Menopause Doctor Online: HRT Visits, Prescriptions, Cost

Last updated November 13, 2026 · Reviewed by the Gala Health team

What an online menopause visit covers

A good virtual menopause visit asks what an in-person menopause clinician would ask, in a form you can fill out from your phone:

Your symptoms and how much they bother you: hot flashes, night sweats, sleep, mood, brain fog, vaginal dryness and libido.
Your cycle: whether periods are irregular, have stopped, or stopped after surgery.
Your history: blood clots, stroke, heart disease, migraine with aura, liver and kidney disease, and cancers, including breast cancer and your most recent mammogram result.
Your current numbers and habits: blood pressure, nicotine use, and the medicines you already take.
Your goals: whether you prefer a pill, a patch or gel, local vaginal treatment, or no hormones at all.

Those answers are checked against the label contraindications and the prescriber's clinical rules before anything is written. Most women do not need a blood or saliva hormone test to start, since menopause is diagnosed from age, symptoms and cycle pattern.

Who prescribes, and what they can prescribe

Gala is a telehealth platform, not a medical practice or a pharmacy. Your prescriber is a licensed provider at an independent medical practice: GMG Medical Group, P.A., or, for some patients depending on treatment and state, the OpenLoop Healthcare Partners or Reliant.MD Medical Associates practices. The telehealth consent you sign at intake names your practice, and licensed pharmacies dispense the medication.

Hormone therapy is prescription-only. The menopause treatments a Gala provider can prescribe, when appropriate, are:

Estradiol as a daily pill, a patch or a gel, for hot flashes, night sweats and other whole-body symptoms.
Progesterone (micronized, bioidentical) to protect the uterine lining if you have a uterus.
Vaginal estradiol for dryness, painful sex and urinary symptoms.
The non-hormonal option, paroxetine or desvenlafaxine, when estrogen is not right for you.

Systemic HRT (pill, patch or gel) is offered to women aged 40 to 65. Women aged 35 to 39, or 66 and older, can be treated with local vaginal estradiol. All hormones prescribed are FDA-approved bioidentical forms; see bioidentical hormones for why that matters.

When a video visit is required

Most Gala patients never need to schedule anything: the review happens from your written intake, and your provider messages you if they have a question. A live video visit with the provider is required in two situations:

You live in a state that requires one before a first prescription. Today these are Arkansas, Delaware, the District of Columbia, Kansas, Mississippi, New Mexico, Rhode Island and West Virginia.
Your history needs a conversation before a decision, for example a past breast cancer or atypical ductal hyperplasia, or diabetes treated with insulin.

If a video visit applies to you, the checkout says so before you pay and you book it right after payment. If you already take hormone therapy, have your current prescription at hand for that call.

What to expect, step by step

Answer the assessment: about 5 minutes of questions on symptoms, cycle, history and goals.
See your plan and price: choose a plan at checkout, where the exact price is shown before you pay.
Provider review: a licensed clinician reviews everything, books a video visit if one is required, and prescribes only if treatment is appropriate. If you are found medically ineligible, you are refunded in full.
Delivery: your prescription ships free and discreetly, and most patients are reviewed and shipped within days.
Follow-up: symptom check-ins, dose changes and messaging with your provider are included for as long as you are treated.

One thing an online visit cannot replace is a physical exam. Bleeding after menopause, for example, is referred for in-person evaluation rather than treated online.

What an online menopause doctor costs

Gala has no separate visit fee. The hormone health page lists treatment from $69 a month, all included: the pill plan (oral estradiol and progesterone) is $207 every 12 weeks. Patch, gel and vaginal estradiol plans are $297 every 12 weeks, or $99 a month, with the same provider care included. No insurance is needed, FSA and HSA cards are accepted, and you can cancel anytime.

Other online services price the visit separately, from Midi's $250 self-pay first visit to Evernow's $49 monthly membership. Our online menopause providers compared table lines up six services, and HRT cost without insurance adds pharmacy cash prices by form.

See a menopause provider online

Whether you are in perimenopause or years past your last period, you can start today. Read when to start HRT and is HRT safe if you are still deciding, browse the hormone health hub, or start your menopause assessment now.

Frequently asked questions

Can I get HRT prescribed online?

Yes. An online menopause service has you complete a medical intake, a licensed clinician reviews it, and if hormone therapy is appropriate the prescription is written and shipped to you. Some states and some health histories require a video visit first.

Do you need a prescription for HRT?

Yes. Estradiol and progesterone for menopause are prescription drugs in the United States, so a licensed clinician must review your history before prescribing them, whether in an office or online.

Do I need a video visit to see a menopause doctor online?

Not usually. At Gala, a video visit is required for patients in Arkansas, Delaware, the District of Columbia, Kansas, Mississippi, New Mexico, Rhode Island and West Virginia, and for some health histories such as a past breast cancer. Everyone else is reviewed from the written intake and can message the provider.

Is there menopause telehealth that takes insurance?

Some services bill insurance for visits: Midi says it is in-network with most major plans, and Evernow covers video visits with major commercial plans but not Medicare or Medicaid. Gala is self-pay, needs no insurance and accepts FSA and HSA cards.

Can an online doctor treat perimenopause?

Yes. Hot flashes and other symptoms often begin before periods stop. Gala's providers treat women from age 40, including those still having periods; at 40 to 44, if progesterone is needed, it is usually prescribed for days 1 to 12 of each cycle.

How much does an online menopause doctor cost?

It depends on the service. Some charge per visit, such as Midi's $250 self-pay first visit, and others a membership. At Gala there is no visit fee: treatment is from $69 a month with the medication, provider review and ongoing care included.

Ready to talk to a provider?

Your answers go to a licensed provider, who decides whether treatment is right for you. Learn more about Hormone Health.

Treatments: Estradiol pill or patch online · Progesterone for menopause · Vaginal estrogen online · Non-hormonal menopause treatment

Start your menopause assessment

More Hormone Health guides

Sources

This article is for general information and is not medical advice. Talk to a licensed provider about your own health.

Online Menopause Doctor: How a Virtual HRT Visit Works