Hormone replacement therapy (HRT) for women addresses the drop in estrogen, progesterone, and sometimes testosterone that comes with perimenopause, menopause, or other hormonal shifts. Treatment typically starts with bloodwork and a symptom review (hot flashes, sleep trouble, low libido, mood changes, vaginal dryness, fatigue), then moves into a plan using pills, patches, creams, gels, or pellets. Orlando has 12 providers in this category, ranging from OB-GYN practices and endocrinology offices to dedicated hormone clinics and med spas that layer HRT into broader wellness programs.
What to look for in a provider
Not all clinics approach HRT the same way, so a few things matter more than location or marketing:
- Who's prescribing: a licensed physician or nurse practitioner should be reviewing labs and writing the plan, not just a sales-focused coordinator.
- Testing before and during treatment: baseline labs and follow-up bloodwork to adjust dosing, not a one-size-fits-all protocol.
- Delivery method options: a provider that only sells pellets (or only patches) may be fitting you to their inventory rather than your needs.
- Clear pricing: membership fees, per-visit costs, and medication costs should be spelled out up front, including what happens if a dose needs adjusting.
- Follow-up structure: HRT needs monitoring over time, so ask how often you'll be seen and what triggers a dose change.
Our ranking of the top providers weighs these factors alongside patient feedback and how each practice handles communication and follow-up care. You can see the full breakdown in the best testosterone replacement therapy providers in Orlando guide, and read how we score every clinic on our methodology page.
