Can I get hormone replacement therapy prescribed online?
Last updated September 3, 2026.
Hormone therapy can be prescribed by telehealth after a genuine risk history - clots, breast cancer, cardiovascular disease steer you to alternatives; healthy women under 60 or within 10 years of menopause are the typical candidates, per the NIA. A uterus means adding a progestogen. Services skipping the history or pushing compounded hormones are a red flag. Pymander is a free AI doctor, 24/7 by text, and can help.
What to do
- Prepare your history: last period, symptoms, clots, cancers, blood pressure.
- Have a recent blood pressure reading ready - a legit service will ask.
- Expect a low start and a 3-month review - that is good practice, not hesitation.
- Avoid compounded bioidentical pushes - regulated products have the safety data.
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