ProlongMD HRT Reviews: Costs, Labs, Testimonials & Verdict

ProlongMD HRT reviews: what do patients actually say?

The ProlongMD patient testimonials we could read were selected and published by the company. As of October 20, 2026, our targeted searches did not establish an independent patient-review record for its women's hormone care. Its own testimonials also don't line up from page to page, so they can't establish what its HRT care is typically like.

A third-party business-record summary reports an Arizona filing in August 2025, but we could not independently confirm the filing or when the clinical service began. That date cannot explain why outside reviews are hard to find. For now, the limited patient-review record means you have less evidence about the experience after sign-up.

Where we looked

Swipe or scroll horizontally to view every column.

Where we looked, table 1

Where	What we found (October 20, 2026)	What it means for you
Trustpilot	No ProlongMD profile was verified in our targeted search; the direct address could not be read during this audit.	We have no verified ProlongMD Trustpilot score to quote.
General web search	Third-party editorial comparisons surfaced, but no independent HRT-specific patient-review set was verified. Some results concerned similarly named businesses.	An editorial comparison is not a patient review. Watch for brand mix-ups.
Reddit and forums	No ProlongMD patient thread surfaced in the targeted searches we ran.	Personal recommendations may add context, but are not medical or product-approval evidence.
ProlongMD's website	Testimonials, plus five-star cards labeled "Verified patient ratings." The site doesn't say who verified them or how.	Treat these as marketing the company chose.

What ProlongMD's own testimonials show

We compared the testimonials across ProlongMD's homepage, its Women's Hormones page, its consultation page and its product pages. Here's what we saw on October 20, 2026.

Swipe or scroll horizontally to view every column.

What ProlongMD's own testimonials show, table 2

What we saw	Where	Why it matters
The same image file and a closely matching weight-loss story appear as "Tiffany E, age 49" on some pages and as "Michelle G, age 47" on others.	Homepage and Women's page vs. consultation and product pages	The story's attribution changes.
The consultation/product version says she started Mounjaro in October 2022. The homepage/Women's version omits that date and drug name.	Consultation and product pages vs. homepage/Women's page	Neither version establishes when her care with ProlongMD began.
A different testimonial under the name "Michelle G" lists her age as 56 on two pages and 47 on others.	Homepage and Women's page vs. consultation and product pages	Ages don't match.
"James S" is listed as 44 on the homepage and 42 on the Women's page.	Two pages	Same problem.
Six named five-star entries had no written review text in the page content we could read.	Homepage	A name and stars alone do not explain the experience.
One testimonial on the Women's page explicitly says the writer started HRT, but does not identify who prescribed it.	Women's page	It does not establish an HRT experience with ProlongMD.
Several testimonials praise a clinician called "Erica" or "Dr. Erica," who isn't among the four clinicians shown on the homepage.	Homepage, Women's page	Ask who your clinician will actually be.

None of this proves anything was made up, and we're not saying it was. Companies reuse photos, update pages and make mistakes. What it does mean is simple: these testimonials can't answer your real question. Use them for what they are — marketing ProlongMD selected and posted.

A testimonial worth reading, with its limits

The most useful kind of testimonial describes the service itself, not a medical result. One ProlongMD testimonial, signed Michell B., says "Scheduling was quick, the patient portal was simple to use." That tells you something about how sign-up felt for one person. ProlongMD chose to publish it, and it can't tell you about symptom relief, long-term support or how your care would go.

How to read any review of an online HRT service

When you do find reviews — for ProlongMD or anyone else — ask four questions before you trust them:

1. Which program was it? Many online services sell weight loss, peptides, men's hormones and menopause care. A great weight-loss story says nothing about menopause care.
2. What did the person actually use? "Hormones and peptides plus a GLP-1" can't tell you what the estrogen did.
3. How long had they been a patient? A review written on sign-up day describes sign-up.
4. Is it about the service or the medicine? Reviews are good at flagging billing, shipping and support problems. They can't tell you whether a medicine is FDA-approved or right for your body.

With no independent HRT patient-review record verified in our search, the documents and your own written questions have to do the work. That's what the rest of this page is for.

How much does ProlongMD HRT cost?

ProlongMD publishes separate prices for the visit and each medicine, but those prices don't add up to a complete care total. If both listed medicines are prescribed at the supplies assumed below, estradiol plus progesterone and one visit produce a $415 published-item subtotal for three monthly periods and $1,423 for twelve. Labs, follow-up visits and shipping remain additional unknowns; the possible $79 credit is shown separately because its application is unconfirmed.

ProlongMD's published prices for women

Provider-published prices, checked October 20, 2026. "Unknown" means not established in the public pages we reviewed — not free.

Swipe or scroll horizontally to view every column.

ProlongMD's published prices for women, table 3

Item	Published price	What you're buying	Still unknown
Medical Expert Video Consultation	$79	One 30-minute video visit	Whether it's credited back for your order (see below); what happens to it if nothing is prescribed
Estradiol "1 mg/ml, 30 ml (Capsule)"	$79	Listed as "$79/mo"	Exact form, product, strength, quantity; whether it renews automatically
Progesterone (capsule)	$99	A three-month purchase (ProlongMD lists it as $33 a month)	Exact product and strength; renewal terms
Women's testosterone cream "30 mg/ml"	$99	Listed as "$99/mo"	Product, pharmacy, how long a month's supply lasts
Women's testosterone cypionate injection "100 mg/ml, 5 ml"	$59	One listed vial	How long it lasts — so this is not a monthly price
Labs	Submission of qualifying results from the last 6 months: no charge; reviewed during the consultation	New tests if you need them	Which tests, where, what they cost (ProlongMD says they're "often eligible for insurance pay")
Follow-up visits	Not published	ProlongMD recommends one at 3–4 months, then every 3–6 months	Cost of each visit
Shipping and tax	"Calculated at checkout"	—	The amount
Membership	ProlongMD says "No membership fees"	—	—

The monthly price and the payment are different things

ProlongMD's progesterone is listed as "$33/mo, 3 month purchase." That's helpful math, but it isn't what you pay. You pay $99 at once for three months. A monthly-equivalent price spreads a bigger purchase over its supply. It doesn't tell you what's charged today, or whether that purchase renews on its own.

The same goes for any "per month" figure. Before you pay, ask what's charged now, what's charged next, and when.

What three months would cost: a worked example

Here's a common case: a woman with a uterus whose clinician prescribes both estradiol and progesterone. We used ProlongMD's posted prices only. This is our example, not a ProlongMD quote or a treatment recommendation, and it assumes the prices and supply match what's actually prescribed. We did not subtract the $79 credit, because we couldn't confirm it applies.

Swipe or scroll horizontally to view every column.

