How Much Is Hormone Replacement Therapy And Is It Worth It
Written by Elite HRT on June 25, 2021
Camille Freking, Regulatory Affairs Specialist, MEDICAL ADVISOR
Hormone replacement therapy has been around for decades and while initially, hormone therapy had a rocky beginning due to a lack of knowledge, it is now a very well understood and common treatment for hormonal deficiency. People now can enjoy a prolonged youthful spirit and energy levels through the supplementation of hormones to a more optimal level.
Healthcare within the United States is an ever-expanding sector that is constantly seeing new treatments that are becoming available to more and more people. While people conventionally imagine healthcare beginning and ending at their exam room, today healthcare can extend into the home and many treatments are increasingly available through the power of telemedicine.
Treatments such as hormone replacement therapy have historically been reserved for advanced practice endocrinologists that can have large barriers to entry like hefty patient visit fees and other monetary barriers. By meshing hormone replacement therapy with telemedicine practices, Elite HRT is able to decrease these barriers and allow more people to seek hormonal treatment.
Understanding HRT and what goes into a personalized plan can give you an understanding of the value provided by Elite HRT. Below is a deeper look at HRT to allow you to determine if it is worth the investment into your health.
Possible Causes Of Abnormally Low Cortisol Levels
Addisons disease
Also called primary adrenal insufficiency, this is a condition that occurs when the adrenal glands are damaged and become unable to produce enough cortisol and/or other stress hormones. This is most often caused by auto-immune activity, where the immune system attacks the bodys own tissues. Other potential causes include long-term use of steroid medications, certain blood thinners, tumors and infections.
Problems with the pituitary gland
Low cortisol levels can be caused by the pituitary gland failing to release enough ACTH. This latter is important to trigger adequate amounts of cortisol to be released from the adrenal glands. This is typically referred to as secondary adrenal insufficiency, or hypopituitarism and, can be caused by trauma to the pituitary gland, brain tumors, pituitary gland tumors, stroke, autoimmune diseases and tuberculosis, among many other possible causes.
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Apple Health Transhealth Program
Primary care, behavioral health services, and hormone therapy, including puberty blockers, are covered under Apple Health. If you are enrolled in a managed care plan these services will be covered through your plan. Contact your plan to request a list of providers.
Other gender-affirming treatments are covered directly by Apple Health using your ProviderOne services card, and not by your managed care plan. If you have questions about this coverage, email .
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Puberty Blockers And Cross
Puberty blockers pause the physical changes of puberty, such as breast development or facial hair.
Little is known about the long-term side effects of hormone or puberty blockers in children with gender dysphoria.
Although GIDS advises this is a physically reversible treatment if stopped, it is not known what the psychological effects may be.
It’s also not known whether hormone blockers affect the development of the teenage brain or children’s bones. Side effects may also include hot flushes, fatigue and mood alterations.
From the age of 16, teenagers who’ve been on hormone blockers for at least 12 months may be given cross-sex hormones, also known as gender-affirming hormones.
These hormones cause some irreversible changes, such as:
- breast development
- breaking or deepening of the voice
Long-term cross-sex hormone treatment may cause temporary or even permanent infertility.
However, as cross-sex hormones affect people differently, they should not be considered a reliable form of contraception.
There is some uncertainty about the risks of long-term cross-sex hormone treatment.
How Much Does Biote Hormone Pellet Therapy Cost

Pellets cost $350 for women and $700-750 for men, in addition to the cost of labs which typically cost $150, you may use your insurance plan for labs. Labs are done at the initial consultation 4-6 weeks after initial pellet insertion, then once yearly or sooner if needed. Payment can be made with cash, major credit cards, Paypal, Paypal credit, Venmo, Zelle, Cashapp and CareCredit.
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How Much Can Testosterone Replacement Therapy Cost
Know how important it is to keep your T levels balanced, as well as the potential costs associated with doing so.
