Telehealth clinics that treat both men's and women's hormones in 2026
Several telehealth clinics now treat both men's testosterone and women's menopause hormones, including Hone Health, Defy Medical, AgelessRx, Evolve Telemedicine and BioCure Health. The right one for you requires lab work before prescribing, tells you who your prescriber is, and explains exactly what your fee covers. For contrast, Alloy, Midi and Winona treat women only, while Henry Meds, TRT Nation and Male Excel focus mainly on men.
That distinction matters more than most rankings admit. Search for the best online hormone therapy providers and you usually get two separate lists: TRT clinics for men and menopause platforms for women. If you and a partner both want hormone care, or you simply want a clinic that understands both sides of endocrinology, you need a different comparison.
The criteria we used
We compared providers on four points that affect your safety and your wallet more than marketing does.
- Covers both men's TRT and women's HRT. The clinic must treat low testosterone in men and menopause or perimenopause symptoms in women, not just one.
- Labs required before a prescription. Hormone therapy without baseline blood work is guesswork. A good clinic tests first and retests on a schedule.
- Prescriber type. Some platforms are physician-led; others rely mainly on nurse practitioners or physician assistants. Both can be licensed to prescribe, but you should know who reviews your labs and who you can reach when something changes.
- Pricing transparency. Membership, bundled program or a la carte. The question is whether consults, labs and medication are included or billed separately, and whether the clinic takes insurance or is cash pay.
We did not rank by review scores. Aggregator ratings shift monthly, and a five-star average says little about whether a clinic suits your situation.
How the providers compare
Scope below reflects what each provider describes publicly at the time of writing. Offerings change often, so confirm current services and pricing on each provider's official website before you enroll.
| Provider | Men's testosterone | Women's hormone therapy | Labs before prescribing | How pricing works |
|---|---|---|---|---|
| Hone Health | Yes | Yes, menopause program | Yes, at-home lab testing | Monthly membership; check whether medication is billed separately |
| AgelessRx | Yes | Yes | Confirm at signup | Subscription per prescription or program |
| Defy Medical | Yes | Yes | Yes | Largely a la carte: consults, labs and medication priced separately |
| Evolve Telemedicine | Yes | Yes | Yes | Program or membership fees; labs and medication may be extra |
| BioCure Health | Yes, three tiers | Female panel offered; ask about treatment at consult | Yes, Comprehensive Male or Female Panel | $199 physician consult credited toward membership; cash pay with HSA/FSA documentation |
Women-only platforms, for contrast: Alloy, Midi Health and Winona focus on perimenopause and menopause. They are strong options if only one partner needs care and that partner is a woman. Midi is also notable for working with insurance in many cases, which most hormone telehealth clinics do not.
Men-focused platforms, for contrast: Henry Meds, TRT Nation and Male Excel center on testosterone replacement for men. You will also see Marek Health, Maximus and PeterMD in many TRT rankings. Large general platforms such as Hims and Ro appear in searches too; check whether they prescribe testosterone itself or an alternative, since that varies.
A note on official websites: when you search for a telehealth hormone replacement therapy provider, aggregator and affiliate pages often outrank the clinics themselves. Go to the provider's own site for current scope and fees, and treat affiliate rankings as a starting list, not a verdict.
Men's and women's protocols are not the same
A clinic that treats both should understand that the two protocols differ in goals, products and monitoring. Here is how.
| Men's testosterone therapy | Women's menopause hormone therapy | |
|---|---|---|
| Main goal | Restore testosterone in confirmed deficiency | Relieve hot flashes, night sweats, vaginal dryness; protect bone |
| Typical baseline labs | Morning total and free testosterone, hematocrit, PSA where appropriate, estradiol, lipids | Diagnosis is often clinical; labs focus on overall health, thyroid and metabolic markers, plus breast and bone screening as indicated |
| Ongoing monitoring | Testosterone levels, hematocrit, blood pressure, PSA | Symptom response, bleeding patterns, blood pressure, routine screening |
| FDA-approved products | Several testosterone injections, gels and patches | Many estrogen and progestogen products, including patches, pills, creams and vaginal forms |
On the men's side, the FDA states that approved testosterone products are for men whose low testosterone is caused by specific medical conditions, and that the benefit and safety of using testosterone for age-related decline alone has not been established (FDA testosterone information). FDA labeling also addresses blood pressure and other risks, which is why ongoing monitoring is not optional. Testosterone can raise red blood cell counts, so hematocrit is one of the most important markers a clinic should track.
On the women's side, the FDA describes menopause hormone therapy as an effective treatment for bothersome symptoms such as hot flashes and vaginal dryness, and notes it can help prevent bone loss (FDA consumer update on menopause hormone therapy). A woman who still has a uterus and takes estrogen generally needs a progestogen as well, to lower the risk of endometrial cancer. The FDA encourages women to review the decision with a clinician regularly rather than treat it as a one-time prescription.
Two points catch many couples off guard:
- Testosterone for women has no FDA-approved product in the US. Some clinicians prescribe it off label, usually at much lower doses than men use. Ask how a clinic decides, doses and monitors it.
- Compounded hormones are not FDA-approved. Licensed compounding pharmacies fill many hormone prescriptions, including some sold as bioidentical. Compounding has legitimate uses, but these products do not go through FDA review for safety and effectiveness, and the FDA has warned about telehealth companies that promote compounded drugs as if they were approved. Ask whether your prescription is an FDA-approved product or a compounded one, and why.
