Testosterone

Online vs. In-Person Testosterone Treatments: Which is Better?

Written by: Jack Health Team
Reviewed by: Sarah Bento-De Sousa PharmD. RPh

Testosterone Replacement Therapy (TRT) is a major step for many Canadian men. It is a medically supervised treatment that can improve testosterone levels safely and reduce symptoms like low energy, erectile dysfunction, mood swings, and more.

But not all treatment methods offer the same level of care. Over-the-counter supplements and testosterone boosters often lack proper medical oversight and proven results.

And since how you receive treatment matters, it’s crucial to understand your options.

In this article, we’ll compare online and in-person TRT clinics, looking at how each option works, their pros and cons, and how to decide which one is best for your needs, lifestyle, and health goals.

TRT Treatment Options in Canada

There are several TRT treatment options available in Canada to address low testosterone levels. Let’s take a look at some of these options:

Available Methods:


As of early 2025, injectable testosterone, topical gels, and implants remain the mainstay TRT options. These medically supervised options are designed to address the signs of low testosterone and are more effective compared to OTC T-boosters.

  • Injectables: Testosterone enanthate and cypionate are popular injectable options that require weekly or bi-weekly clinic visits for administration and monitoring.
  • Transdermal: Applied daily to the skin, gels like AndroGel provide steady hormone absorption through transdermal delivery.
  • Implants: Pellet therapy involves implanting rice-sized testosterone pellets under the skin. These customized pellets gradually dissolve, releasing a steady dose of hormone into the bloodstream.

Regulatory Oversight

TRT is regulated by medical boards in Canada. This ensures that the medications and protocols used in treatment meet national standards for safety, quality, and effectiveness.

Online vs. In-Person TRT Clinics

The primary difference between online and in-person TRT clinics lies in the method of care delivery. Both provide licensed care, but they differ in terms of convenience, interaction, and physical access.

 

Feature

Online Clinics

In-Person Clinics

Convenience

High

Moderate

Accessibility

Nationwide

Location-dependent

Privacy

High

Moderate

Personal Interaction

Limited

High

Physical Assessments

Limited

Comprehensive

Follow-up Flexibility

High

Moderate

 

Online TRT Clinics

Convenience and Accessibility


TRT is accessible through telehealth platforms like Jack Health, ideal for those in rural areas or men with busy schedules.

Process Overview

  1. Initial virtual consultation with a licensed physician.
  2. Lab work ordered and done at a local lab.
  3. A customized treatment plan is created based on results.
  4. Medication is delivered to your home.
  5. You receive monthly monitoring services and follow-up via the platform.

 

Examples of Canadian Online TRT Providers

 

Pros and Cons

  • PROS:
    – Ideal for privacy-conscious patients
    – No need for travel or waiting rooms
    – Accessible for those with mobility or location constraints

 

  • CONS:
    – May lack face-to-face interaction
    – TRT still requires in-person lab work

 

In-Person TRT Clinics

Personalized Care


In-person clinics allow for more comprehensive physical assessments and real-time conversations with your doctor.

Process Overview

  1. In-person consultation with a specialist.
  2. Lab testing ordered and performed onsite or nearby.
  3. Review of results and customized treatment plan developed.
  4. Injections or prescriptions administered in person.
  5. Follow-ups scheduled as needed.

 

Examples of Canadian In-Person TRT Clinics 

  • Local urology or endocrinology clinics
  • Major hospital-based men’s health centers

 

Pros and Cons

  • PROS:
    – Direct, personalized interaction with providers
    – Thorough physical evaluations
    – Immediate access to lab and diagnostic services

  • CONS:
    – Requires travel and scheduling
    – Less private
    – May not be as flexible with follow-ups

 

How to Choose the Right TRT Clinic for You

Whether online or in-person, the best TRT option for you should be evaluated based on convenience and care needs. Here’s how to make the right call:

  • Location and Accessibility
    Confirm if online services are available in your area or if you need to visit a clinic in person. Online clinics can be accessed remotely and often serve all provinces.
  • Personal Preferences
    Ask yourself: Do I prefer the privacy and flexibility of online care or the face-to-face interaction of an in-person setting?
  • Medical Needs
    Some men require regular physical assessments, while others can manage with online monitoring. Your overall health should guide this decision.
  • Insurance Coverage
    Check if your insurance covers TRT. Online clinics can be more affordable than traditional clinics, particularly for patients who pay out of pocket.

 

Key Takeaways

  • Online and in-person TRT clinics both offer safe, regulated options for treating low testosterone in Canada.
  • Online care is ideal for privacy, flexibility, and busy lifestyles, while in-person care offers thorough physical assessments and personal interaction.
  • Ultimately, your choice should reflect your medical needs, location, and personal preferences.

 

Frequently Asked Questions

Are online TRT clinics legitimate in Canada?

Yes, when operated by licensed healthcare providers and regulated by medical boards. Platforms like Jack Health are staffed by Canadian doctors and follow Health Canada guidelines.

Can I start TRT without a doctor’s referral?

No, you generally need a doctor’s assessment and prescription to start TRT. Online clinics streamline this process by providing direct access to licensed physicians.

How do I know if I need TRT?

It’s worth getting tested if you experience common symptoms of low testosterone, such as fatigue, low libido, mood changes, reduced muscle mass, and difficulty concentrating.

Do I need a prescription for testosterone in Canada?

Yes, testosterone is a controlled substance and requires a prescription in Canada. Online clinics like Jack Health can facilitate this process through virtual consultations with licensed professionals, making it more accessible.

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