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. 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
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We typically have appointments openings within ten days. You can easily, quickly, and confidentially schedule your appointment now!
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There are three ways to complete your lab work.
1. Visit a LabCorp location
You may schedule an appointment at a LabCorp location near you to have your labs drawn.
You have two options:
• Use insurance: LabCorp will bill your insurance directly.
• Self-pay through True U ($99):
If you choose the $99 self-pay option, you must purchase the lab order through True U before going to LabCorp.
Do not walk into LabCorp and request the labs yourself, as pricing may be significantly higher.2. Have labs drawn at home
A mobile phlebotomist can come to your home to collect your blood sample.
Costs:
• Mobile draw fee: $99
• If you choose self-pay labs, the lab panel is $99If you choose self-pay labs, you must purchase the lab order through True U before scheduling the mobile draw.
3. Visit a walk-in clinic of your choice
You may also have your labs drawn at a walk-in clinic or lab near you.
You have two options:
• Use insurance: The clinic will bill your insurance.
• Self-pay through True U ($99):
If you choose self-pay, True U will ship a lab kit to you that you bring to the clinic for the blood draw.
You must purchase the lab order through True U before going to the clinic.Important note about self-pay labs
If you choose the $99 self-pay lab option, it must be arranged and paid for through True U before visiting any lab or clinic.
If you go directly to LabCorp or another clinic without purchasing the self-pay labs through True U first, True U cannot guarantee pricing and is not responsible for any out-of-pocket costs charged by the lab.
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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.
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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.
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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!
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No, we do not charge monthly membership fees. At True U, you only pay for the care you receive.
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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.
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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.
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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.
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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!
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It depends on the state.
We cannot see adult patients with Medicaid in California or Colorado.
We can see adult Medicaid patients in states where gender-affirming care (GAC) is not covered by Medicaid, including:
Arizona, Idaho, Iowa, Kentucky, Ohio, South Carolina, and Texas.We can also see adult Medicaid patients in the following states where GAC is covered by Medicaid:
Alaska, Connecticut, Delaware, Illinois, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, Oregon, Pennsylvania, Utah, Virginia, Washington, and Wyoming.If you're unsure whether we can see you based on your state and insurance, please contact our team and we’ll be happy to help clarify.
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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.
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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 Pensilvania, Nueva 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.