What three months would cost: a worked example, table 4

Step	Math	Amount / subtotal
Video visit	$79	$79
First medicine orders	$79 estradiol + $99 progesterone (3 months)	$178
Visit plus first orders	$79 + $178	$257
Two more months of estradiol	2 × $79	$158
First three monthly periods, published items only	$79 + (3 × $79) + $99	$415
Medicine-only monthly equivalent	[(3 × $79) + $99] ÷ 3	$112 a month

Labs, shipping, follow-up visits and any other required charges aren't included, because their applicable amounts were not established in the public pages we reviewed. The $257 is a total across separate payments, not one checkout amount. And three monthly periods may not be exactly 90 days.

After that, at unchanged prices, the medicines alone work out to about $112 a month — but you'd pay it unevenly ($79 most months, plus $99 every third month), and follow-up visits could add more. It isn't an all-inclusive $112 subscription.

Three medication combinations, first three months and first year

A clinician decides what — if anything — is prescribed. These rows show published-item subtotals at unchanged prices, assuming three or twelve monthly estradiol/cream supplies and one or four three-month progesterone purchases. They are not complete care quotes or recommendations to continue a medicine for a year.

Swipe or scroll horizontally to view every column.

Three medication combinations, first three months and first year, table 5

Plan	First three months	If the $79 credit applies	First year	Not included
A. Estradiol only (for example, after a hysterectomy)	$79 + (3 × $79) = $316	Not assumed: three months of this medicine total $237, below $250; the actual qualifying purchase still needs confirmation	$79 + (12 × $79) = $1,027	Labs, follow-ups, shipping and tax
B. Estradiol + progesterone	$415	$336 — only if a single purchase reaches $250, such as three months of both at once (not confirmed possible)	$79 + (12 × $79) + (4 × $99) = $1,423 ($1,344 with credit)	Labs, follow-ups, shipping
C. Plan B + testosterone cream	$415 + (3 × $99) = $712	$633 only if this purchase qualifies; no credit assumed otherwise	$1,423 + (12 × $99) = $2,611 ($2,532 only with a confirmed credit)	Same, plus the testosterone blood tests guidance calls for

An unknown cost is not zero. If labs, follow-ups or shipping cost money, your real total is higher than the applicable subtotal above.

When does the $79 visit get credited back?

ProlongMD's pages give two different answers. The homepage says the fee is credited back toward a treatment purchase. The consultation page says it's credited back with a treatment-plan purchase of $250 or more, and adds that most three-month plans reach that amount.

A first order of one month of estradiol plus three months of progesterone is $178 — under $250. So ask this exact question before you book: "Does my order qualify for the $79 credit, when is it applied, and do separate orders count together?" Don't count the credit until you have the answer in writing.

What could still add to the bill

• New labs, if your bloodwork is older than six months. ProlongMD says results usually take about five business days.
• Follow-up visits at three to four months and then every three to six months.
• Shipping and tax, figured at checkout.
• A second visit if your plan changes.

One more detail: ProlongMD's Price Match Guarantee covers injectable therapy only and excludes pills and other forms. So it won't apply to estradiol or progesterone capsules.

ProlongMD next to other routes, first three months

These compare the published price structures for an estrogen-plus-progesterone discussion. Where the exact medicines, supply or required extras are unknown, no matched treatment total is claimed.

Swipe or scroll horizontally to view every column.

ProlongMD next to other routes, first three months, table 6

Path	Due first	Three-month example	Labs	Insurance	Price checked
ProlongMD	$79 visit; medicine purchases are separate	$415 published-item subtotal under the assumptions above; credit and required extras unresolved	Qualifying recent labs required	No	Oct 20, 2026
Gala HRT	$69/month advertised; amount due for the proposed order needs confirmation	Matched three-month prescription total not confirmed; ask whether the offer covers both medicines and any extras	Blood or saliva hormone testing usually unnecessary, Gala says; other monitoring may be needed	No; HSA/FSA accepted	Oct 20, 2026
Alloy (pill + progesterone)	$49 consult; confirm the medicine supply and charge due at order	At published starting prices, $49 + (3 × $39.99) + (3 × $23) = $237.97 before any unconfirmed extras	Check with Alloy	No direct billing	Oct 20, 2026
Midi Health	$250 first visit, self-pay	$400 in visit fees if you have one $150 follow-up, plus pharmacy costs and any labs — or your plan's cost-sharing	Varies	In network with most PPO plans	Oct 20, 2026

What the numbers mean:

• Gala's advertised $69 monthly offer is worth comparing, but it does not establish savings for the same prescription. Confirm whether it covers both medicines, how often you are charged, and whether required tests or other items cost extra. Then compare that written offer with ProlongMD's itemized quote.
• ProlongMD's prices are itemized and public. Many services don't show you what each piece costs. ProlongMD does, which makes it easier to check your bill.
• If you only need estradiol, ProlongMD's published-item example is $316. Alloy's starting-price pill example is $168.97 ($49 + 3 × $39.99), before any unconfirmed extras. Gala advertises $69/month; confirm the estradiol-only offer and billing terms.
• If you have a PPO plan, a covered visit and generic estradiol filled at your own pharmacy may cost less than any cash option here.

Alloy displays monthly product prices, while its help center says subscriptions usually bill every three months, with exceptions. Confirm the supply and amount charged for the proposed order.

Your cost worksheet

Copy this and fill it in from your written quote. Keep it private.

MY HRT COST CHECK (keep this private)
Provider: ________________   Date checked: __________
Visit fee today: $______     Credited back? yes / no / unknown
Medicine 1: ______________   $______ every ______ (1 month / 3 months / 28 days)
Medicine 2: ______________   $______ every ______
Renews automatically? yes / no / unknown    Next billing date: __________
Initial labs: accepted recent results / need new: $______ / unknown
Repeat monitoring tests and dates: __________________  Cost: $______ / unknown
Follow-up visits: $______ each, every ______ months
Shipping and tax: $______ / unknown

FIRST 3 MONTHS = visit + every charge in that window + every required extra
FIRST YEAR = visit + every charge in 12 months + follow-ups + labs + shipping/tax + other required fees
If anything says "unknown," the total is INCOMPLETE. Don't write $0.

If you want one advertised monthly HRT price, Gala is worth comparing. Before you pay, confirm that your prescribed medicines are included, which products you'll receive, and whether any labs cost extra.

We may earn a commission if you start care with Gala through this link.

Not sure a lab-first, visit-based service like ProlongMD is the right kind of care for you — or whether online care is right at all? Cost alone can't settle that. 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. It asks five questions — what's bothering you most, what you've tried, your age, your state and your health history — then shows a featured online option or guidance when a different kind of care makes more sense. It doesn't include ProlongMD; it features Gala and Winona, and we may earn a commission from them, which affects which ones appear. It doesn't diagnose anything or decide whether hormones are right for you. A clinician does that.

Which menopause medicines does ProlongMD offer — and are they FDA-approved?

