmacies.
Testosterone Pellets
Testosterone pellets are small, rice-sized implants placed under the skin (usually in the hip or buttock) during a quick in-office procedure. The pellets slowly release testosterone over 3-4 months.
Pros:
No daily or weekly administration
Steady hormone levels
Convenient for men who travel frequently
Cons:
Requires an in-office procedure every 3-4 months
Can't easily adjust dose mid-cycle
More expensive upfront
Risk of pellet extrusion (rare)
Oral Testosterone Options
Jatenzo is an oral testosterone capsule taken twice daily. Unlike older oral testosterone products (which could harm the liver), Jatenzo is absorbed through the lymphatic system and is considered safer.
Pros:
No needles or topical mess
Easy to start and stop
Cons:
Requires twice-daily dosing
Must be taken with food
More expensive
Less commonly prescribed
Cost of Testosterone Prescriptions
Understanding the cost of TRT upfront can help you plan and avoid surprises. The total expense of getting a prescription for testosterone and maintaining treatment varies significantly depending on your insurance coverage, delivery method, and whether you use a traditional clinic or online provider.
Average TRT Costs by Delivery Method
Testosterone injections:
With insurance: $30-$100/month (depending on copay and coverage)
Without insurance (cash pay): $50-$150/month for medication alone
Syringes and supplies: $10-$30/month
Testosterone gels and creams:
With insurance: $50-$200/month
Without insurance: $300-$600/month (brand name), $100-$300/month (compounded)
Testosterone pellets:
Per procedure: $600-$1,200 every 3-4 months
Insurance coverage varies; often not fully covered
Oral testosterone (Jatenzo):
With insurance: $50-$150/month
Without insurance: $700-$1,000/month
Insurance Coverage for Testosterone
Most insurance plans cover testosterone replacement therapy if:
You have a confirmed diagnosis of hypogonadism (low testosterone with symptoms)
Your provider submits proper documentation and lab results
The medication is prescribed as medically necessary (not for performance or anti-aging)
However, insurance may:
Require prior authorization before approving the prescription
Cover only certain formulations (often preferring injections over gels)
Not cover compounded medications
Limit refills or require periodic re-authorization
Check with your insurance provider to understand your coverage and out-of-pocket costs before starting treatment.
Cheapest Ways to Get TRT
If you're paying out of pocket or looking to reduce costs:
Use GoodRx or discount programs: Prescription discount cards can cut the cost of testosterone injections significantly.
Choose injections over gels: Injectable testosterone is almost always cheaper than topical options.
Consider online TRT clinics: Many telehealth providers offer all-inclusive pricing (consultation + labs + medication + follow-up) for $150-$300/month, which can be more affordable than traditional clinics if you're uninsured.
Ask about compounded options: Compounding pharmacies can make customized testosterone formulations, often at lower cost than brand-name products.
Shop around: Prices for the same prescription can vary widely between pharmacies. Compare local pharmacies, mail-order options, and online services.
PeakPerforMAX offers transparent, personalized testosterone therapy through secure telemedicine. Get comprehensive lab testing, a customized treatment plan, and ongoing support, all coordinated for you.
The Bottom Line
Getting prescribed testosterone is a straightforward process when you work with a qualified provider. Whether you're wondering how to get on TRT through your family doctor or via a specialized clinic, it starts with recognizing your symptoms, scheduling a consultation, confirming low testosterone with blood tests, and working with your doctor to find the right treatment plan.
Testosterone replacement therapy can be life-changing when done right: more energy, better mood, restored sex drive, and a renewed sense of yourself. But it's not a quick fix, and it's not right for everyone. The process exists to protect your health and ensure you're getting safe, effective treatment.
If you're dealing with fatigue, low libido, stubborn weight gain, or just don't feel like yourself anymore, the first step is getting your testosterone checked. Understanding how to get testosterone prescription starts with comprehensive lab work and an honest conversation with a qualified provider. From there, you and your provider can decide whether TRT is the right path forward.
