Hormones & Metabolism

Enclomiphene vs HCG: Which Is Better for Boosting Testosterone Naturally?

By Dr. Priyali Singh, MD

Reviewed by Kenya Bass, PA-C

Published Apr 23, 2025

Updated Apr 24, 2025

8 min read

post.data.cover_image.alt || Enclomiphene vs HCG: Which Is Better for Boosting Testosterone Naturally? cover image

Testosterone is often called the "male hormone," and for good reason. It's crucial for everything from building muscle and boosting energy to supporting fertility and maintaining a healthy mood. As men age or face certain health challenges, testosterone levels can start to drop. When that happens, many people look into options for boosting testosterone naturally, especially if they want to avoid traditional testosterone replacement therapy (TRT).

Two popular options are Enclomiphene and HCG (human chorionic gonadotropin). While both are known for helping men increase their testosterone levels, they work in different ways. This article breaks down what each one does, how they compare, and which might be better for you depending on your personal needs. If you're looking for a clear, simple explanation without all the medical jargon, you're in the right place.

What Is Enclomiphene?

Enclomiphene is a medication that helps your body make more testosterone on its own. It’s a purified form of clomiphene citrate (often just called Clomid), which has been used for decades to treat infertility in women. Scientists found that one specific part of Clomid—enclomiphene—is especially good at stimulating the brain to produce more of its own testosterone.

Here’s how it works: your brain has a part called the hypothalamus, which talks to the pituitary gland. That gland sends out signals to your testicles to produce testosterone. Enclomiphene helps kickstart this natural conversation again if it’s slowed down. Instead of giving you testosterone from outside sources, like TRT does, Enclomiphene encourages your body to make its own.

This is why many people see it as a “natural” option—it works with your body, not around it.

Enclomiphene is typically taken in pill form, which makes it easy and convenient. It’s often prescribed for men with low testosterone levels who still want to preserve their fertility (because unlike TRT, Enclomiphene won’t shut down sperm production).

Benefits of Enclomiphene include:
  1. Increased natural testosterone production
  2. Preserved sperm count and fertility
  3. No injections—it's an oral pill
  4. Lower risk of testicular shrinkage compared to TRT

Of course, it’s not perfect. Some men may experience side effects like mood changes, headaches, or mild acne. But overall, it's considered a safe option for many men.

What Is HCG?

HCG testosterone treatment patient

HCG stands for human chorionic gonadotropin. It’s a hormone that’s naturally found in the body, especially during pregnancy (it’s the hormone pregnancy tests detect). In men, though, it has a different purpose.

HCG acts like a hormone called luteinizing hormone (LH), which the body normally produces to tell the testicles to make testosterone. When you take HCG, you’re basically mimicking that signal, tricking your body into making more testosterone.

Unlike Enclomiphene, HCG is usually taken as an injection. Some men might not like the idea of regular shots, but others find it manageable with a bit of practice.

HCG is also commonly used alongside TRT to help maintain fertility. One of the downsides of traditional testosterone therapy is that it can stop your body from making sperm. HCG helps keep the process going, making it a popular option for men who want the benefits of TRT but still want to have children.

Benefits of HCG include:
  1. Stimulates testosterone production
  2. Helps maintain sperm production during TRT
  3. Can improve testicular size and function

Possible side effects? Some men report bloating, mood swings, or increased estrogen levels (which can cause breast tenderness or swelling). Because it’s an injectable, there’s also a risk of mild pain or irritation at the injection site.

Key Differences Between Enclomiphene and HCG

Now that we’ve looked at both options individually, let’s compare them more closely.

How they work: Enclomiphene works by stimulating the brain to increase LH and FSH levels, which then tell your testicles to make testosterone. HCG acts like LH itself, skipping the brain and going straight to the testicles to increase testosterone.

How you take them: Enclomiphene is taken orally as a pill. HCG is taken as an injection, usually under the skin or into a muscle.

Fertility effects: Both support fertility, but in slightly different ways. Enclomiphene encourages sperm production through natural hormone signaling. HCG helps maintain sperm production when testosterone is being given from outside the body.

Side effects: Enclomiphene is less likely to increase estrogen significantly, while HCG may raise estrogen levels in some men.

Convenience: Many find Enclomiphene more convenient due to the pill form. HCG requires regular injections, which can be a downside for some.

RELATED READ: How Testosterone Affects Weight Loss: What Everyone Needs to Know (Backed by Science)

Enclomiphene vs HCG: Which Is More Effective?

Effectiveness depends on what you're looking for. If your goal is to boost your natural testosterone without shutting down your own production or harming fertility, both options are effective. However, they shine in different situations.

Enclomiphene might be more effective for men who have mild to moderate testosterone issues and want to avoid injections. It’s especially good for those who want to preserve natural hormone rhythms and keep fertility intact.

HCG is highly effective for men already on TRT or those with more severe hormone suppression. It’s also ideal for men who want to increase testosterone and maintain testicular size.

Some studies suggest that using both together can be powerful, especially for men on TRT who want to keep sperm production going. However, this should always be done under a doctor’s care.

