No — Clomid is not a steroid. It's a selective oestrogen receptor modulator (SERM), which works by blocking an oestrogen signal in one part of your brain so that your body produces more of its own testosterone and sperm. Unlike testosterone replacement therapy (which uses controlled doses of testosterone to restore your levels to a healthy range), Clomid doesn't add external testosterone to your system.

What if I want to add hCG or another supporting medication?

Your specialist can add supporting medications where clinically appropriate — including hCG (to support fertility), aromatase inhibitors (to manage oestrogen), clomifene (to support your body's own production), or tadalafil (for sexual function). This is decided together during your consultation, based on your symptoms and your goals.

Can I buy testosterone online without a prescription in the UK?

No. Testosterone is a prescription-only medicine (POM) in the UK, which means it must be prescribed by a registered clinician after a proper assessment — including blood tests and a consultation. Anyone selling it without that is operating outside the law and putting your safety at risk.

How do I take Clomid?

One tablet every other day (starting with half a tablet and building up). Timing within the day isn't critical, but taking it at the same time each dose-day (for example, with breakfast) makes it easier to stay consistent. Your specialist will set your starting dose and adjust it based on your blood test results.

Why is Clomid prescribed off-label for men?

Clomid's original licensed use is in women undergoing fertility treatment. Its use in men for low testosterone is called "off-label" — meaning it's being prescribed for a clinical purpose outside its original licence. This is a well-established and recognised approach in men's health, supported by research and specialist clinical experience. Voy specialists only prescribe Clomid off-label where it's the right option for you based on your assessment and blood results.

Will Clomid preserve my fertility?

Yes, if taken by itself clomid will preserve and likely improve fertility. If testosterone is required in your treatment then this is usually paired with hCG if fertility is desired.

Who is Clomid best suited for?

Members whose low testosterone is linked to a signalling issue between the brain and the testes (known as secondary hypogonadism) — rather than a problem with the testes themselves. It tends to work best in younger men, in members who want to preserve fertility, and in those who'd rather avoid injections. Your specialist will confirm whether Clomid is the right fit based on your blood results.

Who shouldn't take Clomid?

Clomid isn't the right option if your testes aren't able to respond to FSH and LH signals (primary testicular failure), if you have a severe oestrogen-sensitive condition, or if your specialist identifies another reason during your consultation. In those cases, a different form of treatment will be recommended.

How should I store Clomid?

At room temperature, out of direct sunlight, in the original packaging. Keep the pack somewhere safe and out of reach of children. Check the expiry date before you start each new pack.

Clomid (clomifene citrate) — oral TRT alternative

What is Clomid?

Clomid is the brand name for clomifene citrate, a tablet taken orally. It's classed as a selective oestrogen receptor modulator (SERM), which means it blocks oestrogen's signal in one specific part of your brain (the hypothalamus). Because your brain is getting less of the oestrogen signal, it tries to correct this.

In the body, some testosterone is converted into oestrogen, so your brain increases testosterone release from the testicles to try to increase oestrogen levels and correct the lower oestrogen signal it's receiving.

As a result, the hormones that tell your testicles to produce testosterone and sperm go up (luteinising hormone and follicle-stimulating hormone), and your testosterone level rises.

In other words, Clomid doesn't replace your testosterone — it prompts your body to make more of its own. That's why it's often the right option for members who want to avoid injections, preserve fertility, or keep their natural hormone pathway running. Prescribing Clomid for male low testosterone is off-label in the UK; your specialist will only recommend it where it's clinically the right choice for you.

References

^¹

Association of Breast Surgery. “Investigation and Management of Gynaecomastia in Primary and Secondary Care,” Associationofbreastsurgery.org.uk, https://associationofbreastsurgery.org.uk/media/b2ljdqhr/abs-summary-statement-gynaecomastia-v3.pdf. Accessed 19 Dec. 2025.

^²

“Clomifene citrate,” British National Formulary. https://bnf.nice.org.uk/drugs/clomifene-citrate/#side-effects. Accessed 19 Dec. 2025.

^³

Da Ros, C T., and Averbeck, M A. “Twenty-five Milligrams of Clomiphene Citrate Presents Positive Effect on Treatment of Male Testosterone Deficiency - A Prospective Study,” International Brazilian Journal of Urology, vol. 38, issue 4, 2012:512-518 https://pubmed.ncbi.nlm.nih.gov/22951175/.

^⁴

Guo, David P, et al. “Demographics, Usage Patterns, and Safety of Male Users of Clomiphene in the United States,” The World Journal of Men’s Health, vol. 38, issue 2, 2019:220-225. https://pmc.ncbi.nlm.nih.gov/articles/PMC7076309/.

^⁵

Huijben, Manou, et al. “Clomiphene Citrate for Male Infertility: A Systematic Review and Meta-analysis,” Andrology, vol. 11, issue 6, 2023:987-996 https://onlinelibrary.wiley.com/doi/10.1111/andr.13388.

^⁶

Huijben, Manou, et al. “Clomiphene Citrate for Men with Hypogonadism: A Systematic Review and Meta-analysis,” Andrology, vol. 10, issue 3, 2021:451-469 https://onlinelibrary.wiley.com/doi/10.1111/andr.13146.

^⁷

Ide, Veerle, et al. “Treatment of Men with Central Hypogonadism: Alternatives for Testosterone Replacement Therapy,” International Journal of Molecular Sciences, vol. 22, issue 1, 2021:21. https://www.mdpi.com/1422-0067/22/1/21.

^⁸

Jiang, Tommy, et al. “Temporal Changes of Clomiphene on Testosterone Levels and Semen Parameters in Subfertile Men,” The World Journal of Men’s Health, vol. 41, issue 1, 2022: 198-203. https://pmc.ncbi.nlm.nih.gov/articles/PMC9826904/.

^⁹

Lawton, A W. “Optic Neuropathy Associated with Clomiphene Citrate Therapy,” Fertility and Sterility, vol. 61, issue 2, 1994:390-391. https://pubmed.ncbi.nlm.nih.gov/8299802/.

^¹⁰

Liao, Yian, et al. “Ceiling Effect of Clomiphene Citrate on the Testosterone to Estradiol Ratio in Eugonadal Infertile Men,” PLoS One, vol. 17, issue 1, 2022:e0262924 https://pmc.ncbi.nlm.nih.gov/articles/PMC8803167/.

^¹¹

Shukla, Joyutpala, et al. “Clomiphene Citrate Improves Sperm Parameters in Infertile Men with Idiopathic Oligoasthenozoospermia,” Clinical and Experimental Reproductive Medicine, vol. 52, issue 3, 2025:252-258. https://pmc.ncbi.nlm.nih.gov/articles/PMC12411873/.

Clomid (clomifene citrate)

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What is Clomid?

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Side effects

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Clomid: Everything you need to know

Low T symptoms

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