ProlongMD's women's page lists four products: estradiol capsules, progesterone capsules, a testosterone cream and a testosterone injection. It doesn't say whether any of them is an FDA-approved product or compounded, its product pages list ingredients as "N/A," and its consent form allows compounded and off-label prescribing — so ask for the exact product before you pay.

FDA-approved, compounded and "bioidentical" are three different questions

Three words get mixed up a lot. Here's what each one means.

• FDA-approved means the finished medicine — the actual pill, capsule or patch — was reviewed by the U.S. Food and Drug Administration for safety, effectiveness and consistent quality.
• Compounded means a pharmacist or other authorized clinician combines or alters ingredients to meet a patient's medical needs. In the FDA's words, "Compounded drugs are not FDA-approved." (FDA)
• Bioidentical describes the molecule. It means the hormone has the same structure as the one your body makes. It says nothing about approval. Many FDA-approved products are bioidentical, and so are many compounded ones.

The Menopause Society puts it plainly: "Custom-compounded hormones are not safer or more effective than approved bioidentical hormones." (The Menopause Society, checked October 20, 2026)

ProlongMD's telehealth consent says your provider may prescribe medicines for off-label use or in compounded formulations when medically appropriate, and that these may not be FDA-approved for your specific use. That doesn't prove its women's hormones are compounded. It means you shouldn't assume they aren't. Ask for the product name, the maker or compounding pharmacy, the form, the strength and the supply.

ProlongMD's four women's products, one by one

Product names and prices as listed on October 20, 2026.

Swipe or scroll horizontally to view every column.

ProlongMD's four women's products, one by one, table 7

ProlongMD's listing	What it's generally used for	What we could establish	Your question
Estradiol "1 mg/ml, 30 ml (Capsule)" — $79/month	Hot flashes and night sweats (systemic)	"mg/ml" and "30 ml" are liquid measurements, but the listing says capsule. We couldn't match it to an FDA-approved product.	"Is this a tablet, capsule or liquid? What's the exact product, maker, strength and supply — and is it FDA-approved or compounded?"
Progesterone (capsule) — $99 for 3 months	Protecting the uterine lining during systemic estrogen therapy	FDA-approved micronized progesterone is sold as capsules, so this could be an approved product or a compounded one.	"Is this micronized progesterone, which product is it, and is it FDA-approved or compounded?"
Women's testosterone cream "30 mg/ml" — $99/month	Low sexual desire after menopause	No testosterone product is FDA-approved for women in the U.S. An approved men's product is used off-label; a compounded preparation is unapproved.	"What product and concentration, which pharmacy, and how will you keep my levels in the normal female range?"
Women's testosterone cypionate "100 mg/ml, 5 ml" — $59	Same	The page's web address says "20 mg/ml" and "grapeseed"; the title says 100 mg/ml. Web addresses sometimes keep old names. The FDA-approved brand, Depo-Testosterone, is made in cottonseed oil and labeled for men.	"Which strength is current? Is it made in grapeseed oil and compounded? Why an injection instead of a skin product?"

The estradiol listing deserves one extra question

FDA-approved oral estradiol products include tablets (product label). ProlongMD's listing calls its estradiol a capsule but describes it in liquid units. That could be a naming slip. It could also be a compounded product. You can't tell from the page, and neither could we.

Why it matters: if you want an FDA-approved product, the word "estradiol" alone doesn't settle it. Ask for the product name and whether it's approved, and get the answer in writing.

Progesterone if you have a uterus

First, two terms. Systemic therapy travels through your bloodstream to your whole body; pills and patches are systemic and treat hot flashes and night sweats. Local vaginal therapy is aimed mainly at vaginal tissue and treats symptoms like dryness.

If you still have a uterus and take systemic estradiol, you need a progestogen with it to protect the lining of the uterus. The Menopause Society calls this combination EPT (estrogen plus progestogen) and says women with a uterus need it. ProlongMD's own product page says the same thing — progesterone is required for women with a uterus who take estrogen — and that's worth crediting.

Low-dose vaginal estrogen generally does not need a progestogen; it has a different role from systemic treatment.

What to ask: is progesterone part of my first order, which product is it, and how will my plan protect my uterus?

What isn't on ProlongMD's women's menu

ProlongMD's women's page doesn't list:

• An estrogen patch, gel or spray. This one stands out. ProlongMD's own FAQ says estrogen through the skin doesn't raise blood clot risk, yet no skin-based estrogen is on its women's menu. The Menopause Society is more careful: clot risk may be lower with a patch, gel or spray than with pills. Ask whether ProlongMD can prescribe one.
• Vaginal estrogen for dryness, painful sex and other vaginal symptoms.
• A non-hormonal option for women who can't or don't want to take hormones.

A worked example: say you already use an estrogen patch and want a new online provider. A page selling estradiol capsules doesn't solve your problem. You'd need written confirmation that ProlongMD can prescribe and refill your patch before you switch anything — or a provider that lists patches up front.

A note on product claims: ProlongMD's product pages list benefits like clearer thinking and steady energy. Treat those as marketing. The strongest evidence for menopausal hormone therapy is for hot flashes and night sweats, vaginal symptoms, and preventing bone loss (The Menopause Society 2022 position statement).

Related reading: compounded vs FDA-approved HRT · our FDA-approved HRT medication list · estradiol patch reviews · vaginal estrogen · non-hormonal options · who needs progesterone

If you want a patch, need vaginal estrogen for dryness or painful sex, or can't take hormones, those options are on Gala's list and not on ProlongMD's women's page. Ask Gala to name the exact product before you pay.

We may earn a commission if you start care with Gala through this link.

Does ProlongMD prescribe testosterone for women?

Yes. ProlongMD lists a testosterone cream and a testosterone injection for postmenopausal women with hypoactive sexual desire disorder (HSDD). No testosterone product is FDA-approved for women in the U.S.: prescribing an approved men's product for women is off-label, while a compounded preparation is not FDA-approved at all. The leading expert consensus's efficacy recommendation does not cover injectables, pellets or compounded preparations.

HSDD means ongoing low sexual desire that bothers you and isn't better explained by something else, such as a relationship problem, a medicine or depression.

Here's what the 2019 Global Consensus Position Statement on testosterone for women — endorsed by The Menopause Society and other groups — says, checked October 20, 2026:

• The only evidence-based reason to use testosterone in women is HSDD, in postmenopausal women, after a proper assessment.
• Its efficacy recommendation doesn't apply to injections, pellets, compounded products, or anything that pushes blood levels above the normal range for women.
• Pills aren't recommended, because oral testosterone worsens cholesterol patterns.
• A testosterone blood level shouldn't be used to diagnose HSDD. Low desire is diagnosed by assessment, not by a number.
• A baseline blood test should be done before starting, with a repeat test three to six weeks later to keep levels in the normal female range.
• If there's no benefit by six months, the guideline recommends that the clinician stop treatment.