Men experience a natural decline in their testosterone levels as they age as much as 1.5% per year on average. The testes synthesize less testosterone, which tells the hypothalamus to lower its production of gonadotropin-releasing hormone . This action discourages your pituitary gland from producing Luteinizing hormone , which ultimately results in lower total testosterone production.
However, many mens levels can fall far below what the American Urological Association guidelines categorize as normal. When that happens, theyre most likely experiencing clinically significant testosterone deficiency specifically, hypogonadism or Low T.
If youre diagnosed with low testosterone, your doctor may recommend and prescribe TRT, which is an acronym for testosterone replacement therapy. Through one of several methods well delve into here, TRT replenishes your body with testosterone to combat the conditions that are often attributable to Low T.
TRT has helped thousands of men, though millions more remain hesitant about seeking treatment. There are a variety of reasons as to why: concern over how others may view them, stigmas based on conflicting or outdated information, or a fear of certain methods of treatment, such as self-injection.
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Standards Of Care For Trans And Gender Diverse Children And Adolescents 3
Puberty blockers are medications that temporarily suppress gonadotrophin releasing hormone from the hypothalamus. This results in suppression of lutenizing hormone and follicle-stiumlating hormone secretion from the pituitary gland and subsequently, testosterone and estrogen are not produced by the testes and ovaries respectively.
For many young trans or gender diverse people who want to access hormonal affirmation, puberty blockers are the first step towards that path. Transfigurations in the UK write for many families, the question is not whether to intervene with blockers, but how early to start1.
For more information about testosterone suppressing medications such as spironolactone or cyproterone acetate, visit our page on Feminising Hormones.
Information and resources for community members, and their families seeking puberty blockade can be found here.
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How And Why Do Men And Women Experience Hormonal Imbalances Differently
Hormones impact men and women differently, particularly when youre dealing with those specific to the reproductive system. Men and women also go through different developmental stages. Women will experience hormonal changes with their menstrual cycle, pregnancy, and menopause, which men do not experience. Women may experience hormonal imbalances that present through:
- Vaginal dryness or discomfort
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What Is Hormone Replacement Therapy For Men
For men, hormone replacement therapy generally refers to medications that raise the level of testosterone in the body. Testosterone is the primary male hormone, which dictates many aspects of health, including sexual interest and performance, as well as brain and bone health. When testosterone lowers as a result of the natural aging process, men become more vulnerable to health issues. Hormone replacement therapy can act as relief for these issues and a preventative measure at the same time.
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How Much Does Hrt Cost: Service Peculiarities
All people who look for a clarification of the total price of HRT must take into account service peculiarities too. How much does HRT cost in private and public hospitals? Everything depends on the service they provide. Private clinics advertise fast service and individual approach to each customer. They possess high-quality equipment and employ experienced doctors and nurses to guarantee service that corresponds to international standards of world health organizations. Hormone replacement therapy cost per month at such medical institutions is higher compared to traditional clinics. A patient should add the price of consultations of specialists to find out the total sum and answer the question how much does HRT cost?
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Creating Your Hormone Therapy Plan
Well need to look at several factors, including:
- Your goals how much you hope to change
- Your age and medical history
A blood test happens first. This will give us a baseline to compare against after you start hormones.
Analyzing your blood also helps us see if taking hormones could cause side effects. And well continue to monitor your blood levels during therapy to make sure youre OK.
We usually get lab results back in a couple of days. If we dont see any issues, usually then your transgender hormone therapy can start.
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How And Where To Get Started
If a young person believes that puberty blockers are the correct choice for them, it is important to discuss starting treatment with a healthcare professional.
If a person has health insurance that covers gender-affirming procedures, they can search for an in-network doctor who offers puberty blockers.
Additionally, some Planned Parenthood branches may offer services for those who are transgender. For those under the age of 18 years, they will need a parent or caregivers consent.
If a young person does not feel safe talking to their parents or caregivers about making an appointment with a healthcare professional, it is possible to get advice from LGBTQIA+ friendly organizations.
