He and She MD HRT Reviews: $375 Plan, Terms & Caveats

He and She MD HRT reviews were not found in the sources we checked on October 15, 2026; its hormone-page stories describe weight loss. The published plan is estradiol for $375 every three months, progesterone included if prescribed. It can suit cash payers who confirm the exact medicine, state access and HRT refund terms first.

He & She MD may fit if you:

• Pay cash, or with an HSA or FSA card
• Want estradiol as a patch, gel or pill, with progesterone in the same price if you need it
• Are fine paying for three months at a time
• Are comfortable with online care that runs mostly on written messages

Start somewhere else if you:

• Want a lower advertised cash-pay price (Gala advertises $69 a month; confirm the complete quote and billing interval)
• Mainly need help with vaginal dryness or painful sex, or can't take hormones (He & She MD doesn't list vaginal estrogen or non-hormonal options)
• Want insurance to pay (Midi Health takes many PPO plans)
• Need a named, FDA-approved product confirmed before you pay
• Have unexplained vaginal bleeding, a past blood clot, stroke or heart attack, or a history of breast or uterine cancer. Start with a clinician who can assess that history and arrange an in-person exam when needed, not a new-plan purchase.

The one thing to know up front. The biggest catch isn't the price. It's the timing. He & She MD advertises $375 for three months at once, but we couldn't establish the refund rule for that HRT purchase. The non-refundable membership clause in its terms sits inside a separate Testosterone Health Program section. It isn't proof that your menopause payment is non-refundable. Get the HRT rule in writing before you pay, or compare a plan with a confirmed smaller first payment.

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.

Our He & She MD links are direct, non-affiliate links. We may earn a commission if you start care with some alternatives we link, including Gala. That can affect which options we feature, not the facts we report. How we make money.

What we actually verified · Last verified October 2026 We checked, on October 14–15, 2026: He & She MD's homepage and FAQ; its hormone therapy page; its estradiol patch, gel and tablet pages; its progesterone page; its shipping policy and contact page; its website terms; its public HRT sign-up page; its Trustpilot profile; its Apple App Store listing; and a second brand site that uses the same setup. The earlier October 14 research also recorded a separate checkout copy; the website terms are the current source for the policy details below. We confirmed in public documents: He & She MD lists four menopause items (estradiol patch, gel, tablet, and progesterone with estradiol). It advertises $125 a month, charged as $375 every three months. It says progesterone is included at no extra cost when prescribed with its estradiol. It doesn't take insurance. It names its pharmacy and clinical partners. On October 15, its Trustpilot profile showed no reviews, and its app showed a 5.0 rating from 4 ratings. Provider statements are not an independent check of credentials, dispensing or care quality. We did not: sign up, pay, talk to a clinician or receive medication. This is a review of documents, not a patient test. We could not confirm: the exact estradiol and progesterone products or their FDA-approved/compounded status; which of two named medical groups treats HRT patients; the complete HRT checkout agreement and first-charge timing; whether any of a prepaid quarter is refundable; a consistent HRT state list; or an HRT-specific age limit.

Already leaning toward He & She MD? Look at its hormone options with the $375 quarterly payment and the questions further down this page in mind.

On this page: What customers say · Cost · Money at risk · Medicines · Is it legit? · Where its pages disagree · Cancel and refund · Insurance · Who it fits · Alternatives · Other starting points · Questions to ask · How we reviewed · Quick answers

He and She MD HRT reviews: what do customers actually say?

We found no customer accounts explicitly about He & She MD's menopause hormone therapy in the sources we checked. Its Trustpilot profile had no reviews on October 15, 2026, its app had four ratings, and its hormone-page testimonials describe weight loss. Those sources do not establish typical HRT care.

That's not a small gap. When you're about to hand a company your health history and $375, reviews are the first thing you want. Here is everything we could find, and what each number really counts.

He & She MD ratings and review sources we checked (October 15, 2026, with the earlier homepage record noted)

Evidence table: He and She MD HRT reviews: what do customers actually say?

Where you see it	The number	What it actually counts	Does it tell you about HRT?
Trustpilot	No reviews. Profile claimed by the company in August 2025, listed under "Weight Loss Service"	Nothing yet	No
Apple App Store	5.0 stars from 4 ratings. Seller listed as NextGen Telehealth Inc.	Four ratings of the app, for any service	No
He & She MD homepage	"Rated Excellent"; the October 14 research recorded 4.9 and 4.8 versions	No review source was identified. The current readable page did not reproduce both earlier numbers.	Not a verified HRT rating
He & She MD's estradiol and progesterone pages	Testimonials with before-and-after weights	Weight-loss patients	No
"As seen in" logos on its homepage	Forbes, Yahoo Health, WebMD, Stanford, NIH, Mayo Clinic, Harvard	Logos only. No linked articles on the page.	No
Other review websites	Reviews of its GLP-1 weight-loss and peptide programs (for example MyGLP1 Guides and PolicyLab, September 2026)	Its weight-loss and wellness services	No
Reddit	No He & She MD-specific thread retrieved in the supplied research	A search limit, not proof that no discussion exists	No HRT account available from that search

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

We don't give He & She MD a score of our own. A made-up number would just be one more thing for you to second-guess.

Which reviews count as menopause reviews?

A review counts only if it names the service and describes the experience. A review of weight-loss shots tells you about weight-loss shots. It can't tell you how a clinician handles hot flashes, a patch that won't stick or a refill.

He & She MD sells weight loss, longevity treatments, men's testosterone, hair growth and sexual health care, as well as menopause hormones. Its homepage is almost entirely about GLP-1 weight-loss medicine. So even when reviews appear, check what each person was actually treated for before you let it sway you.

Why "no reviews" isn't the same as "bad"

Not finding HRT reviews does not mean the care is poor. The Trustpilot profile was claimed in August 2025, but that does not tell us when the HRT service began. Hormone therapy looks like a small part of a website focused mostly on weight loss.

What it does mean is practical. You can't use the reviews we found to judge HRT follow-up or refills. That makes two things matter more than usual: the documents (which we read for you below) and how easy it is to leave if it doesn't work out (which the public HRT offer doesn't clearly settle).

Don't mix these brands up

Several companies have similar names. This review covers only the telehealth provider at heandshemd.com.

• He & She MD is not Hims & Hers (or its women's brand, Hers).
• It's not the SHE MD podcast, HerMD, HRT-MD or HormoneMD, all of which show up in searches for similar words.
• Mr & Mrs MD (mrandmrsmd.com) is a separately named site that uses the same page design, lists the same pharmacy and clinical partners, and sends visitors to He & She MD's sign-up system. One of its pages even carries the heading "How He & She MD Works." We're not suggesting anything improper. It simply means the two brands appear to share one setup.

How much does He & She MD HRT cost, and what's included?

He & She MD advertises estradiol at $125 a month, but it sells it as a three-month plan, so each charge is $375. Its progesterone page says progesterone is included at no extra cost when a clinician prescribes it with He & She MD's estradiol. The price is the same at every dose, according to its pages.

The three estradiol pages, for the patch, gel and tablet, say the same thing in the same words: "Estradiol is offered on a quarterly plan only," at "$125 per month," "Charged as $375 every 3 months."

What He & She MD says the plan covers (rechecked October 15, 2026)

Evidence table: How much does He & She MD HRT cost, and what's included?