So credit ProlongMD where it's due. Its product pages describe postmenopausal HSDD, the condition supported by the evidence. A skin route alone doesn't show that its unidentified cream matches the formulations studied; ask for the exact product, whether it is compounded, and the monitoring plan. Its injection is the option to question most, since the consensus's efficacy recommendation doesn't cover injections.

Two more facts. Testosterone is a U.S. Schedule III controlled substance and needs a prescription (the Depo-Testosterone label carries the CIII mark). And Gala's HRT pages don't list testosterone, so if this is what you want to discuss, ProlongMD — or a menopause specialist — is the relevant route.

Questions to bring: Cream or injection, and why? What blood levels are we aiming for? Which tests, how often, and who pays? What side effects should I watch for? When do we stop if it isn't helping?

None of this is advice to start or stop anything. It's what to raise with the clinician who knows your history. Our libido guide covers other causes of low desire, and our Defy Medical review looks at another lab-based service that offers women's testosterone.

If low desire after menopause is your main concern, ProlongMD is an online service that lists testosterone for women. Ask for the product, the dose target and the monitoring plan in writing.

What happens at the visit, with labs and after your first prescription?

ProlongMD describes a 30-minute video visit with a licensed clinician, a review of your symptoms and lab results, and follow-up visits after treatment starts. It requires lab results from the last six months for hormone therapy, but it doesn't publish what new labs or follow-up visits cost, or how fast it answers messages.

Three ways in — and which to use first

ProlongMD's site offers three different starting points:

1. A free medical intake. No payment, and no appointment is booked. You share symptoms, goals, medicines and any past labs, then get an email to finish setting up your patient portal and instructions to book a paid visit.
2. Booking the $79 visit first, then completing intake.
3. Choosing a treatment and checking out first, then uploading labs and booking your visit. Its product pages describe checkout before the clinical evaluation; the clinician still recommends treatment and dosing.

Our suggestion: start with the free intake. The intake itself is free. Ask about access, process and billing before booking; prescription-specific answers may require the paid clinical evaluation. Whichever door you use, a clinician still decides whether any treatment is right. A purchase doesn't guarantee a prescription. The cart says an unapproved-treatment purchase will be cancelled and refunded, but it does not clearly distinguish that purchase from a separately completed consultation.

How to prepare for the first visit

Thirty minutes goes fast. Have these ready:

• Your main concern, in one sentence, and how it affects your days and nights
• What you've already tried, including over-the-counter products and past prescriptions
• Every current medicine and supplement, plus allergies
• Your health history — especially blood clots, stroke, heart disease, migraine with aura, liver disease, and breast or uterine cancer
• Whether you still have a uterus, and any IUD you have
• Your last period and any unexpected bleeding
• Recent lab reports, if you have them
• Where you'll physically be during the visit, since clinicians can only treat you in states where they're licensed
• The questions near the end of this page, especially the product and cost questions

Required labs are ProlongMD's policy, not a rule for diagnosing menopause

ProlongMD says lab work is required before hormone therapy. If you have qualifying results from the past six months, you can upload them at no cost. If not, it says a clinician will arrange testing at a lab near you, with results typically in about five business days.

Its reasons are fair ones: ruling out other causes of symptoms (like thyroid problems or anemia), setting a starting point and checking for risks.

Here's the context. For otherwise healthy women 45 and older, England's national health guidance says perimenopause and menopause can be diagnosed from symptoms alone, without hormone tests, because hormone levels swing too much during perimenopause to help. It adds that other tests, such as thyroid or blood counts, can still make sense if something else might be going on (NICE quality standard 143; corroborated in UCLH NHS guidance, read October 20, 2026). And if you're considering testosterone, baseline blood tests are part of the expert guidance.

The need for tests depends on the medicine and your health history; ProlongMD also sets its own lab policy. What matters to you is the practical side: they add time and possibly cost. Two useful questions: "Can I upload results I already have?" and "What would each new test change about my care?" Don't read "free review of your existing results" as "free labs."

Who helps between orders?

ProlongMD says it generally recommends a first follow-up three to four months after you start, then every three to six months, with the schedule set by your clinician. It doesn't publish what those visits cost, or how quickly it answers questions between visits.

A practical test: imagine a new prescription causes a side effect two weeks in. Who do you contact? How? How fast should you expect an answer? Ask before you start. That's a service question, not a reason to change your medicine on your own. ProlongMD's consent form also says electronic messages aren't for emergencies — in an emergency, call 911.

Is ProlongMD legit? Who runs it and who treats you?

ProlongMD publishes a husband-and-wife founder story, four named clinicians, service terms and a patient portal. Its terms say ProlongMD itself doesn't practice medicine — independent clinicians do. Those documents establish the advertised structure, but they do not independently verify licenses or care quality.

Swipe or scroll horizontally to view every column.

Is ProlongMD legit? Who runs it and who treats you?, table 8

Question	What we found	Where
Who founded it?	Julia, a physician assistant, and Allen, a West Point graduate, Army veteran and software executive — a husband-and-wife team	About page
What's the legal entity?	Bizprofile's summary reports ProlongMD LLC and an Arizona filing on August 29, 2025; we did not independently confirm that record	A third-party summary; issuer record not verified
Who are the clinicians?	Dr. Jordan Pastorek (internal medicine; provides physician oversight), Dr. James Baucum (training in obstetrics and gynecology), Colleen Belmont, FNP-BC, and Beth Hemmer, FNP-BC	Homepage — we did not independently check their licenses
Does ProlongMD practice medicine?	No. It contracts with physicians, nurse practitioners and physician assistants as independent contractors. Your patient relationship is with your assigned clinician.	Terms of Use, updated Feb 5, 2026
Is a prescription guaranteed?	No	Terms; checkout notice
Who fills prescriptions?	"FDA-regulated," state-licensed pharmacies — none named	Homepage; Terms
What if there's a dispute?	The terms require binding arbitration and a class-action waiver, and state a $1,000 liability cap to the fullest extent permitted by law	Terms
Emergencies?	Not provided. Call 911.	Terms; consent
General age terms	Adults 18+, with lawful-minor/guardian exceptions; no menopause-program age range verified	Terms

How ProlongMD measures against a basic legitimacy checklist

Swipe or scroll horizontally to view every column.

How ProlongMD measures against a basic legitimacy checklist, table 9

A trustworthy online HRT service should…	ProlongMD
Require a medical intake and a prescription	Yes
Name its clinicians	Yes — four named
Screen for reasons not to prescribe	Stated: treatment and dosing only if medically appropriate
Say clearly whether medicines are FDA-approved or compounded	No
Offer a follow-up path	Yes — a schedule is published; costs aren't
Publish which states it serves	No
Have an independent HRT patient-review record	Not verified in our targeted search

That's four reasonable answers and three gaps. The medicine and state gaps can be closed with written answers. The review gap closes with better independent patient evidence.

