Low testosterone and TRT in Los Angeles
Treatment for adults whose labs confirm low testosterone, through your insurance.
Common symptoms of low testosterone
Haven treats low testosterone for adults whose labs confirm it, as part of your primary care. It starts with labs at our Los Angeles location, and your visits, labs and prescriptions go through your insurance.
These can have other causes too, like sleep, stress or another health condition. That's why we start with labs.
- Low energyTired even after a full night's sleep
- Low sex driveLess interest in sex than usual for you
- Erection problemsTrouble getting or keeping an erection
- Loss of muscleLosing strength or muscle, even when you train
- Mood changesFeeling down, irritable or less like yourself
Treatment starts with a blood test
We treat lab-confirmed low testosterone in adults when two things are true:
- 1Your labs confirm itA blood test at our location or a lab partner location near you.
- 2Your symptoms get in the wayYour provider asks how they're affecting your day to day.
Trans or nonbinary and looking for testosterone? See gender-affirming care.
Tap a test to see why we check it.
What your first labs check7 tests and why
Your provider will talk with you about other options if you have prostate or breast cancer, heart disease that isn't under control, untreated sleep apnea, serious liver disease, or a high red blood cell count.
Trans or nonbinary and looking for testosterone? See gender-affirming care.
TRT and enclomiphene, side by sideTwo ways to treat low testosterone
| Compare |  Testosterone replacement therapy (TRT)Testosterone injection or topical gel |  EnclomipheneEnclomiphene citrate tablet |
|---|---|---|
| How it works | Adds testosterone directly. | Helps your body make more of its own. |
| Testicle size | Can shrink while you're on it. | Works with your own production. Ask your provider. |
| Common side effects | Acne, more red blood cells, higher PSA. | Less well studied. Your provider goes over them. |
| FDA status | FDA-approved | Not FDA-approved. Made by a compounding pharmacy. |
| Insurance | Often covered when labs confirm low testosterone. | Not covered. See the price on the enclomiphene product page. |
Both need regular labs to check your levels and safety. Sources: FDA prescribing information for testosterone cypionate and testosterone gel; phase 3 enclomiphene trials ZA-304 and ZA-305, BJU International. Your provider decides which option, if either, is right for you.
Labs at 6 weeks, then every 6 months
First visit
About 30 minutes on your symptoms and health history.
Labs
At our location or a lab partner near you.
Results and options
If labs confirm low testosterone, your provider goes over which option fits.
Start treatment
TRT goes to your pharmacy, and we teach you to give shots. Enclomiphene ships to you.
Follow-ups
Labs at 6 weeks and after dose changes, then every 6 months.
Cost
How low testosterone treatment is covered
It goes through your insurance. What you pay depends on your plan, with no membership fees.
Who bills for what4 items · your visit and what comes afterYour visit and what comes after
Enclomiphene isn't covered by insurance. See the price on the enclomiphene product page. Compounded medications are not FDA-approved.
Jake Collins, PA-C
He/him/his
Jake is a physician assistant focused on LGBTQ+ health, HIV prevention and gender-affirming care. He sees patients in Los Angeles and virtually.
Book with JakeCommon questions
Will my insurance cover testosterone?
Many plans do when labs confirm low testosterone, though some need prior approval first. Your provider handles the paperwork and lets you know what your plan covers.
Why do I need regular labs?
Labs make sure treatment is right for you, then that your dose is working and safe. Your first panel checks your testosterone (total, free and bioavailable), estradiol, prolactin, PSA, a complete blood count, cholesterol and a metabolic panel for your liver, kidneys and blood sugar. We recheck about 6 weeks after you start, then every 6 months once you're stable.
Do I have to give myself shots?
No. Testosterone also comes as a gel you put on your skin every day. If you choose injections, you give them at home, and if you've never given yourself a shot, we'll show you how at our location first.
What happens if I stop TRT?
Your testosterone levels drop back to where they were, and your body's own production can take a while to recover. Talk with your provider before you stop, so they can plan it with you.
What's the difference between TRT and enclomiphene?
TRT adds testosterone to your body directly, as a shot or a gel. Enclomiphene is a pill that signals your body to make more of its own testosterone. TRT is FDA-approved and often covered by insurance. Enclomiphene is compounded, not FDA-approved and not covered. Your provider will talk through which, if either, fits you.
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