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:
Five-Star Care, Real Voices
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. […] 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. [...] 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!
-
You have three ways to complete your lab work:
At a LabCorp location
With an at-home mobile draw
At a walk-in clinic of your choice.
If you have insurance, LabCorp or the walk-in clinic will bill it directly — mobile draws don't take insurance.
If you'd rather self-pay, the lab panel is $99 (plus a $99 mobile draw fee for at-home service, $198 total), but you must purchase your lab order through True U before you go to LabCorp, schedule a mobile draw, or visit a walk-in clinic — for walk-in clinics, we'll ship you a lab kit to bring with you.
If you go to a lab or clinic without purchasing self-pay labs through True U first, we can't guarantee $99 pricing and aren't responsible for whatever the lab charges you out of pocket.
-
We will send your prescription to the pharmacy of your choice, including mail-order pharmacies.
-
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 $195/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 do not take insurance. Visits are self-pay.
The good news: this means your information stays private, and you’ll never have to worry about claims being denied. We’ll provide you with a Superbill you can submit to your insurance provider for potential reimbursement, and we accept HSA/FSA.
Labs and medications are billed separately through your lab or pharmacy and are often insurance-eligible.
-
True U is self-pay only — we don't bill Medicaid or any other insurance. Whether you're able to self-pay as a Medicaid recipient depends on your state. See our full state-by-state guide, or you're still not sure, reach out to our team and we'll help clarify.
-
We offer youth care in select states with parental or guardian consent. Use our coverage checker to see what's available for your age and location.
-
Yes. Emily, one of our Family Nurse Practitioners, is fluent in Spanish and is happy to care for Spanish-speaking patients.
Spanish-speaking patients located in Pennsylvania, New Jersey, and Delaware may schedule telehealth visits with Emily and receive care fully in Spanish. She has extensive experience supporting patients with gender-affirming hormone therapy as well as reproductive and sexual health care.
If you would prefer to have your visit in Spanish, simply note this when scheduling your appointment and we will make sure you are booked with Emily. Sí. Emily, una de nuestras enfermeras practicantes de familia, habla español con fluidez y con gusto atiende a pacientes hispanohablantes.
Los pacientes que se encuentren en Pennsylvania, New Jersey o Delaware pueden programar consultas por telemedicina con Emily y recibir atención completamente en español. Emily tiene amplia experiencia brindando atención de afirmación de género, así como atención de salud reproductiva y sexual.
Si prefiere tener su consulta en español, simplemente indíquelo al programar su cita y nos aseguraremos de que sea atendido(a) por Emily.
