Hormone Replacement Therapy for Women and Men in Florida

Who is hormone replacement therapy for?

Hormone replacement therapy, also called menopausal hormone therapy, replaces the estrogen (and, for women with a uterus, the progesterone) that falls during perimenopause and after menopause. For most healthy women who start within ten years of menopause or before age 60, the benefits outweigh the risks; that has been the position of The Menopause Society since its 2022 Hormone Therapy Position Statement, which calls hormone therapy the most effective treatment for hot flashes and night sweats and notes that it prevents bone loss and fracture.

Florida is home to nearly 6.7 million women between 19 and 64. Almost one in four of them (23%) is between 55 and 64, and another 44% are between 35 and 54, the years when perimenopause and menopause reshape sleep, mood, weight, and energy, according to KFF estimates from the 2024 American Community Survey. Getting those women in front of a clinician who is trained in menopause is the hard part. An IHS Markit analysis for the Safety Net Hospital Alliance of Florida and the Florida Hospital Association projects that by 2035 Florida will have enough physicians for about three-quarters of its residents (Central Florida Public Media), a shortfall of 17,924 physicians, and state health officials told lawmakers in 2023 that one in five Florida physicians is 60 or older (The Capitolist). Telehealth is how Amsara closes that distance for women in Miami, Ocala, the Panhandle, and the Gulf Coast alike.

At Amsara we see women in Florida who are waking at 3 a.m., losing their words in meetings, gaining weight their habits do not explain, or being told their labs are “normal” while they feel anything but. We also see women who were started on hormones elsewhere and never had the dose, the route, or the follow-up revisited, and women who cannot take estrogen and need the non-hormonal options explained properly. If you are over 35 and your periods, sleep, mood, or energy have changed, you are the right age to talk to us. Our care for women page covers the full picture, and our guide to HRT by telehealth explains how online hormone care works wherever you live.

What does Amsara prescribe for HRT in Florida?

• Transdermal estradiol (patch, gel, or spray), often preferred because it bypasses the liver and, in observational data, carries a lower clot risk than oral estrogen.
• Oral estradiol tablets for women without clot or migraine risk factors.
• Micronized progesterone, required for any woman with a uterus taking systemic estrogen; taken at bedtime, it often helps sleep.
• Combination products such as estradiol plus progesterone in one capsule, or combination patches.
• Low-dose vaginal estrogen (cream, tablet, insert, or ring) for dryness, painful sex, and recurrent urinary infections.
• Non-hormonal options, Veozah (fezolinetant) and Lynkuet (elinzanetant), for women who cannot or prefer not to take estrogen. See HRT or non-hormonal?.
• Testosterone for women, as a gel, when low libido persists on well-managed estrogen, and testosterone replacement therapy for men after labs confirm low testosterone. Testosterone prescribing for Florida patients begins shortly; the evaluation, labs, and plan that come first are available now. See our care for men.

We prescribe FDA-approved medications first. When appropriate, we also prescribe compounded medications from licensed 503A and 503B pharmacies. We do not prescribe research-grade peptides. Our guide to bioidentical, compounded, and FDA-approved HRT explains what telehealth clinics can legally prescribe and why we choose what we choose.

Is HRT safe? What changed in 2025 and 2026

On November 10, 2025, HHS and the FDA announced the removal of the boxed warnings about cardiovascular disease, breast cancer, and probable dementia from menopausal hormone therapy labels, warnings that had rested largely on the 2002 Women’s Health Initiative, whose participants averaged 63 years old (HHS press release). On February 12, 2026, the FDA approved the first revised labels across all four categories of hormone therapy. Warnings about blood clots, stroke, and endometrial cancer with unopposed estrogen remain, as they should.

Hormone therapy is still not for everyone. For women, current contraindications include a history of breast cancer or another estrogen-sensitive cancer, a prior blood clot or stroke, coronary artery disease, active liver disease, and unexplained vaginal bleeding. A careful history during your telehealth intake is how these are caught, and it is why every Amsara prescription begins with a visit. Our Journal covers the evidence in plain language in Is HRT safe? What the research actually says.

