The short answer

TRT at Cosmetica Med Spa in Boca Raton is a $100 monthly membership, plus your testosterone and lab work. Your testosterone is filled at the pharmacy you choose, at that pharmacy's price, with no markup from us. Labs are billed separately, at our cost.

At published 2026 cash prices, generic testosterone injections add roughly $10 to $20 a month for the medication. That puts many men at about $110 to $120 a month before labs. Creams, gels, pills and pellets cost more. The table below breaks it down, form by form.

TRT cost by form: a monthly breakdown

Injections are usually the lowest-cost form, and pills the highest. These are estimates built from published U.S. cash prices, checked in November 2026.

Form	How often	Published cash price (source)	Estimated medication cost per month	Estimated monthly total with the $100 membership
Injections (generic testosterone cypionate)	Weekly or every other week	From $42.60 for a 10 mL vial of 200 mg/mL (GoodRx)	About $10 to $20, at 100 to 200 mg a week	About $110 to $120
Cream or gel	Once a day	Generic 1% gel from $82.88 for 30 packets; 1.62% gel from $39.81 per pump bottle (GoodRx). Compounded cream is priced by the pharmacy	About $40 to $150	About $140 to $250
Pills (oral testosterone undecanoate, such as Kyzatrex)	Twice a day, with meals	From $398.62 for 120 capsules (Drugs.com)	About $200 to $400, depending on dose	About $300 to $500
Pellets (such as Testopel)	Every 3 to 6 months	$106.46 per 75 mg pellet, with 2 to 6 pellets per visit (Drugs.com)	About $35 to $215, averaged over the months between visits	About $135 to $315, plus the in-office insertion visit

Lab work is added on top. Your provider walks you through your real numbers, based on your pharmacy, form and dose, before you start.

How we worked out these estimates

Injections. GoodRx summarizes the label range for testosterone cypionate as 50 to 400 mg every 2 to 4 weeks. A 10 mL vial of 200 mg/mL holds 2,000 mg, which lasts about 2 to 5 months at 100 to 200 mg a week. Syringes and needles are extra.
Gel. GoodRx lists 1% gel at $82.88 to $92.79 for 30 packets or tubes. It lists 1.62% gel from $39.81 per pump bottle up to $152.70 for 30 packets. How long a pump lasts depends on your dose.
Pills. Kyzatrex starts at 200 mg twice a day, with a maximum of 400 mg twice a day, per its dosing information on Drugs.com. Higher doses use capsules faster.
Pellets. The Testopel label calls for 150 to 450 mg, or 2 to 6 pellets, every 3 to 6 months. We divided the per-visit pellet cost across those months.

What changes your monthly cost

The form you use and your dose move your monthly total the most. The $100 membership stays the same.

Factor	How it changes what you pay
Form	Generic injections cost the least per month at published prices, and brand-name pills the most. Pellets add an insertion visit every 3 to 6 months.
Dose	A higher dose empties a vial, pump or bottle sooner. Kyzatrex, for example, runs from 100 mg once a day to 400 mg twice a day.
Your pharmacy	Cash prices differ from one pharmacy to the next. You choose where your prescription is filled, and we add nothing to that price.
Supplies	Injections need syringes and needles, which aren't part of the vial price.
Lab schedule	Year one has the most lab work: baseline tests, a recheck at 3 to 6 months and another around 12 months. After that, checks settle to every 6 to 12 months.

Your first year of TRT: what to budget

At published 2026 cash prices, a first year of TRT at Cosmetica comes to about $1,320 to $1,440 with generic injections, before labs and supplies. Here's the same math for each form.

Form	Estimated monthly total	Estimated first-year total (12 months), before labs
Injections	$110 to $120	$1,320 to $1,440
Cream or gel	$140 to $250	$1,680 to $3,000
Pills	$300 to $500	$3,600 to $6,000
Pellets	$135 to $315	$1,620 to $3,780, plus insertion visits

These are the monthly estimates times 12, so they move with your pharmacy and dose. Here's when each cost lands.

When	What happens	What you pay
Before you start	Consultation and baseline labs	A $100 booking deposit, credited to your visit; labs at our cost
Month 1 onward	Membership and testosterone	$100 a month, plus your pharmacy's price
Months 3 to 6	First follow-up labs and a dose review	Labs at our cost
Month 12	Labs and a yearly review	Labs at our cost
Year two onward	Labs every 6 to 12 months	Labs at our cost

What the $100 membership includes

The membership covers your physician monitoring, prescriptions and check-ins. The testosterone and labs are billed on their own, so you see what each piece costs.

Part of your plan	Cost	Notes
Membership	$100 a month ($1,200 a year)	Physician monitoring, prescriptions and check-ins
Testosterone	Your pharmacy's price	Filled at a local pharmacy or our partner pharmacy, or shipped to your home, your choice. No markup from us
Lab work	Billed separately, at our cost	Needed before you start and at regular check points after
Booking deposit	$100	Credited to your visit

TRT at Cosmetica is self-pay, and we don't bill insurance. You can pay over time with Cherry or CareCredit; see financing. Our medical director, Dr. Andrei Gherghina, DO, oversees the program.

