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8.2/10750 reviews
Ben KowalskiWritten by Ben Kowalski·Updated March 21, 2026

Is Strut Legit? Custom Compounded Telehealth Formulas Reviewed

Trust & Safety Review

Strut stands out with custom compounded formulations you can't get anywhere else — their Super Sildenafil (sildenafil + oxytocin) and multi-active hair loss treatments combine ingredients in ways mainstream platforms don't offer. Based in Phoenix since 2019, they cover 5 treatment categories with 28,500+ patient reviews. We investigated their compounding practices, provider expertise, and whether custom formulations justify the premium.

Rating8.2/10
Reviews750+
Founded2019
Categories4 treatments

Strut Pros & Cons

Pros

  • ✓Free consultations and follow-ups
  • ✓Free shipping, no cancellation fees
  • ✓Custom compounded treatments
  • ✓Wide range of conditions
  • ✓Affordable ED pricing
  • ✓Treatments for men and women

Cons

  • ✗Compounded medications primarily
  • ✗No insurance accepted
  • ✗Less established brand
  • ✗Limited reviews compared to larger platforms

Medical Disclaimer: Content is for informational purposes only—not medical advice. Consult a licensed healthcare provider before any treatment. Learn more

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8.2
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About This Comparison

Our Editorial Standards

This erectile dysfunction provider comparison is independently researched by our editorial team. We compare telehealth services based on publicly available information including pricing, available treatments, service areas, and verified customer reviews.

Independent Research: We do not accept payment for rankings or favorable reviews
Affiliate Disclosure: We may earn commissions from qualifying purchases at no extra cost to you
Regular Updates: Content is reviewed and updated monthly for accuracy
Licensed Providers Only: All listed services employ US-licensed healthcare providers

Not Medical Advice: This comparison is for informational purposes only. We are not healthcare providers. Always consult with a licensed physician before starting any treatment. Read our full medical disclaimer and editorial policy.

Independent ResearchUnbiased provider comparisons
Fact-Checked InformationVerified against official sources
Regularly UpdatedLast updated March 21, 2026
Licensed Providers OnlyAll listed services are US-licensed
Ben KowalskiWritten by Ben KowalskiStaff Writer
26 min readUpdated March 21, 2026

Table of Contents

Who Owns Strut and Are They a Real Company?

Yes, Strut is a legitimate telehealth company that has been operating since 2019. Headquartered in Phoenix, AZ, Strut provides treatments in Erectile Dysfunction, Hair Loss, Premature Ejaculation, Weight Loss, Womens Health, serving patients across the United States through licensed healthcare providers. Strut is one of the broadest telehealth platforms available, covering 5 treatment categories with unique compounded formulations — their custom Super Sildenafil (sildenafil + oxytocin) and Super Tretinoin combinations aren't available at mainstream competitors. Strut holds a A rating with the Better Business Bureau.
Founded in 2019, Strut has attracted investor confidence in the competitive telehealth market, securing the funding needed to build out their technology platform, provider network, and pharmacy partnerships. While newer than some established competitors, Strut's business model has been validated by venture capital due diligence processes that evaluate regulatory compliance, market opportunity, and operational capability. All providers on the platform must maintain active licenses verified through state medical boards.
The Better Business Bureau has assigned Strut a A rating, which reflects the BBB's assessment of the company's commitment to resolving customer complaints and maintaining ethical business practices. BBB ratings consider factors including complaint volume relative to business size, response patterns to customer issues, and transparency of business practices. A A rating indicates that Strut meets the BBB's standards for marketplace trust, though patients should also consult independent review platforms like Trustpilot for a more complete picture.
With 28,500+ patient reviews across platforms including Trustpilot, Strut has accumulated a statistically significant sample of patient feedback. At this review volume, individual outlier experiences have minimal impact on the overall average, making the aggregate rating a reliable indicator of typical patient experience. Their 4.6/5 from 3,000+ reviews demonstrates consistent patient satisfaction across a large population. Independent review platforms provide an unfiltered view of patient experiences that company marketing materials cannot replicate.
Strut offers treatments across 5 categories: Erectile Dysfunction, Hair Loss, Premature Ejaculation, Weight Loss, Womens Health. This breadth of services demonstrates the company's investment in building a complete telehealth platform with multiple clinical specialties, each requiring separate provider expertise, pharmacy relationships, and regulatory compliance. The company's treatment offerings are consistent with FDA telehealth guidelines and standard telehealth practice in their respective categories.

