How to get HRT (2026) Updated · 0d ago
Short answer: HRT requires a prescription. Three paths: (1) PCP if menopause-knowledgeable, (2) NAMS-certified specialist, (3) telehealth menopause clinics (Midi, Alloy, Evernow). Telehealth typically fastest — assessment to prescription in 2-7 days.
Step-by-step
- Check eligibility
Under 60 OR within 10 years of menopause = "window of opportunity." Take our eligibility quiz.
- Choose pathway
PCP, in-person specialist, or telehealth menopause clinic. Compare provider scores.
- Bring labs
FSH, estradiol, thyroid panel — not required per NAMS but useful baseline.
- Start with lowest effective dose
Transdermal estradiol 0.025mg + oral progesterone 100mg typical starting point.
- Re-evaluate at 3 months
Symptom response, side effects, lab follow-up.