Hormone Replacement Therapy: Reclaim Your Energy, Vitality, and Performance

If you have recent labs (within the past few months) showing your hormone levels, you may not need new testing. If you don’t have labs or they’re outdated, we’ll order comprehensive hormone testing. Testing is included in your first month if needed. Get a free medical consultation here.

Fast. Schedule a free consultation with our care team. If you’re a good candidate, you’ll speak with a physician, get approved, complete any necessary testing, and have medication shipped to your door. Most patients are started within days to a couple weeks depending on whether labs are needed.

All 50 states. We’re a fully online platform, so location doesn’t limit access to physician-supervised HRT.

This varies based on your treatment protocol and how you’re responding. Typically, follow-up labs are done a few months after starting to ensure your levels are optimized, and then annually or as needed. Your physician will determine the right monitoring schedule for you.

Our physicians prescribe based on medical necessity and symptoms. If your hormone levels are already in a healthy range and you’re not experiencing symptoms, HRT may not be appropriate. If you’ve already authorized the program and labs show you don’t qualify, you’ll receive a refund minus blood work. We don’t prescribe when it’s not warranted.

Yes. HRT is highly individualized. Some women need more estrogen, others need less. Some do better with progesterone at night for sleep, others prefer morning dosing. Your physician will work with you to find what optimizes your symptoms with minimal side effects.

Modern HRT, when properly prescribed and monitored, is safe for most women. The outdated fear of HRT stems from a flawed 2002 study that has since been reanalyzed and largely debunked. Current evidence shows that HRT started during perimenopause or early menopause (before age 60 or within 10 years of menopause) has significant benefits for quality of life, bone density, cardiovascular health, and cognitive function. Your physician will review your individual risk factors and determine if HRT is safe for you.

Bioidentical hormones are chemically identical to the hormones your body produces naturally. They’re derived from plant sources and are often preferred by women who want hormones that match their natural biology. Synthetic hormones are slightly different in structure but are still effective. Your physician will discuss the pros and cons of each option based on your preferences and medical history.

HRT can make weight loss easier by restoring your metabolic function, improving energy for exercise, and reducing hormonal drivers of fat storage (especially around the midsection). However, HRT alone won’t cause weight loss. It works best when combined with proper nutrition and exercise. For women with PCOS or insulin resistance, adding metformin to HRT can significantly improve metabolic health and weight management.

Yes. PCOS is a hormonal imbalance characterized by high androgens, insulin resistance, and irregular periods. Treatment often includes hormonal contraceptives to regulate cycles, anti-androgens to reduce symptoms like acne and hirsutism, and metformin to improve insulin sensitivity. Your physician will create a personalized PCOS treatment plan based on your specific symptoms and goals.

This depends on your individual medical history. Certain conditions like active breast cancer or a history of blood clots may make traditional HRT inappropriate. However, some women in these situations can still use localized treatments (like vaginal estrogen) or alternative therapies. Your physician will carefully review your history and determine what’s safe for you.