Dripology - Enclomiphene

What state do you live in?

We need this to match you with a licensed provider in your state.

What sex were you assigned at birth?

We ask this to show you the correct safety and contraindication questions for your physiology. Your answer stays in your chart and only your prescribing provider sees it.

Male

Female

What is your current height and weight?

Required by the prescribing physician.

Weight (pounds) Height

Feet

Inches

Your BMI Result

Underweight <18.5 Normal 18.5-24.9 Overweight 25-29.9 Obese ≥30

What symptoms are you experiencing?

Select all that apply

Fatigue / low energy

Low libido / decreased sex drive

Erectile dysfunction

Mood changes / irritability

Decreased muscle mass

Increased body fat

Brain fog / difficulty concentrating

Depression

Sleep problems

Hair loss

Do you have recent bloodwork results?

Bloodwork is required before a physician can prescribe hormone replacement therapy. This ensures your treatment is safe and tailored to your body's needs.

Yes, I'll upload my labs (within past 60 days)

No — purchase the HRT Clearance Kit ($124.99, an at-home blood test shipped to your door so our doctors can evaluate and approve your hormone therapy)

Upload your recent lab results

We need: total testosterone, free testosterone, CBC, CMP, lipid panel, and PSA (if 40+)

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Click to upload your lab results
(PDF, JPG, PNG, or HEIC)

Do any of these apply to you?

These conditions may affect your eligibility

None of the below

Liver disease

Uncontrolled thyroid disorder

Uncontrolled adrenal disorder

History of blood clots (DVT, PE, stroke)

Cardiovascular disease

Visual disturbances or vision changes

Based on your selection, you may not be eligible for this treatment. A provider will review your information and follow up with you.

Do you plan to father children in the near future?

Important: Testosterone therapy significantly reduces sperm production

No, I do not plan to have children

Yes, I want to preserve fertility

I'm unsure

Are you currently taking any medications?

No

Yes

Please list all current medications

Anything else you'd like your doctor to know?

Share any additional information, questions, or concerns.

This is optional - only include what you think is important

Upload a photo of the front of your government-issued ID.

Driver's license, state ID, or passport. Required for prescriber identity verification.

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Tap to take or upload a photo
(JPG, PNG, WEBP, or PDF — HEIC not supported)

Upload a selfie holding your ID.

Hold your ID up next to your face so your prescriber can confirm the ID is yours.

📸

Tap to take or upload a photo
(JPG, PNG, WEBP, or PDF — HEIC not supported)