How Much Does It Cost

The cost for the insertion of pellets is between $400 and $1000 depending on the dose of the hormone and the number of pellets needed. Men need a much larger dose of testosterone than women and the cost is higher. Pellets need to be inserted 2 to 4 times a year depending on how rapidly a patient metabolizes hormones.
When compared to the cost of drugs to treat the individual symptoms of hormone decline, pellets are very cost effective.
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Price Ranges Of Thyroid Blood Tests
Apparently, the costs of thyroid blood tests greatly depend on your location and whether you are paying using your health insurance or not. To give you an idea on how much you can pay for the thyroid examination, here are the price ranges with and without the coverage of a health insurance.
With Health Insurance
If there is a need for a patient to take the test, then typically, the costs would be covered by your health insurance. But how much does thyroid blood test cost if you have health insurance?
The price of thyroid blood test with insurance coverage may range from $0 to $30 or higher, which has a copay or a coinsurance of 10 to 50 percent of the total cost. You can always ask your insurance provider about this concern.
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Hormone Specialists In Mankato Mn
Hormones are critical to your wellbeing. If you are experiencing symptoms that may suggest a hormone imbalance, speak with a hormone specialist to see if you should get tested.
The experts at Between the Bridges Healing Center offer hormone imbalance treatment to both men and women. We have an integrative, holistic approach to treating our patients that aims to optimize the mind, body, and spirit. Our goal is to help you treat your condition, not just the symptoms.
To make an appointment with our hormone specialists, call us at 388-7488. You may also request an appointment online. We look forward to helping you find relief.
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For Bradley Manning A Military Prison May Be A Next
But even outside of prison walls, getting this kind of medical help is often a struggle.
In the corporate world, only 42% of employers have insurance plans that cover short-term leave, mental health counseling, hormone therapy and surgical procedures for transgender employees, according to a survey by the Human Rights Campaign.
Thats up from 19% in 2008, but it still means the majority of employers dont offer this coverage.
And paying out of pocket can be a heavy burden.
The cost to transition from one gender to another varies greatly.
Hormone replacement therapy can cost around $30 per month and therapist visits can cost more than $100 each. Undergoing surgery is less common but typically rings up at anywhere between $5,000 and $30,000 depending on the kind of operation, estimates Masen Davis, executive director of the Transgender Law Center.
It can be difficult for transgender individuals especially the lower income and unemployed to pay for the medical care they need to be themselves, said Davis.
Tim Chevalier, a 32-year-old transsexual manfrom California, said he ended up with $50,000 in medical bills because his health insurance plan didnt cover his transition-related costs including an emergency visit to the hospital after the procedure.
Some people are even unable to complete their transitions because of financial constraints.
What Causes A Hormonal Imbalance
The causes of hormonal imbalances vary according to the specific hormone involved. However, in general, they are due to changes or dysfunctions of a hormone-producing gland. For instance, a thyroid gland that isnt functioning correctly may produce too much thyroid hormone, accelerating your bodys metabolism or could produce too little. Thyroid dysfunction can be caused by autoimmune diseases, thyroid nodules, medications or, rarely, thyroid cancer, among other potential causes. Imbalances in male or female sex hormones, such as estrogen, progesterone and testosterone, can be caused by age-related changes, such as menopause and andropause, as well as genetic disorders, stress, nutritional issues, or medications. Excessive stress, poor diet, aging and certain medications can contribute to imbalances in cortisol and other adrenal hormones.
There are many different underlying causes that can result in a hormonal imbalance. Each cause relates to different glands and hormones and, does impact your body differently. Many diseases and other conditions can result in a hormonal imbalance.
Diabetes
Diabetes is characterized by an inability to properly use the insulin hormone. An insulin imbalance can lead to other related hormonal imbalances as well such as disrupting estrogen, testosterone, thyroid, progesterone, and cortisol.
