Every review and head-to-head comparison on this site is built on the same repeatable, evidence-first process. Here’s exactly how we evaluate each HRT provider, where our information comes from, and how we keep it accurate.
Last updated: Sep 1, 2026
We rate every provider on a weighted evaluation across six core categories. The weighting reflects what matters most for safe, affordable, and effective menopause care.
Medical Credibility
Licensed, menopause-trained clinicians, quality of the intake and risk screening, ongoing monitoring, pharmacy standards, and any relevant certifications.
Treatment Access
Range of treatments offered - estradiol patches, pills, gels and sprays, progesterone, vaginal estrogen, and non-hormonal options - plus dosing flexibility and state availability.
Pricing & Value
Total cost including membership, medication, visits, and delivery - plus pricing transparency, insurance options, and the absence of hidden fees.
Patient Experience
Intake ease, time to first visit, platform quality, support responsiveness, delivery reliability, and recent verified customer feedback.
Clinical Support
Ongoing follow-up visits, dose and formulation adjustments, side-effect management, and clinician messaging through treatment.
Flexibility
Membership terms, cancellation and pause policies, ability to switch treatments, and payment options including HSA/FSA.
Every price on this site comes straight from each provider’s own published rates, and we record four things for each one: the headline rate, the regular rate behind any promotion, the condition attached (plan length, first-month rate, whether medication or insurance is included), and the shipping terms. A number is never published without its condition.
When a provider changes its published pricing, we re-verify against its site and every affected page - reviews, head-to-heads and cost breakdowns - is revised, with the “last updated” date refreshed so you always know how current a figure is.
Within the six weighted factors, these are the specific signals that consistently move a provider up or down in our evaluations:
Earns points
Costs points
No invented ratings, ever. If a provider has no published customer-rating aggregate, our pages say exactly that - we never estimate or fabricate a score. Partner status doesn’t change this: we openly discuss a partner’s mixed reviews when that’s the record.
Every promo carries its regular rate. Promotional prices are always published alongside the regular rate and the condition (“first month only”, “annual plan”, “medication billed separately”), so a discounted headline never hides what you’ll actually pay.
Community feedback is verified, not scraped. The “What Reddit says” sections on our reviews are built only from real public threads we’ve independently verified - quotes lightly trimmed, vote counts shown only as captured, gripes included alongside praise.
Medical claims cite primary sources. Clinical figures reference published research on menopause and hormone therapy, professional society guidelines, and FDA prescribing information, cited on our medical pages - never blog folklore.
We don’t republish what we can’t verify. Claims circulating about providers - regulatory actions, corporate relationships - appear on our pages only after independent verification, no matter who they help or hurt.
Our evaluations only carry weight if the underlying information is real. We draw on four sources for every provider:
We pull pricing, treatments, shipping, and the medical model directly from each provider's official website and landing pages - so what you read here matches what you'll see when you enroll.
We read current customer reviews to gauge real-world experience - communication, clinician expertise, delivery, and support - not just marketing claims.
Our editors independently walk enrollment flows, compare pricing side by side, and track how each provider's offering changes over time.
Medical claims reference published menopause research, professional society guidelines, and FDA prescribing information - not opinion.
We don’t make things up.Prices, treatments, shipping times, and medical details are taken from each provider’s own official sources. We don’t invent figures, name treatments a provider doesn’t offer, or attach clinical claims that aren’t supported.
We update when providers change.Pricing and offerings in this space move quickly. When a provider changes its plans, we revise the affected reviews and comparisons and refresh their “last updated” date.
We separate fact from experience. Objective details (price, delivery, treatments) are reported as fact; customer sentiment is clearly attributed to reviews; and our own take is presented as editorial analysis.
Each provider earns an overall score on a 10-point scale, translated into a plain-English label - from Exceptional at the top through Excellent and Very Good. A score reflects the weighted result across the six factors above. Strong transparent pricing, credible medical oversight, and consistently positive recent customer feedback move a score up; hidden fees, thin medical support, or recurring complaints move it down.
In a head-to-head comparison we score the two providers category by category - pricing, medical support, treatment options, speed, and customer experience. The provider that wins the majority of categories takes the matchup, and the advantage meter reflects how decisive that edge is. We always name the runner-up’s genuine strengths, because the “better” provider still depends on what you value most.
We continuously monitor provider pricing and offerings, new clinical data, and recent customer reviews, and revise our rankings, reviews, and comparisons as things change. Each review and comparison shows when it was last updated.
Independent rankings. Our rankings and reviews are determined by the evaluation criteria on this page - not by commercial relationships.
Transparent about affiliates. Some providers compensate us through affiliate partnerships when you click through and sign up. This may affect how providers are displayed, but it does not influence our scores or the content of our reviews. See our full disclaimer.
The independent researchers and editors behind our provider comparisons and reviews. Every ranking and review is produced and checked by this team.
Editorial & Research
Our editorial team researches and compares online menopause and HRT providers, reads the clinical evidence and guidance behind each option, and writes plain-English, compliance-minded guides. We prioritize accuracy and honesty over hype - including being clear about the risks of hormone therapy and who it is not suitable for.
hrtwomen.com is not a medical provider and does not prescribe medications. The information on this site is for general information and comparison purposes only and should not replace professional medical advice. Hormone therapy is a prescription treatment that requires evaluation and supervision by a licensed healthcare provider and carries risks, including blood clots, stroke, and certain cancers, that depend on your health history. Whether HRT is right for you is a decision for a licensed clinician. Individual results vary.
Whenever a provider changes its published rates. We re-verify each provider's pricing against its own site and revise every affected page - reviews, comparisons and cost breakdowns - and each page displays its last-updated date.
No. Partnerships can affect how providers are displayed, but never scores, review content, or head-to-head winners. Our verdicts regularly favor the cheaper or better-documented provider in a matchup, and our reviews cite real customer records - including mixed ones - for partners and non-partners alike.
Because they don't publish one, and we never invent or estimate a score. Where no aggregate exists, our pages say so explicitly and rely on the individual reviews we can verify plus the provider's published terms.
From each provider's published rates with promo conditions applied exactly as published: first-month rates roll to the regular price from month two, plan-locked rates are labeled with their commitment, and monthly medication costs are shown on the same basis so plans are genuinely comparable.
See the rankings in action