Item	He & She MD's statement	Our status
Estradiol patch, gel or tablet	$125 a month, charged as $375 every 3 months. "Quarterly plan only."	Provider statement
Progesterone	"Included at no additional cost only when estradiol is purchased through He & She MD and a provider determines progesterone is appropriate." Not sold on its own.	Provider statement. Its hormone hub page separately labels progesterone "Price for purchase of 12 months supply," which doesn't match.
Price at different doses	"Same price at every dose"	Provider statement
Membership fee	"No membership fee" on the HRT pages	Its terms describe a membership fee for a separate Testosterone Health Program. That is not evidence of an added HRT fee.
Online intake and clinician review	Included	Provider statement
Ongoing care and secure messaging	Included	Provider statement
Shipping	"Every order ships free with expedited delivery"	Provider statement. Its shipping policy says delivery typically takes 3–5 business days.
Charged before a clinician approves?	"You are only charged if the medication is prescribed"	Provider statement (FAQ). Confirm authorization versus actual charge timing for this HRT purchase.
Lab tests	No HRT-specific requirement or price found	Unknown. At-home blood draws in the terms belong to the separate Testosterone Health Program, not a verified menopause requirement.
Insurance	Not accepted. No superbills.	Provider statement
HSA or FSA card	Accepted	Provider statement
First-order discount	The October 14 research recorded a "$25 off your first treatment" email pop-up	HRT applicability and current terms unconfirmed. No discount is deducted from these calculations.

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

$125 a month is really $375 at a time

The monthly number is a way of describing the cost. It isn't a one-month price you can try. The advertised purchase is three months at once.

Alloy also bills its estradiol patch every three months. But quarterly billing changes the decision in two ways. You need $375 available for the first He & She MD plan charge, not $125; the exact charge timing needs confirmation. And if you stop early, more money has already been paid, even though the refund question is separate.

The math for the first quarter and the first year

Here's the published plan, worked out in the open.

He & She MD, at the published price

Evidence table: The math for the first quarter and the first year

Period	Math	Total	What could add to it
Advertised first plan charge	One quarterly charge	$375	Confirm the full amount and actual charge date on the checkout screen
First three months	$125 × 3 = $375	$375	Lab tests, if required (cost unknown)
First year, if nothing changes	$375 × 4 = $1,500	$1,500	Same unknowns

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

These are the advertised plan charges, not a quote. An unknown cost is not zero. If lab tests or anything else turn out to be required, your total is incomplete. Four quarterly charges over a year is a projection, not a 12-month contract.

A worked example: estrogen plus progesterone

Say a clinician prescribes estradiol and progesterone together. You don't budget $125 for each. Under He & She MD's published offer, both come in the one $375 quarterly charge.

That's He & She MD's clearest real advantage. Most women who still have a uterus and use estrogen that works through the whole body also need a progestogen (progesterone or a similar hormone) to protect the uterine lining, according to The Menopause Society. Some providers price it separately. This is an example of how the bundle is priced, not advice about what you should take.

Not sure He & She MD, or online care at all, is the right fit? The right online menopause care isn't the same for every woman — it depends on your symptoms, what you've already tried, your age, your state and your health history. Some situations belong with an in-person clinician first. Use The HRT Index's Find My HRT Path tool to explore a featured care option for your situation — and to flag when online care isn't the right starting point — before your first consult.

It's free, takes about 60 seconds and doesn't ask for your email. Its public pages describe five questions, followed by a featured online option or guidance about a different starting point. It doesn't diagnose anything or decide whether you should take hormones. A clinician does that. We may earn a commission from the providers it features, and that affects which ones appear. See how it works.

How much money is at risk if HRT doesn't suit you?

He & She MD's advertised first plan charge is $375. What you would lose by stopping early is not established: that depends on the HRT refund rule, not just the charge size. A smaller confirmed charge can leave less money tied up, but a monthly price alone is not a complete cancellation policy.

Hormone treatment can involve follow-up and changes with your clinician. Before paying, it helps to know both the payment schedule and what happens financially if that plan changes. The table below separates the arithmetic from the terms we could not confirm.

Scheduled charges by each date, before refunds or additional cancellation charges (price inputs checked October 15, 2026)

For this worked example, day 1 is January 1, 2027, using the published prices unchanged. Each row is a separate scenario in which billing continues through that date. This is money paid under the modeled schedule—not money forfeited, a checkout quote or a promise that cancellation stops future charges. Actual start dates can change which payments fall inside a 90-day window.

Evidence table: How much money is at risk if HRT doesn't suit you?

Date reached in the example	He & She MD ($375 every 3 calendar months)	$69 every 28 days: illustrative cadence, not confirmed for Gala	Gala's $69 advertisement, modeled as calendar-month billing	Alloy patch + progesterone (from $369 every 3 months, plus $49 once)	Alloy patch only ($300 every 3 months, plus $49 once)
Day 1 — January 1	$375	$69	$69	From $418	$349
Week 6 — day 42, February 11	$375	$138	$138	From $418	$349
Day 90 — March 31	$375	$276 (charges on days 1, 29, 57, 85)	$207	From $418	$349
Day 365 — December 31	$1,500	$966 (14 charges)	$828 (12 charges)	From $1,525	$1,249

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

Alloy's estradiol patch page lists $100 a month, shipped and billed every three months, plus a one-time $49 consult. Its progesterone page starts at $23 a month and lists a three-month supply; its billing help page confirms three-month automatic refills. The example groups both medicines and the first consult at the beginning; an actual consult can be charged earlier. Gala's HRT offer advertises $69 a month, but its precise billing interval and your complete prescribed-regimen quote remain unconfirmed. The 28-day column demonstrates why cadence matters; it is not a verified Gala billing schedule. Lab tests and other unpriced required costs are not included, so these are known subtotals.

The 14th 28-day payment falls on day 365 and prepays care beyond the example's end. $966 is cash charged by that date, not the cost of exactly 365 days of treatment. Likewise, three calendar months and 90 days are not interchangeable.

What this table means

A confirmed smaller charge can cost less to try. At week six in this example, two $69 charges total $138, which is $237 less paid than $375. That comparison holds only if the $69 quote covers the prescribed regimen and the billing schedule actually produces those two charges. It does not establish a $237 difference in non-refundable loss.

He & She MD isn't the most expensive quarterly plan. At Alloy's lowest listed progesterone price, He & She MD's listed first-quarter subtotal is $43 lower ($375 vs. $418). Later subtotals are $375 and $369, just $6 apart. Its included progesterone is what keeps the published bundle competitive; extra costs and different medicines can change the comparison.

The first payment and the exit rule both matter. We could not establish whether He & She MD refunds unused HRT supply. Gala's linked refund policy requires cancellation at least 72 hours before billing and generally limits refunds to medical disqualification. It still uses weight-management language, so confirm how it applies to the HRT offer you select. Do not treat either offer as a risk-free trial.

How to lower your risk at He & She MD

You can still choose He & She MD and protect yourself:

1. Ask before you pay: "If my clinician changes my plan or I stop for side effects in the first month, is any of my $375 refunded?"
2. Get the answer in writing. Keep the reply together with the agreement that applies to your HRT purchase.
3. Screenshot your checkout screen. Price, what's included, charge date, renewal date and cancellation deadline.

If paying three months up front is the part that bothers you, Gala advertises menopause care at $69 a month with medication included, and it lists more options than He & She MD. Check that its quote covers your prescribed medicines and shows a first payment and billing schedule you're comfortable with.

Which HRT medicines does He & She MD offer, and are they FDA-approved?

He & She MD lists four menopause items: an estradiol patch, gel or tablet, and progesterone tablets that come only with its estradiol. Its HRT pages don't name the exact products or say whether they're FDA-approved products or compounded, so ask for the product names before you pay.

First, a few words in plain English, because they come up a lot. HRT means hormone replacement therapy.

