Enclomiphene Eligibility Check – Revana
Confidential Screening
Eligibility Check
Step 1 of 8
Enclomiphene · Eligibility Check
Let's confirm Enclomiphene is right for you.
This 2-minute screening checks your eligibility for Enclomiphene — an oral therapy that stimulates your body's natural testosterone production while preserving fertility.
  • 7 short questions
  • Instant eligibility result
  • Proceed to checkout only if you qualify
  • No personal health data stored at this stage
Basic Eligibility
Question 1 of 7
Are you 18 years of age or older?
Safety Screening
Question 2 of 7
Have you ever been diagnosed with prostate cancer or male breast cancer?
Safety Screening
Question 3 of 7
Have you ever had a heart attack, stroke, blood clot (DVT/PE), or been diagnosed with a clotting disorder?
Including inherited thrombophilia.
Safety Screening
Question 4 of 7
Do you have uncontrolled high blood pressure or significant heart disease?
Safety Screening
Question 5 of 7
Do any of the following apply to you?
Select all that apply.
Safety Screening
Question 6 of 7
Have you been diagnosed with a severe psychiatric illness?
Such as bipolar disorder or psychosis.
Treatment Confirmation
Question 7 of 7
Is maintaining fertility or natural testosterone production important to you?
Enclomiphene works by stimulating your pituitary gland to produce more testosterone naturally — it does not suppress your body's own production, making it ideal for men who want to preserve fertility.
We're unable to proceed at this time.
Reason
Based on your responses, our physician network is unable to prescribe hormone therapy at this time. We encourage you to speak with your primary care provider or urologist about your options.
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You're eligible!
You qualify for Enclomiphene therapy. Select your plan below to proceed to checkout.
Your plan
3 Month Supply
Enclomiphene · $99/mo
$297
Best Value

Your full intake form is completed after payment. Final approval by physician.