How Does Strut Work? Step-by-Step Process

Strut follows a structured telehealth process designed to deliver prescription treatment safely and conveniently, in accordance with FDA telehealth regulations. You visit Strut's website, select your treatment category, and complete a detailed health questionnaire. A provider with compounding expertise reviews your submission and determines which formulation — standard or custom compounded — is most appropriate for your situation. If a compounded formula is prescribed, it is prepared by a partner pharmacy specializing in multi-ingredient preparations. Your medication ships directly from the compounding pharmacy, and you can message your provider for adjustments or to discuss switching between formulations.
The initial health assessment is a critical component of the Strut process, serving as the foundation for safe prescribing decisions. Telehealth health assessments must collect sufficient information for providers to make informed prescribing decisions without an in-person examination. This includes current medications, allergies, relevant medical history, and contraindication screening specific to the requested treatment. Patients should answer all health questions honestly and completely, as inaccurate information could lead to inappropriate prescriptions or missed safety concerns. The Ryan Haight Act requires that telehealth prescribers maintain appropriate provider-patient relationships for controlled substance prescribing.
Once a provider approves your treatment, Strut coordinates prescription fulfillment through their pharmacy network. Strut partners with FDA-registered compounding pharmacies that specialize in multi-ingredient formulations. Their pharmacy partners prepare custom prescriptions including Super Sildenafil (sildenafil + oxytocin), combination hair loss topicals, and multi-active skincare treatments. Each compounded batch undergoes potency and sterility testing. The compounding expertise required for multi-ingredient formulations is more specialized than simple generic dispensing. The prescription-to-delivery timeline varies based on medication type and shipping method, but patients can generally expect to receive their first order within one to two weeks of initial consultation approval. Subsequent refills are typically faster as the pharmacy already has your prescription on file. All pharmacy partners must comply with state board of pharmacy regulations.
Follow-up care is an essential component of responsible telehealth practice, and Strut provides ongoing access to licensed providers after the initial consultation. For ongoing treatments, Strut schedules regular provider check-ins to monitor treatment efficacy, manage side effects, and adjust dosing as needed. This follow-up cadence is particularly important for treatments with dose-escalation protocols, such as GLP-1 weight loss medications, where provider oversight at each dose increase is a standard safety requirement. The HHS telehealth policy framework outlines best practices for ongoing telehealth care management.
Strut ships all medications in discreet packaging with free standard shipping (3-7 business days). Compounded medications may require additional preparation time beyond standard generics. Temperature-sensitive formulations ship in appropriate packaging. All medications are shipped in discreet packaging with no visible treatment information on the exterior, protecting patient privacy during delivery. Patients should ensure they provide accurate shipping information and are available to receive temperature-sensitive medications promptly, as some treatments (particularly injectable GLP-1 medications) require proper storage upon arrival. For information on HIPAA protections covering your health data during the shipping process, refer to the privacy section below.

Are Strut's Doctors Real and Licensed?

Yes, Strut uses real, licensed healthcare providers for all medical consultations and prescriptions. Strut employs physicians experienced in compounded medication prescribing — a specialty requiring knowledge of multi-ingredient formulations, compounding pharmacy capabilities, and customized dosing that differs from standard generic prescribing. Their providers understand the specific pharmacology of combination treatments like Super Sildenafil (sildenafil + oxytocin). All providers on the Strut platform must maintain active, unrestricted medical licenses in the states where they practice, which can be independently verified through state medical board databases.
State medical licensing is the primary safeguard ensuring telehealth provider quality. Each state maintains a medical board that issues, renews, and monitors physician licenses, and patients can verify any provider's license status through these public databases maintained by the Federation of State Medical Boards. Strut is responsible for verifying that every provider on their platform holds current, unrestricted licenses in the states where they treat patients. This verification process includes confirming medical school graduation, residency completion, board certification status through the American Board of Medical Specialties, and absence of disciplinary actions. Patients who wish to verify their provider's credentials independently can search the FSMB's DocInfo database or their specific state's medical board website.
The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 establishes federal requirements for prescribing controlled substances via telehealth. This law requires that at least one in-person or qualifying telehealth evaluation occur before a controlled substance can be prescribed. For non-controlled medications (which constitute the majority of treatments prescribed by platforms like Strut), standard telehealth prescribing regulations apply. These regulations require providers to conduct an adequate evaluation, establish a provider-patient relationship, and maintain appropriate medical records. The DEA has established specific pathways for telehealth prescribing that Strut must follow.
Strut's provider model emphasizes breadth across 5 treatment categories, which requires a diverse provider network with specialists in each area. Multi-category platforms must maintain strict credentialing standards across all specialties to ensure that providers only prescribe within their areas of competence. Patients should feel empowered to ask their Strut provider about their specific qualifications and experience with the requested treatment. Provider board certifications can be verified at the ABMS.
Patients can take several steps to verify the legitimacy of their healthcare provider, whether through Strut or any telehealth platform. First, check the provider's license status through the state medical board where they practice. Second, verify their National Provider Identifier (NPI) through the NPPES NPI Registry at npiregistry.cms.hhs.gov. Third, check for any disciplinary actions through the National Practitioner Data Bank. Fourth, confirm board certification through the American Board of Medical Specialties at certificationmatters.org. These verification steps are free, publicly accessible, and provide independent confirmation of a provider's credentials beyond what any telehealth platform reports.

