Compare the top online HRT clinics of 2026. Physician-prescribed hormone therapy, delivered to your door.
Showing 6 providers · Ranked by overall score
Personalized bioidentical HRT plans starting at just $85/month.
Price
Custom pricing
Personalized Care Plans & Advanced Testing
Price
Varies by insurance
Menopause care and HRT through a consumer-friendly platform
Price
$30-$100/month
Testing-based HRT tailored to your biomarkers
Price
$65+/month
Natural hormone therapy for menopause symptoms
Price
$20-$80/month
Online menopause care from licensed providers
Price
$20-$60/monthCompare the top menopause care providers at a glance.
| Provider | Score | Consultation | Medication Cost | Insurance | HSA/FSA | States | |
|---|---|---|---|---|---|---|---|
| Gala | 9.2/10 | Included | Custom pricing | — | ✓ | All 50 | Visit → |
| Allara Health | 8.9/10 | Included | Varies by insurance | ✓ | ✓ | 45 | Visit → |
| Hers | 8.8/10 | $99 | $30-$100/month | ✓ | ✓ | All 50 | Visit → |
| Hone Health | 8.5/10 | Included | $65+/month | — | ✓ | 48 | Visit → |
| Winona | 8.3/10 | Free | $20-$80/month | — | ✓ | All 50 | Visit → |
| Sesame Care | 7.8/10 | $49 | $20-$60/month | ✓ | ✓ | 40 | Visit → |
Updated May 2026 · 12-minute read · Reviewed by our editorial team
Menopause is a natural biological transition marking the end of a woman's menstrual cycles, typically occurring in the late 40s to early 50s. It is diagnosed after 12 consecutive months without a menstrual period. The years leading up to menopause — called perimenopause — often begin in the mid-40s and can last several years, during which hormone levels fluctuate significantly.
Declining estrogen and progesterone levels cause a wide range of symptoms, from hot flashes and night sweats to mood changes, brain fog, vaginal dryness, and disrupted sleep. For many women, these symptoms substantially affect quality of life and daily functioning.
Hormone Replacement Therapy (HRT) — also called Menopausal Hormone Therapy (MHT) — replenishes estrogen and, when needed, progesterone to relieve menopause symptoms. It is one of the most evidence-backed treatments available for menopause and is endorsed by major medical organizations including the Menopause Society (NAMS) and the British Menopause Society.
Modern HRT has evolved considerably since early formulations. Today's options include bioidentical hormones — structurally identical to those your body produces naturally — available as pills, patches, gels, creams, sprays, and pellets.
When started within 10 years of menopause or before age 60, HRT provides substantial benefits:
The safety profile of HRT has been substantially re-evaluated since the 2002 WHI study that initially raised concerns. Current evidence shows that for most healthy women under 60 and within 10 years of menopause onset, the benefits of HRT outweigh the risks.
Risks vary by formulation, route of delivery, and individual health history. Transdermal (patch, gel, cream) estrogen has a lower clot risk than oral estrogen. Micronized progesterone carries fewer cardiovascular risks than synthetic progestins. Your doctor will assess your personal risk factors before recommending a treatment plan.
Complete an intake
Answer questions about your symptoms, health history, and goals through a secure online form.
Meet your provider
A licensed physician or NP reviews your intake and conducts a video or async consultation.
Get your prescription
If appropriate, your provider writes a prescription shipped directly to your door — often within days.
Our editorial team evaluates each provider across five weighted criteria:
Answers to the most common questions about menopause care and online HRT.