• Estradiol is the main form of estrogen your ovaries made before menopause. It's the hormone most HRT replaces.
• Systemic treatment travels through your whole body. The estradiol pills, patches and gels listed here are systemic. They're used for hot flashes and night sweats.
• Local treatment stays mostly where you put it, like a low-dose vaginal estrogen for dryness. It won't fix hot flashes.
• Progesterone (or another progestogen) protects the lining of the uterus when you take systemic estrogen and still have a uterus.
• FDA-approved means the finished medicine, the actual patch or pill in the box, was reviewed by the U.S. Food and Drug Administration for safety, effectiveness and quality.
• Compounded means a medicine is made by combining, mixing or changing ingredients to meet a medical need. The FDA states that compounded drugs are not FDA-approved, and it doesn't check their safety, effectiveness or quality before they're sold.
• Bioidentical describes the shape of the hormone molecule, matching the one your body makes. It says nothing about approval. Many FDA-approved products are bioidentical, and so are many compounded ones.

He & She MD's menopause menu, and what's missing (rechecked October 15, 2026)

Evidence table: Which HRT medicines does He & She MD offer, and are they FDA-approved?

Option	Listed?	Exact product named?	FDA-approved or compounded stated?	What to ask
Estradiol patch (systemic, through the skin)	Yes	No	No	"Which patch, which maker, which strength, and how often do I change it?"
Estradiol gel (systemic, through the skin)	Yes	No	No	"Is this an FDA-approved gel product or a compounded gel?"
Estradiol tablet (systemic, by mouth)	Yes	No	No	"Which tablet, from which pharmacy?"
Progesterone, called a tablet on the site	Yes, only with its estradiol	No	No	"What is the exact product and form—tablet or capsule—is it FDA-approved or compounded, and how will my uterus be protected?"
Vaginal estradiol (local)	Not listed	—	—	Look elsewhere. Gala lists it.
Non-hormonal hot-flash medicine	Not listed	—	—	Look elsewhere. Gala lists non-hormonal options.
Testosterone for women	Not listed (testosterone appears only in its men's "Performance" section)	—	—	Ask a qualified clinician

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

Sources: He & She MD's hormone therapy page, estradiol patch, gel, tablet and progesterone pages.

Why the product name matters

The Menopause Society says custom-compounded hormones are not safer or more effective than approved bioidentical hormones (The Menopause Society, Hormone Therapy). The exact product and manufacturer let you check the FDA record rather than guess from the hormone name.

Here's why we can't answer this for He & She MD. Its HRT pages don't say. Elsewhere, the company's own description on Trustpilot says its medications are "compounded or dispensed" by U.S. pharmacies, and its weight-loss pages say the medicines in that program are not reviewed by the FDA. Neither statement tells you what its HRT is. It's just why you should ask.

Two more things that don't settle it:

• "FDA-registered pharmacy." He & She MD says its pharmacies are FDA-registered. A pharmacy being registered doesn't mean every product it dispenses is FDA-approved.
• A product code on a box. A National Drug Code (NDC) helps identify a product, but the FDA says an NDC listing doesn't by itself mean a drug is approved (FDA, National Drug Code Directory). Ask for the product name and maker, then check it.

Many FDA-approved estradiol patches, gels and tablets exist, including generics. See our FDA-approved HRT medication list and compounded vs FDA-approved HRT for the fuller picture.

Patch, gel or pill: what's different

All three deliver estradiol through the whole body. The difference is the route. A pill goes through your stomach and liver first. A patch or gel goes through your skin.

He & She MD's patch and gel pages describe skin delivery as a "cardiovascular-conscious option" because it "bypasses first-pass liver metabolism." The Menopause Society is more careful: blood-clot risk "may be lower" with estrogen through the skin. "May be" is the honest wording. No route is best for every woman. Your history decides, and that's a conversation with the clinician.

One small but telling detail: He & She MD's tablet page carries the same "transdermal estrogen bypasses first-pass liver metabolism" line as the patch page. A tablet isn't transdermal. It looks like copied text, not a medical claim about pills. But it's a reason to read your actual prescription instructions, not the product page.

If you still have a uterus

If you have a uterus and use systemic estradiol, you generally need an appropriate progestogen too, to protect the uterine lining. Unopposed systemic estrogen raises the risk of endometrial cancer, which starts in that lining. Your clinician chooses the protection for your plan. (The Menopause Society)

He & She MD's rule fits that pattern: progesterone comes only with its estradiol, and a clinician decides whether you need it. If you've had a hysterectomy, you may not need it. If you have a hormonal IUD, tell the clinician what kind and how long you've had it. Whether it protects you is a clinical call for your case.

What doesn't fit He & She MD: someone who wants progesterone on its own. Its progesterone page says plainly it's "not offered as a standalone therapy."

What He & She MD doesn't list, and why that matters

Vaginal estrogen. If your main problems are dryness, burning or pain with sex, low-dose vaginal estrogen is one treatment to discuss, along with moisturizers and lubricants. It's a different conversation from hot-flash treatment. He & She MD doesn't list it. Gala does. Our vaginal estrogen guide explains the options. (The Menopause Society)

Non-hormonal options. If you've had breast cancer, a blood clot, or simply don't want hormones, there are prescription non-hormonal options for hot flashes. He & She MD doesn't list any. Gala does. See non-hormonal options.

Testosterone for women. In the U.S., testosterone is a Schedule III controlled substance that needs a prescription (DEA, Controlled Substance Schedules). Its use for menopause-related low sexual desire is off-label, not an FDA-approved menopause treatment; the FDA's September 2026 meeting addressed that off-label use and remaining evidence gaps. An approved product used off-label is different from a compounded product that is not FDA-approved. He & She MD's testosterone products sit in its men's "Performance" section. Don't assume its women's plan includes it. For more, see our libido guide.

Is He & She MD legit, and who actually handles your care?

He & She MD has public HRT pages and an online sign-up route, and names its pharmacies and a clinical partner, which gives you something specific to check. But its documents name two different medical groups, and its terms still contain an unfilled template phone number in the separate testosterone-program section. Those are paperwork questions, not proof of fraud, and they're reasons to ask before you pay.

Here's who's who, according to the documents.

Who's behind He & She MD (documents read October 14–15, 2026)

Evidence table: Is He & She MD legit, and who actually handles your care?

Role	What the documents say	Where we read it
The brand	He & She MD. Its terms separate the platform from clinical care.	Website terms of service; checkout copy also recorded in the October 14 research
Medical group (first version)	"Wasef Health, PC c/o Michael Wasef MD," Pinellas Park, Florida	Homepage FAQ
Medical group (second version)	Beluga Health, P.A.	Website terms, also named in the earlier checkout record (revision date shown: January 11, 2022)
Chief Medical Officer shown	"Dr. Ozita Cooper, MD, Dual Board-Certified in Obesity & Emergency Medicine"	Homepage
Who reviews your answers	"A licensed, board-certified U.S. physician or DO"	Homepage FAQ
Sign-up and checkout system	Bask Health, a telehealth software platform	join.heandshemd.com
App publisher	NextGen Telehealth Inc.	Apple App Store
Pharmacies	F&F Pharmacies Inc. (doing business as Jungle Jim's Pharmacy) in Fairfield, Ohio, and Specialty Medical Drugstore LLC (doing business as GoGoMeds)	Homepage FAQ
Contact address	1000 San Joaquin Plaza, Newport Beach, California	Trustpilot company profile
Seal	A LegitScript badge that links to LegitScript's lookup tool	Homepage. We could not complete the lookup, so we haven't confirmed the certification.