Small signs the site is still being built

Some product pages still show placeholder template text and list ingredients as "N/A." These details say nothing by themselves about the quality of care. They do make written confirmation of the product and ingredients more useful.

"Veteran-owned" — what it does and doesn't mean

ProlongMD describes itself as veteran-owned and operated, and its About page says one founder is an Army veteran. That tells you about the owner. It isn't a medical credential. And it doesn't mean military coverage: ProlongMD's terms say it does not accept TRICARE.

ProlongMD is not ProLon

ProLon is a fasting-diet kit sold at prolonfmd.com. ProlongMD is a telehealth practice at prolongmd.com. Prolong Pharmaceuticals and Prolong Power supplements are unrelated too. If you see reviews about soups and fasting, they're about a different company.

Does ProlongMD take insurance, and can it treat you in your state?

No. ProlongMD's terms say it's cash-pay only and doesn't accept commercial insurance, Medicare, Medicaid or TRICARE, and you agree not to submit claims for its services. It also doesn't publish a list of the states it serves, so confirm access for where you'll physically be before you pay.

The visit bill and the lab bill are different

ProlongMD's women's page says new lab testing is "often eligible for insurance pay," while its terms say you won't submit insurance claims for ProlongMD's own services. Those can both be true, because an outside lab may bill separately. The public pages don't settle what you'd owe.

Ask: "Which lab will bill me, which tests will be ordered, and can my insurance pay that lab directly?"

Medicare, Medicaid and TRICARE

ProlongMD's terms name all three as not accepted. If you rely on one of them, your best first check is a clinician or clinic in your plan's network. That matters especially for military families drawn to a veteran-owned brand.

HSA and FSA

ProlongMD doesn't say whether it accepts HSA or FSA cards. Ask for itemized receipts and check with your plan administrator. (Gala states that it accepts both.)

States and age

ProlongMD's contact form lists every state, but that's a dropdown, not a promise of service. Its published testimonials come from Texas and Colorado. Its general terms describe adults 18+ and allow minors where lawful with parent or guardian consent; no menopause-program age range was verified. Ask directly: "Can a clinician licensed in my state treat me, and is there any age or medicine restriction for me?"

A quick way to sort yourself:

• PPO plan: check an in-network option first. A covered visit and a covered generic can beat cash prices.
• Medicare, Medicaid or TRICARE: start with a covered clinician.
• No insurance or a high deductible: cash services like ProlongMD or Gala are built for you.
• HSA or FSA: ask for itemized receipts.

If using insurance comes first for you, start with a service that bills it. Midi Health says it's in network with most PPO plans. Medicare beneficiaries may self-pay, but Midi says they cannot submit related claims for visits, medicines or associated services. It does not accept Medicaid or Medi-Cal patients, even as self-pay (checked October 20, 2026).

If insurance is the priority, our Pomelo Care review covers another insurance-based option.

How do cancellation, refunds and refills work at ProlongMD?

For recurring charges, ProlongMD requires you to cancel at least 48 hours before the next billing date. Dispensed medicines aren't refundable, and completed visits are generally non-refundable. The cart also promises a refund if treatment isn't approved; ask which purchase that covers and how it applies to a completed consultation.

The rules, in plain words

From ProlongMD's Refunds, Returns and Billing Policy, dated February 5, 2026:

• Medicines: once dispensed, they can't be returned or refunded.
• Damaged or wrong shipments: tell ProlongMD within 24 hours of delivery. Approved problems are fixed with a replacement, not a refund.
• Visits and services: generally non-refundable once provided. Refunds for services not yet provided are at ProlongMD's discretion.
• Recurring billing: some programs bill automatically at the disclosed interval until you cancel.
• Cancelling: your request must be submitted at least 48 hours before the next billing date. Late requests may apply to the following cycle. Cancelling stops future charges but doesn't refund past ones.
• Billing questions: support@prolongmd.com.

ProlongMD's homepage promises "no hidden fees or subscription traps" and no membership fees. Its policy says some programs renew automatically. Those fit together, but only if you know which kind of purchase you're making. Ask whether your estradiol renews on its own.

The 48-hour rule, with real dates

Say your next billing date is November 15 at 9:00 a.m., using the same confirmed billing time zone throughout.

• 48 hours earlier is November 13 at 9:00 a.m.
• A request sent November 14 is too late. You could be charged on the 15th.
• A request submitted November 10 is before that stated cutoff; ask for written confirmation.

Send it in writing, days early, and ask for a reply confirming the date your plan ends.

If treatment isn't approved

ProlongMD's checkout notice says that if a clinician doesn't approve treatment, the purchase is cancelled and refunded. Its policy says visit fees generally aren't refundable once the visit happens. Do not assume the $79 consultation will be refunded if no treatment is prescribed. Ask how the cart's refund promise and the completed-visit policy apply to that situation before you book.

Make a refill and transfer plan

We didn't find a published refill turnaround, a "bridge" prescription policy or a transfer process. That matters most if you already take HRT and are switching providers. Before you start — or cancel — know these:

• Your next billing date and how much medicine you'll have left
• What's required for a refill (a visit? labs?)
• How to reach your clinician about side effects or a problem
• How to get copies of your records and lab results
• Whether a prescription can be sent to another pharmacy
• Who is responsible for your care after you cancel

Plan any change with your treating clinician so you don't end up with a gap. This is a planning checklist, not advice to stop, switch or stockpile medicine.

Who should choose ProlongMD — and who should start somewhere else?

ProlongMD fits cash-pay women who want a scheduled video visit, are comfortable with labs, and especially women past menopause who want a clinician to consider testosterone for low desire. Women who want insurance, a patch or vaginal estrogen, a non-hormonal option, or a bundled cash-pay offer should compare those routes first.

Swipe or scroll horizontally to view every column.

Who should choose ProlongMD — and who should start somewhere else?, table 10

Your situation	Does ProlongMD fit?	Better first step
Cash-pay; want a scheduled video visit and a lab review	Potentially, once state access, product and full cost are confirmed	ProlongMD's free intake
Past menopause, low desire, want testosterone considered	Possibly — ask about cream vs. injection	ProlongMD, or a menopause specialist
Want to compare a bundled cash-pay offer	Compare first	Compare Gala's $69 advertisement with your written ProlongMD quote; confirm medicines, billing and extras
Want a patch or gel	Not listed	Gala (patch) or Alloy (patch or gel)
Mostly vaginal dryness or painful sex	Not listed	Gala (vaginal estradiol) · vaginal estrogen guide
Can't or don't want hormones	Not listed	Gala (non-hormonal options) · non-hormonal options
Want insurance, Medicare or TRICARE to pay	No	Midi (PPO plans) or your own clinician
Will only take named FDA-approved products	Not until ProlongMD names them	Ask first, or a provider with a published product menu
No recent hormone tests	Qualifying recent labs required by ProlongMD	Gala says blood or saliva hormone testing is usually unnecessary; ask what monitoring your proposed treatment needs
Already have a clinician and a working prescription	Maybe not needed	Ask your current clinician first
Unexplained bleeding, past clot, stroke or heart attack, hormone-sensitive cancer, liver disease	No, not first	An in-person clinician
Under 35, or unsure what kind of care you need	Unclear	Find My HRT Path

A 20-second self-check

Answer honestly. Nobody sees this but you.