Your first TRT visit at Cosmetica, step by step

Your first visit is a consultation and a lab order. Treatment starts once your results and symptoms confirm low testosterone.

Book. Book online or call (561) 621-1578. A $100 deposit holds your time and is credited to your visit.
Share your history. Bring a list of your medications and any recent lab results. Your provider asks about your symptoms, sleep, weight and heart health.
Get your labs. Two early-morning total testosterone tests confirm your level. Your panel also checks your red blood cell count and, for men over 40, PSA.
Review your results. If testosterone is confirmed low, you and your provider choose a form. High blood pressure, untreated sleep apnea, a past blood clot or a high red blood cell count gets a closer look first.
Fill your prescription. It goes to your local pharmacy or our partner pharmacy, or it's shipped to your home. If you choose injections, you can give them at home.
Follow up. Your labs are rechecked at 3 to 6 months, and your dose is fine-tuned from there.

Women follow the same steps at a much lower dose, with a recheck after the first several weeks and then about every 6 months.

Lab work: what's checked and how often

Expect labs before you start, a recheck in the first few months, then every 6 to 12 months. That rhythm follows the American Urological Association (AUA) guideline. The Endocrine Society recommends checks at 3 to 6 months, at 12 months, then once a year.

Test	When	Why
Total testosterone, two early-morning tests	Before starting	Confirms low testosterone under the AUA guideline
Luteinizing hormone (LH)	Before starting	Helps find the cause of low testosterone
Hemoglobin and hematocrit	Before starting and during treatment	Testosterone can raise your red blood cell count
PSA, for men over 40	Before starting and during treatment	Tracks prostate health
Estradiol	If you have breast tenderness or growth	The AUA recommends it when breast symptoms are present
Total testosterone follow-up	At 3 to 6 months, then every 6 to 12 months	Keeps your level in the middle of the normal range

For a sense of scale, direct-to-consumer labs list a single total testosterone test at about $49 to $95, according to FindLabTest's price comparison. We bill your labs at our cost, and your provider goes over that cost with you before you begin.

Injections, cream, pills or pellets: routine and lab checks

Injections are a shot every week or two, cream or gel goes on daily, pills are taken twice a day and pellets are placed every 3 to 6 months. The Endocrine Society guideline notes that blood draws are timed differently for each form.

Form	Your routine	When your level is first checked	Good to know
Injections (testosterone cypionate)	At home, weekly or every other week	Timed by your provider to your injection schedule	Lowest medication cost. Needs syringes and needles
Gel or cream	Once a day, in the morning, on the upper arms and shoulders (AndroGel 1.62% label)	Before your morning dose, about 14 and 28 days after you start or change dose (AndroGel 1.62% label)	Wash your hands, cover the skin once it's dry and wait 2 hours before showering or swimming. The AUA advises talking through the risk of passing it to others by touch
Pills (Kyzatrex)	Twice a day, with food	3 to 5 hours after your morning dose, 7 days after you start or change dose (Kyzatrex label)	No needles and nothing on the skin
Pellets (Testopel)	2 to 6 pellets placed under the skin in the office, every 3 to 6 months	Set by your provider within each cycle	No daily or weekly routine

Your provider helps you pick a form based on your labs, your schedule and how you feel about needles.

How long TRT takes to work

Sex drive often starts to change in about 3 weeks. Muscle, strength and body fat take 3 to 4 months to shift and up to a year to settle. Those timelines come from a review of published TRT studies by Saad and colleagues in the European Journal of Endocrinology (2011).

What changes	First changes	When it levels off
Sex drive	About 3 weeks	About 6 weeks
Erections and ejaculation	Builds gradually	Up to 6 months
Quality of life	3 to 4 weeks	Takes longer to peak
Mood and depressive symptoms	3 to 6 weeks	18 to 30 weeks
Fat mass, lean muscle and strength	12 to 16 weeks	6 to 12 months, with small gains for years
Cholesterol and other blood fats	About 4 weeks	6 to 12 months
Red blood cell count	About 3 months	9 to 12 months
Bone density	About 6 months	Keeps improving for at least 3 years

The authors found wide variation from person to person, largely tied to the form of testosterone used. The AUA and the Endocrine Society both build in a check at 3 to 6 months. If your level is in range by then but symptoms haven't improved, the AUA guideline calls for a talk about next steps, including whether to continue.

How TRT clinics price their care

Most TRT programs use one of four pricing models, and each bundles different things. Knowing which one you're looking at makes prices easier to compare.

