Testosterone replacement therapy (TRT) at Cosmetica Med Spa in Boca Raton is a $100 monthly membership for men and women, prescribed after a medical consultation and lab work. For men, TRT treats low testosterone confirmed by blood tests, with injections, cream, pills or pellets. For women, testosterone is prescribed at a much lower dose. Your testosterone is filled at the pharmacy you choose, at the pharmacy's price with no markup from us, and blood work is billed separately. The program is overseen by our medical director, Dr. Andrei Gherghina, and we're open every day, 8am to 8pm.
TRT for men and women at a glance
| Men | Women | |
|---|---|---|
| What it treats | Low testosterone (hypogonadism) that causes symptoms | Most often, low sexual desire after menopause |
| How it's confirmed | Symptoms plus two early-morning blood tests showing low testosterone | A consultation, your symptoms and lab work |
| Dose | Set from your labs | A small fraction of a man's dose, prescribed off-label |
| Forms | Injections, cream, pills or pellets | Injections, cream or pills, at a low dose |
| What we monitor | Testosterone, red blood cell count, PSA and blood pressure | Testosterone level, kept in the normal female range, plus acne and hair growth |
What TRT costs at Cosmetica
| Part of your plan | Cost | Notes |
|---|---|---|
| Membership | $100 a month ($1,200 a year) | Covers medical supervision and check-ins |
| Testosterone | Your pharmacy's price | Filled at a local pharmacy or our partner pharmacy, your choice. We add no markup |
| Blood work | Billed separately | Needed before you start and at regular check points after |
| Booking deposit | $100 | Credited to your visit |
Keeping the pieces separate means you see exactly what you pay for each one. TRT at Cosmetica is self-pay, and your provider walks you through every cost before you start.
TRT for men
Signs of low testosterone in men
The Endocrine Society splits the signs into two groups (Endocrine Society guideline):
- More specific: lower sex drive, weaker erections, loss of body hair, breast tenderness or growth, low sperm count, low bone density and hot flushes.
- Less specific: low energy, low mood, poor concentration, poor sleep, loss of muscle and strength, and more body fat.
The second group overlaps with stress, poor sleep, thyroid problems, depression and other conditions. That's why blood tests, not a symptom checklist, decide whether TRT makes sense.
How low testosterone is diagnosed
Under the American Urological Association guideline, low testosterone means a total testosterone below 300 ng/dL on two separate early-morning blood tests, together with symptoms. Testosterone runs highest in the morning, so timing matters. Your labs also check your red blood cell count (hematocrit) and, for men over 40, PSA, so your provider can rule out other causes and confirm TRT is safe for you.
Testosterone drops gradually with age, about 1% a year after 40. Weight gain, sleep apnea, some medications such as opioids, and serious illness can also lower it, and your provider looks at all of these (Mayo Clinic).
Is TRT right for you?
| Your situation | What it usually means |
|---|---|
| Symptoms plus two low morning tests | A likely candidate. Your provider builds a plan from your labs |
| High blood pressure, untreated sleep apnea, a past blood clot or a high red blood cell count | These need a closer look first, and closer monitoring if you start |
| A heart attack or stroke in the last 6 months | We'll plan the right time to start with you |
| Prostate or breast cancer, now or suspected | TRT isn't used |
| Normal testosterone on testing | We'll talk through what else could be behind your symptoms |
What TRT can help with
For men with confirmed low testosterone, the American Urological Association guideline says TRT may improve sex drive, erectile function, lean muscle, anemia and depressive symptoms (AUA guideline summary).
Your treatment options
| Option | How often | Good to know |
|---|---|---|
| Injections | Weekly or every other week | Given at home after we show you how. Steady, easy-to-adjust dosing |
| Cream | Once a day | Needle-free. Cover the area and wash your hands so it doesn't transfer to a partner or children |
| Pills | Usually twice a day, with meals | No needles and nothing on the skin |
| Pellets | Every 3 to 6 months | Placed under the skin in a quick office visit. No daily or weekly routine |
Your provider will help you choose the option that fits your labs, schedule and preferences.
What to expect, and when
Many men notice a change in sex drive within weeks. Changes in muscle, strength and body fat take months and are much bigger with strength training and good nutrition. We recheck your labs at 3 to 6 months and fine-tune your dose from there (Cleveland Clinic).
TRT works best as part of a healthier routine, not a replacement for one. The client in our before-and-after on this page combined TRT with diet and exercise. Results vary from person to person.