1. Do I want a scheduled video visit, and am I OK with labs first?
2. Is testosterone for low desire something I want to discuss?
3. Am I OK with a $415 published-item subtotal for three monthly periods of estradiol plus progesterone and one visit, before any credit and required extras?

Yes to the visit style and acceptable costs? ProlongMD is worth a free intake, even if testosterone is not your goal. Bring the questions below.

Prefer an online assessment and a broader published menopause menu? Gala is worth comparing if cash pay fits. Confirm your prescribed medicines, any testing and the full price.

We may earn a commission if you start care with Gala through this link.

Still unsure, or worried about something in your health history? If it's a red-flag symptom like unexplained bleeding, see a clinician in person first — a quiz can't clear that. If you're mainly unsure which kind of care fits, the free quiz can point you to a featured option or to guidance.

ProlongMD vs Gala Health vs Midi: which route fits you?

ProlongMD is the stronger fit if you want a scheduled video visit, a lab review or testosterone for low desire. Gala is worth comparing if you want one advertised monthly HRT price or a patch, vaginal or non-hormonal option — once it confirms your exact product, required tests and full price. Midi is the better start when insurance has to pay.

Provider-published facts and our editorial judgments. Checked October 20, 2026 unless noted.

Swipe or scroll horizontally to view every column.

ProlongMD vs Gala Health vs Midi: which route fits you?, table 11

	ProlongMD	Gala HRT (featured affiliate)	Alloy	Midi Health
Best for	Scheduled visit, labs, women's testosterone	One advertised cash price, broad menopause menu	Seeing products and prices before you start	Insurance and scheduled visits
First cost	$79 video visit	$69 a month advertised, covering the online visit, prescription and shipping	$49 consult	$250 first visit (self-pay) or your plan's cost-sharing
Estradiol	Capsule listed, $79/month	Pill or patch	Pill from $39.99/month; patch $100/month	Filled at your pharmacy
Progesterone	$99 for 3 months	Listed (oral capsule); whether the $69 covers it with estradiol is unconfirmed	From $23/month	Filled at your pharmacy
Vaginal estrogen	Not listed	Listed	Check with Alloy	Check with Midi
Non-hormonal	Not listed	Listed, including fezolinetant	Check with Alloy	Check with Midi
Testosterone for women	Cream and injection	Not listed	Check with Alloy	Check with Midi
Labs	Qualifying results from last 6 months required	Blood or saliva hormone tests usually unnecessary, Gala says; treatment-specific tests may be needed	Check with Alloy	Varies
FDA-approved or compounded	Not stated; consent allows compounded	Gala says FDA-approved forms; one of its HRT landing pages carries a compounded-medication notice (rechecked Oct 20)	Publishes its product menu	Prescription filled at your pharmacy
Visit style	30-minute video visit	Online assessment and clinician review; a short video visit in some states	Online	Video visits
Insurance	No (incl. Medicare, Medicaid, TRICARE)	No; HSA and FSA accepted	No direct billing	Most PPO plans; Medicare self-pay with no related claims; no Medicaid/Medi-Cal, including self-pay
Cancelling	At least 48 hours before billing	Landing page: cancel anytime from your account; its general written policy has a 72-hour cutoff (rechecked Oct 20) — confirm for HRT	Check Alloy's terms	Visit-based
Independent HRT patient reviews	No record verified in our targeted search	A company-wide Trustpilot profile that includes weight-loss care — not an HRT-only score	—	—
Our link	Direct, not paid	Affiliate	Direct, not paid	Direct, not paid
Prices checked	Oct 20, 2026	Oct 20, 2026	Oct 20, 2026	Oct 20, 2026

A few honest reads of that table:

• On price: Gala publishes one $69 monthly HRT advertisement; ProlongMD lists medicines separately. A written quote for the same medicines, supply and extras is needed to decide which costs less.
• On care style: ProlongMD books you a 30-minute face-to-face video visit. Gala is mostly an online assessment and messaging. Some women want a real appointment; others want speed. Pick the one you'll actually use.
• On testosterone: ProlongMD lists it. Gala doesn't.
• On the medicine itself: neither ProlongMD nor Gala names its exact products on its pages. Alloy publishes its product menu. If an FDA-approved product is a must for you, get it named in writing wherever you go.

When Gala is the stronger choice

Gala has the clearer published menu for a woman asking about a patch, local vaginal treatment or a non-hormonal option — and one advertised price makes cash-pay comparison simple. Here are its four menopause treatment categories, as Gala describes them, with what to confirm.

Swipe or scroll horizontally to view every column.

When Gala is the stronger choice, table 12

Gala category	The question it helps answer	What to confirm
Estradiol pills or patches — estrogen therapy for hot flashes, night sweats and other menopause symptoms	"Can I discuss a pill or a skin patch?"	The exact product and strength. A listed option isn't a prescription promise.
Micronized progesterone — protects the uterine lining during systemic estrogen treatment; Gala says it may also help sleep	"If I take systemic estrogen, how is my uterus protected?"	That it's included in the $69 alongside estradiol, and the exact product.
Vaginal estradiol cream or tablets — Gala lists it for vaginal dryness, painful sex and helping prevent recurring UTIs	"Could local treatment handle my vaginal symptoms?"	That local treatment matches your main symptom. It's a different job from systemic HRT. Recurrent-UTI prevention is an off-label use, not treatment of an active infection.
Non-hormonal medicines, including fezolinetant — for hot flashes and night sweats without estrogen	"What if hormones aren't right for me?"	Whether it's in the $69. Fezolinetant (Veozah) carries an FDA boxed warning about rare serious liver injury and needs liver blood tests before and during treatment (label). Ask how those are arranged and paid for.

All of Gala's treatments require a clinician's approval. Gala's HRT page advertises $69 a month "flat, forever," with no membership fee, no insurance to deal with, free one-to-two-day shipping, provider review usually within a day, care-team messaging seven days a week, and, it says, no price rise when your dose changes. It says it serves most U.S. states and won't charge you if it can't serve yours.

Gala's limits, stated plainly: it doesn't name its exact products on its pages; one of its HRT landing pages carries a notice about compounded medication; its general written refund policy, which is worded for its weight-loss program, sets a 72-hour cancellation cutoff, so confirm the HRT terms; and it doesn't list testosterone. Our full Gala HRT review covers each of these in detail.