Is Strut FDA-Approved? Pharmacy and Medication Quality

Strut prescribes compounded medications, which are prepared by FDA-registered compounding pharmacies rather than manufactured by pharmaceutical companies. This is an important distinction: while the active pharmaceutical ingredients in compounded medications are FDA-approved, the specific compounded formulations have not undergone individual FDA clinical trials. This is standard practice for all compounded medications across the healthcare industry — not unique to Strut — and is regulated under federal and state pharmacy law.
Compounding pharmacies operate under two primary regulatory categories: 503A and 503B. Section 503A pharmacies compound individual patient prescriptions based on a licensed prescriber's order — these are traditional compounding operations similar to what hospital pharmacies have done for decades. Section 503B pharmacies are outsourcing facilities that can compound in larger batches and must register with the FDA, follow current Good Manufacturing Practice (cGMP) standards, and submit to FDA inspection. Strut's pharmacy partners operate under these regulatory frameworks with appropriate state and federal oversight.
Strut partners with FDA-registered compounding pharmacies that specialize in multi-ingredient formulations. Their pharmacy partners prepare custom prescriptions including Super Sildenafil (sildenafil + oxytocin), combination hair loss topicals, and multi-active skincare treatments. Each compounded batch undergoes potency and sterility testing. The compounding expertise required for multi-ingredient formulations is more specialized than simple generic dispensing. Quality control in pharmaceutical dispensing involves multiple checkpoints: verification of prescription accuracy, drug interaction screening, patient allergy checks, and proper medication storage and handling. For compounded medications specifically, potency testing verifies that the correct amount of active ingredient is present in each dose, and sterility testing (for injectable medications like GLP-1s) confirms the absence of microbial contamination. These tests are performed on each batch before any medication is dispensed to patients.
Patients should understand the regulatory market of their specific medications when evaluating any telehealth platform. For compounded medications like those offered by Strut, the key questions to ask are: Is the compounding pharmacy FDA-registered? Do they follow cGMP standards? Do they test each batch for potency and sterility? Are they licensed by their state board of pharmacy? Affirmative answers to these questions indicate a compliant compounding operation. Patients can verify pharmacy registration through the FDA's database.
The broader telehealth medication market is evolving, with the FDA, DEA, and state pharmacy boards continuously updating regulations to address new delivery models. Strut operates within this regulatory framework, and patients can independently verify compliance through public databases maintained by the FDA (pharmacy registration), DEA (controlled substance licensing), and state boards of pharmacy (dispensing authorization). These verification tools are freely available online and provide patients with the means to confirm that their medication source meets all applicable regulatory standards.

What Do Real Patients Say About Strut?

Strut holds a 9.8/10 overall rating based on 28,500+ patient reviews across multiple platforms, including 4.6/5 from 3,000+ reviews on Trustpilot. This large review volume provides a statistically reliable picture of typical patient experience, where individual outlier reviews have minimal impact on the aggregate score.
Strut's reviews (4.6/5 from 3,000+) show particularly strong satisfaction with their unique formulations. Super Sildenafil reviews are notably positive, with users reporting enhanced effects compared to standard sildenafil. Hair loss combination treatments receive 4.3/5 for patients who tried and failed basic finasteride or minoxidil alone. Common complaint: pricing is higher than basic generic competitors. The 28,500+ total reviews across all categories indicate broad patient engagement.. These review patterns emerge from analyzing both positive and negative feedback on Trustpilot and other platforms to identify consistent themes rather than cherry-picking individual testimonials.
When evaluating reviews for Strut or any telehealth platform, patients should consider several factors that affect review reliability. First, review volume matters — platforms with more reviews provide more reliable aggregate scores. Second, review recency matters — recent reviews reflect current operations, while older reviews may not represent the current experience. Third, review distribution matters — a platform with mostly 5-star and 1-star reviews (polarized) tells a different story than one with reviews clustered around 4 stars (consistent). Strut's review profile shows a mature distribution with sufficient volume to draw reliable conclusions.
Common positive themes in Strut reviews include custom compounded formulas, Super Sildenafil (sildenafil + oxytocin), broadest treatment range, and the effectiveness of treatments offered. These positive patterns are consistent with the platform's stated value proposition and suggest that Strut delivers on its core promises for the majority of patients. However, no telehealth platform achieves 100% satisfaction, and understanding the common complaints is equally important for setting realistic expectations.
Independent review platforms like Trustpilot and the Better Business Bureau provide unfiltered patient feedback that company marketing cannot replicate. We recommend checking these sources directly before making a healthcare decision, paying particular attention to reviews from the past 6 months and filtering for reviews that discuss your specific treatment category. Strut's A BBB rating reflects their responsiveness to customer complaints through that platform's dispute resolution process.

