Menopause Hormone Therapy (HRT) in San Francisco, CA
Bioidentical hormone replacement therapy for women: estradiol and progesterone, from a physician licensed in California.
Is menopause hormone therapy available in San Francisco, CA? Yes. VevaMD offers hormone replacement therapy for women online everywhere in California, including San Francisco (population 873,965), with no trip to a menopause doctor's office. About 97,632 women aged 45 to 64 live in San Francisco (Census ACS). A board-certified physician licensed in California reviews your intake. As low as $40/mo, billed $119 every 3 months. Most women (with progesterone): about $67/mo, billed $199 every 3 months. One price for your need, whatever form your physician chooses. No minimum term; cancel anytime. Full refund if not prescribed.
Looking for hormone therapy for men? That is testosterone therapy. TRT in California →
At a glance in San Francisco
- Available
- Yes, all of California.
- Prescriber
- Board-certified, licensed in California.
- Visit
- Online intake. Video only for testosterone cream.
- Labs
- Only if under 40 or for testosterone cream.
- Price
- Starting at $40/mo
- Ships
- NewLife, VS Digital or Pharmacy Hub.
- Refund
- Full, if not prescribed.
Check any physician's license with the Medical Board of California.
Bioidentical hormones in San Francisco: what it means
"Bioidentical" describes a hormone whose chemical structure matches one the body makes. Estradiol and micronized progesterone are both bioidentical: their structure matches the hormones the ovaries make. FDA-approved versions of both are sold by prescription at retail pharmacies.
Many products sold as "bioidentical hormones" or "BHRT" are compounded instead: mixed by a pharmacy for one prescription, often as a custom cream or a pellet. None of these is FDA-approved, and the FDA has not reviewed them for safety, effectiveness or quality before sale. In the FDA's words, it has no evidence that compounded "bioidentical hormones" are safe and effective. When the National Academies reviewed them in 2020, the evidence was mostly low quality, such as anecdotes and patient reports.
You do not choose a "bioidentical" product from a menu: after a private intake, a physician licensed in California decides what, if anything, fits, and the form. VevaMD does not offer pellets. The pharmacy that fills VevaMD prescriptions also compounds, so ask your physician whether yours is an FDA-approved product or compounded. Two options are compounded for certain: testosterone cream for women and Bi-Est are not FDA-approved.
For its size, San Francisco is well supplied with OB-GYNs: the NPI registry lists 344, or 41.1 per 100,000 residents, against 17.8 for the US and above California's 16.9. Set against the city's 97,632 women aged 45 to 64, that is one OB-GYN for roughly every 280.
Counting the area around it, 394 OB-GYNs practice in San Francisco or within 10 miles and 864 within 25 miles: 25.2 for every 100,000 of the 3,429,576 people who live within 25 miles, a dense supply. VevaMD is an online option alongside them: a physician licensed in California reviews your intake from San Francisco without an office visit, and an OB-GYN you already see stays your doctor.
BHRT pellet clinics work differently: they place a hormone pellet under the skin in the office, and compounded pellets are not FDA-approved. The Endocrine Society points to a study that found hormone levels well above the expected range in women using them. ACOG's guidance is to prefer FDA-approved menopause hormone therapy to compounded hormones.
Sources: FDA: Menopause · FDA: National Academies study of compounded bioidentical hormones (2020) · Endocrine Society position statement on compounded bioidentical hormones (2019) · ACOG Clinical Consensus No. 6, compounded bioidentical menopausal hormone therapy (2023) · CMS NPPES NPI full file, 2026-10-11
San Francisco by the numbers
- Population
- 873,965
- Median age
- 39.7 (California: 37.6)
- Women 45 to 64
- 97,632 (11.7% of residents; California 12.4%)
- Land area
- 47 sq mi
- People per sq mi
- 18,714
- Size in California
- 4th largest of 190 cities we cover
- Our pages within 100 mi
- 47
- Closest
- Daly City, CA, 31 mi
- OB-GYNs in San Francisco
- 344 listed in the federal NPI registry
US Census Bureau, 2023 Gazetteer Files · US Census Bureau, American Community Survey 2019-2023 5-year estimates · CMS NPI Registry (NPPES), October 2026
San Francisco health snapshot
CDC estimates for adults, ranked against 923 US cities.
| Adults | San Francisco | California cities avg | Percentile |
|---|---|---|---|
| Obesity | 17.5% | 27.8% | 0 |
| High blood pressure | 25.6% | 29.7% | 6 |
| No leisure-time exercise | 19.1% | 24.8% | 19 |
| Sleep under 7 hours | 32.6% | 35.6% | 19 |
| Depression | 20.4% | 20.2% | 36 |
| Checkup in past year | 71.5% | 71.6% | 20 |
| Uninsured, ages 18–64 | 6.6% | 11.2% | 14 |
Source: CDC PLACES, 2025 release (model-based estimates from 2023 BRFSS data).
Menopause HRT pages near San Francisco
- Daly City, CA31 mipop. 104,901
- San Rafael, CA34 mipop. 61,271
- Novato, CA36 mipop. 53,225
- South San Francisco, CA36 mipop. 66,105
- Richmond, CA40 mipop. 116,448
- Berkeley, CA41 mipop. 124,321
Straight-line distance from city centers. US Census Bureau, 2023 Gazetteer Files.
Menopause HRT in San Francisco: questions people ask
Can I get hormone replacement therapy for women online in San Francisco, CA?
Yes. An online intake reviewed by a licensed physician. Testosterone cream requires a live video visit. A physician licensed in California decides whether estradiol (pill, patch, cream or vaginal), progesterone or another option fits.
How many women 45 to 64 live in San Francisco?
About 97,632, or 11.7% of residents (Census ACS, 2019 to 2023). That share is below the statewide 12.4% and higher than in 52 of the other 189 California cities we cover.
How many OB-GYNs practice in San Francisco?
The federal NPI registry (CMS NPPES) lists 344 OB-GYNs with a primary practice address in San Francisco, as of October 2026. That is 41.1 per 100,000 residents (Census ACS, 2019 to 2023), above the 18.8 for the 190 California cities we cover taken together, and higher than in 170 of the other 189.
Can I get bioidentical hormones (BHRT) online in San Francisco, CA?
Online, from a physician licensed in California, who can prescribe estradiol and micronized progesterone, both bioidentical, after a private intake. Ask your physician whether yours is an FDA-approved product or compounded.
What is the difference between this and BHRT pellets?
Pellets are placed under the skin in a clinic, and compounded pellets are not FDA-approved. Through VevaMD there is no procedure: a pill, patch, cream or vaginal form ships to San Francisco if your physician prescribes it. Some forms VevaMD's physicians prescribe are compounded as well; ask which yours is.
More answers on the Menopause HRT page.