Does Winona Prescribe Testosterone?
By The HRT Index Editorial Team · Last verified:
Educational research, not medical advice, and not medically reviewed by a clinician.
This page includes affiliate links. Our picks follow The HRT Index Verification Standard — based on what we verify, not on who pays us. See full disclosure.

No. Winona does not prescribe testosterone. As of July 2026, Winona’s Help Center and its hormone therapy page both confirm it does not offer testosterone therapy. Winona may instead prescribe oral DHEA— a hormone “precursor” your body can turn into small amounts of testosterone and estrogen. DHEA is not testosterone, and oral DHEA is not FDA-approved.
That’s the short answer to the question we hear most about this provider. But the short answer isn’t the one that actually helps you. The real question is whether you need testosterone, or whether you need something Winona already prescribes. Those two paths lead to very different places. Below, we’ll show you which one is yours — what DHEA can and can’t do, and the telehealth provider we verified that does prescribe testosterone for women.
Winona and testosterone, in 30 seconds
| Your question | The verified answer |
|---|---|
| Does Winona prescribe testosterone? | No — not in any state. |
| Does Winona prescribe DHEA? | Yes, after an online medical review, if it's appropriate. |
| Is DHEA the same as testosterone? | No. Winona calls it a precursor — a building block your body converts. |
| Does Winona require lab work? | No. It doesn't require blood or saliva hormone testing for HRT. |
| Does Winona bill insurance? | No direct billing. HSA/FSA cards are accepted. |
| Best next step if Winona still fits | Check your eligibility and current pricing with Winona. |
| Best next step if you need testosterone | Use Find My HRT Path, or look at Midi (details below). |
So here’s your fork. If you’ve already accepted that Winona doesn’t do testosterone and you still want its simple, no-labs menopause care, that’s a fine choice — check Winona’s eligibility and current pricing → If testosterone is the exact thing you came for, don’t start a Winona intake — use Find My HRT Path first so you land with a provider that can actually help.
The HRT Index is the independent decision resource for online menopause and HRT care — comparing telehealth providers on clinical legitimacy, care quality, medication fit, price transparency, and access, with every claim verified and dated, so women can choose the path that fits their situation before their first consult.
The right online HRT provider isn’t the same for every woman
It depends on your symptoms, your age and whether you have a uterus, your medication route preference (patch, pill, gel, or vaginal estrogen), your risk history, your insurance or cash-pay situation, and your state. Some situations belong with an in-person clinician first. Use Find My HRT Path to match your situation to the right provider before your first consult. (It asks a few health-related questions and runs under our privacy and consumer-health-data policy.)
Match My Situation with Find My HRT Path →This page is for you if…
This page is for you if…
- ✓You want online menopause care for symptoms like hot flashes, night sweats, poor sleep, mood swings, or vaginal dryness.
- ✓You're open to estrogen, progesterone, or DHEA if a doctor decides they fit.
- ✓You're okay paying out of pocket (Winona doesn't bill insurance).
- ✓You do not need a testosterone prescription.
It’s not for you if…
- ✗You specifically want testosterone prescribed and monitored.
- ✗You want your hormone levels checked with lab work before treatment.
- ✗You want a live phone or video visit before starting.
- ✗You need your visits billed to insurance.
If that second list sounds like you, don’t pay for the wrong intake. Jump to who actually prescribes testosterone for women online — or use the matcher above.
Affiliate disclosure: The HRT Index may earn a commission if you start care through some provider links. It never changes what we verify or who we recommend. Educational research only — not medical advice.
Does Winona prescribe testosterone?
No. Winona does not prescribe testosterone to anyone, in any state. We confirmed this in July 2026in two places on Winona’s own site: its Help Center article on the topic and its main hormone therapy page. This is a firm company policy, not a state-by-state gap you can work around.
Winona’s stated reason is simple. Testosterone is a controlled substance (we’ll explain exactly what that means further down), and Winona points women who ask about it toward DHEAinstead — a supplement it frames as a gentler way to support your own testosterone. We’ll test that claim in the next section, because “supports testosterone” and “is testosterone” are two very different promises.
Why sort this out before you do anything else? Signing up for a hormone provider takes your time, your money, and a medical intake. If a testosterone prescription is the specific thing you want, Winona is the wrong door — better to know now than after you’ve paid.