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

A chief medical officer being named doesn't mean that doctor reviews your case, or that she has menopause training. And a named medical group isn't the same as knowing who your clinician will be.

How He & She MD measures up on a basic checklist

These are the signs we look for in any online HRT provider.

Evidence table: How He & She MD measures up on a basic checklist

A legitimate online HRT provider should…	He & She MD
Require a medical intake and a prescription	Yes, by its description
Use clinicians licensed in your state	Stated. Confirm the assigned clinician and active state license.
Screen for reasons not to prescribe	Stated generally ("if clinically appropriate")
Say clearly whether medicine is FDA-approved or compounded	No, not for HRT
Give you a way to reach your clinician	Yes, messaging in its app
Tell you who your medical provider is	Unclear. Two different groups are named.

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

Those are useful published signals, not a completed credential check. An email can clarify the product and assigned medical group; the clinician's license and product record still need to match what you're told.

What "asynchronous" care means for you

He & She MD's terms describe asynchronous telemedicine. That means a clinician can review the answers you type without a live conversation at that moment. It does not establish that every HRT patient can skip a video visit; ask what your state and clinician require. If you want a scheduled real-time conversation, a provider built around video visits, like Midi Health, fits better.

The terms also say the service is "NOT emergency services" and that "no results can be guaranteed." Its telemedicine consent says the medical provider does not supply 24/7 monitoring. Messaging is not emergency care.

One more support detail. He & She MD's product pages advertise "24/7 support," while its contact page says its support team is available "Monday to Friday from 9:00am to 6:00pm EST." These may describe different things, like app messaging versus customer service. Ask who answers a medical question at 9 p.m. on a Saturday, and how fast.

How to check your clinician and pharmacy yourself

You don't have to take anyone's word for it, including ours.

1. Ask for your clinician's full name and state license number once you're assigned.
2. Look the license up on the appropriate state licensing board's website, such as the medical board for a physician. Check the name, active status and any restrictions.
3. Ask which pharmacy will fill your prescription, then look it up with your state's board of pharmacy.

He & She MD says Jungle Jim's Pharmacy is not licensed in California, Nevada, New Jersey, North Carolina, Texas, Massachusetts, Mississippi, New Hampshire, West Virginia or Delaware. If you live in one of those states, ask which pharmacy would serve you.

Where do He & She MD's own pages disagree?

He & She MD's pages give different medical-group and access information, while some billing and refund clauses belong to a separate testosterone program. That leaves the menopause purchase agreement unclear—not proof of a hidden monthly HRT fee. Settle the HRT billing, refund and state questions in writing before your card is charged.

Its website terms explicitly include a Testosterone Health Program for biological males with secondary hypogonadism, a medical cause of low testosterone. The blood draws, monthly membership fee and non-refundable membership language appear in that section. The page shows a revision date of January 11, 2022. That doesn't make the HRT offer a trick, and those clauses should not be assigned to menopause care without confirmation. Ask for the agreement that actually governs your plan.

What He & She MD says, where, and what to ask (current website text checked October 15, 2026; earlier records identified)

Evidence table: Where do He & She MD's own pages disagree?

Topic	One He & She MD page says	Another says	What to ask before you pay
How often you're billed	Estradiol pages: "quarterly plan only," $375 every 3 months	The terms describe monthly membership billing in the separate Testosterone Health Program section—not a verified menopause rule	"Does my HRT agreement confirm $375 every three calendar months, with no separate recurring fee?"
Membership fee	Estradiol pages: "No membership fee"	The separate testosterone-program section describes a membership fee	"Which agreement governs my HRT purchase, and does that membership section apply at all?"
Refunds	No clear HRT-specific unused-supply refund rule found	Non-refundable membership language belongs to the separate testosterone-program section	"If I stop or am switched in month one, is any of my $375 refunded?"
When you're charged	FAQ: "You are only charged if the medication is prescribed"	Initial membership-payment wording appears in the separate testosterone-program section	"For HRT, when is my card authorized, when is money actually collected, and what happens if nothing is prescribed?"
Who treats you	FAQ: Wasef Health, PC	Website terms and earlier checkout record: Beluga Health, P.A.	"Which medical group and which clinician will treat me?"
Phone number to cancel	Contact page supplies a support email	The testosterone-program cancellation clause still contains [INSERT CUSTOMER SERVICE PHONE]	"What cancellation route and deadline apply to my HRT purchase?"
Which states	FAQ: HRT ships "nationwide"	Shipping policy: available "within 47 continental US states (excluding Hawaii and Guam) and not available in New Jersey, Mississippi or Alaska." FAQ: one partner pharmacy isn't licensed in 10 states.	"Can your clinician and pharmacy serve my state, with this exact product, right now?"
Progesterone price	Progesterone page: included at no extra cost with estradiol	Hormone therapy page: progesterone card says "Price for purchase of 12 months supply"	"Is progesterone included in my $375, with nothing else to pay?"
Support hours	Product pages: "24/7 support"	Contact page: Monday–Friday, 9 a.m.–6 p.m. EST	"Who answers medical questions after hours, and how fast?"
Tablet route	Tablet page: "Transdermal estrogen bypasses first-pass liver metabolism"	A tablet isn't transdermal	"Please confirm the route and instructions for my prescription."
Ratings	Homepage has an excellence badge; October 14 research recorded 4.9 and 4.8 versions	No linked source identified; Trustpilot had no reviews on October 15	"Which review platform and service do those ratings refer to?"

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

Two questions matter especially: which exact medicine, and what happens to your $375 if you stop. State access and the clinician responsible for your care also need clear answers; a good price cannot make up for a provider that cannot serve you.

Can you cancel He & She MD HRT and get a refund?

We could not establish an HRT-specific cancellation deadline or refund rule for He & She MD's $375 quarterly purchase. The cancel-anytime and non-refundable membership clauses in its terms sit in the separate Testosterone Health Program section. Ask which cancellation route, deadline and unused-supply rule apply to menopause care.

Cancelling isn't the same as getting money back

These are two separate questions.

• Stopping the next charge. Ask support@heandshemd.com for the HRT cancellation process and deadline, and keep the confirmation. The separate testosterone-program clause mentions email, account and phone cancellation, but its phone field is still a placeholder. Do not assume that clause supplies the complete HRT process.
• Getting back money you've paid. The testosterone-program terms make those membership fees non-refundable; that does not establish the menopause-plan rule. We couldn't find a clear HRT-specific refund policy. Do not count on a partial refund—or assume no refund is possible—without the rule for your purchase in writing.

The HRT product-page FAQ says "If you are not a candidate, you pay nothing." Screenshot that line before you start and confirm how it appears in your checkout agreement.

An example, with dates

Say your first charge is November 1, 2026, covering November through January. For this example only, suppose your written HRT agreement says that charge is non-refundable and your cancellation meets its deadline.

• You decide on December 5 that it's not for you, and you email to cancel.
• Under that hypothetical written HRT rule, the November 1 charge isn't refunded.
• If the cancellation goes through, there's no charge on February 1.
• Ask for a reply confirming the cancellation and the date your plan ends.

This is an example of how a non-refundable quarterly agreement would work, not a verified He & She MD HRT refund policy. Use the actual agreement and written confirmation for your purchase.

How to avoid a refill gap

Ending a subscription doesn't automatically mean another clinician takes over the next day. If you plan to switch providers, line things up first.