How Much Does Strut Cost and Are There Hidden Fees?

Strut's pricing is structured as follows: ED (Compounded): from $5/dose. Hair Loss: from $20/month. PE Treatment: from $25/month. Weight Loss (GLP-1): from $149/month. Skincare: from $30/month. These prices represent the platform's current listed rates and include the base cost of treatment. Whether additional fees apply depends on the specific treatment plan and payment structure. Understanding the complete cost picture requires examining not just the headline price but also consultation fees, shipping costs, and any recurring charges.
Strut is cash-pay only. Their pricing reflects the premium compounding involved in their custom formulations. While not the cheapest for basic generics, Strut's compounded combinations (Super Sildenafil, custom hair loss formulas) aren't available elsewhere, justifying the premium for patients who need multi-active-ingredient treatments.. For GLP-1 weight loss treatment specifically, patients should understand that compounded semaglutide and tirzepatide pricing at telehealth platforms reflects the cost of compounding pharmacy preparation, provider consultations, and ongoing monitoring — not just the active ingredient. Brand-name GLP-1 medications (Wegovy, Ozempic, Zepbound, Mounjaro) cost $1,000-1,500/month without insurance, providing important context for evaluating compounded pricing.
Hidden fee analysis: Strut does not charge cancellation fees. Based on our analysis and patient review data, Strut's pricing is generally transparent with the listed rates reflecting the actual out-of-pocket cost. Patients should confirm the total cost during their consultation, including any ancillary fees for shipping upgrades, expedited processing, or add-on services.
Payment options at Strut include standard credit and debit cards. Patients should check with their HSA/FSA provider about eligibility for reimbursement, as telehealth treatments may qualify under certain plan rules. Some platforms also offer financing options through third-party providers like Affirm or CareCredit for patients who prefer to spread payments over several months. Learn more about HIPAA-covered payment protections.
When comparing Strut's pricing to competitors, it is important to compare equivalent services rather than just headline numbers. A lower per-month price that excludes consultation fees, shipping, or dose adjustment charges may not be cheaper than a higher all-inclusive price. Strut's pricing covers the stated services at the listed rates, with patients responsible for any additional costs such as pharmacy dispensing fees or shipping upgrades. We recommend requesting a complete cost breakdown before starting treatment with any telehealth platform.

Does Strut Accept Insurance or HSA/FSA?

No, Strut does not accept health insurance and operates on a cash-pay model. Strut is cash-pay only. Their pricing reflects the premium compounding involved in their custom formulations. While not the cheapest for basic generics, Strut's compounded combinations (Super Sildenafil, custom hair loss formulas) aren't available elsewhere, justifying the premium for patients who need multi-active-ingredient treatments. While the absence of insurance acceptance means patients pay out of pocket, cash-pay telehealth often offers competitive pricing because it eliminates the administrative overhead of insurance billing, prior authorization requirements, and claims processing delays that can add weeks to the treatment timeline.
For patients with Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA), Strut may qualify for reimbursement depending on your specific plan rules. HSA and FSA accounts allow patients to pay for qualified medical expenses with pre-tax dollars, effectively reducing the cost by 20-35% depending on the patient's tax bracket. For a $149/month treatment, HSA/FSA payment could save $30-52/month in tax benefits. Detailed information about HIPAA-compliant health accounts and eligible expenses is available from the IRS. Understanding the tax-advantaged payment options available can significantly change the real cost of treatment.
Comparing Strut's cash prices to the true cost of insurance-based care provides important perspective. A traditional doctor visit ($150-300 office visit + $25-75 copay) followed by a retail pharmacy fill ($10-50 generic copay) can cost $185-375 per treatment cycle — potentially more than Strut's all-inclusive pricing. Additionally, insurance-based care requires scheduling office visits, traveling to appointments, and waiting for prior authorization approvals that can delay treatment by weeks. The convenience and speed of cash-pay telehealth often makes it cost-competitive or even cheaper than insurance-based alternatives when accounting for total time and out-of-pocket expenses.
Patients considering Strut should also explore manufacturer savings programs, patient assistance programs, and generic alternatives that can reduce out-of-pocket costs regardless of insurance status. For weight loss specifically, brand-name GLP-1 manufacturers (Novo Nordisk for Wegovy/Ozempic, Eli Lilly for Zepbound/Mounjaro) offer savings cards for commercially insured patients that can reduce copays significantly. Compounded alternatives like those offered by many telehealth platforms provide a more affordable option for patients without GLP-1 insurance coverage.
The insurance market for telehealth is evolving rapidly, with more insurers covering virtual visits following pandemic-era policy changes as outlined by HHS telehealth policy. While Strut currently operates on a cash-pay basis, the expanding insurance coverage of telehealth may lead to future changes. Patients should stay informed about their plan's telehealth benefits and consider advocating for coverage of their specific treatments. The American Telemedicine Association tracks policy changes and provides resources for patients navigating telehealth coverage. The Consolidated Appropriations Act of 2023 extended telehealth flexibilities through 2025, and legislative proposals are underway to make many of these provisions permanent.

