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Below are reputable online options to consider for women 40+ seeking hormone evaluation and/or menopausal hormone therapy. I’ve grouped and annotated them so you can compare features (specialization, testing, prescriptions, cost/insurance, and any cautions).
Clinics that specialize in menopause / HRT
- Elektra Health — menopause-focused telemedicine with board-certified menopause specialists, individualized HRT plans, lab ordering and ongoing follow‑up. Good if you want menopause-focused expertise and evidence-based HRT options.
- Gennev — specializes in menopause care (telehealth visits, coaching, educational resources and product offerings). Good for practical symptom management and a user-friendly menopause program.
- Maven Clinic — women’s-health telemedicine platform that offers menopause care as part of a broader women’s health service (often available through employers). Good for continuity of care and accessing multi-disciplinary support.
Primary‑care/functional medicine practices that manage hormones
- Tia — women’s primary care with menopause support, longer visits and integrated care (labs, imaging referrals, behavioral health). Good for people wanting whole-person care alongside HRT.
- Parsley Health — a functional-medicine approach with extensive testing and longer visits; they treat hormones within lifestyle and metabolic context. Useful if you want deeper lifestyle/functional evaluation in addition to medication.
Mainstream telemedicine platforms (connect to board-certified clinicians who can prescribe HRT)
- One Medical — primary-care model with telehealth + in-person options, coordinates labs and ongoing monitoring; good for continuity and insurance-friendly care in many areas.
- PlushCare / Amwell / Teladoc — national telemedicine platforms where licensed clinicians can evaluate symptoms, order labs and prescribe hormones when appropriate. Good if you need quick access or don’t have a local provider, but verify the clinician’s menopause experience.
Options focused on testing and home labs (useful before or alongside treatment)
- LetsGetChecked — at‑home hormone test kits (FSH, estradiol, thyroid, etc.) plus nurse/clinician support for abnormal results. Good for getting baseline labs before starting HRT.
- Everlywell / Modern Fertility — reputable at‑home hormone testing options (helpful for initial screening and monitoring).
Specialized BHRT / pellet therapy
- EvexiPEL — a large network that provides bioidentical hormone pellet therapy (in many clinics across the U.S.). Useful if you’re specifically interested in pellets, but note pellet insertion is in‑person and pellets have different risks/benefits than systemic pills/gels/patches.
How to choose among them
- Look for board-certified clinicians in gynecology, endocrinology or family/internal medicine with menopause experience.
- Confirm they will order baseline labs (lipids, liver function, estradiol/FSH where appropriate, and screening tests like mammogram/Pap as advised) and provide ongoing follow-up and dose adjustments.
- Check whether they prescribe bioidentical vs. conventional HRT, and whether they use compounding pharmacies (some require more scrutiny).
- Verify licensing/availability in your state and whether services are covered by your insurance or are subscription/out‑of‑pocket.
- If considering pellets, ask about evidence, monitoring and what happens if you have adverse effects—pellets are less easily reversed than transdermal or oral options.
Safety caveats (must-check items)
- Inform the provider about history of breast cancer, clotting disorders/DVT, stroke, liver disease, uncontrolled hypertension or smoking — these can affect HRT recommendations.
- Make sure the clinic requires actual labs and medical history before prescribing; avoid services that push prescriptions without testing/assessment.
- Discuss risks/benefits and alternative symptom-management strategies.
If you want, tell me: 1) which symptoms you’re trying to address (hot flashes, low libido, sleep, mood, bone loss, etc.), 2) whether you prefer pellets vs pills/patch/gel, and 3) your state (so I can flag availability). I can then narrow these to 2–3 best fits for your situation.