Compare TRT clinics that offer HCG add-ons for fertility preservation. See true annual costs, labs inclusion, and verified patient scores side-by-side.
Looking for TRT that won't compromise your fertility?
Starting testosterone replacement therapy often means shutting down natural testosterone production—and with it, sperm production. If you're planning to have kids or want to preserve that option, you need a clinic that offers HCG (human chorionic gonadotropin) alongside your TRT protocol. The problem: most clinics advertise $99/month but don't include HCG in that price. Some charge $50-150 extra monthly for HCG. Others don't offer it at all. This article breaks down which telehealth TRT clinics actually support fertility preservation, what they charge for HCG add-ons, and what your true annual cost looks like.
Quick answer: The best TRT for HCG fertility preservation depends on whether you want HCG included in your base price or added separately. Feel30 and PeterMD start at $1,188/year with labs included, while Titan Medical offers the highest patient scores at 9.5/10 for $1,417/year. See all TRT clinics ranked by true annual cost → /compare/trt.
Why the headline price is never the full story
Every major telehealth TRT clinic advertises some version of "$99/month" on their homepage. But that number rarely includes everything you need. Labs typically add $100-300 annually. Startup fees run $35-150. And HCG—the fertility preservation component most younger men need—can add another $600-1,800 per year depending on the clinic and dosing protocol.
Some clinics bundle HCG into their monthly subscription. Others require you to purchase it separately, either through their pharmacy or an outside source. A few don't offer HCG at all, forcing you to coordinate with another provider. The advertised monthly price tells you almost nothing about what you'll actually pay or whether the clinic even supports fertility goals. That's why comparing true annual costs—including all mandatory fees, labs, and HCG pricing—matters more than the marketing number.
TRT clinics compared: true annual cost
| Clinic | Monthly | Labs | True Annual | Score | Best For | |--------|---------|------|-------------|-------|----------| | Feel30 | $99/mo | Included | $1,188/yr | 8.3/10 | Lowest all-in cost with labs | | PeterMD | $99/mo | Included | $1,188/yr | 7.8/10 | Budget-conscious with labs included | | Maximus | $100/mo | Included | $1,300/yr | 9.4/10 | High scores, labs included | | Male Excel | $99/mo | Extra | $1,388/yr | 9.2/10 | Mid-range with strong reviews | | Titan Medical | $99/mo | Extra | $1,417/yr | 9.5/10 | Highest patient scores | | TRT Nation | $99/mo | Extra | $1,446/yr | 9.2/10 | Comprehensive protocols | | Hone Health | $25/mo | Included | $1,488/yr | 7.6/10 | Low monthly, higher startup | | Henry Meds | $129/mo | Included | $1,548/yr | 7.9/10 | Premium pricing, labs included |
See full ranked list with filters → /best/trt
Feel30: detailed breakdown
Feel30 ties for the lowest true annual cost at $1,188/year with labs included in the base subscription. Their standard TRT protocol includes testosterone cypionate or enanthate, and they offer HCG as an add-on for patients concerned about fertility preservation. The monthly subscription covers your medication, provider consultations, and required lab work—no surprise bills for routine monitoring.
Best for: Budget-focused patients who want predictable all-in pricing and don't mind managing HCG as a separate line item.
Pro: Labs are fully included, eliminating one of the biggest hidden costs in telehealth TRT.
Con: At 8.3/10, patient scores lag behind competitors like Titan Medical and Maximus, suggesting potential gaps in provider communication or customer service.
Titan Medical: detailed breakdown
Titan Medical earns the highest verified patient score at 9.5/10, reflecting strong marks for provider expertise, treatment customization, and responsiveness. Their true annual cost is $1,417/year with labs billed separately. They offer HCG as part of comprehensive fertility-friendly protocols and work with patients to dial in dosing based on sperm analysis results and fertility goals.
Best for: Patients who prioritize clinical quality and provider expertise over rock-bottom pricing.
Pro: Highest patient satisfaction scores across verified reviews, indicating superior service and outcomes.
Con: Labs cost extra, adding $200-300 annually depending on frequency and your insurance coverage.
Maximus: detailed breakdown
Maximus lands at $1,300/year true annual cost with labs included and a 9.4/10 patient score—the second-highest rating in this comparison. They've built a reputation for comprehensive protocols that include fertility preservation options like HCG and monitoring support. Their flat-rate subscription model covers testosterone, labs, and clinical support without tiered pricing or complicated add-on structures.
