Gender-Affirming Hormone Therapy, On Your Terms

True U Clinic offers safe, virtual, and medically guided hormone therapy and sexual health services for trans and nonbinary adults. Our care is confidential, affirming, and tailored to your goals—without gatekeeping or judgment. We’re here to make high-quality care accessible, supportive, and easy to start.

Our Services

We are a full-service virtual clinic offering hormone therapy and sexual health care that centers your autonomy and well-being.

Estrogen+ Therapy

If you're seeking estrogen-based hormone therapy, we offer estradiol in a variety of forms: pills, patches, and injectables. We also commonly prescribe testosterone blockers (anti-androgens), finasteride, and—if desired—progesterone. Your care plan is fully tailored to your goals and needs.

Curious about starting estrogen? Talk with a provider about what’s possible.

Testosterone Therapy

For folx looking for testosterone hormone therapy and/or testosterone replacement therapy, we offer injectable testosterone, as well as topical routes such as creams, gels and patches.

Want to explore testosterone options? Begin your care journey here.

Prep & STI Testing

PrEP – A safer way to play

PrEP is an anti-viral treatment to prevent HIV in those who are at a higher risk of contracting HIV. Taken daily, PrEP medications can prevent up to 99% of HIV infections. Ask your True U provider if PrEP is right for you.

STI testing

Routine STI testing helps ensure your health and the health of your partners. We offer comprehensive STI testing including HIV, Gonorrhea, Chlamydia, Syphilis, Hepatitis B and C. We encourage you to talk with your True U provider to discuss your sexual health care and wellness!

I’ve had an amazing experience with True U Clinic. My first appointment I had with Harper. I felt safe and comfortable and that I could be completely honest and be myself. She trusted me in how I know myself and that’s a big deal. After the first appointment I was set up to start testosterone and get blood work done. It felt so good to be able to be have a process that was caring and fast. True U keeps in touch with you as well to make sure you’re doing well.

Isaiah Z

100% Virtual. 100% Real Care.

100% Virtual. 100% Real Care.

True U Clinic is fully online—so you can get expert, affirming care from anywhere in your state. We follow the same evidence-based protocols and standards as traditional brick-and-mortar clinics, minus the waiting rooms and commute.

Because we’re virtual, we can save on overhead and pass those savings on to you.

Safe, Secure, and Confidential

We are HIPAA-compliant and committed to protecting your privacy at every step.
You are not required to share your hormone therapy journey with your family, employer, or primary care provider—unless you want to.

Your care. Your terms. Your privacy.

Coverage Areas

We currently service the following states:

* We only provide Estrogen+ therapy in SC and ID

** Estrogen+ services offered in Minnesota. Testosterone services available with a referral from an in-state provider.

500+ Five-Star Reviews—and Counting

Real words from the trans and nonbinary folx we’re honored to care for.

“I have been obtaining my feminizing hormone replacement through True U for 6 months now. The service is very convenient and the care I received from Dr. Ashley has been caring and thorough. All I have to pay out of pocket is the visit costs, otherwise they allow me to use my insurance for the medications and labs. It is very cost effective for me. Thank you so much for offering this service to the community!”

— Lexy

“I am on my hormone therapy for 3 months now. My Dr. is very nice and listens to me on our telehealth sessions. If you have any questions True U answers you very quickly. They have e been very helpful with any concerns I had. I love True U Clinic it has helped me be the woman I am today.”

— Cindy

“I've had an amazing experience with True U Clinic. My first appointment I had with Harper I felt safe and comfortable and that I could be completely honest and be myself. [...] It felt so good to be able to be have a process that was caring and fast.”

— Isaiah

“I cannot even begin to describe how grateful I am to the folx at this clinic. From day one I have been treated with immense compassion, kindness, and care. More importantly, I feel listened to! Beginning my journey, I felt so scared, nervous, and I honestly wanted to cry from stress. Working with Harper at True U Clinic has been some of the best and most considerate treatment I have ever had from any medical clinic. I honestly and truly feel like a person and not treated as some random patient who's just a number. [...]Without their help, I wouldn't be on my journey to becoming me.”

