Matt is a great care giver and he also provides excellent conversation while you’re receiving care, no awkward silence like a typical healthcare visit. I got there right before my appointment and there was no wait time at all he came and saw to me immediately. The overall atmosphere was warm and welcoming. I highly recommend his practice!
Rochester, NY
By telehealth
Testosterone Replacement Therapy in Rochester, NY
Lab-Guided TRT by Video · Rochester & All of New York
Testosterone replacement therapy for Rochester, NY, by telehealth, with the same New York-licensed nurse practitioner on every video visit.
4.9★ Google
66 ★★★★★ reviews
25+ yrs experience
FNP-BC board-certified
Medically reviewed by Matthew Simone, FNP-BC · Last reviewed: October 30, 2026
Matthew, NP · Founder
Yes, Rochester men can get testosterone therapy by telehealth from Homesteady Health. Matthew Simone, FNP-BC, sees you by video, labs are drawn at a site near you in the Rochester area, and our Trumansburg office, about 1 hour 30 minutes from downtown Rochester, is there when an exam is needed.
Low energy, low drive or lost strength? Already on TRT through an online service and ready for a real provider? Matthew Simone, FNP-BC, starts with labs, not a sales pitch. It is the same lab-guided approach we use for testosterone therapy in Ithaca, delivered by video to Rochester, Pittsford, Canandaigua and the rest of New York.
How it works
How telehealth TRT works from Rochester
Most of your care happens by video. Labs happen at a draw site near you. You come to Trumansburg only if an exam is needed.
| Step | By video from home | At a lab near you | In person in Trumansburg |
|---|---|---|---|
| Free consultation | Yes | No | Optional |
| Baseline labs | No | Yes | Optional, drawn in our office |
| Results review and plan | Yes | No | Optional |
| Physical exam | No | No | When Matt advises it |
| Follow-ups and dose changes | Yes | Yes, for monitoring labs | Optional |
Sources: DEA and HHS, Fourth Temporary Extension of telemedicine flexibilities, Federal Register, Dec 31, 2025 (21 CFR 1307.41; 42 CFR 12.1); Homesteady care model.
Symptoms
Signs of low testosterone, and other causes
Low testosterone can look like many other problems. That is why the diagnosis starts with labs.
Energy and mood
Fatigue that sleep doesn’t fix, low mood, low motivation, or irritability. Our page on low energy and fatigue in men covers other causes.
Sexual health
Lower sex drive or erectile changes. See erectile dysfunction treatment.
Body changes
Lost strength or muscle, more belly fat and poorer sleep.
The Endocrine Society guideline recommends diagnosing low testosterone only when symptoms match and morning blood tests are clearly low on two separate days (Bhasin, et al., 2018). Before any prescription, Matt also checks the usual suspects: sleep apnea, thyroid problems, depression, medications, shift work and alcohol.
Long Rochester winters with short daylight can drag down energy and mood too. That is a reason to test, not a reason to assume.
Step by step
Your TRT plan, step by step
Six steps, one provider, and labs at every decision point.
1
Free video consultation
Talk through your symptoms, history and goals with Matt from home.
2
Labs near you
Morning blood draws at a lab near home in the Rochester area, at discounted member rates.
3
Results review and exam plan
Matt reviews your labs with you by video and explains whether any in-person visit is needed.
4
Treatment, if it fits
Options may include injections or an oral option. If you want to protect your fertility, tell Matt first; there are options that can help.
5
Delivery to your door
Medications and supplies arrive discreetly at your door.
6
Follow-up labs
Repeat labs about 3 to 6 months after starting, then yearly once stable, with video follow-ups to adjust your dose.
The evidence
Is TRT safe? What the research says
For years, the big question was the heart. A large trial has since answered much of it.
The TRAVERSE trial. In more than 5,000 men aged 45 to 80 with low testosterone and heart disease or high cardiovascular risk, testosterone did not increase major cardiac events compared with placebo, though atrial fibrillation, acute kidney injury and lung clots were more common (Lincoff, et al., N Engl J Med, 2023). In February 2025, the FDA added these results to testosterone labeling. Our men’s health and TRT program page covers the details.
Thicker blood
Testosterone can raise hematocrit, which we check on follow-up labs.
Blood pressure
We track it at every review.
Fertility
Testosterone can lower sperm production.
Skin and prostate
Acne is common, and prostate monitoring follows the guideline when indicated.
A TRT plan that skips follow-up labs skips the part that keeps it safe. Monitoring is built into every Homesteady plan.
Compare
Online TRT vs a New York provider
Online services made treatment easier to start, and many men do well with them. What varies is what comes with the prescription.
What some online services leave out
Some include lab work and a physical exam plan. Others route you to a different clinician each time, ignore the rest of your health or never coordinate with your primary care provider.
What you get with Homesteady
One provider who sees the full picture: labs, blood pressure, sleep, medications and anything else going on.
Weighing your options? Our guide on how to choose a TRT clinic covers the questions to ask. Already on TRT somewhere else? You can switch your TRT care to us.
Matthew Simone, FNP-BC
Founder & Family Nurse Practitioner
- FNP-BC, board-certified family nurse practitioner
- 25+ years in healthcare; 19 as a nurse practitioner
- Family practice in the Alaskan bush; trauma, ER and urgent care
- 2025 NP of the Year, NP Association of New York
- Has served as president of NPA-NY Region 2
- Certified in menopause hormone therapy
Who's caring for you
Your provider: Matthew Simone, FNP-BC
Matthew Simone, FNP-BC, is a board-certified family nurse practitioner, licensed in New York, and the founder of Homesteady Health. His 25+ years in healthcare, the last 19 as a nurse practitioner, began in family practice in the Alaskan bush and continued through trauma, emergency and urgent care. He helped set up and lead urgent care clinics in the Philadelphia area and locally.
