Restore your testosterone while helping protect your own production and fertility potential. Avinity offers physician-supervised TRT with hCG at our Scottsdale clinic, with lab testing before treatment and weekly injections given by our clinical team.
$279 first month with hCG$329/month thereafter
Labs, medication and weekly in-clinic injections included
The Short Answer: Testosterone therapy restores your testosterone level, but it also turns down the signal that tells the testicles to make their own testosterone and sperm. hCG supplies a similar signal. Added to TRT, it may help preserve testicular function and fertility potential, though it is not a guarantee. It matters most for men who may want children, and whether it belongs in your plan is decided at your consultation in our Scottsdale clinic.
Testosterone therapy restores your testosterone level, but it also changes how your body makes its own. Understanding that change is the reason hCG exists as an option.
Your body regulates testosterone through a feedback loop. The brain sends a signal (called LH) to the testicles, the testicles respond by making testosterone and sperm, and rising testosterone tells the brain to ease off.
When testosterone comes from outside the body, the brain sees the higher level and turns its signal down. The testicles, no longer being told to work, slow down. Over time that can mean:
For many men these effects are an acceptable trade for feeling like themselves again. For men who may want children, or who simply want to keep their own production working, they are not. That is where hCG comes in.
hCG (human chorionic gonadotropin) closely resembles the brain's natural signal to the testicles. Given alongside testosterone, it may help keep the testicles working even though the brain has turned its own signal down.
For men on TRT, adding hCG can help:
hCG for men is given as a small injection, on a schedule set by your clinician and adjusted based on your labs. At Avinity it is an add-on to your testosterone protocol, not a replacement for it.
hCG does not make TRT work faster or raise your testosterone level further. Its job is to help protect testicular function and fertility potential while you are on therapy.
| What to compare | TRT alone | TRT with hCG |
|---|---|---|
| Testosterone level | Restored | Restored |
| The brain's signal to the testicles | Turned down | Turned down, with hCG supplying a similar signal |
| Testicular size and own production | Often decline over time | May be better preserved |
| Fertility | Can be greatly reduced | Fertility potential may be better supported; not a guarantee |
| Injections | Weekly testosterone injection in our clinic | Weekly testosterone injection, plus a small hCG injection |
| Cost at Avinity | $199 first month, then $249/month | $279 first month, then $329/month |
hCG is not for everyone on TRT, and it is not automatic. Your clinician will bring it up if your situation fits one of these.
If you might want children now or in the future, this is the most important conversation to have before starting testosterone. TRT with hCG is one of the ways to lower the fertility risk. Depending on your labs and timeline, your clinician may also recommend a semen analysis, a different medication, or holding off on TRT.
Testicular shrinkage on TRT is common and, for many men, unwelcome. hCG is commonly used to help limit it.
Many online and franchise TRT services do not offer hCG, or offer it only if you ask. If you are already on TRT and it was never discussed, your consultation at Avinity is a good time to review whether it belongs in your plan.
Men who have finished growing their families, are not concerned about testicular size, and have no other clinical reason for hCG often do well on testosterone alone. In that case hCG adds cost and another injection without a benefit that matters to you, and your clinician will tell you so.
Every step of TRT with hCG at Avinity is tied to your own lab results.
Labs first. Before any prescription, we draw blood in our Scottsdale clinic to check your testosterone and related hormones, thyroid, blood count, metabolism and prostate health (PSA).
A real consultation. You meet with Virginia Henry, MSN, FNP-C, our nurse practitioner, to go through your results, your symptoms and your goals, including whether you may want children. Whether hCG belongs in your plan is decided here.
Physician oversight. Every protocol, with or without hCG, is overseen by Dr. Arun Lakshmipathy, MD, Avinity's Medical Director and a board-certified internist.
Injections. Your weekly testosterone injection is given by our clinical team in our office. hCG is a small injection on a schedule your clinician sets, and your team will walk you through it. Avinity uses injections only, not gels, creams or pellets.
