Top 4 online HRT solutions 2025
Top 5 HRT Team
TL;DR
Looking for the best online HRT in 2025? We compared the top four options to help you find the right fit based on cost, treatment type, and ease of access:
- Inner Balance: This personalized estrogen cream requires no labs. It starts at $199/month and drops to $99/month.
- Winona: Full-body HRT with estrogen and progesterone. Starts at $45/month. Requires lab testing.
- Wisp: Quick-start hormone care, no subscription. $99 consult + Rx cost.
- Hone Health: Premium, data-driven care with in-depth testing. $149/month + $60 labs.
Top 4 online HRT solutions
All four are FSA/HSA eligible and fully online — so you can get relief on your terms.
Hormone replacement therapy is no longer limited to in-office visits and outdated prescriptions. Today, more women are turning to online HRT services to manage symptoms of perimenopause and menopause with convenience, privacy, and speed. However, not all services offer the same approach. Some focus on full-body hormone support with detailed lab testing. Others offer targeted relief without the need for bloodwork.
This guide breaks down the top four online HRT solutions available in 2025, based on pricing, treatment type, ease of access, and who each service is best suited for.
1. Inner Balance - Best for personalized, lab-free hormone support
Inner Balance is a holistic HRT solution designed for women experiencing a wide range of perimenopause and menopause symptoms.
Rather than using systemic treatments like pills or patches, Inner Balance provides a topical estrogen cream that’s applied daily. Unlike its competitors, Inner Balance does not require blood tests or hormone panels. The care plan is fully personalized, guided by your symptoms and lifestyle needs, and supported by a licensed provider.
Our top picks for September 2025
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What You Get
- Bioidentical estrogen cream (topical use, not systemic)
- Unlimited access to your care team
- Discreet shipping
- HSA/FSA eligible
- 6-month money-back guarantee
Pricing
- $199/month for the first 6 months
- $99/month ongoing after that
Best For
Women seeking a comprehensive yet easy-to-use, non-intrusive, personalized hormone solution without lab work or prescriptions.
2. Winona - Best for full-body hormone support with estrogen and progesterone options
Winona is a leading online HRT provider known for offering customized, full-spectrum hormone therapy for women going through perimenopause and menopause. They prescribe bioidentical estrogen and progesterone in various forms, including pills, creams, and patches, based on your symptoms and preferences.
Unlike some services, Winona does require initial lab work, which is done through a simple at-home test kit. This helps your provider build a personalized treatment plan tailored to your hormone levels and lifestyle goals.
Our top picks for September 2025
What You Get
- Bioidentical hormone therapy (estrogen + progesterone)
- Multiple delivery options: pills, creams, patches
- At-home lab testing included
- 1-on-1 provider consultation
- Discreet shipping and refill reminders
Pricing
- $45–$126/month, depending on medication and dosage
- At-home lab kit included in the initial consultation
- HSA/FSA eligible
Best For
Women who want full-body support and ongoing medical oversight.
3. Wisp - Best for quick-start, low-commitment hormone care
Wisp is a fast, affordable option for women who want expert guidance and access to hormone therapy without waiting weeks for an appointment or jumping through medical hoops. It’s ideal if you’re looking to address symptoms and want a flexible, judgment-free experience.
You begin with an online quiz and a one-time consult with a certified provider. No lab work is required, and many women can pick up a prescription the same day or have it shipped discreetly to their door.
Our top picks for September 2025
What You Get
- One-on-one consult with a menopause-certified provider
- Access to prescriptions, including vaginal creams, pills, and more
- Discreet delivery or pharmacy pickup
- Ongoing provider messaging for 3 months
- HSA/FSA eligible
Pricing
- $99 one-time consult fee (includes 3 months of support)
- Prescription costs vary by medication and pharmacy
- No subscription required
Best For
Women who want quick access to hormone therapy without long-term commitments, lab tests, or subscriptions.
4. Hone Health - Best for data-driven, ongoing hormone optimization
Hone Health stands out for its deep-dive approach to hormone care. It’s built for women wanting detailed lab testing, personalized treatment plans, and regular follow-up to track how their hormones evolve.
You’ll start with a comprehensive at-home hormone test that measures over 40 biomarkers. From there, you’ll have a 1-on-1 consultation with a licensed physician to craft a tailored plan that may include hormone therapy, supplements, or other wellness strategies. The Premium plan also provides follow-up testing every 90 days to align your care with your body’s changes.
Our top picks for September 2025
What You Get
- Advanced hormone panel (40+ biomarkers)
- Physician consult and treatment plan
- Ongoing care with re-testing every 90 days
- Access to a range of treatments and supplements
- Privacy-first platform and discreet delivery
Pricing
- Hone Basic: $25/month (no testing or consults, discounts only)
- Hone Premium: $149/month
- One-time lab testing fee: $60
- Medications billed separately
Best For
Women looking for a comprehensive, medically supervised HRT program with ongoing support and data-driven adjustments.
Comparison Table: Best Online HRT Solutions (2025)
| Feature | Inner Balance | Winona | Wisp | Hone Health |
| Best For | Topical estrogen, no labs | Full-body HRT with prescriptions | Quick access, low commitment | In-depth testing + ongoing tracking |
| Hormone Delivery | Estrogen cream (topical, non-systemic) | Pills, creams, patches | Vaginal creams, pills | Customized: varies per treatment |
| Requires Lab Tests? | No | Yes (at-home kit included) | No | Yes (40+ biomarkers, $60 fee) |
| Consultation Type | Symptom-based + ongoing support | Physician consult + lab analysis | One-time consult, secure messaging | In-depth virtual consultation |
| Monthly Pricing | $199/month (first 6 months), then $99 | $45–$126/month | $99 one-time consult + Rx cost | $25–$149/month + $60 lab fee |
| HSA/FSA Eligible | Yes | Yes | Yes | Yes |
| Support Model | Unlimited care team access | Ongoing provider check-ins | 3 months messaging support | Quarterly testing + provider follow-up |
The Bottom Line
There’s no one-size-fits-all solution when it comes to hormone replacement therapy, and that’s precisely why these top online providers shine. Whether you want full-spectrum hormone care, fast relief for vaginal dryness, or a data-driven approach backed by lab work, there’s a service tailored to your needs.
Here’s a quick recap:
- Inner Balance is ideal for women who want holistic, topical estrogen support without lab tests or prescriptions.
- Winona offers full-body hormone therapy with customized plans using bioidentical estrogen and progesterone.
- Wisp is best for fast, low-commitment access to HRT with same-day prescriptions and no labs.
- Hone Health delivers advanced hormone tracking and medically supervised plans that evolve with your body.
No matter where you are in your menopause journey, getting the proper care is easier than ever, and these four platforms are leading the way in 2025.
Our top picks for September 2025
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Frequently Asked Questions
Q. What exactly is online HRT, and how does it work?
A. Online HRT lets you connect with licensed providers virtually, get a treatment plan based on your symptoms or lab results, and have hormone prescriptions delivered to your door or available for pharmacy pickup — all without in-person visits.
Q. Do I need lab tests before starting HRT online?
A. Not always. Some services allow you to start treatment based on symptoms alone, while others require at-home lab testing to personalize your care.
Q. How soon can I expect to feel better after starting HRT?
A. Many women notice improvement within a few weeks, although it may take up to a few months.
Q. Who shouldn’t use HRT?
A. HRT may not be recommended if you have a history of certain cancers, blood clots, liver conditions, or unexplained vaginal bleeding. Always consult a licensed provider to assess your individual risk factors.
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