Hormone Replacement Consult Online
- Get HRT prescription online
- Same day Rx consults available
- Convenient care from home
Hormone Replacement Therapy (HRT) - Overview
Hormone replacement therapy (HRT) consists of one or more prescription medications to relieve symptoms caused by changing hormone levels - typically with aging. People who might need hormone replacement therapy prescription treatments can use Push Health to connect with a medical provider who can prescribe medications to a local or delivery pharmacy when appropriate to do so. Please note that Push Health does not prescribe testosterone medication at this time.
Why Is HRT Prescribed?
Hormone replacement therapy (HRT) is sometimes prescribed to people who need medications to help with symptoms related to hormonal imbalances. Frequently, HRT medications include estradiol and progesterone and are prescribed to women who are in perimenopausal or menopausal stages of life. It may also be considered after surgical removal of the ovaries (oophorectomy) before natural menopause. In these situations, hormone replacement therapy helps reduce symptoms associated with these conditions such as hot flashes, insomnia, anxiety, and mood instability as well as irregular bleeding. Numerous other long-term benefits may also result from treatment.
HRT Medications - Dosage and Cost
HRT regimens are individualized to the needs and the responses of the patients. Common approaches include:
- Estradiol (oral tablet, transdermal patch, gel, or spray)
- Estrogen (for genitourinary symptoms only)
- Progesterone (added for women who still have a uterus)
- Testosterone (for men and women). Not currently available through Push Health.
Hormone dosing typically starts low and is adjusted according to symptom response and tolerability. Generic estradiol and micronized progesterone are generally affordable. Insurance coverage varies and savings cards and coupons can reduce out-of-pocket cost. Ongoing monthly use is typical while symptoms persist and benefits outweigh risks.
Can I Buy HRT Medications Online?
Hormone medications require a prescription to be dispensed by a pharmacy in the United States. People who might need HRT can use Push Health to connect with a medical provider who can prescribe appropriate medications when appropriate to do so.
Frequently Asked Questions about HRT
What is hormone replacement therapy?
Hormone replacement therapy (HRT) consists of prescription medications (usually estradiol and progesterone and is used to treat hormonal balances that are causing symptoms with age.
Who is a good candidate for HRT?
HRT is generally appropriate for women under the age of 60 who are experiencing significant symptoms affecting their quality of life and some men. A licensed provider will evaluate individual history and risk factors during a consultation.
What is the difference between bioidentical and synthetic hormones?
Bioidentical hormones have the same molecular structure as those produced by the body. Older, synthetic hormones have different chemical structures. Most current HRT medications consist of bioidentical formulations.
Do I need progesterone with estradiol?
Women with an intact uterus who take systemic estradiol need progesterone to protect the uterine lining. Estrogen alone can cause endometrial hyperplasia and increases the risk of uterine cancer over time. Women who have had a hysterectomy typically do not need progesterone. Women using only local vaginal estrogen for vaginal dryness typically do not need systemic progesterone.
Is HRT safe?
For most healthy people, the benefits of HRT outweight the risks. Recent FDA labeling updates have refined the boxed-warning language to better reflect current evidence. HRT is not appropriate for everyone - people with certain types of cancer, active blood clots, undiagnosed vaginal bleeding, and severe liver disease usually need alternative treatments. Individual risk assessment is essential.
Can I get HRT online without an office visit?
Yes. Push Health offers online evaluations with licensed medical providers. When appropriate, prescriptions are routed electronically without an in-person visit.
How long can I stay on HRT?
Duration is individualized. Many women use HRT for several years while symptoms are present. Decisions about continuing or stopping are made jointly with a provider based on ongoing benefits, risks, and personal preferences.
Hormone Replacement Therapy - Side Effects
HRT prescription medications can cause side effects, including weight gain, abnormal bleeding, mood changes, depression, breast tenderness, nausea and headaches. However, resurgent interest in HRT has resulted from reassessment of the actual risks that might occur from treatment. People with a hypersensitivity or other contraindication to the medications will need to find an alternative form of treatment.
Report unusual bleeding, leg swelling, chest pain, or severe headaches promptly. Prior to using any medications, discuss alcohol use, smoking, and side effects and other concerns with a qualified medical provider.
How to Get HRT with Push Health
- Complete a brief health intake.Answer questions about your symptoms, current medications, and relevant medical history - including any personal or family history of cancer, blood clots, or cardiovascular disease.
- Connect with a licensed medical provider. A provider will review your information and evaluate which HRT medications and delivery forms are most appropriate for your situation. Same-day consultations are available.
- Receive your prescription electronically. If HRT is appropriate, your provider will send prescriptions for estradiol, progesterone, or a combination product to a pharmacy of your choice - no office visit required.
- Pick up your medication. Generic estradiol and progesterone are available at most retail pharmacies at affordable prices. Gels, sprays, and oral tablets remain widely available and are not affected by the current estradiol patch shortage. No health insurance or subscription is required.
Medical providers are available now.
More HRT Information
Last updated September 24, 2026. Given the evolving nature of medicine and science, this information might not be accurate and should not be construed as medical advice or diagnosis / treatment recommendations. Please consult a licensed medical provider if you have additional questions. Please call 911 immediately or go to the nearest emergency room if you believe you are experiencing a medical emergency.