One Gala reviewer on Trustpilot, Rachel, wrote on October 18, 2026, in an invited five-star review: "No more night sweats alone has been a big help." She didn't name the program or medicine. It's one person's experience, not a typical result.

If one advertised price and a broader menu fit what you want, look at Gala's current plan. Its FAQ says blood or saliva hormone tests are usually unnecessary; confirm any treatment-specific tests and get the exact medicine and full price before paying.

We may earn a commission if you start care with Gala through this link. Featured placement doesn't mean Gala is clinically better for every woman.

When an insurance route is more useful

If insurance has to pay, the first question is whether a service and clinician are in your plan — not which cash price is lowest. Midi lists self-pay visits at $250 for the first 30-minute visit and $150 for a 15-minute returning visit. One first visit plus one follow-up is $400 in visit fees, before medicine and labs. With insurance, your plan's copay, coinsurance or deductible applies instead, and "covered" doesn't tell you your total. See the Midi pricing page above, or ask your own in-network clinician.

When your current clinician is the simplest answer

If you already have a clinician who knows you and a prescription that works, you may not need a new online service at all. Maybe you just need a refill, a cheaper pharmacy or a quick dose conversation. Start by naming the exact problem you're trying to solve. If your current clinician can handle it, that's often the easiest path.

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

When should you see someone in person first?

Some situations need an exam or tests before any online menopause service, including ProlongMD. New or unexplained vaginal bleeding — especially after menopause — needs a medical evaluation first, and no review page or quiz should delay it.

Bring these to an in-person clinician first:

• Unexplained vaginal bleeding, or any bleeding after menopause
• A history of breast or uterine cancer, blood clots, stroke, heart disease or liver disease — The Menopause Society lists these as reasons systemic hormone therapy may be unsuitable. Local vaginal or non-hormonal options still need individual review
• Possible pregnancy, or very early menopause
• A complicated medical history where online care may not be enough

Timing matters too. The Menopause Society says hormone therapy helps moderate to severe symptoms when started within 10 years of menopause or before age 60. Outside that window, the decision is more individual and needs a careful conversation — not a quick online checkout.

Labels changed in 2026. On February 12, 2026, the FDA approved labeling changes for some menopausal hormone therapy products, removing certain boxed-warning statements (FDA announcement). That doesn't make hormones risk-free, changes are product-specific, and it doesn't change the status of compounded products. Our 2026 label changes explainer and HRT benefits and risks guide have the details.

None of this is advice to start, stop or change a medicine. It's what to bring up so a clinician has the full picture. The Menopause Society keeps a public directory of Society members and Menopause Society Certified Practitioners.

What should you ask ProlongMD before you book or buy treatment?

Ten questions settle what reviews can't: whether ProlongMD can treat you, who you'll see, what happens to your $79, what labs you need, the exact product, the full bill, the credit, renewals, and how refills and records work if you leave. Ask the access questions before booking and the product and cost questions before buying treatment, and keep every answer in writing.

Before you book:

1. "Can a clinician licensed in my state treat me where I'll be during the visit, and are there any age or medicine restrictions for me?"
2. "Who will I meet, what kind of appointment is it, and how can I check that clinician's license?"
3. "If no treatment is prescribed, what happens to my $79?"
4. "Can you review lab results I already have, and what new tests might I need to pay for — and to whom?"

Before you buy any treatment:

1. "What is the exact product name, maker or compounding pharmacy, strength, form, quantity and supply?" (For estradiol: "Your listing says '1 mg/ml, 30 ml (Capsule)' — is it a tablet, capsule or liquid? Can you prescribe a patch or gel instead?")
2. "Is that product FDA-approved or compounded, and is my use off-label?"
3. "What will I pay over the first three months for medicines, labs, shipping, follow-up visits and anything recurring?"
4. "Does my order qualify for the $79 credit, and when does it appear?"
5. "What renews automatically, on which date, and how do I get written confirmation when I cancel?"
6. "How do refills, side-effect questions, records and prescription transfers work if I leave?"

If testosterone is on the table: "Cream or injection, and why? What levels are we aiming for, which blood tests and how often, and when do we stop if it doesn't help?"

Some answers — like the exact product — may only come after the visit, once a clinician decides what's appropriate. That's normal. Just don't pay for treatment until you have them.

Keep a record:

PROLONGMD — MY RECORD (private)
Date asked: __________   Asked via: portal / email / visit
1. My state served? ____  Age or medicine limits? __________
2. Clinician name / license / how to reach: ________________
3. $79 if nothing prescribed: ______________________________
4. Labs: mine accepted? ____ New tests + cost + who bills: ____
5. Product / maker or pharmacy / form / strength / supply: ____
6. FDA-approved or compounded? ________  Off-label? ________
7. First 3 months total: $______  (labs ___ shipping ___ follow-ups ___)
8. $79 credit applies? yes / no / unknown   When: __________
9. Renews automatically? ____  Billing date: ______  Cancel by: ______
10. Refills / records / transfer process: ____________________
My decision: ProlongMD / Gala / another option / in person first

If you like the answers, the next step is free: ProlongMD's intake doesn't charge you or book a paid visit.

How did we review ProlongMD?

We read ProlongMD's public pages, terms, consent form and billing policy on October 20, 2026, searched for outside reviews, and checked medical points against the FDA, The Menopause Society, official NHS guidance and the 2019 testosterone consensus statement. We didn't sign up, pay or receive care, so this is a documentation review, not a patient test.

We use The HRT Index Verification Standard, which shows five public decision pillars in this order. Our site methodology explains the research process. This review doesn't give ProlongMD a score — a made-up number would just be one more thing for you to second-guess.

Swipe or scroll horizontally to view every column.

How did we review ProlongMD?, table 13

Pillar	What we looked for	What we found for ProlongMD	Status
1. Clinical legitimacy	A real entity, licensed clinicians, review before prescribing	Arizona LLC reported by a secondary summary, not issuer-verified; four named clinicians; independent-contractor model; consent allows off-label and compounded prescribing	Documented; licenses not independently checked
2. Care quality	Visit format, follow-up, help between visits, complaint handling	30-minute video visit; follow-ups at 3–4 months, then every 3–6 months; no response time established; no independent HRT patient-review record verified	Advertised; not tested
3. Medication fit	Exact products, routes, FDA-approved vs. compounded, options for different needs	Oral estradiol, progesterone, testosterone cream and injection; no patch, gel, vaginal or non-hormonal option listed; approval status not stated	Partly confirmed
4. Price transparency	Full price, extras, billing, refunds	Itemized prices public; labs, follow-ups and shipping not priced; two different credit rules	Partly confirmed
5. Access	States, age, insurance, speed	Adult-use terms with lawful-minor exceptions; menopause age/state rules unverified; cash only; new lab results typically take about five business days, the provider says	Partly confirmed

What "verified" means here: the source said what we report, on the date we checked it. A provider's claim about a credential isn't the same as checking it with the issuing board, and we didn't do that for ProlongMD's clinicians.