Here’s the honest reframe most competing pages skip: Winona does NOT prescribe testosterone. If a testosterone prescription is your non-negotiable, a provider like Midi is the better path — it prescribes compounded testosterone for women in 25 states and locations, with lab monitoring. But because Winona skips testosterone — a controlled substance that needs repeat visits, lab work, and ongoing monitoring — it can be the simpler, faster route for the woman who mainly wants FDA-approved estrogen and progesterone.
That’s the fork this whole page turns on. Let’s get you on the right side of it.
Sources: Winona Help Center, Winona’s hormone therapy page. Verified July 2026.
What does Winona prescribe instead of testosterone — and is DHEA the same thing?
Winona’s testosterone-adjacent option is DHEA (dehydroepiandrosterone) — a hormone your body naturally makes and can convert into small amounts of estrogen and testosterone. Winona prescribes it as an oral capsule, custom-prepared by a licensed compounding pharmacy after an online medical review, from about $27 for a three-month supply (confirm the current price at checkout). DHEA is a building block, not testosterone therapy — and the two should never be treated as the same.
Here’s the plain-English version. A “precursor” is a raw ingredient your body mightturn into other hormones, including a little testosterone. That’s very different from prescribing testosterone directly at a known, monitored dose. With DHEA, how much (if any) becomes testosterone varies a lot from woman to woman.
And here’s a line Winona is refreshingly honest about, straight from its own DHEA page: only intravaginal DHEA (a product called prasterone) is FDA-approved, while oral DHEA — the kind Winona prescribes — is considered a supplement and is not FDA-approved. That one FDA-approved DHEA product, prasterone (brand name Intrarosa), is a small vaginal insert approved only for painful sex caused by menopausein postmenopausal women. It’s not a testosterone therapy, and it’s not what Winona prescribes orally.
To make the differences unmistakable
| Winona’s oral DHEA | Vaginal prasterone (Intrarosa) | Prescribed testosterone | |
|---|---|---|---|
| What it is | A supplement precursor | An FDA-approved DHEA vaginal insert | The actual hormone |
| FDA status | Not FDA-approved | FDA-approved (for painful sex only) | No FDA-approved product for women; off-label or compounded |
| What it's for | Winona markets it for libido and energy (evidence is mixed) | Painful sex from menopause, treated locally | Distressing low sexual desire, per medical guidelines |
| Is it testosterone? | No — your body may convert a little | No | Yes |
What the evidence actually says about DHEA. Winona markets DHEA as a way to “gently increase testosterone” and support energy, libido, mood, and bone strength. Those are Winona’s claims. Independent bodies are more cautious. Mayo Clinic notes the evidence for DHEA is mixed across its claimed uses. And the same international consensus that guides testosterone use concluded that systemic DHEA does not meaningfully improve libido or sexual function in postmenopausal women with low libido and sexual health concerns.
Alongside DHEA, Winona’s real strength is estrogen and progesterone — and here, labeling matters, because Winona sells two different regulatory categories:
| Winona product | Category | FDA status |
|---|---|---|
| Estradiol patch | Estrogen (transdermal) | FDA-approved |
| Estrogen tablets | Estrogen (oral) | FDA-approved |
| Progesterone capsules | Progesterone (oral) | FDA-approved |
| Estrogen / progesterone body creams | Compounded HRT | Not FDA-approved |
| Vaginal estrogen cream | Compounded HRT | Not FDA-approved |
| Oral DHEA | Compounded supplement | Not FDA-approved |
One important nuance so nobody gets misled: some of Winona’s compounded products use FDA-approved active ingredients (estradiol, for example). But once a pharmacy custom-mixes the finished medication, that finished product is not FDA-approved and hasn’t been reviewed by the FDA for safety, effectiveness, or quality. “Uses an FDA-approved ingredient” and “is an FDA-approved product” are not the same thing. That’s true of all compounding, everywhere — it just means the two categories need to stay separate in your head. See our full breakdown of FDA-approved vs. compounded HRT for the deeper explanation.
So if what you actually want is straightforward, FDA-approved estrogen and progesterone for menopause symptoms — with no labs and clear flat pricing — Winona is genuinely a strong, simple option, and the fact that it skips testosterone won’t cost you a thing.