Hormone therapy for men in Florida: what you can start today

Men are treated at Amsara too. Testosterone declines gradually with age, and when symptoms such as low energy, low libido, loss of muscle, poor sleep, or low mood line up with low testosterone on two morning labs, testosterone replacement therapy (TRT) is the treatment most men are asking about. In Florida, the work that comes before a prescription is available now: a 60-minute video consultation, baseline labs (total and free testosterone, SHBG, LH and FSH, estradiol, a blood count, PSA, lipids, A1c, and thyroid), and a conversation about fertility, because testosterone itself suppresses sperm production and men who want to preserve fertility are offered alternatives such as clomiphene, enclomiphene, or hCG when appropriate.

Testosterone prescribing for Florida patients begins shortly. Men who complete their consultation and labs now will have a plan ready the moment it opens, with no second wait. Start with our care for men page or book your discovery call.

Who provides HRT at Amsara Health in Florida?

Dr. Mia Chorney, DNP, FNP-BC, MSCP

Cofounder and Chief Medical Officer. Menopause Society Certified Practitioner. Licensed in Florida, Arizona, and Nevada. Booking now for Florida patients. Read Dr. Chorney’s bio or learn what a Menopause Society Certified Practitioner is.

Our full care team, including counseling for the mental health side of midlife, is on the Providers page. Every provider’s credentials, licensed states, and booking status are listed there so you always know who can see you.

How does HRT by telehealth work in Florida?

1. Start with a conversation. Book a free 15-minute discovery call if you have questions, or schedule your initial visit directly.
2. Complete a secure intake in the Amsara Patient Portal: history, symptoms, current medications, and consents. Florida’s telehealth statute (section 456.47, Florida Statutes) allows a Florida-licensed provider to evaluate, diagnose, and treat you through telehealth when the evaluation is sufficient to do so, which means your care begins with a video visit.
3. Your initial visit is a 60-minute video consultation with your provider: your story, your goals, and your risk factors, unhurried.
4. Labs near you. Orders go to a Quest Diagnostics patient service center in Miami, Fort Lauderdale, Tampa, Orlando, Jacksonville, and across Florida; many baseline labs are covered by insurance, and advanced testing is priced transparently on our Tests and Services page.
5. A written plan and prescriptions sent to the Florida pharmacy of your choice, with dose, route, and what to expect in the first weeks. How long does HRT take to work? answers the most common question.
6. Follow-up at six to eight weeks to adjust, then as needed. Members message their provider between visits through the portal.

How much does HRT cost in Florida?

Individual visits with no membership: initial 60-minute visit $275, follow-up $175, prescription renewal service $15 (the medication itself is billed by your pharmacy). Annual membership is $1,699 at launch pricing (regularly $1,999) and includes initial and follow-up visits, free prescription renewals, priority booking, provider messaging, and 20% off non-insurable testing. Generic estradiol patches run about $20 to $30 a month with a discount card and generic micronized progesterone about $15 to $50 a month, so for most women the medication is the smallest line on the bill. We do not bill insurance; we provide superbills, and visits, labs, and prescriptions may qualify for HSA or FSA reimbursement. Full detail is on our Pricing page.

Where in Florida is HRT by telehealth available?

Anywhere in Florida with a video connection: Miami, Fort Lauderdale, West Palm Beach, Boca Raton, Jupiter, Naples, Fort Myers, Sarasota, Tampa, St. Petersburg, Clearwater, Orlando, The Villages, Ocala, Gainesville, Jacksonville, St. Augustine, Tallahassee, Pensacola, and the communities between. You must be physically located in Florida at the time of your visit. Amsara also serves patients in Arizona and Nevada, and we are preparing to open in Texas; join the waitlist and we will tell you the moment we do.

This page is for education and is not a substitute for individual medical advice. Talk with a licensed provider about your specific situation.

Frequently asked questions about HRT in Florida

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