Q Health

Short answer: Yes — in many places you can get bioidentical testosterone and progesterone prescribed through telehealth, but it depends on your location, medical history, and the type of product you want. You’ll need a clinical evaluation, appropriate labs, and ongoing monitoring before a responsible provider will write a prescription. What to expect Evaluation: A licensed clinician (MD/DO/NP/PA) will take a history, symptoms, and perform a risk assessment (cardiovascular disease, cancer history, pregnancy risk, clotting disorders, etc.). Labs: Common baseline tests include CBC, CMP (liver/kidney), lipids, fasting glucose/HbA1c, hormone levels (testosterone, estradiol), and PSA in men. Pregnancy test if appropriate. Prescription options: FDA‑approved products (e.g., transdermal testosterone gels like AndroGel, Testim; micronized progesterone = Prometrium) and compounded “bioidentical” formulations (creams, troches, pellets) are both used. Compounded products often require a compounding pharmacy and are less regulated than FDA products. Monitoring: Follow-up visits and repeat labs (often at ~3 months and then every 6–12 months) to check levels and safety. In‑person needs: Some treatments (e.g., pellet insertion) require an in‑office procedure even if most of the care is handled by telehealth. Legal/regulatory notes (U.S.) Testosterone is a Schedule III controlled substance, so prescribing must follow federal and state rules. Many telehealth clinics can prescribe testosterone after a documented evaluation and labs, but state rules vary. Check your state medical board if unsure. Telehealth providers that commonly prescribe hormone therapy Hims & Hers — well known consumer telehealth platform; offers testosterone and women’s hormone care with convenient lab coordination and prescription delivery. Good for straightforward cases and convenience. Roman (Ro) — focuses on men’s health, including testosterone therapy; offers telemedicine evaluations, lab testing, and prescription management. Defy Medical — specialty clinic that focuses on hormone optimization and BHRT; provides more specialized hormone management and individualized protocols, including working with compounding pharmacies. Good if you want a clinic focused on BHRT. PlushCare / TeleDoc / Amwell — established telemedicine platforms where board‑certified clinicians can evaluate you and prescribe hormones when appropriate; useful if you prefer a general telehealth clinic with broader primary care services. Maven Clinic — women’s health telemedicine offering services for menopause and reproductive health; may coordinate BHRT for menopause symptoms. For transgender care specifically: Plume, Folx Health, and Q Health (or similar) provide telehealth gender‑affirming hormone therapy. Compounding pharmacies (if using compounded bioidentical formulations) Empower Pharmacy and Avella Specialty Pharmacy are national pharmacies that often fill compounded hormone prescriptions. Your telehealth clinician can recommend or coordinate with a compounding pharmacy. Safety and choosing a provider Use a board‑certified clinician experienced with hormone therapy. Avoid providers who promise “miracle” results or who skip baseline labs and monitoring. Ask whether they prescribe FDA‑approved products when appropriate and under what circumstances they use compounded preparations. Make sure follow‑up and lab monitoring are built into the plan. If you want, tell me: where you live (state/country) and whether you’re seeking treatment as a man, woman, or for gender‑affirming care — I can suggest providers or help you find telehealth clinics that serve your area and needs.

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