— Rachelle

“I am very thankful that True U Clinic is available to myself and others. Everyone I communicate with is polite and professional. I greatly appreciate the hard work they have done to work with my insurance company. They make transition much easier to handle by providing this service and I highly recommend them.”

— Silver

“I love True U, I found them after some online searching for a quality transgender health care clinic and I couldn't be happier with my experience. Reasonable pricing, always quick and reliable with any questions you may have. [...] It's great I can use my insurance to pay for labs and hormones as well, it saves me a fortune! 10/10 would recommend to anyone seeking quality care.”

— Jordan

You Deserve Care That Sees All of You

Get started with safe, affirming, medically guided care—on your own terms.
Talk to a Provider →

Frequently Asked Questions

  • We typically have appointments openings within ten days. You can easily, quickly, and confidentially schedule your appointment now!

  • Labs can be done in one of the three following ways:

    • Make an appointment at LabCorp: Have them drawn at a LabCorp near you. You can use insurance or self-pay through True U for $99.

    • Have the lab come to you: A mobile phlebotomist can draw the lab work directly from the privacy of your home! This service is $99 (+ $99 for self-pay labs).

    • Use a walk-in clinic. You may use insurance or self-pay. For self-pay we ship the lab supplies to you so you have them drawn at the walk-in clinic of your choice. The cost of self-pay labs (incl the lab kit) is $99.

  • We will send your prescription to the pharmacy of your choice. In addition, you may also use our mail-in pharmacy partner NewEra Pharmacy or our compounding pharmacy partner Empower Pharmacy.

  • Insurance may cover your medications. Out-of-pocket costs for medications are typically $20-60/month, depending on route of administration, types of medications, etc. If you self-pay for medications, we recommend using a GoodRx coupon for the lowest prices.

  • Consultation visits include STI testing, PrEP, and other hormone therapy needs outside of routine follow-up visits. The cost of consultation visits is $179/visit.

    • PrEP is an anti-viral treatment to prevent HIV in those who are at a higher risk of contracting HIV. Taken daily, PrEP medications can prevent up to 99% of HIV infections. Ask your True U provider if PrEP is right for you.

    • Routine STI testing helps ensure your health and the health of your partners. We offer comprehensive STI testing including HIV, Gonorrhea, Chlamydia, Syphilis, Hepatitis B and C. We encourage you to talk with your True U provider to discuss your sexual health care and wellness!

  • No, we do not charge monthly membership fees. At True U, you only pay for the care you receive.

  • In short, yes. At True U, we understand that transferring care can sometimes feel overwhelming. That’s why we’re committed to providing our clients with a seamless and stress-free process. Rather than requiring a two-visit start-up, we take the initiative to order labs before your first visit, allowing us to seamlessly continue your prescription from the very start. Our goal is to ensure your transition is as smooth as possible and to provide the high-quality care you deserve from day one.

  • We provide safe and medically supervised hormone therapy services in a safe, judgement-free, and secure setting utilizing modern HIPAA-compliant technology and the most up-to-date clinical practices.

  • Yes, as long as your provider is registered to practice in your state, you can choose your provider. You can sign up for your appointment (and choose your provider) by navigating to our online scheduling portal.

  • The bad news: We don’t take insurance. The good news: This means your information stays private, and you’ll never have to worry about claims being denied. Plus, we’ll provide you with a Superbill that you can submit to your insurance provider for potential reimbursement. And, to make things even easier, we accept HSA and FSA payments!

  • Our services are typically available for individuals over the age of 18. However, in certain states, we may be able to provide care for those under 18 with parental or guardian consent. Please call our office for more details on availability of care.

Care. For exactly
who you are.