Does that sound like your situation? If FDA-approved estrogen and progesterone (not testosterone) is what you’re really after, see Winona’s current options, states, and pricing → Only take this path knowing Winona does not prescribe testosterone.
Still not sure whether you need testosterone or estrogen and progesterone? That’s the most common mix-up here — the next section clears it up.
Can women even get testosterone for menopause? The honest medical picture
Yes, women can be prescribed testosterone — but there is no FDA-approved testosterone product made for women in the United States. Every prescription is either off-label (an approved men’s product used at much lower, female-sized doses) or compounded (custom-mixed by a pharmacy). The one use backed by international guidelines is distressing low sexual desire in postmenopausal women. Benefits for energy, mood, or focus are commonly reported, but they are not proven by the evidence.
Two words matter most here.
- Off-label means a doctor prescribes an FDA-approved drug for a use the FDA hasn’t specifically signed off on. It’s legal and common — the product was approved for men, so the doctor doses it down carefully for a woman.
- Compounded means the medication is custom-mixed for you and, as a finished product, is not FDA-approved.
Why does no FDA-approved female product exist? Experts point to limited long-term safety and dosing data in women — the research needed to approve a female-specific product simply isn’t there yet. This isn’t a Winona problem; it applies to every provider.
Now the part that keeps you safe. The Global Consensus Position Statement on the Use of Testosterone Therapy for Women — endorsed by The Menopause Society and roughly ten other medical societies, including The Endocrine Society — reached a clear conclusion. Two points are worth tattooing on your search:
- The evidence-based reason to prescribe testosterone to a woman is HSDD — hypoactive sexual desire disorder, meaning ongoing, distressing low sex drive — in postmenopausal women, after a proper clinical evaluation. Testosterone sold for weight loss, anti-aging, or general “energy” and “optimization” goes beyond what the evidence supports.
- The panel recommended against compounded testosterone, and instead favored using an approved product in female-sized doses, with blood levels monitored regularly.
Read point 2 again, because almost no competing page will tell you this: the strongest medical guidance actually prefers the off-label FDA-approved route over the compoundedroute. That doesn’t make compounded testosterone wrong or unsafe — plenty of experienced clinicians use it responsibly, because it’s easier to dose precisely for women. It just means you deserve to know a tradeoff exists, so you can ask the right question at your consult.
The comparison nobody hands you in one place
| Winona | Midi | Off-label FDA-approved route (context — not a specific affiliate) | |
|---|---|---|---|
| Prescribes testosterone to women? | No (offers DHEA instead) | Yes, when it's the right fit | Only if a clinician will prescribe an approved men's product off-label |
| What you'd get / FDA status | Oral DHEA (supplement, not FDA-approved), plus FDA-approved estrogen patch/tablets + progesterone capsules | Compounded testosterone cream (custom-mixed; not FDA-approved) | An approved men's product (e.g., a low-dose testosterone gel) used at female doses — approved for men, off-label for you |
| Testosterone: where it's available | N/A | 25 states and locations (see list below); expanding | Depends on the clinician and your state |
| Lab work required? | No | Yes — baseline and follow-up blood draws | Yes — monitoring required |
| Visits before a prescription | Online intake + doctor review | Usually two visits | Varies |
| Refill reality | N/A | Schedule III: limited quantities, repeat visits to refill | Same Schedule III limits |
| Insurance | No (HSA/FSA ok) | In-network with most PPO plans; the compounded cream is usually cash | Varies |
| Matches the medical consensus? | N/A | Uses compounded (which the consensus advises against), but requires the lab monitoring the consensus wants | This off-label-approved route is what the consensus prefers |
| Last verified | July 2026 | July 2026 | — |
Two honest flags on that table. First, Midi’s testosterone list of states changes— it’s growing, so confirm your state is live before you count on it. Second, “not FDA-approved” is a fact about the compounded product, not a knock on Midi’s clinicians, who require the exact lab monitoring the guidelines call for.
Sources: Global Consensus Position Statement on the Use of Testosterone Therapy for Women (The Menopause Society, The Endocrine Society, and others); U.S. DEA.