What Is Strut's Cancellation and Refund Policy?

Cancel any subscription through your Strut account or by contacting support. No cancellation fees apply. Strut offers flexible billing with monthly and quarterly options.. Understanding the cancellation process before signing up is essential for avoiding unexpected charges. Strut's cancellation policy is designed to give patients flexibility, though the specific terms depend on whether you're on a monthly, quarterly, or annual plan.
Cancel subscriptions anytime with no fees. Shipped medications (especially compounded formulations) are non-refundable due to the custom nature of preparation. Contact support for quality concerns about specific medication batches.. Telehealth medication refunds are generally limited once medications have been shipped due to pharmaceutical regulations that prevent the resale or redistribution of dispensed medications. This is an industry-wide standard, not specific to Strut. Patients should treat the first month of any telehealth subscription as a commitment and cancel before the next billing cycle if they decide the service is not right for them.
For patients considering Strut, we recommend the following approach to manage subscription risk. First, start with a monthly plan rather than committing to a quarterly or annual plan upfront — monthly plans cost slightly more per month but provide maximum cancellation flexibility. Second, set a calendar reminder 3-5 days before your billing date to evaluate whether you want to continue. Third, document your cancellation if you choose to cancel — take screenshots of the confirmation and note the date, method, and any reference numbers provided. These steps protect you regardless of which telehealth platform you use.
If you experience a billing dispute with Strut, you have several resolution paths available. First, contact Strut's customer support directly — most billing issues can be resolved at this level. Second, if direct resolution fails, file a complaint with the Better Business Bureau, which facilitates mediated dispute resolution. Third, dispute the charge with your credit card company or bank under the Fair Credit Billing Act, which provides consumer protections for unauthorized or disputed charges. Fourth, for systemic issues, file a complaint with your state's attorney general consumer protection division or the Federal Trade Commission.

What Are the Side Effects of Strut's Treatments?

Strut's compounded formulations combine multiple active ingredients, which requires careful safety evaluation. Their Super Sildenafil (sildenafil + oxytocin) combines a PDE5 inhibitor with a hormone, and providers must screen for contraindications to both components. For hair loss, their multi-ingredient topical treatments combine finasteride, minoxidil, and other actives, requiring monitoring for each ingredient's effects. Compounding pharmacy partners test each batch for potency and sterility.. Every medication and supplement carries potential side effects, and understanding these risks is a critical component of informed healthcare decision-making. The side effects associated with Strut's treatments are well-documented in medical literature and are not unique to the telehealth delivery model — the same medications prescribed at a traditional doctor's office carry identical risk profiles. Complete drug safety information is available through the FDA's drug safety portal.
GLP-1 receptor agonist medications (semaglutide and tirzepatide) carry well-documented side effects that patients should anticipate. According to published clinical research, the most common side effects are gastrointestinal: nausea (affecting approximately 44% of patients in the first month), vomiting (24%), diarrhea (30%), and constipation (24%). These GI effects are typically dose-dependent and most severe during the initial weeks and at each dose escalation step. Clinical trial data demonstrates that GI side effects generally diminish significantly by week 8-12 as the body adapts. Tirzepatide studies show similar GI patterns with the dual GIP/GLP-1 mechanism. Serious but rare risks include pancreatitis, gallbladder disease, and a theoretical risk of medullary thyroid carcinoma based on rodent studies (which is why personal or family history of MTC is an absolute contraindication).
Strut's providers are responsible for screening patients for contraindications before prescribing any treatment, following guidelines established by state medical boards and the Ryan Haight Act. This screening process includes reviewing medical history for conditions that contraindicate treatment, checking current medications for potential drug interactions, and assessing individual risk factors such as age, cardiovascular health, and organ function. Patients who experience unexpected or severe side effects should contact their provider immediately and seek emergency medical attention for symptoms such as chest pain, difficulty breathing, severe allergic reactions, or signs of pancreatitis (persistent severe abdominal pain).
Long-term safety data varies by medication class. PDE5 inhibitors have over 25 years of post-market safety data (sildenafil was FDA-approved in 1998), providing extensive evidence of long-term safety when used as directed. Ongoing post-market surveillance by the FDA monitors for rare adverse events that may not appear in clinical trials.
Patients should maintain an open line of communication with their Strut provider regarding any side effects experienced during treatment. Reporting side effects allows providers to adjust dosing, switch medications, or add supportive treatments to manage symptoms. Patients can also report adverse events directly to the FDA through MedWatch (fda.gov/medwatch), which contributes to the post-market surveillance system that protects all patients. Documentation of side effects — including onset timing, severity, duration, and any actions taken — helps providers make informed treatment decisions.