What would change our view:

• Independent patient reviews of ProlongMD's women's care
• ProlongMD naming its products — good news for ProlongMD if they're FDA-approved
• A patch, gel, vaginal or non-hormonal option for women
• A published state list
• Published prices for labs and follow-up visits
• One clear rule for the $79 credit

We earn commissions from some providers, including Gala, but not from ProlongMD. We also list options we earn nothing from, like Alloy and Midi, because a one-sided page wouldn't help you. See our affiliate disclosure.

ProlongMD HRT: quick answers

Is ProlongMD the same as ProLon?

No. ProLon is a fasting-diet kit sold at prolonfmd.com. ProlongMD is a telehealth practice at prolongmd.com. Prolong Pharmaceuticals and Prolong Power supplements are unrelated as well.

Is ProlongMD legit?

ProlongMD publishes named clinicians, service terms and a patient portal. We did not independently verify clinician licenses or establish an independent HRT patient-review record, so use the documented facts and get your remaining answers in writing.

Is ProlongMD HRT $33 a month?

No. $33 is the monthly equivalent of a $99 three-month progesterone purchase. Estradiol is listed separately at $79 a month, and the visit is $79. It isn't a complete HRT price.

Does ProlongMD take insurance or TRICARE?

No. Its terms say it's cash-pay only and doesn't accept commercial insurance, Medicare, Medicaid or TRICARE.

Does no membership fee mean no repeat charges?

No. ProlongMD says it has no membership fees, but its billing policy says some programs renew automatically. Ask whether your order renews and when.

Do I need labs for ProlongMD?

Yes, from the last six months, for hormone therapy. You can upload recent results at no charge. New tests aren't priced on its site.

Can I get an estrogen patch from ProlongMD?

Not from its women's menu as of October 20, 2026. Ask whether a clinician can prescribe one, or compare a provider that lists patches.

Does ProlongMD give women testosterone?

Yes — its listings describe a cream and an injection for postmenopausal HSDD. No testosterone product is FDA-approved for women: an approved men's product would be used off-label, while a compounded preparation is unapproved.

Where is ProlongMD based, and which states does it serve?

A third-party summary reports an Arizona company; we did not independently confirm the filing. A definitive HRT state list was not established, so confirm access before paying.

Are ProlongMD's reviews fake?

We can't know, and we aren't claiming that. Its testimonials show mismatched names and ages across pages, so treat them as marketing rather than evidence.

Is Gala cheaper than ProlongMD?

Gala advertises $69 a month, while ProlongMD lists the visit and medicines separately. We could not establish matched prescription totals, so the posted prices alone do not prove which costs less for you.

Can I keep my current doctor instead?

Often, yes. If you already have a clinician and a prescription that works, ask them first. You may only need a refill or a cheaper pharmacy, not a new provider.

Bottom line: should you try ProlongMD for HRT?

ProlongMD is worth a free intake if you pay cash and want a scheduled video visit, a lab review, or a clinician's view on testosterone for low desire after menopause. If you want insurance, a patch or vaginal estrogen, a non-hormonal option, or a bundled cash-pay offer, compare those routes first.

The whole page in four lines:

• Reviews: no independent HRT patient-review record verified in our targeted search, and its own testimonials don't line up from page to page.
• Price: $415 for the listed visit and three monthly periods of estradiol plus progesterone under our assumptions; required extras and the possible credit remain unresolved.
• Medicine: four products, with FDA status not stated and no patch, gel, vaginal or non-hormonal option listed for women.
• Exit: cancel at least 48 hours before billing; dispensed medicine isn't refundable.

If you want one advertised monthly HRT price and a broader menopause menu, Gala is worth a look. Confirm your exact medicine, required tests and full price before paying.

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

Still not sure which kind of care fits? You don't have to pick a provider from a price tag. The free Find My HRT Path quiz 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.

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

Sources

ProlongMD — public documents

• ProlongMD homepage
• About ProlongMD
• Women's Hormones
• Estradiol listing
• Progesterone listing
• Women's testosterone cream listing
• Women's testosterone cypionate listing
• Medical Expert Video Consultation
• Book Medical Consultation
• Start Medical Intake (free)
• Terms of Use, last updated February 5, 2026
• Refunds, Returns and Billing Policy, last updated February 5, 2026
• Telehealth and Communication Consent
• Price Match Guarantee
• Contact

Company records and reviews

• ProlongMD LLC filing summary (Arizona Corporation Commission data) — third-party summary
• Trustpilot — no ProlongMD profile verified in the targeted search; the direct address could not be read in this audit
• Trustpilot — Gala Health, Rachel review dated October 18, 2026; read October 20, 2026
• Telehealth Match — ProlongMD editorial review, read October 20, 2026; editorial coverage, not a patient-review dataset

Alternatives

• Gala — Hormone health, read October 20, 2026
• Gala product pages: estradiol, micronized progesterone, vaginal estradiol, non-hormonal options, read October 20, 2026
• Gala — alternate HRT landing page and terms, rechecked October 20, 2026
• Gala — $69 HRT offer page, read October 20, 2026
• Gala — Refund policy, rechecked October 20, 2026; applicability to the HRT purchase still needs confirmation
• Midi Health — Pricing and insurance, read October 20, 2026
• Midi Health — appointment costs and exclusions, read October 20, 2026
• Alloy — HRT and Alloy — product menu, rechecked October 20, 2026
• Alloy — costs and supply/billing information, read October 20, 2026
• Our Gala Health HRT review

Medical and regulatory

• The Menopause Society — Hormone therapy, read October 20, 2026
• The Menopause Society — 2022 hormone therapy position statement (abstract)
• The Menopause Society — full 2022 position statement, read October 20, 2026
• FDA — Testosterone information, read October 20, 2026
• NICE quality standard 143 — Diagnosing perimenopause and menopause
• UCLH NHS — Understanding menopause, read October 20, 2026; corroborates the otherwise-healthy, age-45-plus diagnosis guidance
• Global Consensus Position Statement on the Use of Testosterone Therapy for Women (2019), read October 20, 2026
• Depo-Testosterone prescribing information (Pfizer)
• FDA — Compounding and the FDA: Questions and Answers
• DailyMed — oral estradiol tablet label, ANDA040275
• DailyMed — micronized progesterone capsule label, ANDA208801
• FDA — Orange Book: Approved Drug Products, official product-approval lookup resource
• FDA — Labeling changes for menopausal hormone therapy products, February 12, 2026
• FDA — Veozah (fezolinetant) prescribing information
• The Menopause Society — Find a menopause practitioner

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 · Best online HRT providers · HRT cost in 2026 · Defy Medical HRT review for women · Estradiol pill reviews · Do you need a mammogram before HRT? · How Find My HRT Path works