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Testosterone
Testosterone therapy for confirmed low testosterone. Shot or cream.
- Labs and video visit first
- Ongoing lab monitoring
- Compounded in grapeseed oil
Testosterone cypionate injection or compounded cream
Testosterone therapy restores testosterone in men with confirmed low levels. Treatment always starts with labs and a video visit with your provider.
- Form
- Injection or daily cream
- How often
- Weekly shot or daily cream
- Before starting
- Labs ($88.25 TRT panel, paid to the lab) and a video visit
- Classification
- Schedule III controlled substance
- Made by
- Injection: FDA-approved manufacturer, dispensed by a state-licensed pharmacy. Cream: compounded
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No charge unless a provider approves · Start assessment
12-month price lock · Licensed providers · Pharmacy named on every label
Quick answer
Testosterone at a glance
Testosterone therapy restores testosterone in men with confirmed low levels.
How it’s taken: injection or daily cream, weekly shot or daily cream.
It starts at $99/mo at Surna, with provider care included.
A prescription from a licensed provider is required. The cypionate injection is an FDA-approved product, dispensed by a state-licensed pharmacy. The cream is compounded and is not FDA-approved.
Compare: TRT vs. enclomiphene
Updated
How Testosterone works
Testosterone affects energy, sex drive, muscle, mood, and red blood cell production. Levels can drop because of medical conditions, weight, medications, or problems with the testes or pituitary gland.
An injection or daily cream replaces what your body isn't making enough of. Regular labs keep your levels in a healthy range and watch for side effects.
What to expect
Everyone responds differently. Your provider checks in and adjusts your plan along the way.
Before you start
Morning lab tests confirm low testosterone, followed by a video visit with your provider.
Weeks 3–6
Some men notice changes in energy and sex drive first.
Months 3–6
Changes in body composition take longer. Follow-up labs check your levels, red blood cells, and PSA.
Is it right for you?
Your provider makes the final call after reviewing your health history and labs.
Often a good fit
- Men with symptoms and confirmed low testosterone on labs
- Not planning to have children in the near future
- Willing to do regular follow-up labs
Usually not a fit
- Prostate or breast cancer
- Trying to conceive with a partner soon
- High red blood cell count
- Untreated severe sleep apnea
Not a complete list. Tell your provider about all health conditions and medications.
Possible side effects
Most side effects are mild. Your care team is a message away if something doesn't feel right.
More common
Get medical help right away for
- Chest pain or shortness of breath
- Pain, swelling, or warmth in one leg
- Trouble urinating
- Sudden weakness, numbness, or trouble speaking
For a medical emergency, call 911.
How to take it
Always follow the directions on your label and from your provider.
Injection: on schedule
Inject as your provider directs, usually on the same day each week, rotating sites.
Cream: cover and wash
Apply to clean, dry skin where your label directs, wash your hands, and cover the area so no one else touches it.
Keep up with labs
Follow-up bloodwork is required to keep your treatment safe and dialed in.
Testosterone questions
Will I have to take it forever?
Many men stay on it long term. If you stop, your levels will likely drop, and natural production can take time to recover.
Does TRT affect fertility?
Yes, it can lower sperm production. If you're planning to have children, ask your provider about enclomiphene.
Why is testosterone a controlled substance?
Testosterone is Schedule III because it can be misused. That’s why treatment requires labs, a video visit, and ongoing monitoring.
Related treatments
See if Testosterone is right for you.
Answer a few questions and a licensed provider will review your options.
Important safety information
Last updated
Testosterone can raise blood pressure and red blood cell counts, which may increase the risk of heart attack, stroke, and blood clots; your provider will monitor labs and blood pressure. Testosterone cream can pass to others through skin contact; women and children should avoid contact with application sites. It can reduce sperm production, worsen sleep apnea, and cause fluid retention. Testosterone is a controlled substance with potential for abuse and dependence. It is not for men with prostate or breast cancer. Safety and effectiveness for low testosterone due to aging alone have not been established.
Testosterone cream is a compounded medication, prepared by a state-licensed pharmacy for individual patients. Compounded drugs are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. Prescribed only if your provider determines it is clinically appropriate for you. The cypionate injection is an FDA-approved product.
This is not a complete list of risks. Talk with your provider and read the full prescribing information or medication guide.