Ready to see if testosterone therapy is right for you? PeakPerforMAX offers comprehensive hormone evaluations, personalized treatment plans, and ongoing telemedicine support, all from the privacy of your home. Our experienced clinicians specialize in men's hormone health and work with you to restore your energy, strength, and confidence.
Frequently Asked Questions
How to find a doctor to prescribe testosterone?
Start by asking your primary care physician for a referral to a urologist or endocrinologist who specializes in hormone therapy. You can also search online for "men's health clinic near me," check your insurance provider's directory for in-network specialists, or consider telehealth platforms like PeakPerforMAX that connect you with licensed providers experienced in TRT.
How to get on TRT?
To get on TRT, you need to: (1) schedule a consultation with a qualified provider, (2) discuss your symptoms and medical history, (3) complete two morning blood tests showing testosterone below 300 ng/dL, (4) receive a diagnosis of hypogonadism from your provider, and (5) get a prescription if you qualify. The entire process typically takes 1-3 weeks from initial consultation to starting treatment.
Can a regular doctor prescribe testosterone?
Yes. Primary care physicians can evaluate, diagnose, and prescribe testosterone if they're comfortable managing TRT. Many family doctors have experience with testosterone therapy and can provide ongoing monitoring. If your primary care provider isn't experienced with TRT, they can refer you to a urologist or endocrinologist.
How long does it take to get prescribed testosterone?
The timeline varies:
Initial consultation: 30-60 minutes
Lab work: Typically 1-2 business days for results (may require two separate morning tests, a week or more apart)
Follow-up appointment: To review results and discuss treatment (can be same-day for some online providers)
Prescription: Issued same-day once diagnosis is confirmed
From first appointment to prescription in hand, expect 1-3 weeks on average longer if you need to schedule follow-up appointments or wait for insurance authorization.
How to get a script for testosterone?
To get a script for testosterone, you must see a licensed healthcare provider (primary care doctor, urologist, or endocrinologist), complete a medical evaluation including symptom discussion and blood work, and receive a confirmed diagnosis of low testosterone (hypogonadism). Once diagnosed, your provider will write a prescription that you can fill at a pharmacy. Testosterone cannot be legally obtained without a prescription, as it's a controlled substance.
What testosterone level qualifies you for TRT?
Most providers use total testosterone below 300 ng/dL (confirmed on two separate morning blood tests) as the threshold for diagnosis, combined with clinical symptoms. Some providers also consider free testosterone levels if total testosterone is borderline but symptoms are significant.
Is it legal to buy testosterone online?
Testosterone is a controlled substance, so it's illegal to buy testosterone online without a valid prescription from a licensed healthcare provider. Legitimate online TRT services require a medical consultation, lab work, and a proper diagnosis before prescribing. Websites selling testosterone without requiring a prescription are illegal and unsafe.
Will insurance cover testosterone therapy?
Most insurance plans cover testosterone replacement therapy if you have a confirmed diagnosis of hypogonadism. However, coverage varies by plan, and some insurers require prior authorization or restrict which formulations they'll cover. Contact your insurance provider to verify coverage before starting treatment.
Do you need a prescription for testosterone?
Yes. Testosterone is a Schedule III controlled substance in the United States and requires a prescription from a licensed healthcare provider. Over-the-counter testosterone supplements (like "testosterone boosters") are not the same as prescription testosterone and are not regulated as medications.
Why are some doctors hesitant to prescribe testosterone?
Some doctors are cautious about prescribing testosterone due to:
FDA warnings about cardiovascular risks
Concerns about prostate health and PSA changes
Potential impact on fertility
Lack of long-term safety data
Uncertainty about managing side effects like elevated hematocrit or estrogen
If your doctor is hesitant, ask about their specific concerns and whether a referral to a specialist might be appropriate.
What's the difference between TRT and steroids?
TRT (testosterone replacement therapy) is a medical treatment that restores testosterone to normal physiologic levels under physician supervision. Anabolic steroid use typically involves doses far above normal levels, often combined with other performance-enhancing drugs, and is , not to treat a medical condition. TRT is legal with a prescription; non-medical steroid use is illegal.