Hormone TherapyClinical Practice

Clinically Refined Hormone Support: Boost Testosterone with Fewer Side Effects

Clinically Refined Hormone Support: Boost Testosterone with Fewer Side Effects

Content provided by Strive Pharmacy

Overview

Enclomiphene citrate represents a refined advancement in men’s hormonal therapy. As the active trans-isomer of clomiphene, enclomiphene provides a more targeted and predictable approach to improving testosterone levels in men with secondary hypogonadism.

Unlike clomiphene — which acts as both an agonist and antagonist on estrogen receptors — enclomiphene functions purely as an estrogen receptor antagonist, allowing for a cleaner stimulation of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) production. This results in a natural increase in testosterone without significantly elevating estrogen or compromising fertility [1] [2].


Key Benefits
  • Targeted Hormonal Modulation: Increases LH and FSH levels while minimizing estrogen feedback on the hypothalamus and pituitary [1] [2].
  • Reduced Side Effects: Compared with clomiphene, enclomiphene shows fewer reports of mood changes, gynecomastia, and visual disturbances [2].
  • Fertility-Preserving: Boosts testosterone while maintaining sperm production.
  • Rapid Adjustment Capability: Allows tight hormonal control and reduced estrogen sensitivity [2].
  • Refined Estrogen Control: Acts exclusively as an estrogen receptor blocker, ideal for men with estrogen-sensitive symptoms.

Note: Enclomiphene is not effective in primary hypogonadism where LH levels are already elevated.


Formulations & Dosing Options

At Strive Pharmacy, enclomiphene is available in flex-dose tablets designed for precision, convenience, and optimal patient outcomes.

  • Enclomiphene 12.5 mg tablet: Adjustable to 3.125 mg, 6.25 mg, 9.375 mg, or 12.5 mg.
  • Enclomiphene 25 mg tablet: Adjustable to 6.25 mg, 12.5 mg, 18.75 mg, or 25 mg.

Advantages:

  • Customizable for fine-tuned hormone response.
  • Optimized outcomes with gradual titration to reach the therapeutic sweet spot.
  • Flexible dosing schedule—typical range 6.25 mg to 25 mg, daily or every other day.
  • Tablets are preferred over capsules for precision dosing; capsule options available upon request.

Potential Side Effects
  • Headache or mild nausea.
  • Occasional visual disturbances (less frequent than clomiphene).
  • Mild gynecomastia (lower incidence vs. clomiphene).
  • Occasional mood swings (less prevalent than clomiphene).

Comparative Summary: Enclomiphene vs. Clomiphene
Characteristic Clomiphene Citrate Enclomiphene Citrate
Type of Isomer38% zuclomiphene, 62% enclomiphene100% enclomiphene
Receptor InteractionEstrogen receptor agonist & antagonistEstrogen receptor antagonist
Testosterone ImpactSubstantial increase; fertility supportiveMore targeted, robust increase; preserves fertility
Estradiol ImpactIncreases estradiolMinimal increase
FSH/LH EffectsIncreases FSH and LHStrong LH increase with stable FSH
Duration of Hormone EffectLong-lastingShorter duration, rapid clearance
Half-Life~5 days~10 hours
Common Side EffectsMood swings, gynecomastia, visual issuesFewer side effects overall
Tachyphylaxis RiskHigherLower
Dosing OptionsCapsules, trochesCapsules, flex-dose tablets, troches

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Last Updated: 12/15/2025 | Professional Healthcare Education