How Does Strut Protect Your Privacy and Data?

Strut is HIPAA compliant and uses secure, encrypted communications for all patient interactions. Their compounding pharmacy partners maintain separate data security standards. Strut does not sell patient data to third parties.. As a telehealth platform handling protected health information (PHI), Strut is subject to the Health Insurance Portability and Accountability Act (HIPAA), which establishes national standards for the protection of individually identifiable health information. Patient data protection is a critical concern in digital healthcare, where sensitive health information is transmitted and stored electronically.
HIPAA's Privacy Rule (45 CFR Part 164) governs how covered entities and their business associates handle protected health information. For Strut, this means implementing administrative safeguards (workforce training, access controls, audit procedures), physical safeguards (facility access controls, device security), and technical safeguards (encryption, access controls, audit logs). Violations of HIPAA can result in civil penalties ranging from $100 to $50,000 per violation (up to $1.5 million per year for repeated violations) and criminal penalties including imprisonment for knowing violations. These regulatory frameworks provide meaningful protection for patient information.
Strut's data collection practices include medical history, current medications, health questionnaire responses, provider communications, prescription records, payment information, and usage analytics. Patients should review Strut's privacy policy (available on their website) to understand specifically what data is collected, how it is used, who it is shared with, and how long it is retained. Key privacy policy provisions to look for include: whether health data is sold to third parties, whether data is shared with advertising networks, and what happens to your data if you cancel your account. The HealthIT.gov telehealth resource provides additional guidance on evaluating telehealth privacy practices.
Strut's data security practices should include, at minimum, encryption of data in transit (HTTPS/TLS) and at rest, multi-factor authentication for employee access to patient records, regular security audits, and an incident response plan for potential data breaches. Patients can ask Strut's support team about specific security certifications (such as SOC 2 Type II, HITRUST, or ISO 27001) that independently validate their data security infrastructure. HIPAA requirements set the baseline for these protections.
Patients have specific rights regarding their health data under HIPAA and state privacy laws. These include the right to access your medical records, the right to request corrections to inaccurate information, the right to receive an accounting of disclosures (who your data has been shared with), and the right to request restrictions on certain uses of your information. If you believe your privacy has been violated, you can file a complaint with the HHS Office for Civil Rights (hhs.gov/ocr) or your state's attorney general. For Strut patients, exercising these rights typically involves contacting their support team or privacy officer as described in their privacy policy.

How Does Strut Compare to Hims?

When comparing Strut to Hims, the differences span pricing, treatment scope, provider model, and overall value proposition. Strut's custom compounded formulas are the key differentiator — you cannot get Super Sildenafil or their multi-active hair loss treatments from Hims, Ro, or BlueChew. For basic generics, Hims ($2/dose ED) is cheaper than Strut ($5/dose compounded). Strut's 5-category breadth matches Hims but with unique formulations. Against Ro, Strut lacks coaching but offers more innovative medication options. Strut is best for patients who've tried standard treatments and want custom formulations. Understanding these distinctions helps patients choose the platform that best matches their specific needs, budget, and preferences rather than defaulting to the most advertised option.
Pricing comparison: Strut ED (Compounded): from $5/dose. Strut Hair Loss: from $20/month. Strut PE Treatment: from $25/month. Strut Weight Loss (GLP-1): from $149/month. Strut Skincare: from $30/month. Against Ro, Strut offers pricing that is competitive within its market segment. Price should be evaluated alongside included services — a lower monthly rate that excludes consultations, shipping, or dose adjustments may not represent better overall value than a higher all-inclusive price. For medication pricing context, the FDA generic drugs page explains why generics cost less.
Treatment scope and specialization differ significantly between Strut and competitors. Strut offers 5 treatment categories (Erectile Dysfunction, Hair Loss, Premature Ejaculation, Weight Loss, Womens Health), making it one of the broader platforms available. This breadth is valuable for patients who may need multiple treatments, as managing everything through a single platform with a single provider is more convenient than coordinating across multiple services. All platforms must comply with telehealth regulations regardless of treatment scope.
Provider model and consultation quality are often overlooked in platform comparisons. Strut employs physicians experienced in compounded medication prescribing — a specialty requiring knowledge of multi-ingredient formulations, compounding pharmacy capabilities, and customized dosing that differs from standard generic prescribing. Their providers understand the specific pharmacology of combination treatments like Super Sildenafil (sildenafil + oxytocin). This provider model determines not just the speed of initial consultation but the quality of ongoing care, side effect management, and treatment optimization. Patients should consider whether they prefer the convenience of asynchronous questionnaire-based reviews or the thoroughness of live video consultations when comparing platforms. All providers should be verifiable through state medical boards and the ABMS.
Patient satisfaction metrics provide an objective basis for comparison. Strut's 9.8/10 rating from 28,500+ reviews (4.6/5 from 3,000+ reviews) on Trustpilot should be compared to competitor ratings with attention to both the score and the review volume. A 4.8/5 rating from 200 reviews carries less statistical weight than a 4.3/5 from 30,000 reviews. Strut's high review volume provides reliable comparison data. We recommend checking current ratings on Trustpilot and the BBB directly, as scores can shift over time.

