Starting hormone therapy: cost, process, and what to expect

Starting hormone therapy online means completing a short assessment, having a live video or phone visit with a licensed clinician, and, if treatment is appropriate for you, receiving medication by mail. There is no in-person clinic visit and no bloodwork required to begin, because menopause is diagnosed from symptoms and history.

The two questions almost everyone asks first are what it costs and what the visit is actually like. Cost is harder to compare than it looks, because the hormones themselves are often inexpensive generics and most of what you pay covers the visit, follow-up care, and delivery. A low headline price with separate visit, shipping, and messaging fees can total more over a year than an all-in one, which is why the useful question is not the sticker price but what it includes.

The visit itself tends to surprise people by being unremarkable in the best way. A clinician asks about your symptoms, your personal and family history, and what you want to change, then talks through whether hormone therapy is appropriate for you and which form makes sense. Current pricing for every product sits on the treatments page.