Who actually prescribes testosterone for women online?
The testosterone-capable telehealth provider we verified is Midi.Midi prescribes compounded testosterone for women in 25 states and locations, requires lab work and usually two visits before starting, and monitors your levels over time. Because the medication is compounded, it is not FDA-approved — a tradeoff to weigh, not a dealbreaker. (Midi isn’t the only clinic that prescribes women’s testosterone; it’s the one on our roster we’ve verified and can stand behind.)
Here’s how Midi’s testosterone path actually works, so there are no surprises:
- It’s a women-specific compounded cream (micronized testosterone), designed and dosed for women rather than borrowed from men’s medicine at guesswork amounts. Midi prescribes it mainly for women in perimenopause and menopause when it’s the right fit — though its testosterone-cream FAQ notes premenopausal women, including those on birth control, may be considered too.
- Labs come first, and stay. Your clinician orders baseline lab work and follow-up blood draws to keep you in a safe, female-appropriate range and catch side effects early.
- Two visits, usually. At the first, your clinician reviews your history and labs. At the second, they confirm whether testosterone is right for you and start it if so. Sometimes the answer is no — a sign of real oversight, not a bug.
- The refill catch: because testosterone is a controlled substance, it’s prescribed in limited amounts, so you’ll have repeat visits to renew it. Plan for that.
- No pellets. Midi doesn’t prescribe testosterone pellets, because once a pellet is inserted the dose can’t be adjusted or removed. Its topical cream can be paused or dialed up and down.
What Midi costs. Midi is built around insurance and is in-network with most PPO plans. With insurance, Midi says most patients pay around $50 out-of-pocket per visit on average (your exact cost depends on your plan and deductible). Paying cash, a first visit is $250 and follow-ups are $150 — and those visit prices don’t include labs or the medication. The testosterone cream itself starts at $100 for a 90-day supply, and because it’s compounded, most insurance plans won’t cover the medication even when they cover the visit — so treat the cream as a cash cost and confirm lab coverage with your plan. HSA/FSA cards work. A few coverage limits: Midi can’t treat Medicaid or Medi-Cal patients (even self-pay), and it doesn’t bill Medicare (Medicare beneficiaries can self-pay but can’t submit claims).
Midi’s testosterone states and locations (verified July 2026 — confirm before you rely on it):Arizona, California, Colorado, Washington D.C., Delaware, Florida, Iowa, Illinois, Indiana, Kansas, Massachusetts, Maryland, Maine, North Carolina, New Jersey, New Mexico, Nevada, New York, Ohio, Oregon, Pennsylvania, Texas, Utah, Virginia, and Washington. If your state isn’t on that list, that’s your cue to use Find My HRT Path for a route that works where you live.
The catch worth knowing (and who it changes the answer for)
We promised a catch, so here it is, straight: Midi’s testosterone is compounded, and the international consensus prefers the off-label FDA-approved route over compounded. If having an FDA-approved product is your top priority, Midi’s compounded route won’t satisfy that — and a good in-person menopause or sexual-medicine clinician who’ll prescribe a low-dose approved product off-label is the better fit. If that’s you, don’t force it: use Find My HRT Path to find that route.
But for most women who want testosterone through telehealth, that tradeoff is acceptable when the care is done right — and Midi’s required lab work, two-visit start, and ongoing monitoring are exactly the guardrails the guidelines ask for. A women-specific formulation plus real oversight is hard to find in general online care.
If testosterone is the reason you searched and you’re in a Midi state, the next step is simple. Check whether Midi prescribes testosterone in your state and whether it’s right for you → It’s a medical intake, not a checkout — your clinician decides if it fits.
Sources: Midi’s testosterone page and Midi’s help center. Verified July 2026.
Is testosterone for women safe and legal?
Testosterone is legal for a doctor to prescribe to women off-label, but it’s a Schedule III controlled substance, which limits how it’s prescribed and refilled.At the low, monitored doses used for women, side effects are uncommon but possible, and responsible providers require lab monitoring. It isn’t right for everyone — including some women with a history of hormone-sensitive cancers, who should start with an in-person clinician.
Let’s unpack the three things women ask most.
