Menopause Hormone Therapy (HRT) in San Mateo, CA
Bioidentical hormone replacement therapy for women: estradiol and progesterone, from a physician licensed in California.
Is menopause hormone therapy available in San Mateo, CA? Yes. VevaMD offers hormone replacement therapy for women online everywhere in California, including San Mateo (population 105,661), with no trip to a menopause doctor's office. About 12,662 women aged 45 to 64 live in San Mateo (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 Mateo
- 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 Mateo: what it means
"Bioidentical" describes a hormone whose chemical structure matches one the body makes. Estradiol, the main estrogen the ovaries make before menopause, and micronized progesterone both fit that description. Neither has to be compounded: FDA-approved estradiol comes as pills, patches, gels, sprays, vaginal creams and rings, and progesterone as capsules.
Compounded hormones are a different thing: a pharmacy prepares them for one patient, as a cream, a capsule or a pellet. Compounded drugs are not FDA-approved, so the FDA cannot assure their safety, effectiveness or dose. The FDA says it has no evidence that compounded "bioidentical hormones" are safe and effective, or more effective than FDA-approved hormone therapy. The National Academies, reviewing them for the FDA in 2020, called their wide use a public health concern.
Through VevaMD, a physician licensed in California decides whether hormone therapy fits you and, if so, the form: an estradiol pill, patch, cream or vaginal cream, with progesterone if you have a uterus. Pellets are not part of it. Since the pharmacy that fills these prescriptions also compounds, ask 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 Mateo is well supplied with OB-GYNs: the NPI registry lists 27, or 26.1 per 100,000 residents, against 17.8 for the US and above California's 16.9. With about 12,662 women aged 45 to 64 living in San Mateo, that is about 470 for each OB-GYN in the city, before counting any younger patients.
Counting the area around it, 87 OB-GYNs practice in San Mateo or within 10 miles and 1,118 within 25 miles: 28.9 for every 100,000 of the 3,868,326 people who live within 25 miles, a dense supply. None of this replaces your own OB-GYN or a menopause doctor you trust; VevaMD adds an online route, with a physician licensed in California reviewing your answers from home in San Mateo.
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 Mateo by the numbers
- Population
- 105,661
- Median age
- 38 (California: 37.6)
- Women 45 to 64
- 12,662 (12.2% of residents; California 12.4%)
- Land area
- 12 sq mi
- People per sq mi
- 8,732
- Size in California
- 69th largest of 190 cities we cover
- Our pages within 100 mi
- 59
- Closest
- Redwood City, CA, 6 mi
- OB-GYNs in San Mateo
- 27 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 Mateo health snapshot
CDC estimates for adults, ranked against 923 US cities.
| Adults | San Mateo | California cities avg | Percentile |
|---|---|---|---|
| Obesity | 23.0% | 27.8% | 6 |
| High blood pressure | 27.2% | 29.7% | 12 |
| No leisure-time exercise | 19.5% | 24.8% | 21 |
| Sleep under 7 hours | 28.2% | 35.6% | 3 |
| Depression | 19.3% | 20.2% | 26 |
| Checkup in past year | 70.0% | 71.6% | 10 |
| Uninsured, ages 18–64 | 7.3% | 11.2% | 19 |
Source: CDC PLACES, 2025 release (model-based estimates from 2023 BRFSS data).
Menopause HRT pages near San Mateo
- Redwood City, CA6 mipop. 84,292
- South San Francisco, CA7 mipop. 66,105
- Daly City, CA12 mipop. 104,901
- Hayward, CA12 mipop. 162,954
- Alameda, CA13 mipop. 78,280
- San Leandro, CA13 mipop. 91,008
Straight-line distance from city centers. US Census Bureau, 2023 Gazetteer Files.
Menopause HRT in San Mateo: questions people ask
Can I get hormone replacement therapy for women online in San Mateo, 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 Mateo?
About 12,662, or 12.2% of residents (Census ACS, 2019 to 2023). That share is below the statewide 12.4% and higher than in 83 of the other 189 California cities we cover.
How many OB-GYNs practice in San Mateo?
The federal NPI registry (CMS NPPES) lists 27 OB-GYNs with a primary practice address in San Mateo, as of October 2026. That is 26.1 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 153 of the other 189.
Where can I get bioidentical hormone replacement therapy in San Mateo?
Online, if it fits your history: estradiol and progesterone are bioidentical, and a physician licensed in California can prescribe them for women in San Mateo. Compounded "BHRT" blends are not FDA-approved; ask whether your prescription is an FDA-approved product or compounded.
How is this different from a BHRT pellet clinic?
Pellet clinics place a hormone pellet under the skin; compounded pellets are not FDA-approved. Through VevaMD there is no procedure: a pill, patch, cream or vaginal form ships to San Mateo 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.