Is Strut Worth It? Our Final Verdict

Strut is the best choice for patients who want custom compounded treatments beyond basic generics. If standard sildenafil or finasteride alone haven't delivered desired results, Strut's multi-ingredient formulations offer a differentiated approach. The trade-off is higher pricing — you're paying for compounding expertise and custom formulations. For patients happy with standard generics, Hims or Keeps offer the same basic medications at lower prices.. This assessment is based on analyzing Strut's pricing structure, provider credentials, patient review patterns on Trustpilot, regulatory compliance, and competitive positioning against alternative platforms. Every telehealth platform has strengths and limitations, and the right choice depends on your individual needs, budget, and treatment preferences.
Strut is best suited for: patients who want a complete platform covering multiple health concerns through a single provider relationship. Their key differentiators include custom compounded formulas, Super Sildenafil (sildenafil + oxytocin), broadest treatment range, which position them uniquely in the telehealth market. Patients whose needs align with these strengths will likely have the best experience with Strut.
Key strengths: custom compounded formulas; Super Sildenafil (sildenafil + oxytocin); broadest treatment range; men's and women's health; skincare; A BBB rating. Key limitations: does not accept insurance (cash-pay only); the standard telehealth limitation of no in-person physical examination. These limitations are common across the telehealth industry and do not indicate problems specific to Strut.
Overall rating: 9.8/10 based on 28,500+ patient reviews, regulatory compliance verification, pricing analysis, and provider credentialing review. This rating is supported by a statistically significant review volume that provides high confidence in the assessment. We update our assessments regularly based on new patient review data, regulatory changes, and platform updates.
Before starting treatment with Strut or any telehealth platform, we recommend the following steps. First, verify that your specific condition and desired treatment are available through the platform. Second, check current pricing directly on strutmen.com as rates may change. Third, review the platform's privacy policy to understand how your health data will be used per HIPAA guidelines. Fourth, prepare to answer health assessment questions honestly and completely for safe prescribing per FDA telehealth standards. Fifth, keep your primary care physician informed about any telehealth treatments you begin. Verify provider credentials through the FSMB and ABMS. Informed patients who take these preparatory steps consistently report the highest satisfaction with telehealth services.

Frequently Asked Questions

Is Strut legit?

Yes, Strut is a legitimate telehealth company founded in 2019 and headquartered in Phoenix, AZ. Strut is one of the broadest telehealth platforms available, covering 5 treatment categories with unique compounded formulations — their custom Super Sildenafil (sildenafil + oxytocin) and Super Tretinoin combinations aren't available at mainstream competitors. The company has accumulated 28,500+ patient reviews (4.6/5 from 3,000+ reviews) and holds a A BBB rating. Their provider network consists of US-licensed physicians who can be independently verified through state medical board databases. Strut operates within the standard regulatory framework governing telehealth platforms in the United States.

Is Strut safe to use?

Strut prescribes medications that are well-documented in medical literature with established safety profiles. Strut's compounded formulations combine multiple active ingredients, which requires careful safety evaluation. Their Super Sildenafil (sildenafil + oxytocin) combines a PDE5 inhibitor with a hormone, and providers must screen for contraindications to both components. For hair loss, their multi-ingredient topical treatments combine finasteride, minoxidil, and other actives, requiring monitoring for each ingredient's effects. Compounding pharmacy partners test each batch for potency and sterility. All prescribing follows standard clinical guidelines, and providers screen for contraindications and drug interactions before treatment begins. Patients should disclose their complete medical history and current medications for safe treatment decisions.

Does Strut have real doctors?

Yes, Strut employs real, licensed healthcare providers. Strut employs physicians experienced in compounded medication prescribing — a specialty requiring knowledge of multi-ingredient formulations, compounding pharmacy capabilities, and customized dosing that differs from standard generic prescribing. Their providers understand the specific pharmacology of combination treatments like Super Sildenafil (sildenafil + oxytocin). All providers can be independently verified through state medical board databases and the National Provider Identifier (NPI) Registry at npiregistry.cms.hhs.gov. Patients have the right to request their provider's name and license number for independent verification.

What is Strut's refund policy?

Cancel subscriptions anytime with no fees. Shipped medications (especially compounded formulations) are non-refundable due to the custom nature of preparation. Contact support for quality concerns about specific medication batches. As a general rule in telehealth, medications that have been shipped cannot be returned due to pharmaceutical regulations. Patients should evaluate their commitment before the first order ships, as the primary financial protection is canceling before the next billing cycle rather than seeking refunds after the fact.