1. Ask your current clinician for your records and your current prescription details.
2. Ask whether the prescription can be transferred to another pharmacy, or whether a new clinician needs to see you first.
3. Book the new provider before your last supply runs out, not after.
4. Ask what happens if a product is out of stock. Availability can change. The FDA's September 3, 2026 update says estradiol patches remain available, but some brands or pharmacies have had supply problems. See our guide to what to do if progesterone is out of stock.

This is about planning, not about stopping or changing medicine on your own. Talk to a clinician before you stop or switch any hormone.

The separate Testosterone Health Program section promises 30 days' notice if that program ends. We could not confirm the same promise for menopause care. Ask what notice and records support you would receive if your HRT service or assigned clinician becomes unavailable.

Disputes

The terms require binding individual arbitration in New York, New York, under the American Arbitration Association's rules, for most disputes. In plain words, you'd generally resolve a disagreement through an arbitrator rather than in court. If that matters to you, read the terms in full or ask a lawyer. We aren't lawyers, and this isn't legal advice.

Keep a record (copy this and keep it private):

HE & SHE MD HRT — MY RECORD

Date I signed up: __________
Amount charged today: $______   Charge date: __________
Billing interval: every 3 months / every 28–30 days / other: ______
Next charge date: __________
Products prescribed (name + maker): ______________________________
FDA-approved or compounded: ______________________________
Clinician name + license state: ______________________________
Pharmacy filling my order: ______________________________
Refund rule they gave me in writing: ______________________________
How I cancel: email / app / phone: __________
Date I cancelled: __________   Confirmation received: yes / no

Does He & She MD take insurance, HSA or FSA?

Insurance: no. HSA or FSA cards: the provider says yes. He & She MD doesn't bill insurance or provide superbills, the itemized forms some insurers need for out-of-network reimbursement. It says you can send your own receipts to your insurer, but repayment isn't guaranteed.

HSA and FSA funds can pay eligible medical expenses with tax advantages. That's helpful, but it isn't the same as your health plan covering the cost, and card acceptance does not prove every charge qualifies. Keep receipts and check your account's rules. (IRS, Publication 969)

Which camp are you in?

• You have a PPO plan with low copays. Insurance may cost less overall. A covered visit plus a covered generic at your pharmacy can beat cash plans. Check an in-network option first.
• You have a PPO but a high deductible you haven't met. Compare. Generic estradiol is often low-cost at a pharmacy, but a specialist visit before your deductible may not be.
• You have Medicare or Medicaid. He & She MD won't bill either. Start with your own covered clinician or clinic.
• You have no insurance or a very high deductible. A cash plan like He & She MD's or Gala's is built for you. Compare the price and billing schedule.

If using insurance comes first for you, Midi Health says it's in-network with most PPO plans and lets you check your plan by state. Its self-pay prices are listed too.

Who is He & She MD HRT best for, and who should skip it?

He & She MD can fit a woman paying cash who wants its listed estradiol routes, with prescribed progesterone in the same price, and is comfortable paying three months at a time—once the product, state access and HRT terms are confirmed. It's a weaker fit if you want monthly billing, insurance, or options missing from its public menu.

Find yourself in this table.

Evidence table: Who is He & She MD HRT best for, and who should skip it?

Your situation	Does He & She MD fit?	Why	Best first step
Paying cash, mainly hot flashes or night sweats, fine prepaying 3 months	Potentially	One published price with prescribed progesterone included; a clinician must decide treatment	He & She MD, after the questions below
Want an estradiol gel specifically	Possibly	It lists a gel. Gala's hub lists pill or patch.	He & She MD, after confirming the product
Already a He & She MD weight-loss patient and want one app	Possibly	Its app covers multiple services; combined HRT account handling was not tested	Ask whether HRT can share your account and how the two plans are billed. Read our weight care guide.
Want a smaller first payment or lower cash-pay quote	Compare first	$375 per quarter vs. $69 a month advertised at Gala; exact Gala quote and cadence matter	Compare Gala's current HRT offer
Mainly vaginal dryness or painful sex	Not on the published menu	Vaginal estrogen isn't listed	Gala, your clinician, or our vaginal estrogen guide
Can't or don't want to take hormones	Not on the published menu	No non-hormonal options listed	Discuss options with your clinician; Gala lists non-hormonal care. See non-hormonal options.
Have a PPO plan and want to use it	Compare covered care first	No insurance billing, no superbills; deductible and copays still matter	Check Midi or your own clinician against your exact plan
Will only take a named FDA-approved product	Not until it's named	HRT products aren't identified	Ask He & She MD, or start with Alloy, which labels its patch and pills FDA-approved
Want a scheduled live video visit	Not the obvious fit	Its terms describe asynchronous care; ask what visits HRT requires	Midi
Live in Alaska, Hawaii, Mississippi or New Jersey	Unclear	Its shipping policy excludes these	Ask before signing up
Unexplained bleeding, past blood clot, stroke or heart attack, breast or uterine cancer, liver disease	Clinical assessment first	These can change whether systemic HRT is appropriate; an exam may be needed	A clinician who knows that history, with in-person evaluation when indicated

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

A 20-second self-check

Answer honestly. Nobody sees this but you.

1. Am I okay paying $375 at once, once I have the HRT refund rule in writing?
2. Is my main problem hot flashes or night sweats, rather than vaginal symptoms or needing a non-hormonal option?
3. Have I raised any medical concerns in the last row with a clinician, rather than using this checklist to clear myself?

Three yeses? He & She MD's offer is worth a closer look once you have written answers to the questions further down. This self-check is about the purchase, not medical suitability; a clinician still decides whether to prescribe.

A "no" on question 1 or 2, with medical concerns already addressed? Compare Gala. It advertises $69 a month and lists vaginal estrogen and non-hormonal options. Confirm the exact quote and care requirements before deciding it is the better fit.

A "no" on question 3? Start with a clinician who can assess that concern and arrange an in-person exam when needed. Don't use any online quiz to clear a medical red flag. The Menopause Society keeps a practitioner directory, which identifies clinicians who hold its MSCP certification.

Not sure about any of it? That's normal. Our free quiz asks about your symptoms, what you've tried, your age, your state and your health history, then shows a featured option or tells you when online care isn't the right place to start.

How does He & She MD compare with Gala, Alloy and Midi?

Gala advertises a lower HRT starting rate than He & She MD and lists more menopause options. Alloy labels its listed patch, pill and progesterone FDA-approved, while Midi offers insurance-based care and scheduled visits. Compare the same prescribed medicines over the same period, not just the lowest monthly number; exact products, extras and billing terms can change the answer.

He & She MD and three alternatives, side by side

Evidence table: How does He & She MD compare with Gala, Alloy and Midi?