Model	What you pay	Usually included	Good to ask
All-inclusive monthly fee	One flat monthly price	Visits, medication and often some labs	Which labs and how many visits are included, and whether a higher dose costs more
Membership plus pharmacy (our model)	A membership fee, with medication and labs billed separately	Physician monitoring and check-ins	What the pharmacy charges for your form and dose
Insurance-billed office care	Visit copays, deductibles and pharmacy copays	Visits and labs billed to your plan	Whether your plan needs prior approval for testosterone
Telehealth subscription	A monthly subscription	Virtual visits and home-delivered medication	Where labs are drawn and whether you'll ever be seen in person

Whichever model you choose, the standard of care is the same: confirmed low testosterone, symptoms, and regular lab follow-up.

Signs of low testosterone that lead men to get tested

Lower sex drive, weaker erections, less body hair and breast tenderness point most strongly to low testosterone, according to the Endocrine Society. Tiredness, low mood and weight changes are common too, but less specific.

Group	Examples	Good to know
More specific signs	Lower sex drive, weaker or fewer erections, less body hair, breast tenderness or growth, hot flushes, a low sperm count, low bone density	These point more strongly to low testosterone, but a blood test still decides
Less specific signs	Low energy, low mood, trouble concentrating, poor sleep, less muscle and strength, more body fat, mild anemia	Stress, thyroid problems, depression and poor sleep can cause the same changes

Some signs, like low bone density, a low sperm count or mild anemia, only show up on tests or scans.

An online symptom quiz can't settle the question. The AUA guideline says questionnaires shouldn't be used to decide who is a candidate for testosterone therapy or to track how it's working. Blood tests do that job.

Who qualifies for TRT

Under the AUA guideline, men qualify when they have symptoms plus a total testosterone below 300 ng/dL on two separate early-morning blood tests. A low number alone isn't enough, and neither are symptoms alone.

Testosterone therapy shouldn't be prescribed to men who are currently trying to conceive. Men who want to protect their fertility should have a reproductive evaluation first.
After a recent heart attack or stroke, the AUA advises waiting 3 to 6 months before starting.
Lifestyle changes, like weight loss and exercise, are part of the plan for every man with low testosterone.
Age alone doesn't decide it. Clinically low testosterone can show up in men in their 30s.

Not sure where you stand? Our TRT page covers symptoms, diagnosis and treatment options in detail.

TRT for women: what it costs

Women pay the same $100 monthly membership. Because the dose is a small fraction of a man's, a vial or tube lasts much longer. Testosterone and labs are billed the same way.

No testosterone product is FDA-approved for women in the U.S., so it's prescribed off-label at a low dose, as injections, cream or pills. The strongest research, summarized in the Global Consensus Position Statement on testosterone therapy for women, supports it for low sexual desire after menopause. Labs keep your level in the normal female range. For menopause symptoms, see hormone replacement therapy.

What the TRAVERSE trial found about heart safety

In the TRAVERSE trial, testosterone didn't raise the rate of major heart events compared with placebo: 7.0% versus 7.3%. Published in the New England Journal of Medicine in 2023, it followed 5,246 men aged 45 to 80 with low testosterone and existing heart disease or high heart risk. All used testosterone gel, with an average follow-up of 33 months.

The testosterone group did have more atrial fibrillation, acute kidney injury and blood clots in the lungs. That's one reason monitoring is part of every plan.

In February 2025, the FDA removed the heart-risk boxed warning from testosterone labels, added the TRAVERSE results and required a warning that blood pressure can rise.

Questions we hear

Does insurance cover TRT at Cosmetica?

No. TRT at Cosmetica is self-pay, and we don't bill insurance. You'll see the full cost of your plan before you begin.

How much does TRT cost per year?

With generic injections, about $1,320 to $1,440 for the first year at published 2026 cash prices, before labs and supplies. Pills cost the most, at about $3,600 to $6,000 a year.

What's the cheapest form of TRT?

At published cash prices, generic testosterone cypionate injections usually cost the least, often about $10 to $20 a month for the medication. Your provider helps you weigh price against your routine and your labs.

How much do testosterone pellets cost?

Testopel is listed at $106.46 per 75 mg pellet on Drugs.com, with 2 to 6 pellets placed every 3 to 6 months. Ask us for a quote that includes the in-office insertion visit.

Why isn't the testosterone included in the membership?

Keeping it separate means you pay the pharmacy's price with no markup from us, and you can see exactly what each part costs.

How soon will I feel TRT working?

Changes in sex drive often begin in about 3 weeks, according to a 2011 review in the European Journal of Endocrinology. Body composition takes 3 to 4 months or more, and we review your progress at 3 to 6 months.

How often will I need blood work?

Before you start, again at about 3 to 6 months, then every 6 to 12 months, following the AUA guideline.

Can I stop TRT later?

Yes. While you're on TRT, your body makes less of its own testosterone, so symptoms can come back after stopping. Stop only with your provider's guidance.

Ready to find out whether TRT fits you? Book a TRT consultation, call (561) 621-1578, or visit us at 4400 N. Federal Hwy, Suite 150, in Boca Raton, open every day, 8am to 8pm.

How much does TRT cost in Boca Raton?