What we monitor, and why
| Marker | Why it's checked |
|---|---|
| Total testosterone | Keeps your level in the middle of the normal range, not too low or too high |
| Hematocrit (red blood cells) | Testosterone can raise it, and a high count thickens the blood |
| PSA | Tracks prostate health in men where screening is recommended |
| Blood pressure | The FDA requires testosterone labels to warn that blood pressure can rise |
The Endocrine Society recommends checking these at 3 to 6 months, at 12 months, and then once a year (Endocrine Society).
What the research says about safety
The TRAVERSE trial, published in the New England Journal of Medicine in 2023, followed 5,246 men aged 45 to 80 with low testosterone and existing heart disease or high heart risk, all using testosterone gel. Major heart events were no more common with testosterone than with placebo (7.0% vs. 7.3%). The testosterone group did have more atrial fibrillation, acute kidney injury and blood clots in the lungs, which is one reason monitoring matters (Cleveland Clinic).
In February 2025, the FDA removed the heart-risk language from the boxed warning on testosterone products, added the TRAVERSE results, and required a warning that blood pressure can rise (FDA). In June 2026, HHS asked the FDA to ease other parts of the label; those changes weren't final as of November 2026 (Urology Times).
What to know before you start
- Possible side effects include a higher red blood cell count, acne or oily skin, fluid retention, breast tenderness, a lower sperm count, worsened sleep apnea, higher blood pressure and a rise in PSA. Your labs and check-ins catch these early.
- While you're on TRT, your body makes less of its own testosterone, so symptoms can return if you stop. Only stop with your provider's guidance.
- Testosterone is a Schedule III controlled substance, so prescriptions are tightly regulated and filled by a licensed pharmacy.
- Bring a list of your medications and any recent lab results to your first visit.
Testosterone therapy for women
Women make testosterone too, in smaller amounts, and levels fall with age and after menopause. At Cosmetica, women can be prescribed testosterone at a small fraction of a man's dose. The strongest research is for low sexual desire after menopause, where testosterone gives a moderate improvement in sexual function (Global Consensus Position Statement). No testosterone product is FDA-approved for women in the U.S., so it's prescribed off-label, which is common practice (ABC News).
How it works for women
- Consultation and labs. Your provider reviews your symptoms, health history and a baseline testosterone level.
- A low dose. Injections, cream or pills, dosed to keep your level in the normal female range.
- Follow-up labs. A recheck after the first several weeks, then about every 6 months, with your dose adjusted as needed.
- Side effects. At normal female doses, the most common are mild acne and some extra hair growth. Tell your provider about any history of breast cancer.
Testosterone and menopause HRT together
For women, testosterone usually works alongside menopause hormone therapy rather than in place of it. Estrogen treats hot flashes, night sweats, sleep problems, vaginal dryness and bone loss. Testosterone is added for low sexual desire that continues after menopause, and most women in the research were also taking estrogen (Global Consensus Position Statement). Your provider usually treats the main menopause symptoms first, looks at other causes of low desire, then adds testosterone if it's still a concern. If there's no benefit by 6 months, it's stopped.
Testosterone isn't recommended for women as a treatment for energy, mood, memory, bone density or muscle, because the research doesn't support those uses. See how HRT and testosterone work together on our hormone replacement therapy page.
TRT vs. HRT
Hormone replacement therapy (HRT) is the broader term. For women in perimenopause or menopause, HRT usually means estrogen, plus a progestogen if you have a uterus. For men, hormone therapy almost always means testosterone, so for men HRT and TRT are the same treatment. See our hormone replacement therapy in Boca Raton page for menopause care.
| If you are… | What hormone therapy usually means |
|---|---|
| A man with symptoms and two low morning testosterone tests | TRT: testosterone alone |
| A woman with hot flashes, night sweats or vaginal dryness | Menopause HRT: estrogen, plus a progestogen if you have a uterus |
| A woman after menopause with ongoing low sexual desire | Low-dose testosterone, often added to menopause HRT |
Estrogen in men on TRT
Men need some estrogen too. The body converts part of your testosterone into estradiol, and in a study in the New England Journal of Medicine, 2013, estrogen mainly regulated body fat while testosterone drove muscle size and strength, with both supporting sexual function. Your provider keeps an eye on the whole hormone picture as your dose is set.
TRT and weight loss
Low testosterone is common in men carrying extra weight, and the two can feed each other. Losing weight can help raise testosterone on its own, and in men with low testosterone, TRT can help build lean muscle, especially with training. TRT isn't a weight loss treatment. If weight is part of your goal, ask about tirzepatide (Zepbound) through our medical weight loss program. Your provider will tell you whether one, the other or both fit your labs.