	He & She MD	Gala HRT	Alloy	Midi Health
Best for	Cash payers considering estradiol with prescribed progesterone in one quarterly price	Comparing a lower advertised HRT rate with a broader menopause menu	Clearer published approval claims and separate medication prices	Using insurance and having scheduled visits
Advertised price	$125 a month, charged $375 every 3 months	$69 a month	$49 one-time consult. Patch $100 a month, billed every 3 months. Pill from $39.99 a month. Progesterone from $23 a month.	$250 first visit, $150 follow-up (self-pay), or your plan's cost-sharing
Progesterone in the price?	Yes, if prescribed with its estradiol	Gala says the plan is "all included." Confirm both medicines are covered.	No, priced separately	No. Filled at your pharmacy.
Systemic estradiol	Patch, gel, tablet	Pill or patch	Patch, pill and more	Prescribes
Vaginal estrogen	Not listed	Listed	See its menu	Prescribes
Non-hormonal options	Not listed	Listed	See its menu	Prescribes
FDA-approved or compounded	Exact products and status not stated for HRT	Main page says "FDA-approved bioidentical forms." A second HRT landing page carries a compounded-drug disclaimer. Neither names your actual product.	Patch, pill and progesterone pages say "FDA-Approved"; confirm the exact dispensed product	Confirm the prescribed product and approval record with your clinician/pharmacy
Insurance	No. No superbills.	No	No	Most PPO plans. Not Medicaid.
Billing	Advertised every 3 months; first-charge timing unconfirmed	$69/month advertised; exact interval and initial charge require your quote	Automatic product refills every 3 months; $49 one-time consult	Per visit
Cancel and refund	HRT-specific rule unconfirmed; do not import the testosterone-program no-refund clause	Linked policy: 72-hour notice before billing; generally medical-disqualification refunds only; confirm HRT applicability	Limited first-product-shipment refund requests within 30 days; service fees excluded; advance cancellation deadlines apply	Visit-based; ask about appointment-cancellation charges
Public reviews	No Trustpilot reviews on October 15, 2026	4.6 from 4,230 Trustpilot reviews across services on October 15, 2026; not an HRT-specific score	Not reviewed here	Not reviewed here
Names its pharmacies	Yes, two	Not on the HRT pages checked	Terms list pharmacy partners; confirm which fills your prescription	Prescriptions sent to your chosen pharmacy
Our link	Direct, unpaid	Affiliate	Direct, unpaid	Direct, unpaid
Age/state access	No HRT age range found; state statements conflict	HRT-specific age range and exact state/product access need confirmation	Confirm clinical age and state requirements; website adult-use terms are not HRT criteria	Check exact state and insurance plan; Medicaid/Medi-Cal not accepted
Checked	Oct 15, 2026	Oct 15, 2026	Oct 15, 2026	Oct 15, 2026

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

Sources: He & She MD pages listed above; Gala hormone health, current HRT offer, second HRT landing page, linked refund policy and Trustpilot; Alloy's patch, pill, progesterone, billing help and terms; Midi pricing and insurance. These are provider-published offers, not firsthand care findings.

The three-month bill, compared fairly

These are the published medication-and-care subtotals for one three-month stretch. They're not checkout quotes, and any unknown lab or other required cost would make them incomplete.

Evidence table: The three-month bill, compared fairly

Plan	First 3 months	Each later 3 months	What's assumed	What keeps it conditional
He & She MD estradiol, progesterone included if prescribed	$375	$375	Published quarterly charge	Exact products, any labs, which billing terms apply
Gala, advertised-rate projection	$207 (3 × $69)	$207 for three further monthly charges	Exactly three $69 charges, with the complete prescribed regimen included	Actual cadence, initial charge, products and extras unconfirmed; not a verified three-month package
Alloy patch + progesterone	From $418 ($49 + $300 + $69)	From $369 ($300 + $69)	Progesterone at its $23 starting price; both products start together and follow the published three-month refill schedule	Actual progesterone price, chosen products, any different shipment dates and extras
Alloy patch only	$349 ($49 + $300)	$300	Estrogen alone, only right if a clinician says so	Products, extras
Midi, self-pay	$250 first visit + any follow-ups at $150 + pharmacy + labs	Depends on visits	Insurance not used	Pharmacy and lab prices; no complete total possible from the published prices

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

Worked example 1: estrogen and progesterone are both prescribed. He & She MD's listed first-quarter subtotal is $375. At Alloy's lowest listed progesterone rate, patch-plus-progesterone totals $418, a $43 difference. After that, it's $375 vs. $369, just $6 apart. Three $69 Gala charges would total $207 if its quote covers both medicines and bills that way. These are conditional subtotals, not guaranteed savings or a claim that the medicines are the same.

Worked example 2: a clinician prescribes estrogen alone (for example, after a hysterectomy). Alloy's listed patch-only subtotal is $349 in the first quarter and $300 after that. He & She MD's $375 is the same whether or not progesterone is included, so the included progesterone has no added value to a reader whose clinician has not prescribed it.

When Gala is the better choice, and when it isn't

Gala is worth a real look if your main objection to He & She MD is the up-front cost, or if you need something He & She MD doesn't list. Its advertised $69 a month is a reason to check the offer, not proof that every medicine combination costs that.

Where Gala comes out ahead, based on what each company publishes:

• A lower advertised starting rate. $69 a month vs. $125 a month equivalent at He & She MD. It can mean a smaller first payment if your complete Gala quote confirms $69 billed one period at a time.
• A potentially lower ongoing bill. Twelve confirmed $69 monthly charges would total $828, compared with four $375 quarterly charges totaling $1,500—a $672 difference in listed charges. That comparison needs the same prescribed regimen and confirmed extras; it is not a guaranteed annual saving. The separate 28-day illustration above measures cash timing, not a verified Gala annual price.
• Broader menu. Gala lists estradiol pill or patch, progesterone, vaginal estradiol (cream or tablet) and non-hormonal options. He & She MD lists systemic estradiol and progesterone only.
• A menopause-focused service. Gala has a dedicated hormone health section with clinician check-ins, dose adjustments and messaging it says are included "for as long as you're treated."
• A larger public review record. Gala's Trustpilot profile had 4,230 reviews on October 15, 2026, though they cover multiple services, and many of the accounts read were about weight loss. A larger company-wide record does not prove better HRT care.

Where Gala doesn't come out ahead:

• Gala's HRT pages checked here don't name its dispensing pharmacies. He & She MD names pharmacy partners.
• Gala's hub lists estradiol as a pill or patch. If you specifically want a gel, He & She MD lists one.
• Gala's main HRT page describes FDA-approved bioidentical forms, while another HRT landing page carries a compounded-drug disclaimer. That leaves the exact product question open; it does not prove every Gala HRT prescription is compounded. Ask Gala for product names too.
• Gala's linked refund policy requires cancellation at least 72 hours before billing and generally limits refunds to medical disqualification. Confirm how that policy applies to your selected HRT plan. Our Gala Health HRT review examines the wider service and cancellation record; those accounts are not proof of typical HRT outcomes.

One short note from Gala's own hormone health page, presented by Gala as a patient story: "Gala's provider walked me through the options" (Allison, 51). Gala chose and published this. It describes the service, not a medical result, and it isn't proof of what will happen for you.

If Gala's advertised price and wider menu fit your situation, check its complete quote and billing date before you start.

When Alloy fits better

Alloy fits women who want clearer published medication and approval information before they hand over a card. Its patch, pill and progesterone pages each say "FDA-Approved." It charges a one-time $49 consult and prices each medicine separately, with automatic product refills every three months. That is a stronger public approval statement than He & She MD supplies for HRT, but still confirm the exact brand or manufacturer if it matters to you.

Its terms also describe limited refunds for the first shipment of a product, requested within 30 days of receipt; consultation and other service fees are excluded. Later shipments are not covered by that provision. The terms specify seven days before a subscription period ends and five business days before a shipment processes for the respective cancellation steps. Ask which dates apply to your account, and cancel each product you intend to stop. A larger first charge is not automatically a larger non-refundable loss.

When Midi or your own clinician fits better

If you have a PPO plan, insurance may make the cash prices above irrelevant. Midi Health is built around scheduled visits and bills many PPO plans. Prescriptions go to your own pharmacy, where a generic estradiol can be inexpensive. Your current gynecologist or primary care clinician is also a fair first stop, especially if they already know your history. For more pay-as-you-go options, see online HRT pay per visit.

For the full field of providers, see our comparison of online HRT providers and HRT cost in 2026.

When is another starting point better than a new online HRT plan?

