Personalized men's hormone care

Coming Soon Compounded testosterone, offered as an injection, a daily cream, and an oral capsule

CompoundedTestosterone

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 therapy replaces testosterone directly and comes as an injection, a daily cream, or an oral capsule. Sipra is not prescribing it yet: every testosterone product here is marked Coming Soon and you can join the waitlist. Enclomiphene is an oral option that preserves fertility by prompting your body to make more of its own testosterone, and it is marked Coming Soon at Sipra as well. Your physician confirms the fit from your labs and goals, with you, not for you.

Enclomiphene and compounded testosterone are not FDA-approved.

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.

The membership is what turns a prescription into ongoing care. It covers your licensed physician, lab fees, your follow-up visit, unlimited 24/7 messaging with your care team, and the dose adjustments and lab monitoring that keep treatment working and safe over time. One membership covers unlimited visits across every treatment you are on, so if you add another medication later, you save instead of paying a second set of fees. We keep it separate from the medication on purpose, so your care is funded transparently and you never pay a hidden markup buried in the price of your medication.

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.

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Explore men's treatments

Men's treatments and targeted add-ons, prescribed and monitored by licensed physicians.

Testosterone CypionateWeekly injectable testosterone

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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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SildenafilFast-acting, taken as neededFrom $65/mo

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Follicle FuelBlocks DHT and fuels regrowthFrom $95/mo

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Follicle PlusStronger DHT block for regrowthFrom $95/mo

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Lush LoxMinoxidil + biotin for regrowthFrom $95/mo

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PT-141Boosts desire and arousalFrom $175/mo

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ApexFast and long-lasting, dissolvableFrom $85/mo

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VardenafilOn-demand support for erectile functionFrom $55/mo

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FinasterideDaily DHT blocker for hair retentionFrom $65/mo

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How Testosterone Works

Natural testosterone productionSuppressed

natural

Total testosteroneHigh

natural

FertilityLower

natural

Month 1Energy and mood begin to shift.
Months 2 to 3Drive and strength build.
Months 3 to 6Fuller effects, labs guide dose.

Educational only, not medical advice. Bars are illustrative and not to scale. Testosterone therapy and enclomiphene are both marked Coming Soon at Sipra. Individual results vary.

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.

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.

Sexual wellness

Reclaim your confidence and performance

Clinician-prescribed treatments for performance, drive, and stamina, delivered discreetly.

Get Started

Backed by physicians you can trust

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

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

Men's health questions, answered

TRT replaces testosterone directly. Enclomiphene signals your body to make more of its own testosterone, which preserves fertility and is easy to start or stop. Both are marked Coming Soon at Sipra today. Join the waitlist on either and we will write to you the day it opens.

Traditional testosterone therapy can lower sperm production, which is one reason enclomiphene exists: it raises your own testosterone and preserves fertility. Enclomiphene is marked Coming Soon at Sipra. If fathering children matters to you now or later, tell your provider so the right path is chosen for you.

Yes. Treatment is based on lab-confirmed testosterone levels and a physician review. Recent, complete labs may qualify; otherwise we order a quick draw at a lab near you. The lab makes sure your plan is built on your real numbers.

Energy, mood, and focus often shift in the first few weeks. Libido and strength build over one to three months, and fuller effects come over three to six months. Individual results vary.

When prescribed and monitored by a licensed physician for a confirmed deficiency, testosterone therapy has a well-studied safety profile. A large 2023 trial found no increased risk of major cardiac events or prostate cancer in men with low testosterone. Testosterone therapy is marked Coming Soon at Sipra, so this is background rather than a treatment you can start here today.

Most are mild and manageable, and your provider screens your history first. Some men notice changes in red blood cell count, acne, or fluid retention; less common effects are watched with regular labs. Anything serious is reviewed promptly by your care team.

These are the three ways testosterone is usually given: a weekly injection, a daily topical cream, or a daily oral capsule. Testosterone therapy is marked Coming Soon at Sipra, so none of the three can be started here today. Enclomiphene, a daily capsule that raises your own testosterone, is marked Coming Soon at Sipra as well.

No. Enclomiphene is not FDA-approved. It is prescribed off-label and prepared by a licensed US compounding pharmacy when a physician determines it is appropriate.

From $39 a month, with plan options and pay-over-time available. There are no hidden fees or surprise charges. Many members use HSA or FSA funds.

Yes, the whole process is online: your assessment, labs, physician review, prescription, and ongoing care, with provider check-ins, dose adjustments, and messaging support included.