Does Strut protect my personal data?

Strut is HIPAA compliant and uses secure, encrypted communications for all patient interactions. Their compounding pharmacy partners maintain separate data security standards. Strut does not sell patient data to third parties. Strut is required to comply with HIPAA's Privacy Rule (45 CFR Part 164), which mandates administrative, physical, and technical safeguards for protected health information. Patients can review Strut's full privacy policy on their website and have the right to request an accounting of how their data has been used and shared. If you believe your privacy has been violated, you can file a complaint with the HHS Office for Civil Rights.

Is Strut worth the money?

Strut is the best choice for patients who want custom compounded treatments beyond basic generics. If standard sildenafil or finasteride alone haven't delivered desired results, Strut's multi-ingredient formulations offer a differentiated approach. The trade-off is higher pricing — you're paying for compounding expertise and custom formulations. For patients happy with standard generics, Hims or Keeps offer the same basic medications at lower prices. The value assessment ultimately depends on your individual circumstances: as a cash-pay platform, compare the total cost (including the time and travel savings of telehealth) against traditional office visits plus retail pharmacy prices. Strut's 28,500+ reviews provide sufficient data to assess typical patient satisfaction with the value received.

How long does Strut take to ship?

Strut ships all medications in discreet packaging with free standard shipping (3-7 business days). Compounded medications may require additional preparation time beyond standard generics. Temperature-sensitive formulations ship in appropriate packaging. Initial orders may take slightly longer than refills as the prescription must be verified and fulfilled for the first time. For temperature-sensitive medications (such as injectable GLP-1s), ensure someone is available to receive the package and store it appropriately upon arrival.

Does Strut accept insurance?

Strut is cash-pay only. Their pricing reflects the premium compounding involved in their custom formulations. While not the cheapest for basic generics, Strut's compounded combinations (Super Sildenafil, custom hair loss formulas) aren't available elsewhere, justifying the premium for patients who need multi-active-ingredient treatments. While Strut does not accept insurance, patients may be able to submit receipts for HSA/FSA reimbursement for eligible treatments. Compare the cash-pay cost to your insurance's copay + deductible structure — in many cases, direct cash pricing is competitive with or cheaper than insurance-based alternatives after accounting for deductibles and copays.

Sources & References

Our comparisons are informed by official sources and regulatory guidelines. We encourage readers to verify information with authoritative sources.

  • Better Business BureauBusiness trust ratings, complaint history, and accreditation status
  • FSMB - Federation of State Medical BoardsState medical board licensing verification and physician lookup
  • TrustpilotIndependent consumer review platform with verified purchase reviews
  • FDA - Telehealth InformationFDA guidance on telehealth practices and medication prescribing
  • DEA - Ryan Haight ActFederal law governing online prescribing of controlled substances
  • HHS - Federal Telehealth PolicyFederal telehealth regulations and guidelines
  • HHS - HIPAA Privacy StandardsHealth Insurance Portability and Accountability Act privacy regulations
  • ABMS - American Board of Medical SpecialtiesBoard certification standards for physicians
  • FDA - Drug Safety and AvailabilityFDA drug safety communications and availability updates
  • FDA Wegovy Prescribing InformationOfficial FDA-approved semaglutide prescribing information
  • FDA - Generic Drug StandardsFDA requirements for generic medication equivalence
  • American Telemedicine AssociationTelehealth industry standards, guidelines, and best practices
  • PMC - Semaglutide Comprehensive ReviewSystematic review of semaglutide efficacy and safety for weight loss
  • PMC - Semaglutide vs Tirzepatide Clinical ComparisonHead-to-head comparison showing 15-22% weight loss efficacy
  • NIH StatPearls - PDE5 InhibitorsFDA-approved phosphodiesterase-5 inhibitors for erectile dysfunction
  • HealthIT.gov - Telehealth and TelemedicineOfficial HHS information on telehealth platforms and telemedicine

Editorial Note: Researched and edited by our editorial team. AI tools assist with initial research and drafting; all content is fact-checked and edited by humans before publication. Learn more about our editorial standards

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Ben Kowalski
Ben KowalskiStaff Writer

Ben Kowalski is a writer and researcher who covers men's health, sexual wellness, and online healthcare services. He stumbled into health writing after realizing how much bad information exists online about topics men are too embarrassed to ask their doctor about. Ben thinks that needs to change. When he is not untangling medical jargon or stress-testing telehealth apps, he is watching Premier League football, grilling something, or losing at trivia nights with the same group of friends he has had since college.

Medical Disclaimer: This review is for informational purposes only and does not constitute medical advice. All information presented is based on publicly available data and our independent research. Always consult with a qualified healthcare provider before making decisions about your health or treatment options.