Restore Your Hormonal Balance & Vitality

HRT Online: How Hormone Replacement Therapy From Home Works

HRT online lets you talk with a licensed provider by video, get lab work at a nearby lab when it is needed, and receive a treatment plan built around your symptoms, your health history, and your preferences. No waiting room, and no rushed 10-minute appointment.

Who hormone therapy can help

Hormone therapy is most often used by women in perimenopause or menopause whose symptoms are affecting daily life. Perimenopause can start years before your last period, and symptoms often begin while cycles are still happening (Cleveland Clinic). Menopause is confirmed after 12 months without a period (National Institute on Aging).

Common symptoms include:

• Hot flashes and night sweats
• Poor sleep and waking at night
• Mood changes, irritability, or brain fog
• Vaginal dryness, discomfort with sex, or urinary changes
• Irregular or heavier periods during perimenopause
• Lower sex drive

In its 2022 Hormone Therapy Position Statement, The Menopause Society (then called The North American Menopause Society) calls hormone therapy the most effective treatment for hot flashes and night sweats, and notes it also helps prevent bone loss (2022 position statement). See how symptoms change over time in perimenopause vs. menopause, and why starting during perimenopause can make sense.

Treatment options

• Estradiol. Estrogen can be taken by mouth, applied to the skin, or used vaginally (Cleveland Clinic), and route can matter for some risks (The Menopause Society, 2022). The forms we offer, including compounded options, are listed in the price list below. The Menopause Society notes safety concerns with compounded bioidentical hormones, so your provider will explain which type you are getting and why. Learn more in HRT for hot flashes and night sweats.
• Vaginal estrogen. Low-dose local estrogen treats dryness and discomfort with very little absorbed into the bloodstream (The Menopause Society).
• Progesterone. If you still have a uterus, you need a progestogen with systemic estrogen to protect the lining of the uterus (The Menopause Society). Read about progesterone therapy for women.
• Testosterone, where appropriate. An international consensus statement supports testosterone for postmenopausal women with low sexual desire that causes distress, at doses that keep levels in the normal female range (Global Consensus Position Statement, 2019). The same statement favors skin-applied (transdermal) products dosed to female levels, and does not recommend oral testosterone, pellets, injections, or compounded products when an approved option is available. There is no FDA-approved testosterone product for women in the U.S., so this is a careful, individual decision. See can women take testosterone?

Curious about compounded options? Our guide to bioidentical hormone therapy for women explains the differences.

Safety: what has changed

Many women avoided hormone therapy after the Women’s Health Initiative (WHI) studies in the early 2000s. Those trials enrolled postmenopausal women ages 50 to 79 (NHLBI, NIH). Later analysis showed that age and timing matter: risks differ by when hormone therapy is started (2022 position statement).

Current guidance from The Menopause Society says that for healthy women younger than 60, or within 10 years of menopause, the benefits of hormone therapy for symptoms generally outweigh the risks (2022 position statement). In November 2025, the FDA began removing the broad boxed warnings about heart disease, breast cancer, and dementia from menopausal hormone therapy labels, while keeping the endometrial cancer warning for estrogen-alone products (FDA). The first updated labels were approved in February 2026 (FDA).

Hormone therapy is still not right for everyone. A history of breast or uterine cancer, blood clots, stroke or heart disease, liver or gallbladder disease, or unexplained vaginal bleeding needs careful review (Cleveland Clinic). Your provider will go over your personal and family history before recommending anything. For a deeper look, read is hormone replacement therapy safe?

How it works

• Step 1: Consult by video with a licensed provider about your symptoms and goals.
• Step 2: Labs at a nearby lab when your provider needs them to guide treatment.
• Step 3: Provider review and a personalized plan, with medication shipped to your home when prescribed.
• Step 4: Follow-up visits to check how you feel and adjust your dose.

Our article on online menopause treatment covers each step in more detail.

What it costs

$247 to start (includes your first provider visit), then $97 per visit. Medications are priced separately, so you know what you are paying before you start.

Frequently asked questions

Can I get HRT online?

Yes. A licensed provider can evaluate you by video and prescribe hormone therapy when it is medically appropriate for you.

Do I need blood work to start?

Not always. Menopause is usually diagnosed from your age and symptoms (National Institute on Aging). Your provider may order labs to rule out other causes or to guide treatment, especially for testosterone.

Can I start HRT during perimenopause?

Yes, many women do. Hormone therapy can help symptoms that start before your periods stop.

Is HRT online safe?

It can be, when your provider reviews your full history, discusses risks with you, and follows up regularly. The same safety standards apply online as in an office.

Which form of estrogen is best?

Every form can help symptoms. Because route can matter for some risks, some women are better candidates for a skin-applied form based on their health history. Your provider will help you choose.

Do I need progesterone?

If you have a uterus and take systemic estrogen, yes. Progesterone protects the uterine lining. If you have had a hysterectomy, you usually do not need it.

How soon will I feel better?

Many women notice a difference within the first several weeks, and it can take a few months to find the right dose. See our hormone therapy timeline.

How long can I stay on hormone therapy?

There is no single cut-off date. The Menopause Society recommends regular check-ins to review your benefits and risks as you age. For men's treatment and how it differs, see TRT vs. HRT.

Ready to feel like yourself again? Request your consultation or call 1-800-259-0015.