West Coast Men's Health - San Mateo

A legitimate online TRT clinic still behaves like a medical clinic: a licensed doctor reviews symptoms, medical history, repeated morning testosterone results, LH/FSH and safety labs, then runs a real consultation before prescribing. In Australia, questionnaire-only prescribing without a real-time doctor-patient consultation is not considered good medical practice.

At minimum, expect two separate fasting morning testosterone measurements plus LH and FSH to help distinguish primary from secondary hypogonadism. Good clinics also assess SHBG/free testosterone when needed, prolactin, haematocrit or full blood count, cardiometabolic risk, sleep apnoea risk, medications, and PSA or prostate risk where age and history make it relevant.

A licensed doctor, endocrinologist, urologist, or men's health clinician should review your results and prescribe any protocol. Ongoing care should include follow-up labs, symptom review, adverse-effect screening, dose adjustment, blood pressure checks, and clear escalation if haematocrit, PSA, fertility goals, sleep apnoea, or cardiovascular risk becomes a concern.

Expect ongoing costs for consultations, repeat blood panels, medication, dispensing or compounding, and follow-up reviews. Some clinics bundle these; others charge separately. Ask for the first-year total cost, whether scripts can be filled at an Australian pharmacy, and what happens if treatment is not clinically appropriate.