Where BioCure fits
BioCure Health is a physician-led telehealth longevity clinic based in Fort Lauderdale, licensed to treat patients in 47 states. It is a fit for couples and households who want both partners tested thoroughly before any hormone is prescribed, and who value a physician reviewing results with them one on one.
Testing comes first, for both partners. BioCure offers a Comprehensive Male Panel and a Comprehensive Female Panel covering hormones, thyroid, lipids, metabolic and organ markers. You can use an at-home kit with an in-home phlebotomist visit or test in a lab, and results come back in 7 to 14 days. Every result is interpreted with a specialist. See the diagnostics page for what each panel includes.
Men's care comes in three tiers. bioOptimize is the foundational level. bioRestore uses medications that raise the body's own testosterone without direct hormone replacement, which matters for men concerned about fertility. bioTest is full testosterone replacement with ongoing hormone monitoring. Details are on the testosterone therapy page.
Women's care starts with the Comprehensive Female Panel, covering hormones, thyroid, lipids, metabolic and organ markers, and any treatment options are discussed in a physician review of your results.
How it works and what it costs to start. A five-minute online intake, then a $199 video consultation with a physician that can be credited back with a membership. After testing, you get a custom protocol in a 1:1 results review, and medications from licensed compounding pharmacy partners or standard pharmacies ship to your door, typically 5 to 10 business days after consultation and testing. Follow-up is included. BioCure does not bill insurance, but many patients pay with HSA or FSA funds, and the team provides invoices and documentation for reimbursement.
The in-person option. Most hormone telehealth clinics are video only. BioCure also runs a physical clinic in South Florida, so you can do any appointment in person or by video. You can meet the physicians, including co-founders Dr. Joaquin Rosado and Dr. Vaneza Chaple, on the team page.
Where BioCure is not the best fit: if you need a clinic that bills your insurance directly, a platform like Midi may suit you better. If you want the lowest possible monthly cost for a single prescription and nothing else, a narrowly focused TRT platform may be cheaper.
How to choose one clinic for you and your partner
Use this checklist before either of you signs up.
| Question to ask | Why it matters |
|---|---|
| Do you treat both men and women in my state? | Licensing varies by state and by sex-specific program |
| What labs do you require before prescribing, and how often do you retest? | Baseline and follow-up labs are the core of safe hormone therapy |
| Who prescribes and reviews my results, a physician or another clinician? | You should know who to contact when symptoms or labs change |
| Is my medication FDA-approved or compounded? | Affects regulation, consistency and sometimes cost |
| What does the fee include: consults, labs, medication, shipping? | Membership, bundled and a la carte models are hard to compare otherwise |
| Do you accept insurance, or provide HSA/FSA documentation? | Determines your true out-of-pocket cost |
| Can we coordinate appointments or results reviews as a couple? | Saves time and keeps both plans aligned |
A few practical tips. Start with testing for both of you, even if only one partner has obvious symptoms; fatigue, poor sleep and low libido often have causes beyond hormones, such as thyroid issues or sleep apnea, and a clinician should evaluate them before assuming hormones are the answer. Compare total annual cost, not the monthly headline number. And choose a clinic that will still be monitoring you a year from now, because hormone therapy is a long-term relationship, not a one-time order.
Frequently asked questions
Can my husband and I use the same telehealth clinic for hormone therapy?
Yes, if the clinic treats both men's testosterone and women's menopause symptoms in your state. Providers such as Hone Health, Defy Medical, AgelessRx, Evolve Telemedicine and BioCure Health describe programs for both. Each of you still needs your own labs, consultation and individual protocol.
Do online TRT clinics require blood work?
Reputable ones do. A responsible clinic checks morning testosterone levels and safety markers such as hematocrit before prescribing, then retests on a schedule. Be cautious of any service that prescribes testosterone without labs.
Is testosterone FDA-approved for women?
No FDA-approved testosterone product exists for women in the US. Some clinicians prescribe it off label at low doses for specific symptoms, but it requires careful dosing and monitoring. Ask any clinic how it evaluates and tracks women on testosterone.
Are compounded bioidentical hormones FDA-approved?
No. Compounded hormones from licensed compounding pharmacies are not reviewed by the FDA for safety and effectiveness, even when marketed as bioidentical. Many FDA-approved estrogen and progesterone products already exist, so ask your prescriber why a compounded version is recommended.
Does insurance cover telehealth hormone therapy?
It depends on the provider. Most testosterone and longevity telehealth clinics, including BioCure, are cash pay, though many accept HSA or FSA funds. Some women's menopause platforms work with insurance, so check before you enroll.
How much does online testosterone or menopause therapy cost?
Costs vary widely by pricing model: monthly memberships, bundled programs or a la carte fees for consults, labs and medication. Compare what each fee includes on the provider's official pricing page. At BioCure, the physician consultation is $199 and can be credited back with a membership.
The best telehealth hormone therapy providers for couples have one thing in common: they test first, treat individually and keep monitoring. Choose a clinic that does that for both of you, and your hormone care stops being guesswork and becomes a plan. If you are ready to start, you can contact BioCure to confirm availability in your state.
Let BioCure Health lead you in the right direction. Call or text us to schedule an introductory call at 754-206-0838, your future self will thank you.