When to Choose Enclomiphene

Enclomiphene might be the better choice if:

  • You want to avoid injections
  • You prefer a simpler daily pill
  • You want to support natural hormone production
  • You're concerned about estrogen-related side effects
  • Fertility is a top priority

It’s also commonly chosen by men just starting their testosterone journey or those with only mildly low levels.

When to Choose HCG

HCG might be a better fit if:

  • You’re already on TRT and want to maintain fertility
  • You don’t mind injections
  • You have more severe testosterone deficiency
  • You’re trying to reverse testicular shrinkage or preserve size

HCG is also widely used in post-cycle therapy for men coming off anabolic steroids.

Doctor discussing testosterone treatment options with patient

Can You Use Enclomiphene and HCG Together?

Yes, in some cases, doctors recommend using both. For example, a man on TRT might take HCG to keep producing sperm and Enclomiphene to help signal the body to keep its natural rhythm. This combination can provide a well-rounded hormone-supporting approach.

However, combining them should only be done under medical supervision. Hormones are powerful, and the right balance is key.

Side Effects, Safety, and What to Watch Out For

With any hormone-related treatment, there’s always a chance of side effects. Luckily, both Enclomiphene and HCG are generally considered safe when used correctly.

With Enclomiphene, watch for:
  • Mood swings
  • Headaches
  • Vision changes (rare)
  • Acne
With HCG, monitor for:
  • Water retention or bloating
  • Increased estrogen levels (possible breast tenderness)
  • Injection site pain

Always check in with your doctor and do regular blood tests to monitor hormone levels and side effects. What works well for one person might not work for another.

FAQs

Can Enclomiphene replace TRT?

In some cases, yes. For men with mildly low testosterone, it can help the body produce enough naturally. But in more severe cases, TRT may still be necessary.

Is HCG FDA-approved for testosterone use?

While HCG is FDA-approved for fertility treatments, its use for boosting testosterone is considered off-label. Still, many doctors use it successfully for this purpose.

Do these increase sperm count?

Yes, both Enclomiphene and HCG can help maintain or improve sperm production, unlike traditional TRT, which often reduces it.

How long until I see results?

Most men notice changes within a few weeks, but full results may take a few months. Patience is key.

Which is safer long-term?

Both are considered safe when monitored by a healthcare provider. Enclomiphene may be slightly more predictable due to its oral form and lower estrogen impact.

Final Thoughts: Which One Is Right for You?

Both Enclomiphene and HCG are powerful tools to help men boost testosterone naturally, preserve fertility, and feel better overall. The right choice really depends on your individual situation.

If you’re looking for a daily pill that gently nudges your body to make more testosterone, Enclomiphene might be perfect. If you need a stronger push or are already on TRT, HCG could be a better fit.

Either way, the key is working with a knowledgeable healthcare provider who can guide you, monitor your progress, and make sure you’re on the safest and most effective path.

Bonus: Natural Lifestyle Tips to Support Testosterone

Regardless of which option you choose, your lifestyle still matters. You can boost your results with some simple changes:

  • Get regular exercise, especially weight training.
  • Eat a balanced diet with healthy fats, enough protein, and plenty of veggies.
  • Prioritize sleep. Your body produces testosterone during deep sleep.
  • Manage stress. High cortisol (the stress hormone) can block testosterone.
  • Avoid excessive alcohol and processed foods. These can drag your hormone levels down.

Taking care of your overall health can make any testosterone-boosting treatment work better and help you feel great long-term.

Recommended For You
post.data.cover_image.alt || How Long Do Surgical Menopause Symptoms Last? Timeline, Relief Tips, and What to Expect image
Hormones & Metabolism

How Long Do Surgical Menopause Symptoms Last? Timeline, Relief Tips, and What to Expect

Surgical menopause can feel overwhelming, not just because of the sudden hormonal changes, but also because it’s hard to know what’s “normal” and what to expect. Unlike natural menopause, which happens slowly over time, surgical menopause can hit like a tidal wave, bringing intense symptoms all at once.

Dr. Priyali Singh, MD

Apr 28, 2025

12 min read

post.data.cover_image.alt || Is Berberine Safe for Weight Loss with Hypothyroidism? What Science Really Says image
Weight Management

Is Berberine Safe for Weight Loss with Hypothyroidism? What Science Really Says

If you’ve been diagnosed with hypothyroidism, chances are you’ve found weight loss to be a frustrating, uphill battle. Despite eating well, exercising, and taking your prescribed thyroid meds, the scale might barely budge. Naturally, this leads many people to search for something—anything—that might give their metabolism a gentle push. That’s where berberine comes in.

Editorial Team

Apr 25, 2025

7 min read

post.data.cover_image.alt || The Best Foods to Naturally Boost Your Sex Drive, Backed by Science image
Nutrition & Diet

The Best Foods to Naturally Boost Your Sex Drive, Backed by Science

Your sex drive isn’t just about hormones or attraction—it’s about your entire body working in harmony. And one of the biggest factors in that equation is food. Yes—what we eat.

Karyn O.

Apr 25, 2025

12 min read