Your age, years since your last period, whether you have a uterus, and any history of blood clots, stroke, heart disease, liver disease or certain cancers all change which treatment and kind of care make sense. Some symptoms call for local or non-hormonal treatment, or an in-person exam, before any provider comparison. A clinician weighs these, not a review page.

A few facts worth having before any consultation:

Unexplained bleeding comes first. Bleeding after menopause, or bleeding you can't explain, needs medical evaluation, often including an in-person exam, before starting hormone treatment. Don't buy a hormone plan to deal with it.

Some histories make systemic HRT inappropriate. The Menopause Society lists breast cancer, uterine cancer, unexplained uterine bleeding, liver disease, a history of blood clots and cardiovascular disease among reasons hormone therapy may not be suitable (The Menopause Society). If one of those is yours, start with a clinician who can assess it before choosing a systemic plan. Low-dose local vaginal treatment is a separate risk discussion, not automatically ruled in or out by this table. That's not the end of getting help. It's a different door.

Timing matters. The Menopause Society says the benefit-risk balance is generally most favorable when hormone therapy is started within 10 years of menopause or before age 60, provided there is no reason treatment would be unsuitable. Outside that window, the decision is more individual. It doesn't mean no. It means a careful conversation.

Vaginal symptoms alone are a different conversation. Dryness and pain with sex often respond to local treatment, which He & She MD doesn't list.

Hormone blood tests aren't usually how menopause is diagnosed. According to the Office on Women's Health, menopause is generally recognized from your age, symptoms and period history, because hormone levels jump around in perimenopause. Other tests can still be appropriate for your case. Ask your clinician which, if any, you need, and who pays.

Labels changed in 2026. On February 12, 2026, the FDA approved labeling changes for several menopausal hormone therapy products, removing some boxed-warning statements. That isn't a finding that hormones are risk-free, it applies to specific approved products, and it doesn't change the status of compounded products. Check the current label of whatever you're prescribed. Our 2026 label changes explainer has the details.

Perimenopause counts. He & She MD's estradiol pages say estradiol is commonly prescribed for perimenopause and menopause symptoms. Whether it's right for you is still a clinician's decision.

None of this is advice to start, stop or change a medicine. It's what to bring up so the clinician has the full picture. For the bigger picture, see HRT benefits and risks.

What should you ask He & She MD before you pay?

Eight questions settle what the reviews can't: the charge, the governing terms, what happens if you're not prescribed anything, the exact products, what's included, your state, follow-up care and how to leave. Get the billing and refund answers in writing before your card is charged.

You don't need to share medical details to ask these. They're questions about the offer. Your health history belongs in He & She MD's secure intake, not in a contact form.

Copy this note and send it to support@heandshemd.com:

Hi, I'm considering your menopause HRT plan. Before I pay, could you please confirm in writing:

1. What exact amount will be charged first, on what date, and what is the renewal amount and date (every 3 months, or every 28–30 days)?
2. Which terms of service govern the HRT plan? The monthly membership and no-refund clauses on your website appear inside a separate Testosterone Health Program section.
3. If the clinician doesn't prescribe anything, will I be charged anything at all?
4. What are the exact product names, makers and forms of the estradiol and progesterone you would dispense, and is each one FDA-approved or compounded?
5. Is prescribed progesterone fully included in the $375, and can lab tests or any other services add to the cost?
6. Can your clinician and pharmacy serve my state with those products right now? Which pharmacy would fill my order?
7. Which medical group and clinician will treat me, and how are medical questions, follow-ups and refills handled, including after hours?
8. If I cancel, or my clinician changes my plan in the first month, is any of my $375 refunded? What happens to unused medication and my records?

Thank you.

Then fill in your answers:

HE & SHE MD — ANSWERS I RECEIVED (keep private)

Date I asked: __________   Date they replied: __________
1. First charge: $______ on ______   Renewal: $______ every ______
2. Terms that apply: ______________________________
3. Charge if not prescribed: ______________________________
4. Products / FDA-approved or compounded: ______________________________
5. Progesterone included? ______   Labs or extras: ______________
6. My state served? ______   Pharmacy: ______________________________
7. Medical group / clinician / after-hours help: ______________________________
8. Refund rule in writing: ______________________________

My decision: start He & She MD / try Gala / take the quiz / see a clinician in person

If the answers are clear and they work for you, He & She MD offers an online route to clinician review for estradiol, with progesterone if prescribed. The public HRT sign-up route is below; we did not complete the intake or test its clinical decisions.

How did we review He & She MD?

We reviewed He & She MD's HRT pages, FAQ, website terms, shipping and contact pages, public sign-up route and retrievable rating sources on October 14–15, 2026. The earlier research also recorded the separate checkout terms; the current policy analysis is supported by the website terms. We checked consequential medical points against primary sources including the FDA and The Menopause Society. We did not sign up, pay or receive care, so this is a review of documents.

We use The HRT Index Verification Standard: five public decision pillars, in this order. We don't give He & She MD a score.

Evidence table: How did we review He & She MD?

Pillar	What we looked for	What we found for He & She MD	Status
1. Clinical legitimacy	A real entity, licensed clinicians, medical review before prescribing	Named clinical partner and pharmacies; another medical group in its terms; asynchronous review and chief medical officer described	Published signals; assigned clinician and credentials not independently verified
2. Care quality	Follow-up, messaging, dose changes, how problems are handled	App messaging advertised; "24/7 support" vs. weekday support hours; no HRT-specific patient account retrieved	Advertised, untested
3. Medication fit	Which products, FDA-approved or compounded, systemic and local options	Patch, gel and tablet estradiol plus progesterone; vaginal and non-hormonal options not listed; exact product status not stated	Public menu confirmed; product identity unresolved
4. Price transparency	Full price, billing terms, what's included, refunds	$375 per quarter and prescribed progesterone inclusion stated; monthly/no-refund clauses concern another program; HRT refund rule and labs unknown	Clear advertised bundle, incomplete HRT-specific terms
5. Access	States, age, insurance, speed	"Nationwide" vs. shipping exclusions; provider lists 10 states not served by one pharmacy; no insurance; no HRT age range found	Published statements checked; individual access unconfirmed

Source: The HRT Index Editorial Team; see the primary sources linked in this section.

What would change our view:

• He & She MD naming its HRT products, especially if they're FDA-approved
• A written, HRT-specific refund and cancellation policy
• One consistent medical group in its documents
• A clear state list and age range for HRT
• A monthly billing option
• Real reviews from HRT patients, good or bad
• A confirmed LegitScript certification

What a document review can't tell you: how fast a clinician actually replies, how the medicine arrives, or how you'll feel on it. We did not retrieve an HRT-specific patient account that could add that context, and a few accounts would not establish typical outcomes anyway.

Our full approach is in our methodology. We earn commissions from some providers, including Gala. Our He & She MD links are direct, non-affiliate links so you can make your own decision.

He and She MD HRT: quick answers

Is He & She MD legit? It has public HRT pages and a sign-up route, and names pharmacies and a clinical partner. Its documents name two different medical groups, its separate testosterone-program terms contain a phone placeholder, and we found no HRT-specific patient accounts in the sources checked. That isn't proof of fraud or a completed credential check. Get the missing answers before paying.

How much is He & She MD HRT? $125 a month, charged as $375 every three months, for an estradiol patch, gel or tablet. Its progesterone page says progesterone is included at no extra cost when prescribed with its estradiol.

Is progesterone extra? Not according to its progesterone page, which says it's included with He & She MD's estradiol if a clinician prescribes it. A different page labels progesterone with a 12-month supply note, so confirm it's in your $375.

Can I get just progesterone? No. Its progesterone page says it's "not offered as a standalone therapy."

