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Hormone Replacement Therapy (HRT): how to choose a clinic

HRT — including testosterone, estrogen, progesterone, DHEA, and thyroid support — should be prescribed based on labs and symptoms by a licensed clinician, not sold as a subscription. This guide covers what a legitimate HRT clinic looks like.

What to look for

Full hormone panel (total & free testosterone, estradiol, SHBG, LH/FSH, thyroid, PSA where relevant) before the first prescription.
Board-certified MD, DO, or NP prescribing — ideally with endocrinology, urology, ob-gyn, or menopause-society training.
Access to injections, creams, and pellets so the delivery method fits your life — not just what they stock.
Regular follow-up bloodwork every 8–12 weeks in the first year.

Questions to ask

What labs will you run before and during treatment, and are they included in the price?
What is your protocol if my estradiol or hematocrit rises?
Do you prescribe HCG or an aromatase inhibitor when clinically indicated?
Which pharmacy fills the prescriptions and how is shipping handled?
What is the total 12-month cost including labs and follow-ups?

Red flags

Prescribing testosterone without a baseline blood panel.
Refuses to prescribe HCG for men who want to preserve fertility.
One-size-fits-all dose regardless of symptoms or labs.
No plan for monitoring hematocrit, estradiol, or PSA.

Typical cost

US HRT programs typically run $150–$400/month all-in for men, and $80–$250/month for women depending on delivery method and labs frequency.

Frequently asked

Is HRT covered by insurance?

Testosterone for men with clinically low levels is often partially covered. Menopause HRT is usually covered when prescribed by an in-network provider. Cash-pay clinics rarely bill insurance directly but can provide superbills.

How long does HRT take to work?

Energy and mood often shift in 3–6 weeks. Body composition and libido typically take 3–6 months of steady dosing to stabilize.

Is bioidentical better?

"Bioidentical" simply means the molecule is structurally identical to what your body makes. Both FDA-approved and compounded bioidentical options exist — the right choice depends on your labs and needs, not marketing.

Related categories

Menopause Clinic →Peptide Therapy →Functional Medicine →