How is this different from a normal SEO agency?

Agencies bill hours. We bill outcomes — 20 to 100+ medically reviewed pages every month at one transparent monthly price.

Do you actually rebuild my website?

Yes. A practicing MD founder oversees a new, conversion-optimized site published to your own GitHub repo. You own the code and domain and can leave anytime.

Is the content medically accurate?

Yes. Every page is reviewed for medical accuracy before it publishes, with optional provider and treatment copy review.

How long until I see results?

New patient calls typically in 30–60 days, meaningful ranking lifts in 60–120 days, compounding from month four.

Hormone Therapy

Hormone Therapy Google Ads: what a booked patient actually costs you

TRT, BHRT, and weight-loss keywords are some of the most expensive clicks in medicine. The clinics that win aren't the ones spending more, they're the ones who know their cost per booked patient before they raise the budget.

Paid search for hormone therapy is a different animal than paid search for a general practice. A click on \"testosterone replacement therapy near me\" or \"bioidentical hormone doctor\" costs multiples of a routine healthcare click, Google treats testosterone as a restricted category that can get your account limited overnight, and your competition is a wall of national telehealth brands with seven-figure budgets. The good news: because hormone is cash-pay and the first-year value of a patient runs into the thousands, the unit economics can be excellent, if you actually know your cost per booked patient instead of just your cost per click. Most clinics don't. That's the whole problem. Drop your URL into the free Surge Report and we'll show you, specifically for your practice, where your ad dollars are leaking between the click and the booked consult, and what a defensible cost per patient looks like in your market.

$8–$25+

Typical CPC range for TRT / BHRT search keywords

Healthcare paid-search benchmarks, 2025

~8%

Average healthcare search-ad conversion rate (click to lead)

WordStream Google Ads Benchmarks 2025

$68–$290

Cost per lead for a hormone clinic — optimized vs. unoptimized

Illustrative industry range

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What's your Hormone Therapy practice losing every month?

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Why hormone therapy is the hardest — and most rewarding — vertical to run ads in

Testosterone is a Google-restricted healthcare category, so a single non-compliant ad or landing page can get your whole account limited, and "male menopause" or cure-style claims are a fast track to disapproval. On top of that, high-intent terms like "TRT clinic near me," "pellet therapy," or "bioidentical hormones" routinely clear eight to twenty-five dollars a click because national telehealth brands are bidding the same auctions. That combination scares most clinics off. But hormone is cash-pay with a first-year patient value in the thousands, so the math forgives an expensive click far better than a fifteen-dollar copay visit ever could. The vertical punishes sloppy accounts and rewards disciplined ones.

Cost per click is a vanity number — cost per booked patient is the only one that matters

Here's the chain that actually decides whether your ads make money: click, form fill or call, qualified lead, booked consult, showed and started. If a hormone keyword costs fifteen dollars a click and healthcare search converts around eight percent to a lead, that's roughly $190 per lead before a single consult is booked. Lose half your leads to a slow follow-up or a consult fee they didn't expect, and your cost per booked patient quietly doubles to the $300–$400 range. Against an $8,000 first-year value that can still work — but only if you're measuring it. The clinics burning money are the ones optimizing to a $12 click while their booked-patient cost runs $400 and nobody's watching the middle of the funnel.

Which hormone keywords convert — and which just drain the budget

Intent is everything, and hormone search splits cleanly. High-converting, worth-the-CPC terms are treatment-and-location specific: "testosterone replacement therapy [city]," "BHRT pellet doctor near me," "semaglutide weight loss clinic," "perimenopause specialist [city]." These people have self-diagnosed and are choosing a provider. The budget drains come from broad, top-of-funnel terms — "low testosterone symptoms," "is HRT safe," "hormone imbalance" — where the searcher is researching, not buying, and clicks through without ever booking. A well-structured hormone account separates TRT, women's BHRT, and weight-loss into their own campaigns with their own landing pages and negative-keyword lists, so a men's-TRT dollar never gets spent on a menopause research query.

See your real paid-search economics in the free Surge Report

Drop your URL and the Surge Report will estimate — specifically for your hormone practice — the keyword themes worth bidding on in your market, where your landing pages and booking flow are leaking clicks before they become consults, and a realistic cost-per-booked-patient target calibrated to hormone case values, not generic healthcare averages. It's free and takes about sixty seconds. If the numbers look worth acting on, book a strategy call and we'll walk through your account structure line by line. No spend required to find out.

Prefer to talk it through?

Book a strategy call with the team.

Twenty minutes. We'll walk through the specific opportunities in your market and what a Surge engagement would look like for your practice.

Frequently asked

Can I even run Google Ads for testosterone therapy without getting my account suspended?

Yes, but carefully. Google classifies testosterone therapy as a restricted healthcare category, so approval depends on compliant ad copy and landing pages — no cure claims, no "male menopause" miracle framing, and clear, honest treatment language. BHRT for women and cash-pay weight-loss terms are generally easier. The Surge Report flags language on your current pages that could trigger a restriction before it costs you the account.

What should I expect to pay per new hormone patient from Google Ads?

It varies by market and by how tight your funnel is. Clicks on TRT and BHRT keywords commonly run $8–$25, and after a lead converts through a consult, a well-run hormone account often lands in the $68–$150 cost-per-lead range, versus $250–$290 when the account is unoptimized. Against a first-year cash-pay value in the thousands, disciplined accounts see strong returns — the risk is almost always a leaky middle funnel, not the click price.

How do I find out if my current ads are actually profitable?

Start with the free Surge Report — enter your URL and we'll estimate your realistic cost per booked patient, the keyword themes worth bidding on in your area, and where clicks are dying before they become consults. If it looks worth pursuing, book a strategy call and we'll review your campaign structure, keywords, and booking flow together. No ad spend or commitment needed to see the numbers.

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