Best for: Patients who want both high clinical quality (9.4/10 score) and all-inclusive pricing without managing separate lab bills.
Pro: Strong balance of cost, inclusion, and verified patient satisfaction.
Con: Monthly cost is $1 higher than the $99 standard, which adds up to $12 annually—a minor difference but worth noting for strict budget shoppers.
How to choose the right clinic for you
Start by deciding whether you want labs included or are comfortable managing them separately. Clinics like Feel30, PeterMD, Maximus, and Henry Meds bundle labs into their subscription, giving you one predictable monthly charge. Titan Medical, Male Excel, and TRT Nation bill labs separately, which can save money if you have insurance coverage or access to discounted lab networks.
Next, confirm the clinic actually offers HCG and understand how it's priced. Some include it in custom protocols. Others charge a flat add-on fee. A few require you to source it elsewhere. Ask explicitly during your consultation: "What does HCG cost monthly, and is it included in my base subscription?"
Finally, weigh patient scores against price. The $229/year difference between Feel30 ($1,188) and Titan Medical ($1,417) might be worth it if provider expertise and responsiveness matter to you—Titan's 9.5/10 score versus Feel30's 8.3/10 suggests a measurable difference in patient experience. If you're uncertain which factors matter most for your situation, take our 2-minute quiz to find your exact match → /quiz.
Our verdict
If you want the lowest all-in cost with labs included, Feel30 or PeterMD both deliver at $1,188/year. For the best patient experience and highest verified scores, Titan Medical at $1,417/year leads the category at 9.5/10. If you want high scores and labs included in one flat rate, Maximus at $1,300/year and 9.4/10 hits the sweet spot.
No single clinic is universally "best"—it depends on whether you optimize for lowest cost, highest satisfaction, or simplest billing. Compare all options side-by-side with true annual costs and patient scores → /compare/trt.
Frequently asked questions
What is the best TRT clinic for fertility preservation?
The best TRT clinic for fertility preservation is one that offers HCG as part of your protocol and monitors sperm parameters during treatment. Titan Medical (9.5/10 score, $1,417/year) and Maximus (9.4/10 score, $1,300/year) both provide comprehensive fertility-friendly protocols with HCG support. Feel30 and PeterMD offer lower true annual costs at $1,188/year with labs included, though you'll manage HCG as an add-on. The right choice depends on whether you prioritize clinical scores and customization or lowest total cost. All four clinics confirm HCG availability, but dosing protocols and monitoring frequency vary.
How much does HCG cost with TRT?
HCG typically adds $50-150 per month when purchased through telehealth TRT clinics, depending on dosing protocol and compounding pharmacy. Some clinics include HCG in tiered subscription plans, while others charge it as a separate line item. A standard fertility preservation dose (500-1000 IU 2-3 times weekly) usually falls in the $75-100/month range. This adds roughly $900-1,200 to your annual TRT cost. Some patients save money by using a GoodRx coupon at a local pharmacy instead of buying through the clinic, though this requires a separate prescription and coordination.
Does insurance cover TRT with HCG for fertility?
Most insurance plans do not cover telehealth TRT or HCG when prescribed for fertility preservation during elective testosterone therapy. Insurance may cover diagnostic labs if your provider codes them for hypogonadism evaluation rather than treatment monitoring. HCG prescribed specifically for fertility preservation is rarely covered, though some plans cover it when prescribed for primary hypogonadism or other approved indications. If insurance is a factor, ask your clinic whether they provide diagnosis codes that support reimbursement and whether they can submit claims on your behalf. Most telehealth patients pay out-of-pocket.
Can you maintain fertility on TRT?
You can often maintain fertility on TRT by using HCG alongside your testosterone protocol. HCG mimics luteinizing hormone (LH), which signals the testes to continue producing testosterone and sperm even when exogenous testosterone suppresses natural production. Not all patients respond equally—some maintain normal sperm counts with HCG, while others experience partial suppression. Regular semen analysis (every 6-12 months) helps monitor response. Clinics like Titan Medical, Maximus, and TRT Nation support fertility monitoring as part of HCG protocols. Starting HCG from the beginning of TRT is generally more effective than adding it later after full suppression occurs.
