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Answer · hormone optimization

Am I a candidate for enclomiphene?

Short answer

Enclomiphene preserves fertility while raising endogenous testosterone in men with secondary hypogonadism. Candidacy requires confirmed low testosterone with normal/low LH/FSH, intact testicular function, and a fertility-preserving goal. Provider-reviewed.

Reviewed by Dr. Laura PurdyJune 3, 2026

Full answer

Enclomiphene is a selective estrogen receptor modulator that blocks pituitary feedback, increasing LH/FSH and endogenous testosterone. It is appropriate for men with secondary hypogonadism (low T with low or inappropriately normal LH/FSH) who want to preserve fertility or who prefer to support endogenous production over exogenous testosterone. The baseline includes total/free testosterone, SHBG, estradiol, LH, FSH, prolactin, and a semen analysis when fertility is the primary driver. Provider review confirms candidacy and excludes pituitary pathology.

Educational. Not a substitute for individualized provider review.

References & sources
  • Enclomiphene pathway — Primary source · oMeds
  • Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-06-03
Primary source
Enclomiphene pathway