Hypothyroidism or Hyperthyroidism
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What Are The Different Types And Causes Of Growth Hormone Deficiency
Not all cases of GHD are the same hence, they require different approaches to treatment. Here are the two primary distinctions in the origins and causes of declined growth hormone:
GHD can be caused by a hereditary genetic condition from birth, wherein the pituitary gland is not programmed to effectively release HGH in its characteristic pulsatile secretions. Catching these types of genetically-induced deficiencies early on is critical because GHD plays a central role in the normal growth and development of children.
- Adult-Onset GHD.
As individuals age, lifestyle factors such as poor diet, lack of exercise, inadequate sleep , or tumor development can trigger a deficiency. While the growth-mitigating effects of GHD are more apparent in children, deficiencies that develop later in life wreak havoc on adult health as well.
*HGH Therapy Clinic exclusively performs HGH therapy for adult patients. Children with suspected cases of GHD should visit a specialist with expertise in treating younger patients affected by these deficiencies.
The anti-anabolic effects of GHD on adults produce an array of symptoms that can include:
- Dry and/or thin skin.
- Oral amino acid supplementation.
- Hormone therapy via somatropin injections.*
*In patients with advanced cases of GHD, somatropin injected intravenously or intramuscularly is the only proven way to restore HGH to optimal levels in the body.
Do Elite Gymnasts Have Stunted Growth
A study published in 2004 showed that intense gymnastics training can impact the musculoskeletal growth and maturation that is supposed to occur during puberty, but, research conducted by Malina et al, investigating the Role of Intensive Training in the Growth and Maturation of Artistic Gymnasts, found that
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How Will I Know That My Hormone Therapy Is Working
Doctors cannot predict how long hormone therapy will be effective in suppressing the growth of any individual mans prostate cancer. Therefore, men who take hormone therapy for more than a few months are regularly tested to determine the level of PSA in their blood. An increase in PSA level may indicate that a mans cancer has started growing again. A PSA level that continues to increase while hormone therapy is successfully keeping androgen levels extremely low is an indicator that a mans prostate cancer has become resistant to the hormone therapy that is currently being used.
What Is Growth Hormone Deficiency

An HGH deficiency occurs when the pituitary gland a small but critically important structure in the mid-region of the brain does not supply the body with enough of the human growth hormone that it needs to build healthy bone and muscle tissue, regulate metabolism, and perform other necessary functions in the body.
Growth hormone, as an anabolic agent, is responsible for the following tasks in humans:
- Stimulating protein synthesis .
- Mediation of insulin response .
- Strengthening bones .
- Stimulating and regulating the release of insulin-like growth factor 1 by the liver, another hormone critical to metabolic health.
The absence of adequate supplies of HGH distributed by the pituitary gland is referred to clinically as a growth hormone disorder .
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Information On Estrogen Hormone Therapy
Overview of Feminizing Hormone TherapyUCSF Transgender CareUniversity of California San FranciscoJuly, 2020
Hi, Im Dr. Maddie Deutsch, Associate Professor of Clinical Family & Community Medicine at the University of California San Francisco , and Medical Director for UCSF Transgender Care. In this document I will review various aspects of feminizing hormone theray, including, choices, risks, and unknowns associated with feminizing hormone therapy.
As you prepare to begin treatment, now is a great time to think through what your goals are. Do you want to get started right away on a path to the maximum degree of medically appropriate feminizing effects? Or, do you want to begin at a lower dose and allow things to progress more slowly? Perhaps you are seeking less-than-maximal effects and would like to remain on a low dose for the long term. Thinking about your goals will help you communicate more effectively with your medical provider as you work together to map out your care plan.
Many people are eager for hormonal changes to take place rapidly which is totally understandable. It is important to remember that the extent of, and rate at which your changes take place, depend on many factors. These factors primarily include your genetics and the age at which you start taking hormones.
There are four areas where you can expect changes to occur as your hormone therapy progresses. Physical, emotional, sexual, and reproductive.
The first is physical.