Does He & She MD take insurance? No. It doesn't bill insurance or provide superbills. It accepts HSA and FSA cards.

Is He & She MD's estradiol FDA-approved or compounded? Its HRT pages don't say. Ask for the exact product name and maker before you pay.

Does He & She MD offer vaginal estrogen or non-hormonal options? Neither was listed when we checked in October 2026.

Does He & She MD prescribe testosterone for women? Its testosterone products are listed in its men's "Performance" section, not its women's hormone section. Testosterone use for menopause-related low sexual desire is off-label in the U.S.; do not assume this HRT plan includes it.

How do I cancel He & She MD? Ask support@heandshemd.com for the process, deadline and refund rule for your HRT purchase. The email/account/phone and non-refundable membership clauses in the terms belong to a separate testosterone program, and its phone field is a placeholder. We could not establish the menopause-plan rule from those clauses.

What if I'm not prescribed anything? Its HRT product-page FAQ says, "If you are not a candidate, you pay nothing." Confirm how authorization, actual payment and any release or refund work in the agreement for your HRT intake.

Which states does He & She MD serve? Its FAQ says HRT ships nationwide. Its shipping policy excludes Alaska, Hawaii, Mississippi and New Jersey, and one of its partner pharmacies isn't licensed in 10 states. Ask before you sign up.

Can I rely on its website's excellence badge? We could not identify the source behind it. The October 14 research recorded 4.9 and 4.8 versions; the October 15 readable page did not reproduce both numbers. Its Trustpilot profile had no reviews and its app had four ratings, neither establishing typical HRT care.

Is He & She MD the same as Hims & Hers? No. They're different companies.

Do I need a video visit? Its terms describe asynchronous care, where a clinician reviews written answers. Ask whether your HRT visit or state requires a live conversation; the terms alone do not rule that out. Midi Health is built around scheduled appointments.

How fast will my medicine arrive? Its shipping policy says shipping typically takes 3–5 business days. It does not clearly establish the total time from intake or approval to arrival. Ask about clinician review, dispensing and shipping separately; the published shipping estimate is not a delivery guarantee.

Bottom line: should you try He & She MD for HRT?

He & She MD can work if you're paying cash, want estradiol with prescribed progesterone in one price, and are comfortable prepaying three months, once the products, state access and HRT refund rule are clear. If a smaller payment or vaginal or non-hormonal options matter more, compare Gala's current quote. If you still aren't sure what kind of care fits, take the quiz.

Here's the whole page in four lines:

• The reviews: no HRT-specific patient accounts found in the sources checked. We could not verify the source of its website's excellence badge.
• The price: $375 every three months, progesterone included. That's $1,500 over a year if nothing changes.
• The medicine: estradiol patch, gel or tablet, plus progesterone. Products and FDA status not named.
• The exit: the HRT refund rule is unconfirmed. Do not borrow the no-refund clause from the separate testosterone program; get the menopause rule in writing.

For a cash payer comparing the first bill, Gala's advertised $69 a month is worth checking against He & She MD's $375 quarterly purchase. Its wider published menu also matters if your symptoms aren't just hot flashes. Confirm the exact medicines, first charge, recurring interval and cancellation terms before treating it as the lower-cost choice.

Gala may pay The HRT Index if you enroll. A prescription is never guaranteed. A licensed clinician decides what's right for you.

If you've decided He & She MD is the one, you can go straight to its estradiol plan.

Still not sure what kind of care fits? You don't have to choose a medicine or a provider on your own. Find My HRT Path asks about your symptoms, what you've tried, your age, your state and your health history, then shows a featured care option, or guidance when online care isn't the right starting point. It's not a medical clearance test.

And if you already have a doctor who knows your history, it's always fair to ask them first.

Sources

He & She MD (rechecked October 15, 2026 unless noted; earlier page-modification dates are retained from the supplied research record)

• He & She MD — Homepage and FAQ (pricing claims, insurance, pharmacy and clinical partners, states)
• He & She MD — Hormone therapy (read October 15, 2026; page modified September 26, 2026)
• He & She MD — Estradiol patch (page modified August 26, 2026)
• He & She MD — Estradiol gel
• He & She MD — Estradiol tablet
• He & She MD — Progesterone tablet
• He & She MD — Terms of service (page modified September 16, 2026)
• He & She MD — Checkout terms of service (October 14 supplied research record; separate copy not retrievable in the October 15 audit. The website terms independently name Beluga and show January 11, 2022.)
• He & She MD — Shipping policy (read October 15, 2026; page modified August 8, 2026)
• He & She MD — Contact (read October 15, 2026)
• He & She MD — HRT sign-up start page

Reviews and ratings (rechecked October 15, 2026; earlier homepage numbers explicitly dated in the table)

• Trustpilot — He & She MD
• Apple App Store — He & She MD
• MyGLP1 Guides — He & She MD review (weight-loss program; context only)
• PolicyLab — Cheapest online tirzepatide providers (weight-loss program; context only)
• Mr & Mrs MD (shared setup)

Alternatives

• Gala — Hormone health (rechecked October 15, 2026)
• Gala — Current HRT offer (October 15, 2026; $69 advertisement and verified destination of the existing HRT affiliate link)
• Gala — Second HRT landing page (October 15, 2026; includes a compounded-drug disclaimer; not proof of any particular dispensed product)
• Gala — Subscription cancellation and refund policy and the policy linked from its HRT offer (page states February 2026; rechecked October 15, 2026)
• Gala — Terms and conditions linked from the HRT offer (page states September 22, 2026; read October 15, 2026; generic adult website use is not a verified HRT age range)
• Trustpilot — Gala Health (October 15, 2026; 4.6 / 4,230 across services, not an HRT satisfaction score)
• Alloy — Estradiol patch (read October 15, 2026)
• Alloy — Estradiol pill (read October 15, 2026)
• Alloy — Progesterone (read October 15, 2026)
• Alloy — How billing works (October 15, 2026)
• Alloy — Product subscription cancellation (October 15, 2026; applies to non-weight-care products)
• Alloy — Terms of use (page states May 28, 2026; read October 15, 2026)
• Alloy — Insurance policy (October 15, 2026; only its self-pay policy used, not its clinical/coverage generalizations)
• Midi Health — Pricing and insurance (rechecked October 15, 2026)

Medical, regulatory and account-use sources (read October 15, 2026)

• The Menopause Society — Hormone therapy
• The Menopause Society — Sexual health
• The Menopause Society — Choosing a healthcare practitioner
• FDA — Compounding and the FDA: Questions and answers
• FDA — National Drug Code Directory
• FDA — Labeling changes to menopausal hormone therapy products (February 12, 2026)
• FDA — Testosterone information
• FDA — September 17, 2026 meeting on testosterone use in menopausal women (supports off-label-use context, not a new approval)
• FDA — September 3, 2026 estradiol patch availability update
• DEA — Controlled substance schedules
• Office on Women's Health — Menopause basics
• The Menopause Society — Find a menopause practitioner
• IRS — Publication 969: HSAs and other tax-favored health plans

The HRT Index is an independent editorial publication. We are not a healthcare provider, pharmacy or telehealth service. Nothing here is medical advice, a diagnosis or a treatment plan. For decisions about starting, stopping or changing hormone therapy, talk with a licensed clinician who knows your history. In an emergency, call 911.

Keep reading:

• Gala Health HRT reviews: the $69 plan, complaints and cancel rules
• Best online HRT providers for menopause
• Which online HRT providers prescribe what
• Defy Medical HRT review for women
• Gala Health vs Winona

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