“Is it a controlled substance?” Yes. Schedule IIIis a legal category (set by the DEA) for drugs with real medical uses but some potential for misuse. In practice, that limits how testosterone is prescribed and refilled — you can’t renew it endlessly on autopilot, and you’ll have repeat visits to keep a prescription going. Separately — and this is a clinical safety practice, not a rule that comes from the drug’s legal status — good providers require lab monitoring. Any page or provider that makes testosterone sound casual or instant is skipping both realities.
“Is it safe?”At the low doses meant for women — aimed at restoring a normal female range, not a male one — side effects are uncommon. When they happen, they can include mild acne or oily skin, extra hair growth at the application site, mood changes, or (rarely) voice deepening, which is why dose and monitoring matter. Here’s the honest limit the guidelines themselves draw: in the studies behind them, low, physiologic-dose testosterone wasn’t linked to serious harm in postmenopausal women — but long-term safety data past about two years don’t exist yet, and those studies didn’t include higher-risk women. So it’s reasonable for most, not proven for everyone, and not a decision to make casually.
A quick gut-check on providers.Be cautious of any clinic or ad that promises instant testosterone with no evaluation, skips lab work entirely, pushes pellets as the first option, sells testosterone as a weight-loss or anti-aging fix, or blurs “compounded” and “FDA-approved.” Those are signs of marketing running ahead of medicine.
A note on pellets:you’ll see clinics promoting testosterone “pellets” implanted under the skin. Many menopause specialists — Midi’s clinicians included — don’t recommend them, largely because the evidence on their safety and dosing is thin, and once a pellet is in, you can’t easily lower the dose or take it out. If a pellet dose runs too high, you may wait months for it to wear off. We flag this so you can ask about safer, adjustable options.
“Who should not start online?” If you have a history of breast or uterine cancer, unexplained vaginal bleeding, a clotting history, or other complex risks, your first stop should be an in-person clinician who can evaluate you fully — not any telehealth intake. There’s no shame in it, and it’s the safer order of operations. Find My HRT Path will flag this for you.
This is a sensitive area, and hormones are personal. If you’re weighing testosterone because of how you’ve been feeling — not just curiosity — a short conversation with a clinician who does this every day is worth more than any article. That’s exactly what the matcher above sets up.
Sources: Global Consensus Position Statement, 2019; U.S. DEA.
Winona vs Midi: which one is actually right for you?
If you specifically want testosterone, choose Midi (in a covered state) — Winona doesn’t offer it. If you want FDA-approved estrogen and progesterone with no labs and simple flat pricing, Winona is the stronger, simpler choice.The honest truth is that many women who search this don’t actually need testosterone — they need estrogen and progesterone, and testosterone was a guess.
Find yourself in this table:
| If this sounds like you | Your best path |
|---|---|
| “I thought I needed testosterone, but mostly I want relief from hot flashes, sleep, or mood.” | Winona may be a great, simple fit. |
| “I want DHEA and online HRT without labs or video visits.” | Winona fits. |
| “I specifically want testosterone, and I'm in a Midi state.” | Midi. |
| “I want testosterone, but I want an FDA-approved product, not compounded.” | An in-person clinician — Find My HRT Path can point you to one. |
| “I want my visits billed to insurance.” | Midi (PPO) or an in-person clinician. |
| “I have breast cancer history, unexplained bleeding, or a clotting history.” | Start with an in-person clinician first. |
Notice we just told some of you not to use either provider. That’s on purpose. We’d rather send you to the right place than keep you in a funnel — and the readers who trust us most are the ones we’re willing to lose. See our full Midi vs Winona comparison for more detail beyond testosterone.
Not sure which row is yours? That’s the whole reason we built the tool. Get your personalized action plan with Find My HRT Path → It takes about 90 seconds and points you to the provider model that fits your symptoms, state, and situation.
How much does Winona cost if you go the DHEA or HRT route?
Winona lists oral DHEA from about $27 for a three-month supply, and its menopause HRT from $39 to $149 a month depending on the product. There’s no membership fee, shipping is free, and unlimited doctor messaging is included — but Winona doesn’t bill insurance, so you pay out of pocket (HSA/FSA accepted). None of this makes it a testosterone program; if you choose Winona, weigh the full plan, not just the DHEA price. For a broader look across providers, see our online HRT cost breakdown.
