TRT: Frequently Asked Questions
Answers to the most common questions about testosterone replacement therapy — safety, cost, timeline, fertility, and how to get started.
Quick answer: Testosterone replacement therapy is a prescribed medical treatment that restores testosterone levels in men diagnosed with hypogonadism. A blood test measuring total and free testosterone determines if levels are clinically low. Licensed telehealth providers can prescribe treatment after reviewing comprehensive lab work and conducting a virtual consultation. Administration methods include injections, gels, patches, or pellets under ongoing medical supervision.
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Testosterone replacement therapy (TRT) is a clinician-supervised treatment that restores testosterone levels in men with clinically low levels. At HeydayMD, TRT is prescribed online starting at $99 per month, with at-home lab testing, virtual provider consultations, and monthly medication delivery — no clinic visits required.
Testosterone Replacement Therapy is a prescribed medical treatment that restores testosterone to the normal range for adult men (lab reference ranges vary; targets are individual) in men diagnosed with hypogonadism. It is administered through injections, gels, patches, or pellets under ongoing medical supervision.
If you are experiencing persistent fatigue, low libido, difficulty building muscle, weight gain, brain fog, or mood changes, a blood test measuring total and free testosterone can determine if your levels are clinically low (below 300 ng/dL on two separate morning tests).
The TRAVERSE trial (5,246 men) found no increased risk of heart attack, stroke, or prostate cancer with properly monitored TRT. In December 2025, an FDA expert panel recommended removing the prostate cancer warning from TRT labels.
Most men notice energy and mood improvements within 3-6 weeks. Sexual function improves within 3-6 weeks. Body composition changes become visible over 3-6 months. Full optimization typically occurs by 9-12 months.
Yes. Exogenous testosterone suppresses sperm production. This is usually reversible after stopping, but recovery can take 6-12 months. If fertility matters, discuss alternatives like clomiphene or HCG co-therapy with your provider before starting.
Heyday offers TRT starting at $99/month on the annual plan. All plans include provider consultations, medication, supplies, shipping, lab monitoring, and dose adjustments. No hidden fees.
Yes. Licensed telehealth providers can prescribe TRT after reviewing comprehensive lab work and conducting a virtual consultation. Heyday treats patients in all 50 states and Puerto Rico — confirm your state during intake.
The most common side effect is elevated red blood cells (polycythemia), occurring in 5-10% of patients. This is caught with regular CBC monitoring. Other possibilities include acne, fluid retention, and mood changes — all manageable with proper oversight.
TRT is a long-term treatment. Exogenous testosterone suppresses natural production, so stopping typically results in levels dropping back to or below pre-treatment levels. Most men continue indefinitely.
TRT restores testosterone to the normal range for adult men (lab reference ranges vary; targets are individual) under medical supervision. Anabolic steroid use involves supraphysiological doses (2-10x normal) without medical oversight. The goals, doses, and risk profiles are fundamentally different.