Take Action Now

Your representative needs to hear from you.

The FDA is actively reviewing testosterone scheduling policy right now. Congressional offices track constituent contact. One call from you carries more weight than you think. Here is everything you need to make it.
 
Why this matters right now

The FDA is in an active review period for testosterone's Schedule III classification, a decision that affects millions of patients in medically supervised care. The window to influence this process through constituent pressure is open. Congressional offices are listening. Patient voices count.

You have both a U.S. Senator and a House Representative from your state. Both matter. Senate Health Committee members and House Energy & Commerce members are especially important contacts on this issue, but any office will log and report constituent calls to the member.

Enter your zip code on congress.gov to find the names and direct phone numbers for your House Representative and both U.S. Senators. The call takes under two minutes.

Find my representatives

You do not need to be a policy expert. You need to be a constituent. These talking points are written the way a real person would say them on a phone call. Pick the one or two that feel most personal to your experience, or use all of them. The staffer who answers will record your position and pass it to the member.

Reform 1

Descheduling testosterone

Say something like this

"Testosterone has been classified as a Schedule III controlled substance since 1990 because of concerns about sports doping, not because of any evidence of harm in medically supervised clinical use. That decision is now governing how patients like me access care. I'm calling to urge Senator/Representative [Name] to support descheduling testosterone so that its regulatory status reflects the actual science."

Why this matters: Schedule III status limits prescription refills, creates barriers to telehealth access, and shapes how pharmacists and insurers treat testosterone, all in medically supervised settings where the clinical record supports safe use.

Reform 2

An FDA-approved formulation for women

Say something like this

"There is currently no FDA-approved testosterone formulation for women anywhere in the United States, despite documented clinical need. Women seeking this care are using off-label adaptations of male products, or going without. I'm calling to urge Senator/Representative [Name] to support the FDA prioritizing a female-specific testosterone formulation. This is a basic health equity issue."

Why this matters: The absence of an approved female formulation means women's access exists entirely in a regulatory gray zone. Clinical guidance, insurance coverage, and dosing standards are all affected by this gap.

Reform 3

Recognizing testosterone deficiency as a medical condition

Say something like this

"Testosterone deficiency is not formally recognized as a medical condition in the United States, which means insurance routinely denies coverage for treatment even when it's clinically appropriate. I'm calling to urge Senator/Representative [Name] to support formal recognition of testosterone deficiency as a diagnosable condition, for both women and men, so that patients can access coverage for care their doctors have already recommended."

Why this matters: Without a formal diagnosis code, insurance denials are structurally built in regardless of clinical merit. Recognition unlocks the coverage pathway for millions of patients.

Reform 4

Expanding telehealth access across state lines

Say something like this

"Because testosterone is a Schedule III substance, telehealth prescribing rules vary dramatically by state, which means where you live determines whether you can access care from home. I'm calling to urge Senator/Representative [Name] to support expanding consistent telehealth access for testosterone prescribing across all states, so that geography stops determining who gets care."

Why this matters: State-level variation in telehealth prescribing rules creates a patchwork of access that systematically disadvantages patients in rural and more restrictive states.


Phone calls are the most effective form of constituent contact. A staffer answers, records your name, zip code, and position, and it goes directly into the office's constituent tracking system. An email is second best. A voicemail still counts. Pick the format that works for you.

Phone call
Email
Voicemail

Under 60 seconds when read at a normal pace. You do not need to memorize this.

Hi, my name is [Your name] and I'm a constituent calling from [Your city, state]. I'm calling to urge Senator/Representative [Name] to support descheduling testosterone from Schedule III controlled substance status. The current classification was created in 1990 to address sports doping and does not reflect the clinical reality of medically supervised testosterone therapy for patients like me. I also want to ask the Senator/Representative to support an FDA-approved testosterone formulation for women. There is currently none. That is a health equity failure. Could you note my position for the member's records? Thank you very much.

Use the contact form on your representative's official website. Subject line suggestion: Constituent Request: Testosterone Scheduling Policy Reform

Dear Senator/Representative [Name], My name is [Your name] and I am a constituent from [Your city, zip code]. I am writing to ask for your support on testosterone access and scheduling policy reform. I am asking you to consider three specific actions: 1. Support removing testosterone from Schedule III controlled substance status. The classification was enacted in 1990 to address sports doping, not clinical use, and it now creates unnecessary barriers to medically supervised patient care. 2. Urge the FDA to prioritize an approved testosterone formulation for women. No such formulation currently exists anywhere in the United States despite documented clinical need. This is a health equity gap that requires federal attention. 3. Support formal recognition of testosterone deficiency as a diagnosed medical condition so that patients can access insurance coverage for treatment their doctors have already recommended. These are not fringe positions. They are supported by current clinical evidence and by a growing constituency of patients and clinicians who are watching the FDA's active review period closely. Thank you for your time and for representing our community. Sincerely, [Your name] [Your city, zip code]

Under 30 seconds. Leave your name and zip code clearly so your position is recorded.

Hi, my name is [Your name], I'm a constituent from [City, zip code], and I'm calling to urge Senator/Representative [Name] to support testosterone scheduling reform and an FDA-approved testosterone formulation for women. The FDA is reviewing this policy right now and constituent voices matter. Please record my position. Thank you.

Congressional offices are more responsive to constituent calls than most people realize. A few things that make your contact more effective.

📍

Always give your zip code

Offices only track and report constituent contact from people in their district. Your zip code is what makes your call count.

🗓️

Tuesday through Thursday morning

The most effective times to reach a live staffer. Avoid Monday and Friday when offices are typically lighter on staff.

💬

Be brief and specific

One or two clear asks are better than a long explanation. Staffers are recording your position, not evaluating your argument.

🔁

Call more than once

Volume matters. A second call a few weeks later, especially if there is news about the FDA review, reinforces the constituent pressure.

📣

Tell a friend

Ten calls from ten constituents in the same district is a pattern. Share this page with someone you know who cares about this issue.

A voicemail still counts

If no one answers, leave the voicemail. Offices listen to and log voicemails. Your position is recorded either way.


  • 👤
    A staffer will answer, not the member. That is completely normal. The staffer's entire job is to receive constituent calls and record positions for the member. You are talking to exactly the right person.
  • 📋
    They will ask for your name and zip code. Give both clearly. This is how your call gets logged as a constituent contact versus a general inquiry.
  • 🤐
    They will not debate you. Staffers are trained to receive and record, not to argue. You say your piece, they log it. That is the whole exchange.
  • 📬
    You may receive a form letter response. If you email, expect a templated reply. That is not a sign that your contact was ignored. It is a sign it was received and processed.
  • ⏱️
    It takes about 90 seconds. That is less time than it takes to post on social media. The impact is significantly greater.

One more thing before you go.

Know someone who cares about hormone access and has not made this call yet? Send them this page. And if you have not yet added your voice to TTP's national campaigns, here is where to start.