Winona’s current published pricing (subject to change — confirm at checkout):
| Winona product | Published price | FDA status |
|---|---|---|
| Oral DHEA | ~$27 / 3-month supply | Supplement — not FDA-approved |
| Progesterone capsules | From $39 / month | FDA-approved |
| Estrogen tablets | From $54 / month | FDA-approved |
| Estrogen body cream | From $89 / month | Compounded — not FDA-approved |
| Estrogen + progesterone body cream | From $89 / month | Compounded — not FDA-approved |
| Vaginal estrogen cream | From $89 / month | Compounded — not FDA-approved |
| Estradiol patch | From $149 / month | FDA-approved |
A few practical notes: Winona has no membership or consultation fee (you pay for medication only), shipping is free, and doctor messaging is unlimited and included. It doesn’t bill insurance directly, though you can pay with an HSA/FSA card or file your receipts for possible reimbursement. You can pause or cancel your subscription anytime, and there’s a 24-hour window to cancel an individual order for a full refund — but once the pharmacy prepares your medication, it can’t be returned or refunded.
One thing not to do: don’t compare Winona’s ~$27 DHEA against a testosterone program as if they’re the same service. They aren’t. DHEA is a low-cost supplement route; testosterone is a monitored, lab-based, controlled-substance prescription. Different products, different prices, different jobs.
If DHEA plus FDA-approved menopause HRT is the route you want, see Winona’s current pricing and check your state → Don’t use this path if a testosterone prescription is the goal.
Does Winona require labs, video visits, or insurance?
Winona does not require blood or saliva hormone testing for HRT, communicates through secure messaging rather than phone or video visits, and does not bill insurance directly (though HSA/FSA is accepted). This makes it fast and low-friction for menopause symptom care — and a poor match if you specifically want lab-monitored testosterone with a live consult.
Here’s Winona’s care model in plain terms:
- Labs: none required for HRT. Winona prescribes based on your symptoms rather than routine hormone testing. Great if you want to skip bloodwork; not what you want if you’re seeking testosterone, which should be lab-monitored.
- Visits: there’s no live appointment. You complete an online intake, a board-certified physician who specializes in menopause reviews it (usually within a day), and you message through a secure portal with 24/7 access — doctor replies typically land within 24–48 hours.
- Insurance: Winona doesn’t bill insurance. You pay out of pocket, with HSA/FSA accepted and receipts available for possible reimbursement.
- Speed: after a 24-hour review window, the pharmacy typically prepares and ships your order within a couple of business days, and most patients receive it within about a week.
That async, no-labs, cash-pay model is a feature for the right woman and a mismatch for another. It’s exactly why testosterone — which needs labs, monitoring, and repeat visits — sits outside what Winona does.
The honest downsides of using Winona for this search
The biggest downside is the one you came for: Winona does not prescribe testosterone. Beyond that, the tradeoffs are its cash-pay model, no routine hormone testing, messaging-based care instead of live visits, and the fact that some of its products (the body creams and oral DHEA) are compounded or supplement-grade, not FDA-approved.
Laid out plainly, so you can decide with eyes open:
- No testosterone — full stop.
- No insurance billing — you pay out of pocket (HSA/FSA helps).
- No routine lab testing for HRT — symptom-based prescribing only.
- No phone or video visits — secure messaging, with 24–48 hour replies.
- Some products are compounded (body creams) or supplement-grade (oral DHEA) — not FDA-approved. Winona’s estradiol patch, estrogen tablets, and progesterone capsules are FDA-approved.
- DHEA is not testosterone, and independent evidence for it in menopause is mixed and limited.
- It’s not available everywhere — Winona currently serves 37 states plus Puerto Rico (listed below), and not everyone qualifies.
None of these make Winona a bad provider. For a woman who wants simple, FDA-approved estrogen and progesterone without labs or insurance hassle, several of these “downsides” are the very reasons it’s fast and easy. The goal here isn’t to talk you out of Winona — it’s to make sure the right woman feels confident choosing it, and the wrong woman is glad we stopped her before she paid for the wrong intake.
Where Winona is available (verified July 2026): Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, South Carolina, Tennessee, Texas, Virginia, Washington, Wisconsin, and Wyoming. If your state isn’t on that list, Winona isn’t an option for you yet — Find My HRT Path can point you to one that is.