Monitoring. hCG can raise estradiol as well as testosterone, so your follow-up labs check both, along with the standard TRT safety markers: red blood cell count (hematocrit) and PSA. Your first follow-up is 6 to 8 weeks after you start, then typically every 3 to 6 months once you are stable. Your clinician adjusts your plan based on your results.
New Patient Offer
$199first month
Then $249 per month for months 2 to 4
Four-month initial commitment: $946 total
After month four, $249 per month
Your TRT price includes:
With hCG From the Start
$279first month
Then $329 per month
Four-month total: $1,266
hCG is $80 per month if prescribed, added to TRT pricing.
New patient pricing requires a four-month initial commitment. Treatment is prescribed only if clinically appropriate after consultation and lab testing. Avinity is direct-pay and does not bill insurance. HSA/FSA eligibility depends on your plan; check with your administrator. See full TRT pricing
hCG is well established and generally well tolerated. Possible effects include irritation where it is injected, water retention, mood changes, and a rise in estradiol that may need to be managed. Those are the reasons it is monitored with labs rather than prescribed and forgotten.
Not a Fertility Guarantee: hCG may help preserve fertility potential on TRT, but it is not a guarantee. If you are hoping to conceive soon, tell us at your consultation; the right plan may look different from standard TRT.
Avinity Health is at 11000 N. Scottsdale Road, Suite 100, Scottsdale, AZ 85254, minutes from Gainey Ranch, Paradise Valley, Kierland and McCormick Ranch. Labs, consultations and weekly injections all happen here, with the same clinical team each visit.
Hours: Monday to Friday 9am to 5pm, Saturday 9am to 12pm, other times by appointment.
Avinity Health
11000 N. Scottsdale Road, Suite 100
Scottsdale, AZ 85254
Monday to Friday, 9am to 5pm
Saturday, 9am to 12pm
Sunday, closed
Other times available by appointment
Learn more about testosterone therapy in Scottsdale at Avinity.
It can. Testosterone therapy on its own can lower sperm production significantly, and after stopping, recovery is not guaranteed on a predictable timeline. That is why the fertility conversation belongs at the start of TRT, and why men who may want children often consider TRT with hCG.
No. Many men do well on testosterone alone. hCG is worth considering if you may want children, want to limit testicular shrinkage, or want to keep some natural production. Your clinician will recommend it only if it fits your goals and labs.
Yes. hCG is an $80 per month add-on if prescribed. With hCG from the start, TRT is $279 for the first month, then $329 per month, or $1,266 for the four-month initial commitment.
It can help preserve sperm production, but results vary and it is not a guarantee. If protecting fertility matters to you, talk with your clinician about testing and timing before you start TRT.
In some men, hCG alone or an alternative such as clomiphene can raise natural testosterone and may be a better fit than TRT, especially for men actively trying to conceive. Whether that applies to you depends on your labs and the cause of your low testosterone.
As a small injection, on a schedule set by your clinician. Your clinical team will walk you through it.
Often, yes. If your goals change, raise it at a follow-up visit and your clinician will review your labs and options.
The signal hCG was supplying stops, so testicular size and natural production may decline as they would on TRT alone. Talk with your clinician before stopping, especially if fertility is still a goal.
Yes. You start the same way as any new patient: lab testing in our Scottsdale clinic and a consultation with Virginia Henry, NP. Bring your current protocol and recent labs, and we will review whether hCG belongs in your plan.
Avinity is direct-pay and does not bill insurance. HSA/FSA eligibility depends on your plan; check with your plan administrator.
The hCG decision is easiest to make before TRT begins. Get your labs done at our Scottsdale clinic, then review your options with Virginia Henry, NP, with physician oversight from Dr. Lakshmipathy.
11000 N. Scottsdale Road, Suite 100, Scottsdale, AZ 85254 · info@avinityhealth.com
This page is for educational purposes and is not a substitute for a consultation with a qualified provider. Individual results vary.