Why people choose Cosmetica for TRT
- Physician oversight from our medical director, Dr. Andrei Gherghina
- Real lab monitoring, not a one-time prescription
- A posted $100 monthly membership, with testosterone at the pharmacy's price and no markup
- Care for men and women, in person in Boca Raton, open 7 days a week, 8am to 8pm
- Related care in one place, including peptide therapy, IV therapy, PRP for men and Botox
Visiting Cosmetica Med Spa
We're at 4400 N. Federal Hwy, Suite 150, in the Sanctuary Shoppes in Boca Raton, with free parking. Our 8am to 8pm hours, every day, make check-ins easy to fit around work. Patients come to us from Delray Beach, Highland Beach, Deerfield Beach, Parkland and Boynton Beach. See hormone therapy near Delray Beach or hormone therapy near Boynton Beach for directions, or call (561) 621-1578.
Sources
- FDA: class-wide labeling changes for testosterone products (Feb 2025)
- American Urological Association: testosterone deficiency guideline
- Endocrine Society: testosterone therapy in men with hypogonadism
- Cleveland Clinic: TRAVERSE heart safety results
- Cleveland Clinic: testosterone replacement therapy
- Global Consensus Position Statement on testosterone therapy for women
- Mayo Clinic: male menopause, myth or reality?
- Finkelstein et al., Gonadal steroids and body composition, strength, and sexual function in men (NEJM, 2013)
When can you work out, drink alcohol or wear makeup? Our aftercare guide covers exactly what to do and avoid.
See the aftercare guide →Frequently asked questions
How much does TRT cost in Boca Raton?
At Cosmetica Med Spa, the TRT membership is $100 a month for medical supervision and check-ins. Testosterone is billed by your pharmacy at its own price, with no markup from us, and lab work is billed separately.
Does insurance cover TRT at Cosmetica?
TRT at Cosmetica is self-pay, so we don't bill insurance. Your provider goes over the full cost of your plan before you begin.
Where can I get TRT near Boca Raton?
Cosmetica Med Spa is at 4400 N. Federal Hwy, Suite 150, in Boca Raton, open every day from 8am to 8pm. Patients also come from Delray Beach, Boynton Beach, Deerfield Beach and Parkland.
Is TRT for women too?
Yes. Women can be prescribed testosterone at a small fraction of a man's dose, as injections, cream or pills. The strongest research is for low sexual desire after menopause. It's prescribed off-label, since no testosterone product is FDA-approved for women in the U.S.
Can women take testosterone with HRT?
Yes. Estrogen-based HRT treats hot flashes, sleep problems and vaginal dryness, and a low dose of testosterone can be added for low sexual desire after menopause. Your provider keeps testosterone in the normal female range with regular labs. See hormone replacement therapy.
How do I get prescribed testosterone?
Men need symptoms plus blood tests that confirm low testosterone, usually two early-morning tests below 300 ng/dL. Women start with a consultation and labs too. Book a consultation and we'll order your labs and review the results with you.
Should I take TRT at 30?
Age alone doesn't decide it. Men in their 30s can have clinically low testosterone. If your labs confirm it, TRT may be an option.
How long does TRT take to work?
Many men notice a change in sex drive within weeks. Muscle, strength and body fat take months. We recheck labs at 3 to 6 months and adjust your dose.
Is TRT safe for your heart?
In the TRAVERSE trial of 5,246 men with low testosterone and higher heart risk, testosterone didn't increase major heart events compared with placebo. Blood pressure can rise, so we monitor it along with your labs.
Does TRT help with weight loss?
In men with low testosterone, TRT can help build lean muscle, especially with training. It isn't a weight loss treatment on its own; for that, see our medical weight loss program with tirzepatide.
Injections, cream, pills or pellets: which is best?
Each works. Injections give steady, easy-to-adjust dosing; cream is daily and needle-free; pills are taken by mouth; pellets last 3 to 6 months with no daily routine. Your provider helps you choose based on your labs and routine.
What's the difference between TRT and HRT?
TRT is testosterone. HRT is the broader term; for women it usually means estrogen and a progestogen for menopause symptoms. For men, HRT and TRT are the same treatment. See our hormone replacement therapy page for menopause care.
Do men on TRT need estrogen?
Yes, some. Your body turns part of your testosterone into estradiol, which helps regulate body fat and supports bone and sexual function. Your provider looks at your whole hormone picture when setting your dose.
Can I stop TRT?
Yes, but your body makes less of its own testosterone while you're on TRT, so symptoms can return when you stop. Only stop with your provider's guidance.
Medically reviewed by Dr. Andrei Gherghina, DO, board-certified by the American Board of Dermatology.
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