Matt is certified in menopause hormone therapy through the Academy for Advanced Women’s Health Medicine (Heather Hirsch Academy). The Nurse Practitioner Association of New York named him its 2025 Nurse Practitioner of the Year, and he has served as president of its Region 2. He sees every TRT patient himself, on screen or in the office. The practice holds a 4.9-star rating across 63 Google reviews.
25+
Years in healthcare
19
Years as a Nurse Practitioner
FNP-BC
Board-certified · family practice
NPA·NY
Served as president · Region 2
Patient reviews
What patients say about Matt
4.9
Ratings and reviews from Google Maps
Currently sitting in their parking lot writing this, but I’m a student and had to get tested for TB in order to work a clinical position. I got extremely lost, I called telling them I was lost, and then my phone died leaving me lost for almost an hour. I came in and they were very accommodating, they even still took me in for my appointment. They were very good, gave me a moment to catch my breath, and got me right in there, gave me my test, and set me up for my follow up right away. They were very efficient with great bedside manner; I cannot apologize or thank them enough! Plus they were an absolute life saver for that appointment in the first place because my new job needed a work physical and the test so their same day appointments truly saved me. Thank you again!!!! 100% recommend!!!! Thank you Matt!!!!
Matt is great! He’s thorough and has the time and availability to listen. Just knowing he’s there and you don’t have to go to urgent care because your doctor can’t see you for days gives you peace of mind. Highly recommend.
Pricing
How much does TRT cost?
Published, flat pricing. No per-visit charges for follow-ups.
Get started
$249 one time
Men's health evaluation
- Consultation
- Discounted labs
- Exam
- Results review
Ongoing care
$149 / month
Men's Health & TRT membership
- Visits by video or in person
- Treatment supplies and medications
- Direct access to your provider
- Discounted member lab rates
| Item | Price | What it covers |
|---|---|---|
| Men’s health evaluation | $249, one time | Consultation, discounted labs, exam and review |
| Men’s Health & TRT membership | $149 a month | Visits by video or in person, treatment supplies and medications, and direct access to your provider |
| Labs | Member rates | Discounted for members |
| Insurance | Not required | Insurance can still be used for outside labs, specialty care and some prescriptions |
When you compare prices, check what is included. A low monthly price can leave out labs, the exam or follow-up. For more detail, see what TRT costs.
Rochester · Finger Lakes
TRT in Rochester, with a Finger Lakes office
Most of your plan happens by video, so you never build your week around a drive. From Pittsford or the city, your consultation, results review and follow-ups happen from home, and labs are drawn near you.
When you do come in
Plan on a real trip: about 1 hour 30 minutes each way from downtown Rochester, down the Thruway and NY 96 through Seneca and Cayuga country. From Canandaigua, closer to an hour and a half. Some men pair the visit with a day in the Finger Lakes.
Winter driving
Lake-effect snow off Lake Ontario can make the drive hard, so many patients switch to video visits in winter.
Primary care by video too
Want a primary care provider as well? See telehealth primary care in Rochester.
Homesteady Health Direct Primary Care
1859 Trumansburg Road, Trumansburg, NY 14886
- Downtown Rochester about 1 hr 30 min
- Pittsford about 1 hr 25 min
- Canandaigua about 1 hr 30 min
Office hours Monday to Friday, 8am to 5pm. Visits by video across New York. Drive times are off-peak estimates.
Questions · Straight answers
TRT for Rochester FAQs
Can I get testosterone therapy by telehealth in New York?
Yes. Matthew Simone, FNP-BC, is licensed in New York and treats men anywhere in the state by video. Consultations and follow-ups happen by video, with labs at a draw site near you.
Do I have to come to Trumansburg to start?
You can start testosterone by video under the DEA’s telemedicine rules. The office is about 1 hour 30 minutes from downtown Rochester.
Where do I get labs drawn in Rochester?
At a draw site near you in the Rochester area, at discounted member rates. Testosterone is checked in the morning, when levels are highest, and on two separate days to confirm a diagnosis.
How much does TRT cost without insurance?
TRT starts with a $249 men’s health evaluation covering the consultation, discounted labs, exam and review. Ongoing care is $149 a month for the Men’s Health & TRT membership, covering visits, treatment supplies and medications. Insurance is not required.
I'm already on TRT through an online company. Can I switch?
Yes. Bring your records and recent labs to a free consultation. Matt reviews your dose, labs and history and decides with you whether to continue, adjust or change the plan. See how a TRT transfer works.
Will testosterone affect my fertility?
It can. Testosterone can lower sperm production, sometimes significantly. If you want children now or later, tell Matt before you start. There are options for men who want to protect fertility, and he will walk you through them. See fertility-friendly testosterone therapy.
Is TRT safe for my heart?
In the TRAVERSE trial, testosterone did not increase heart attacks or strokes compared with placebo in men at higher heart risk, though it was linked to more atrial fibrillation and some other events. Testosterone can raise blood pressure and hematocrit, so we monitor both.
Is Homesteady Health a TRT clinic in Rochester?
No. We are a Finger Lakes practice in Trumansburg that cares for Rochester men by telehealth. You get one New York nurse practitioner, labs near home, published pricing and an office about 1 hour 30 minutes away for any in-person visit.
One provider, labs near home
Free video consultation · flat pricing
TRT for Rochester by video with Matthew Simone, FNP-BC. Lab-guided, flat pricing and the same provider every time, with an honest drive when you need the office.