Hormone therapy in Houston: HRT and TRT clinics

Who in Houston is asking about hormones

Roughly 295,000 Houstonians, 12.3% of 2,397,315, are 65 or older ^[3]. Most menopause questions come earlier than that. The Menopause Society gives 52 as the average age of natural menopause, with perimenopause often starting years before ^[5], so the biggest group is people in their 40s and 50s. Men curious about testosterone range widely in age. Both run into a crowded field of cash-only hormone clinics.

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Pharmacy prices for common prescriptions

National GoodRx coupon prices that apply in Houston

What	Coupon price (retail average)	Checked	Ref
Estradiol 1 mg tablets, 90	$22.71 ($47.25)	Oct 16, 2026	[1]
Estradiol patch, 4, by strength	$22.66 to $34.41	Oct 16, 2026	[1]
Estradiol 0.01% cream, 42.5 g	$36.74 ($310.37)	Oct 17, 2026	[9]
Testosterone cypionate 200 mg/mL, 1 mL	About $20 to $31	Oct 17, 2026	[2]
Online TRT programs, monthly	$99 to $199	Oct 17, 2026	[10][11]

Label changes that reach Houston prescriptions

HHS and FDA said in November 2025 that boxed-warning language on heart disease, breast cancer and probable dementia would come off menopause hormone labels ^[6]. Endometrial cancer stays boxed on systemic estrogen-alone products ^[6]. The first revised labels, 6 of them, were approved on February 12, 2026 ^[7]. Testosterone moved earlier: FDA removed its cardiovascular box in February 2025 and added a blood pressure warning for the whole class ^[8].

Pellet and bioidentical packages

Houston clinics often sell custom-compounded hormones or pellets. A 2020 National Academies review found insufficient evidence for compounded bioidentical therapy and said to limit it to people who cannot use an FDA-approved product ^[12]. The Menopause Society lists overdosing or underdosing and limited safety data among its concerns ^[13]. Compounded hormones are not FDA-approved, and FDA does not review them for safety, effectiveness or quality ^[22]. Clinic sites put pellets at about $300 to $500 per insertion, a market estimate rather than a set price ^[14]. See bioidentical hormone costs and pellet costs.

Qualifying for testosterone

AUA guidance supports a deficiency diagnosis when total testosterone is under 300 ng/dL on a first test and a repeat, with symptoms ^[15]. FDA approves testosterone for primary or hypogonadotropic hypogonadism; for low levels from aging, safety and effectiveness are not established ^[16]. TRAVERSE followed 5,204 men: heart events hit 7.0% on testosterone and 7.3% on placebo, while pulmonary embolism was more common with testosterone ^[17]. A clinic that starts testosterone after one test, or none, is skipping these steps.

Where Houston patients find prescribers

Houston Methodist and Memorial Hermann are the two large systems in our research ^{[18] [19]}. Neither posted a menopause or men's health program with prices that we could find, so ask their gynecology, endocrinology or urology offices. Run any independent clinic's prescriber through the Texas Medical Board ^[4]. Online, Midi Health lists $250 for a first self-pay visit and $150 for follow-ups ^[20], and Evernow memberships start at $35 a month ^[21]. Read the Midi review, online HRT compared or online TRT clinics compared.

Other Texas cities

See hormone therapy in Dallas, Austin and San Antonio. The hormone therapy guide and how to find a menopause specialist cover the basics, and find a TRT clinic covers men's care.