By Virtual Care Atlas Editorial Team · Updated · Editorial review: Virtual Care Atlas Editorial Team, fact-checked against the cited sources (not a clinical review) · How we verify
Two different kinds of hormone clinic
“HRT clinic” covers two quite different services, and many clinics in this directory offer both:
- Menopausal hormone therapy (MHT/HRT): estrogen, with progestin or progesterone for people with a uterus, to treat menopausal symptoms. FDA’s menopause page describes possible benefits (relief of hot flashes, night sweats and vaginal dryness, and lower osteoporosis risk) and risks (for some women, a higher chance of blood clots, heart attack, stroke, breast cancer and gallbladder disease).
- Testosterone replacement therapy (TRT): offered by men’s health clinics, usually as injections, gels or pellets.
Clinics also use terms like BHRT, bioidentical hormones, hormone optimization and pellet therapy. We record whichever terms the clinic itself uses.
“Bioidentical” and compounded hormones: what FDA says
FDA’s consumer guidance is direct. FDA recommends using FDA-approved hormone therapies, which have been evaluated for safety and effectiveness. FDA has approved hormone drugs that are identical to the hormones the body makes. But many products marketed as “bioidentical hormones” are compounded. FDA says it does not have evidence that compounded “bioidentical hormones” are safe and effective, or safer or more effective than FDA-approved hormone therapy.
At FDA’s request, the National Academies of Sciences, Engineering, and Medicine (NASEM) reviewed compounded bioidentical hormone therapy. They reported a lack of rigorous evidence of safety and effectiveness from well-designed studies, limited oversight, and concluded that widespread use poses a public health concern.
Testosterone therapy: how diagnosis is supposed to work
The Endocrine Society’s 2018 clinical practice guideline recommends diagnosing hypogonadism only in men with symptoms and signs of testosterone deficiency and unequivocally, consistently low testosterone levels. Ask any TRT clinic:
- How it confirms low testosterone, including how many tests and at what time of day.
- What monitoring it does once treatment starts.
- Whether it discusses fertility before starting testosterone. Ask about this directly.
- Who you contact between visits.
How do I compare hormone clinics?
- Check the prescriber’s license with your state medical or nursing board.
- Ask whether your product is FDA-approved or compounded. If compounded, ask which pharmacy makes it.
- Ask what lab work is included, and how often.
- Get an itemized price. Many hormone clinics use monthly memberships. Ask what’s included and what costs extra.
- Be cautious of promises. FDA’s guidance on compounded hormones is a useful reality check against marketing claims.
How this list is built
We found clinics in public Google Maps listings, then checked each one against its own website on October 19, 2026, and kept it only if the site lists hormone therapy services. Where possible, we matched it to the federal NPI Registry, and we confirmed its phone or address on its site. We don’t rate clinics or accept payment for placement. Methodology · Claim or correct a listing
Frequently asked questions
Are 'bioidentical' hormones FDA-approved?
Some are. FDA has approved hormone drugs that are identical to hormones the body makes. But many products marketed as 'bioidentical hormones' are compounded and not FDA-approved. FDA says it has no evidence that compounded bioidentical hormones are safer or more effective than FDA-approved hormone therapy.
Who should be diagnosed with low testosterone?
The Endocrine Society's 2018 clinical practice guideline recommends diagnosing hypogonadism only in men with symptoms and signs of testosterone deficiency and unequivocally, consistently low serum testosterone concentrations. Ask any TRT clinic how it confirms a diagnosis.
What is pellet therapy?
Hormone pellets are small implants placed under the skin that release hormone over time. Many pellet products used by clinics are compounded. A National Academies report requested by FDA found a lack of rigorous evidence on the safety and effectiveness of compounded bioidentical hormone therapy.
How does Virtual Care Atlas decide a clinic offers hormone therapy?
The clinic's own website must list hormone replacement, BHRT, bioidentical hormones, testosterone therapy or TRT, hormone optimization, or pellet therapy, either more than once or on a dedicated page. We show the exact terms we found.
Can hormone therapy be done through telehealth?
Many hormone clinics in this directory say on their site that they offer telehealth. Testosterone is a controlled substance, so federal and state rules on prescribing it remotely apply. Ask the clinic how it handles in-person requirements and lab work.
Compounds named on this page: Testosterone (PubChem CID 6013).
References
- Menopause (FDA Women’s Health Topics) · U.S. Food and Drug Administration
- Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline · J Clin Endocrinol Metab (2018) · PMID 29562364
- NASEM Study on the Clinical Utility of Treating Patients with Compounded “Bioidentical” Hormone Therapy · U.S. Food and Drug Administration
- Understanding the Risks of Compounded Drugs · U.S. Food and Drug Administration
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