Patient experiences (and what they don’t prove)
These are individual experiences from provider-published and public review sources. They describe how people felt about the service — they are not proof that any treatment is safe, effective, or typical for you, and they shouldn’t be used to judge medical results.
- As of July 2026, By Winona holds a 4.6 out of 5 on Trustpilot across more than 6,200 reviews, with about 83% rating it five stars. Reviewers most often praise the convenience, the responsive doctors, and easy prescription delivery; the common complaints are platform navigation and treatments that didn’t work for everyone. That’s a signal about the service — not a measure of any medical outcome.
- Midi is NCQA-accredited and LegitScript-certified, and one patient on its site describes the care simply: “For the first time, someone actually listened to me during my visit.” We include that as a note on Midi’s care model — not as evidence about testosterone.
Take reviews for what they are: a sign of how a provider treats people. Whether a specific treatment helps you is a clinical question for your own consult.
Source: Trustpilot — By Winona. Verified July 2026.
What we actually verified
We built this page under The HRT Index Verification Standard: read every published price, separate FDA-approved from compounded, verify state availability and insurance, and re-check on a fixed schedule. For this question, the single most important verified fact is Winona’s no-testosterone policy. Here’s what we checked, against what, and when.
| What we checked | What we found | Source (checked July 2026) |
|---|---|---|
| Does Winona prescribe testosterone? | No — offers DHEA instead | Winona Help Center + hormone therapy page |
| Winona DHEA — FDA status | Oral DHEA is a supplement, not FDA-approved; only vaginal prasterone is | Winona DHEA product page |
| Winona pricing | DHEA ~$27/3 months; HRT $39–$149/month | Winona product pages |
| Winona states | 37 states + Puerto Rico | Winona “States We Serve” page |
| Winona care model | No labs, no video, 24–48h message replies, no insurance billing | Winona FAQ + specialists page |
| Does Midi prescribe women's testosterone? | Yes — compounded, in 25 states/locations, with labs | Midi testosterone + store pages |
| Midi testosterone cost | Cream from $100/90 days; visits $250 first / $150 follow-up; ~$50 avg per visit with insurance | Midi store + pricing pages |
| Testosterone — legal + medical status | Schedule III controlled substance; no FDA-approved female product; HSDD is the evidence-based use; consensus advises against compounded | DEA; Global Consensus Position Statement |
A few figures we flag for re-check before you act, because they move: Midi’s exact list of testosterone states (expanding), Winona’s state list and any current promotion, and both providers’ prices. Where a number has to be confirmed at intake or checkout, we’ve said so rather than guessing.
Frequently asked questions
Quick answers to the follow-up questions women ask most — DHEA, FDA status, cost, safety, and where to go if Winona isn’t the fit. Each answer matches the verified details above.
Does Winona prescribe testosterone?
No. Winona's Help Center and hormone therapy page both state it does not prescribe testosterone, in any state. It may prescribe DHEA instead, which is a supplement, not testosterone.
Why doesn't Winona prescribe testosterone?
Winona points women who ask about testosterone toward DHEA and doesn't offer testosterone therapy. Testosterone is also a Schedule III controlled substance, which limits how it's prescribed and refilled — a model that doesn't fit Winona's no-labs, messaging-only care.
Does Winona prescribe DHEA, and is it the same as testosterone?
Yes, Winona may prescribe oral DHEA after an online medical review. No, it isn't testosterone — Winona describes DHEA as a precursor your body can convert into small amounts of estrogen and testosterone. Independent evidence for DHEA in menopause is mixed and limited.
Is Winona's DHEA FDA-approved?
No. Only intravaginal DHEA (prasterone) is FDA-approved. Oral DHEA — the form Winona prescribes — is considered a supplement and is not FDA-approved.
Is there an FDA-approved testosterone for women?
No. There is no FDA-approved testosterone product for women in the U.S. Every prescription is off-label (an approved men's product used at female doses) or compounded.
Which online provider prescribes testosterone for women?
Midi prescribes compounded testosterone for women, currently in 25 states and locations, with required lab work and monitoring. Because it's compounded, it is not FDA-approved.
