TRT for Men

Enclomiphene / Tadalafil

Raise your own testosterone. Support your erections. Keep your fertility.

Enclomiphene / tadalafil is a prescription combination for men’s sexual health. It pairs two medications with two different jobs. Enclomiphene tells your body to make more of its own testosterone. Tadalafil supports erectile function and blood flow.

The enclomiphene side works upstream, in the brain. By blocking estrogen receptors in the hypothalamus — your body’s hormone control center — it raises the signals, LH and FSH, that drive your testes to produce testosterone. Because production stays in your own body, sperm production and fertility are maintained rather than suppressed.

The tadalafil side works downstream. It supports erectile function directly, and it may also help improve the ratio of testosterone to estradiol — a form of estrogen — for better hormone balance overall.

Men choose this combination when they have secondary hypogonadism — low testosterone caused by weak hormone signals from the brain — and want to address it without giving up fertility. It covers both sides of the problem at once: the hormones behind low testosterone and the erectile symptoms that often come with it.

Why people choose it

  • Supports your body's natural testosterone production
  • Supports erectile function and blood flow
  • Helps maintain fertility and sperm production
  • Supports a balanced testosterone-to-estradiol ratio

How it works

Enclomiphene is a selective estrogen receptor modulator — a medication that blocks estrogen receptors in the hypothalamus, the part of your brain that manages hormones. That interrupts the feedback loop that keeps testosterone low, prompting your body to release more LH and FSH — the signals that tell your testes to make testosterone. Tadalafil supports erectile function and blood flow, and may further improve the balance between testosterone and estradiol, a form of estrogen. Together, they help your body keep making its own testosterone without suppressing fertility.

Who it's for

Men with secondary hypogonadism — low testosterone caused by weak signals from the brain rather than a problem with the testes. It's a strong fit if you want to raise your own testosterone, address erectile dysfunction, and protect your fertility during treatment.

Available forms

  • 30-day supply
  • 60-day supply
  • 90-day supply

FAQ

Do I need a prescription?

Yes. A licensed IAM provider reviews your health history and determines whether enclomiphene and tadalafil are right for you before prescribing.

Will I need lab work?

Often, yes. Your provider may order labs to check your testosterone and related hormone levels before and during treatment.

How is this different from traditional TRT?

Traditional TRT adds testosterone from outside your body, which can suppress your own production and fertility. This combination signals your body to make more of its own testosterone while also supporting erectile function.

How does shipping work?

Your medication ships directly to your door from a licensed pharmacy, with tracking.

Is this a subscription?

No. You order what your provider prescribes — 30, 60, or 90 days at a time — with no membership and no recurring subscription.

Ready to get started?

Prescription medication. A licensed IAM provider determines if it's right for you.