We are a cash pay service and do not accept insurance for meds or Zoom visits with the ARNP.
You can try using your credit card HSA/FSA and see if the transaction works. Each insurance company will have different requirements. We are unable to assist with your claim.
Our Bloom board certified family medicine nurse practitioner will provide your care. She has over 30 years experience as a nurse. She is also experiencing perimenopause and can relate to your journey! See a video about her here.
The same provider will take care of you throughout your menopause treatment.
Currently seeing patients in Florida and Colorado. Testosterone is only available to Florida residents at this time.
Once an order has been shipped there are no refunds. Legally we can not take returned medications. All sales are final. If you feel that a mistake has been made with your order please email us at hellobloomhrt.com.
Yes! We only treat a small part of women’s health related to menopause. You still need pap smears, mammograms and general care. Bloom is not a replacement.
For simple questions you can email the patient care coordinator and check our FAQ as well as video library inside the patient dashboard. To speak with the ARNP schedule an appointment which is done inside the patient portal.
It typically takes a full 3 months to really start enjoying the effects of HRT. However, symptoms like hot flashes and night sweats typically see results sooner. Other products for vaginal dryness and bladder issues require time for the tissue to repair and heal. This is typically 10-12 weeks.
If you are having menopausal symptoms and have not had a period in 12 months you are likely to be in menopause. If your still having periods, even irregular ones, you are in perimenopause. Typical age for perimenopause is 40’s and menopause 50’s. We are happy to grab a set of labs to check your hormone levels.
Women with a uterus who are in menopause and are taking estrogen therapy need progesterone (or a progestin, which is a synthetic form of progesterone) to counterbalance the effects of estrogen on the lining of the uterus (endometrium). Estrogen alone can cause the endometrium to thicken, increasing the risk of endometrial cancer. Progesterone helps to prevent this by causing the endometrium to shed through a menstrual-like bleeding, thereby reducing the risk of developing endometrial cancer. This combination therapy is important for protecting the health of the uterus in women who are receiving estrogen during menopause.
Hormone replacement therapy (HRT) is generally well-tolerated, but some women may experience side effects, especially in the first few months as the body adjusts. Common side effects can include:
Breast tenderness
Bloating or fluid retention
Mood changes or PMS-like symptoms
Headaches
Spotting or irregular bleeding
A return of bleeding or a “period” after years without one (usually temporary, but should be reported)
Mild weight gain or changes in body composition
These side effects often improve with time or dose adjustments. More serious risks—like blood clots or breast cancer—are rare and depend on your personal health history and the type of HRT used. Your provider will help you choose a plan that balances benefits and risks for your individual needs.
Yes, you can choose to receive only specific hormones — such as X, Y, or Z — from Bloom. However, please note that our ability to guide your care is limited to the medications we prescribe. We won’t be able to run labs, provide dosing advice, make suggestions, corrections, or help balance the hormones you’re receiving elsewhere.
While we understand that cost can be a factor, it’s important to know that most primary care providers don’t have the specialized training needed to optimize hormone therapy — including the right lab testing, interpreting results in context, and fine-tuning the balance of estrogen, progesterone, and testosterone for your unique physiology.
For best results and long-term hormone balance, we strongly recommend having Bloom manage your full hormone care plan. But if you choose partial care, just know we can only treat what we prescribe.
If you have health insurance we use Quest and can submit labs electronically. Otherwise we’ll provide you with a lab slip. These are considered diagnostic labs so may be subject to your deductible. It’s your responsibility to check if they are covered. Your deductible cost may be higher than paying cash.
You’ll need to send a copy of results to us through the patient portal.
It takes 2 weeks for labs to come back. Schedule accordingly so you don’t run out of medication.
Here are the self-pay lab pricing options:
Testosterone therapy $85 and repeated at 12 weeks and then once yearly
Follow up estrogen/progesterone labs $135 and repeated once yearly.
For women starting HRT for first time in 10 years since last period $200. Please read our blog article detailing starting at an older age here.
Most women do not need labs to get started. If you are currently taking HRT we will get labs to check your levels. We check labs around the 8-10 week mark after starting HRT to assess levels. Once optimized we check labs yearly. Before starting testosterone labs are required and again at the 12 week mark and again once yearly once stable.
Bloom orders are sent via US mail, so in most cases that means three to five days from the time of your order.
You can cancel or make changes at any time before your order ships. Once a tracking number is provided we can not make changes. If you want to change the dose, route, form before you have used your 3 month supply schedule a zoom visit to discuss with the ARNP. A new prescription will be issued and to purchase inside the patient dashboard. Discard any unused medication. We can’t take it back or give a credit or refund.
Once an order has been shipped there are no refunds. Legally we can not take returned medications. All sales are final. If you feel that a mistake has been made with your order please email us at hello@bloomhrt.com.
All of our products are bio-identical except for the low dose birth control.
Our generic medications are FDA approved and may be used off label. This includes the estrogen patches, gel, pills and vaginal estrogen tablets and cream as well as oral progesterone pills. We also use compounded medications that are not FDA approved for our sexual enhancement, skin and hair care. Testosterone cream is compounded and not FDA approved. There is no FDA approved testosterone medication for women, only for men.
Medication Supply & Adjustments
If your prescriptions are filled through Bloom, we ship a 3-month supply at a time. If you’re currently using the patch and would like to switch to a daily gel (or another form), we’re happy to make that change — but please note that medications cannot be returned, and a new 3-month supply will need to be purchased.
Why 3 months?
Because it typically takes at least that long to see the full effects of hormone therapy. HRT is not an instant result/relief type of therapy and rather builds over time. We won’t adjust your dosage sooner than that, but we can change the delivery method (patch, gel, or cream) if needed.
Booking services with Bloom Health does not guarantee the writing or dispensing of a prescription. Individual results may vary. The information provided on this website is for informational purposes and not a substitute for professional medical advice, diagnosis, or treatment. If you have questions or concerns about your health, please talk to your medical provider. Images depicted on this site are stock or actor portrayal and do not represent actual patients. This site is an advertisement for services and not any specific medication. Medications displayed are those that may be used in a service package and not for sale individually.
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