How does online testosterone therapy work at HeydayMD?

Four steps: a medical intake, an at-home blood collection run by a CLIA-certified lab, a video review of the full panel with a licensed clinician, and — if the clinician determines treatment is appropriate — medication shipped to your door with follow-up bloodwork used to adjust the protocol.

How much does it cost?

The clinical service is $99/month on the annual plan ($116 on six months, $133 quarterly; list price $149). The at-home lab panel is $229. HeydayMD is cash-pay and does not bill insurance.

How do I know if I qualify for testosterone therapy?

Qualification depends on bloodwork, symptoms and medical history, and is determined by a licensed clinician. Some men who apply are declined or referred elsewhere.

Does testosterone therapy affect fertility?

It can suppress sperm production. Men who are planning to have children should raise this during the consultation, because it changes what a clinician will recommend.

Are there alternatives to testosterone therapy?

Yes. Depending on the cause of symptoms, options include addressing sleep, alcohol, thyroid or medication factors, or a medication such as enclomiphene that works through a different mechanism.

Can you get TRT online?

Yes. Testosterone therapy can be prescribed through telehealth after confirmed lab work is reviewed by a licensed provider. HeydayMD requires bloodwork before any prescription and handles consultations, dosing and monitoring remotely, with medication shipped to you.

How does online TRT work step by step?

Step 1: labs, via an at-home kit or a local draw, ideally in the morning when testosterone peaks. Step 2: a private telehealth consultation where a licensed provider reviews your labs, symptoms, history and goals. Step 3: a personalized protocol covering medication and dose, administration schedule, any supportive medication and a monitoring plan. Step 4: ongoing care, with follow-up labs at 6 weeks, 3 months and every 6 months and dose adjustments based on your results.

Do you need bloodwork to start TRT online?

Yes. A prescription based on a symptom questionnaire alone is the clearest warning sign of a prescription mill. A comprehensive panel establishes your baseline and rules out other causes, and it is what a provider needs to dose safely.

What labs are checked before online TRT?

Total testosterone, free testosterone, SHBG, LH, FSH, estradiol, CBC, a metabolic panel, PSA and thyroid markers. Draws are best done in the morning.

How often are follow-up labs done?

At about 6 weeks after starting, again at 3 months, then every 6 months, with an annual comprehensive review. Monitoring is what separates a managed program from a refill service.

How much does online TRT cost with HeydayMD?

HeydayMD plans start at $99 per month, all-inclusive: at-home lab testing, telehealth provider consultations, testosterone cypionate medication and monthly delivery, with no hidden fees.

Is online TRT available in my state?

HeydayMD serves patients in all 50 states. Treatment decisions are made by a licensed clinician after reviewing your labs.

Testosterone Therapy

Testosterone therapy that runs on your labs — not on a hunch.

Collect your blood at home. A licensed clinician reviews the full panel with you on video. If treatment is appropriate, it ships to your door and your labs are re-checked on a schedule.

Medication is prescribed only when a licensed clinician determines it is appropriate after lab work. Not everyone who applies is a candidate.

See if you qualify → What it costs

$99/moClinical service on the annual plan — evaluation, lab review, ongoing management.

No lab visitAt-home collection kit; you never sit in a waiting room.

Licensed cliniciansVideo consultations with physician oversight, in all 50 states.

Full panelNot just total testosterone — free T, estradiol, SHBG, hematocrit, PSA and metabolic markers.

Quick answer: Testosterone therapy through HeydayMD works in four steps. You complete a medical intake, collect a blood sample at home, and review the results on video with a licensed clinician. If your labs and symptoms indicate clinically low testosterone and treatment is appropriate, medication and supplies are shipped to you, and follow-up bloodwork is used to adjust the protocol over time. Plans start at $99/month; the at-home lab panel is $229.

How it works

Four steps, no waiting room

Medical intake

A short questionnaire on symptoms and history. It tells us whether bloodwork is even the right next step for you.

At-home blood collection

A collection kit arrives by mail. No needle stick at a lab, no appointment, no commute. Samples are run by a CLIA-certified lab.

Clinician review on video

A licensed clinician goes through the panel with you, explains what each marker means, and decides with you whether treatment is appropriate.

Treatment and follow-up labs

If it is appropriate, medication and supplies ship to your door. Follow-up bloodwork is scheduled so the protocol is adjusted on data, not guesswork.

Start with the intake → · Not sure yet? Check your symptoms first

Pricing

What it actually costs

Clinical service

$99/mo on the annual plan

$116/mo on six months, $133/mo quarterly. List price $149/mo.

Clinician evaluation and video consultations
Lab review and protocol management
Ongoing monitoring and dose adjustments
Messaging with your care team

At-home lab panel

$229 per panel

Collected at home, run by a CLIA-certified lab.

Total and free testosterone
Estradiol, SHBG, LH, FSH
Hematocrit, PSA
Metabolic and lipid markers

What is not included

Insurance — HeydayMD is cash-pay
Treatment of conditions outside our scope
Any prescription without a clinician's determination after labs

Medication cost depends on the protocol your clinician determines is appropriate. You see the number before you are charged for it.

See the full breakdown, including how this compares to insurance-based care, on our TRT cost page.

Honest limits

What we will not do

We will not prescribe without bloodwork. No labs, no prescription — there is no version of this where a form alone is enough.
We will not promise a timeline. How men respond varies. Anyone quoting you a guaranteed number of weeks is selling, not treating.
We will not chase a number. Lab reference ranges vary and targets are individual; your clinician treats you, not a figure on a page.
We will not treat you if it is not appropriate. Some men who apply are declined, or referred out. That is the system working.

Questions

Common questions

Do I need a lab visit?

No. The blood sample is collected at home with a kit we mail you, then run by a CLIA-certified lab. If a clinician needs additional testing that cannot be collected at home, they will tell you.

How do I know if I qualify?

Qualification depends on your bloodwork, your symptoms and your medical history, and is decided by a licensed clinician — not by the website. The intake tells you quickly whether it makes sense to test.

Is testosterone therapy safe?

It is a prescription medical treatment with real risks and required monitoring — which is why hematocrit, PSA and estradiol are tracked on follow-up labs. Read our side effects and safety pages before you start.

Does it affect fertility?

Testosterone therapy can suppress sperm production. If you are planning to have children, say so during your consultation — it changes what a clinician will recommend. See TRT and fertility.

Can I use insurance?

No. HeydayMD is cash-pay. Our insurance page explains how the total compares with copays, lab fees and specialist visits.

Are there alternatives to testosterone?

Yes, and they are worth discussing. Depending on the cause, options include treating sleep, alcohol, thyroid or medication issues, or a medication like enclomiphene that works differently. A clinician should walk you through the alternatives.

Next step

Start with the numbers.

The intake takes a few minutes. It ends with either a recommendation to test, or an honest answer that this is not your problem.

See if you qualify →