Testosterone therapy

Coming Soon Testosterone Cream

CompoundedTestosterone CreamDaily transdermal testosterone

Compounded in the USAFSA and HSA eligiblePay over time with Klarna

Coming soon, join the waitlist
Lab-confirmed and physician-monitored
24/7 support
No hidden fees, no surprise charges

Testosterone therapy replaces testosterone directly, usually as a weekly injection, a daily cream, or an oral capsule. Sipra is not prescribing it yet: it is marked Coming Soon and you can join the waitlist. Enclomiphene, which signals your body to make more of its own testosterone and preserves fertility, is marked Coming Soon as well.

Testosterone, bioidentical testosterone in a transdermal base

Your medication, the labs that confirm your levels, every physician review and follow-up, 24/7 care-team messaging, supplies, and shipping. The full cost is shown before checkout.

You are never locked in. You can pause or cancel anytime from your online patient portal, with no phone call and no fee, and enclomiphene in particular is easy to start or stop. Canceling in the portal does not cancel any active orders already sent to the pharmacy. If your order is pending, contact us at [email protected] and we will help.

The statements on this page have not been evaluated by the Food and Drug Administration. Compounded medications are patient-specific preparations made by a licensed US pharmacy to your physician's prescription. They are not generic versions of, or equivalent to, any branded product. Enclomiphene and compounded testosterone are not FDA-approved. The FDA does not review or approve compounded medications for safety or effectiveness.

Important Safety Information (opens in a new tab)

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Oral TRTDaily testosterone troche, no needles

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Testosterone CreamDaily transdermal testosterone

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KyzatrexFDA-approved oral testosterone

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EnclomipheneRaises your own testosterone, preserves fertility

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Testosterone or enclomiphene

Both start with labs, so your plan is built on your real numbers.

Coming soon

Compounded

TestosteroneWaitlist

Best for: Low levels, family complete.

HowReplaces testosterone directly

FertilityCan lower sperm count

FormInjection, cream or capsule

Join the waitlist

Coming soon

Compounded

EnclomipheneWaitlist

Best for: Low levels, fertility matters.

HowSignals your body to make more

FertilityDesigned to preserve it

FormOne capsule a day

Join the waitlist

Personalized medicine,
in four simple steps

Get started See treatments

Submit your application
and check eligibility

Step1

Complete a quick form online. We'll review it and confirm your pre-eligibility.

Choosing what you are interested in on the Sipra intake

Complete your labs
and meet your doctor

Step2

Get simple lab work done, then meet a provider online to finalize your plan.

Get your medication
delivered at home

Step3

Once approved, your prescription ships directly to your door, fast and free.

Receive 24/7 support
and ongoing care

Step4

Regular check-ins and on-demand medical support to keep you on track.

Testosterone care

Opening soon.

Leave your email and we will let you know when it opens.

More than a prescription

Most online programs ship a box. Sipra stays with you.

Sipra compared with a typical online program
		Typical online programs
No membership fee	No fee	Often a monthly fee
The Sipra PromisePay only if a physician approves.	$0 today	Often charged at checkout
Leave anytimeCancel online. No call, no form.	Anytime	Steps may vary
One price, shipping includedVisits and support too.	Included	Fees may vary
US-licensed pharmaciesURAC, ACHC and LegitScript accredited	Accredited	May vary
Tested before it shipsPotency, plus sterility for injections	Yes	Testing may vary
Dosing set by your physician	Included	Follow-up may be limited
Side effect support	Included	May vary
Care team messaging, day or night	Anytime	Hours may be limited

Start my visit

Nothing is charged until a physician approvesFSA and HSA eligible

Replace it, or turn it up

One replaces testosterone. The other turns your own production back up. Tap each to see how.

BrainPituitaryTestes Testosterone from outside

The pharmacy behind your treatment

Get started See treatments

Licensed 503A pharmacy

Your treatment ships to all 50 states

Compounded in the USA

Made for you, never mass-produced

Tested before it ships

Sterility, endotoxin, and potency, under USP 795 and 797

Independently accredited

URAC, ACHC, and LegitScript

From your visit to your door

Exactly what happens after your visit, who handles it, and when you pay. Nothing is charged until a physician approves.

Start my visit

01Online visit
A few questions, no charge
02Physician review
A licensed US physician
03Approval
Charged only if approved
04Pharmacy
Prepared in the US
05Delivery
Expedited shipping included
06Ongoing care
Check-ins and dose changes

Start my visit

Sipra Medical Reviewer

“Low testosterone is common and very treatable, but the number on the lab is the start, not the whole story. What matters is confirming it with bloodwork and choosing the option that fits your goals, then monitoring it over time.”

Dr. Jillian Foglesong StabileMD, FAAFP, DABOM

Board-certified family physician and Diplomate of the American Board of Obesity Medicine.

American Board of Family Medicine

American Board of Obesity Medicine

Wake Forest University School of Medicine

Testosterone questions, answered

Not yet. Testosterone replacement and enclomiphene are both marked Coming Soon at Sipra, and you can join the waitlist for either one. We will contact you when they are ready.

Joining the waitlist is how you tell us you are interested. It does not start treatment. Nothing is charged unless a physician approves a plan after launch.

Testosterone replacement therapy supplies testosterone directly. Enclomiphene is different, because it signals the body to make more of its own testosterone. Your physician helps you choose, and fertility goals are a big part of that decision.

Symptoms like low energy, low drive, or poor sleep have many causes, so they are not enough alone. Low testosterone is confirmed with blood tests and a physician review. We never start treatment based on symptoms alone.

Yes. Treatment is based on lab-confirmed levels, and follow-up labs are part of staying safe. When we launch, you will be able to share recent results or have labs ordered.

Testosterone replacement can lower sperm production and may reduce fertility. This is one reason enclomiphene is being offered as a different path. If you want to father children now or later, tell us on your intake.

Testosterone treatment can cause acne, fluid retention, mood changes, and a higher red blood cell count, which labs help watch. Enclomiphene can cause headache, hot flashes, or vision changes. Tell your care team about anything new, and your physician can adjust or stop treatment.

Men with prostate or breast cancer, untreated sleep apnea, or a very high red blood cell count may not be a fit. Men who want to father children soon should talk with their physician before starting testosterone. Your physician reviews your full history.

Sipra is cash pay, and no insurance is needed. FSA and HSA funds can be used. Details on plans and pricing will be shared when each treatment launches.

Yes. Once treatment is available, you will be able to cancel online anytime, with no phone call and no form. You can also leave the waitlist whenever you want.