How much does testosterone cost through Midi?
Midi's compounded testosterone cream starts at $100 for a 90-day supply. Visits are $250 (first) and $150 (follow-up) if you pay cash, or about $50 out-of-pocket per visit on average with insurance; visit prices don't include labs or medication.
Is testosterone for women safe?
At the low, monitored doses used for women, side effects are uncommon, and international guidelines support it mainly for distressing low sexual desire (HSDD) in postmenopausal women. It requires clinical oversight and lab monitoring, long-term safety data past about two years are limited, and it isn't right for everyone.
Is testosterone a controlled substance?
Yes, it's a Schedule III controlled substance. That limits how it's prescribed and refilled — it's dispensed in limited amounts and needs repeat visits to renew, so it can't be refilled endlessly on autopilot.
Should I take testosterone for energy or weight loss?
No provider should be chosen on that promise. The evidence-based use of testosterone for women is low sexual desire — not weight loss, anti-aging, or general energy. Be cautious of any marketing that claims otherwise.
Can I use Winona for estrogen and a different provider for testosterone?
It's possible in principle, but each provider runs its own medical review, and combining hormones should be coordinated with your clinicians. This is general information, not medical advice — talk it through at your consult.
Does Winona require labs or video visits?
No. Winona does not require blood or saliva hormone testing for HRT and communicates through secure messaging rather than phone or video visits. It also doesn't bill insurance directly, though HSA/FSA cards are accepted.
What states does Winona serve?
As of July 2026, Winona serves 37 states plus Puerto Rico. If your state isn't covered, or you need testosterone, Find My HRT Path can point you to a provider that fits.
Your situation changes the answer
Find My HRT Path
The right online HRT provider isn't the same for every woman. It depends on your symptoms, your age and whether you have a uterus, your medication route preference (patch, pill, gel, or vaginal estrogen), your risk history, your insurance or cash-pay situation, and your state — and some situations belong with an in-person clinician first. Because a general answer can't resolve those for you, use The HRT Index's Find My HRT Path tool to match your situation to the right provider, and to flag when online care isn't the right starting point, before your first consult.
Find My HRT Path →The bottom line
No — Winona does not prescribe testosterone, and it never has. It may prescribe oral DHEA, a supplement precursor, alongside its FDA-approved estradiol patch, estrogen tablets, and progesterone capsules. If testosterone is what you actually need, Midi prescribes compounded testosterone for women in about 25 states, with required labs and monitoring. If what you really want is simple, no-labs, FDA-approved menopause relief, Winona is a strong, straightforward choice.
If you’re a fit for Winona, start where the real details live:
Still not sure which HRT program is right for you? Take our free 90-second matching quiz. Start Find My HRT Path →
The HRT Index is the independent decision resource for online menopause and HRT care. This page is educational and is not medical advice; it was not medically reviewed by a clinician. FDA-approved and compounded medications are different, and compounded testosterone is never implied to be equivalent to, safer than, or more natural than an FDA-approved medication. Always confirm current details with the provider, and talk with a licensed clinician about your individual situation.
Sources (verified July 2026)
- Winona — Help Center, “Why doesn’t Winona prescribe testosterone?”: help.bywinona.com
- Winona — hormone therapy page, DHEA product page, product/pricing pages, “States We Serve” page, FAQ: bywinona.com
- Midi — Testosterone page and Testosterone Cream store page (price, states, monitoring, pellets): joinmidi.com/store/testosterone
- Midi — Pricing & Insurance page: joinmidi.com/pricing-insurance
- Midi — help center article on testosterone prescribing requirements: joinmidi.zendesk.com
- U.S. Food & Drug Administration — human drug compounding: fda.gov
- U.S. Food & Drug Administration — prasterone (Intrarosa) approval: fda.gov
- U.S. Drug Enforcement Administration — controlled substance scheduling: dea.gov
- Global Consensus Position Statement on the Use of Testosterone Therapy for Women — endorsed by The Menopause Society, The Endocrine Society, and others: academic.oup.com/jcem
- Mayo Clinic — DHEA supplement overview (mixed evidence, cautions): mayoclinic.org
- Trustpilot — By Winona rating and review count (as of July 2026): trustpilot.com
