Verbatim response from ChatGPT
Short answer: Yes — many telehealth services will evaluate you and can prescribe bioidentical progesterone and (in appropriate cases) testosterone. Whether you can get them, which formulation you get, and how it’s delivered depends on your sex/gender, medical history, state law, whether testosterone is being treated as a controlled medication, and whether the provider uses FDA-approved products or compounded “bioidentical” preparations.
What typically happens via telehealth
- Initial video visit to review symptoms and medical history.
- Labs ordered (e.g., total/free testosterone, estradiol, LH/FSH, CBC, CMP, PSA in men, pregnancy test in people who can get pregnant) — labs usually done at local labs.
- Prescription if clinically appropriate, and a monitoring plan (repeat labs, vitals).
- Some clinics prescribe FDA-approved formulations (micronized progesterone [Prometrium], topical or injectable testosterone preparations); others use compounding pharmacies for custom doses/creams.
Important legal/regulatory notes
- Testosterone is a Schedule III controlled substance in the U.S., so teleprescribing is more regulated. Many reputable telehealth clinics have protocols to meet legal requirements (identity verification, lab work, ongoing follow-up), but some providers will require an in‑person visit or local lab/clinic participation. Rules vary by state.
- Providers must be licensed in the state where you are located.
Risks and monitoring
- Side effects and risks vary (cardiovascular risk, polycythemia, liver effects, effects on breast/endometrium, mood, fertility). Good telehealth clinics require baseline labs and periodic monitoring.
Telehealth providers that commonly offer hormone prescribing (examples)
- Vault Health — specializes in men’s hormone care (low-T). Known for thorough lab testing, ongoing monitoring, and treatment options including injections or gels.
- Roman (Ro) — consumer-friendly men's telehealth; offers testosterone therapy with lab coordination and convenient delivery.
- Hims — another large men’s telehealth brand offering testosterone evaluation and treatment options.
-PlushCare — general telemedicine that can evaluate and prescribe HRT; they also bill some insurances and will coordinate labs and follow-up. Good if you want a primary-care approach. - Plume and Folx Health — focus on transgender/nonbinary and queer healthcare; both provide gender-affirming hormone therapy (including testosterone) via telehealth with specialty expertise and monitoring.
- Maven Clinic — telehealth platform for women’s and reproductive health; many clinicians on the platform manage menopause and hormone therapy including progesterone when indicated.
Choosing a provider — what to ask before you sign up
- Are you licensed in my state? Do you accept my insurance?
- Will you require baseline labs and regular follow-up labs? Which labs?
- Do you prescribe FDA-approved products or compounded hormones? Which compounding pharmacies do you use?
- What are the treatment costs (visits, meds, lab fees, shipping)?
- What is the monitoring schedule and who handles refills/side-effect management?
If you want, tell me:
- whether you’re seeking treatment as a man, woman, nonbinary person, or for gender-affirming care,
- your state, and
- whether you prefer to use insurance — and I’ll suggest the best telehealth options and next steps tailored to your situation.