Key statistics
- 8,796 of the 53,215 US med spas in the MedSpaStandard directory (17%) offer hormone replacement therapy, going by their Google listings and websites, as of October 2026.
- Hormone replacement therapy ranks 32nd by provider count among the 81 treatments MedSpaStandard tracks, as of October 2026.
- Florida has the most hormone replacement therapy providers, with 1,322 med spas, according to MedSpaStandard directory data for October 2026.
- Nationally there are 2.6 med spas offering hormone replacement therapy per 100,000 residents, according to MedSpaStandard directory data for October 2026.
- Florida has the most hormone replacement therapy providers per capita: 5.7 per 100,000 residents (1,322 med spas), according to MedSpaStandard directory data for October 2026.
- Google reviews of med spas offering hormone replacement therapy average 4.88 stars, across 1,157,445 reviews of 8,339 rated listings, according to MedSpaStandard directory data for October 2026.
- NHANES data (Sprague et al., Obstet Gynecol 2012; 10,107 women aged 40+) show oral postmenopausal hormone use in the U.S. fell from 22.4% in 1999–2000 to 11.9% in 2003–2004, after the 2002 WHI results, and to 4.7% by 2009–2010. [1]
- In the WHI estrogen-plus-progestin trial (JAMA 2002; 16,608 women, mean 5.2 years), the absolute excess risks per 10,000 women per year were 7 more heart-disease events, 8 more strokes, 8 more pulmonary embolisms and 8 more invasive breast cancers, against 6 fewer colorectal cancers and 5 fewer hip fractures. [3]
- Among U.S. women aged 45–64 eligible for menopausal hormone therapy (NHANES 2013–2020; JAMA Netw Open 2026), 20.7% of privately insured women vs 10.7% of Medicaid-insured women reported ever using hormone therapy. [2]
- FDA's public FAERS data (openFDA, through the 2026-07-30 update) contain 187,637 adverse-event reports listing an estradiol product as a suspect drug; these are report counts across all uses (menopause, contraception combinations, etc.), not rates. [4]
- 96% of the Google reviews left for hormone replacement therapy providers are 5-star, according to MedSpaStandard directory data for October 2026.
- Med spas offering hormone replacement therapy are listed in 51 of the 51 states (counting Washington, DC), according to MedSpaStandard directory data for October 2026.
How many med spas offer hormone replacement therapy?
8,796 of the 53,215 US med spas in our directory (17%) offer hormone replacement therapy, going by their Google listings and websites.
Hormone replacement therapy ranks 32nd by provider count among the 81 treatments we track.
Med spas offering hormone replacement therapy are listed in 51 of the 51 states (counting Washington, DC).
Hormone Replacement Therapy Provider Statistics: every number →
What else do hormone replacement therapy providers offer?
92% of med spas offering hormone replacement therapy also offer Botox.
88% of med spas offering hormone replacement therapy also offer dermal fillers.
82% of med spas offering hormone replacement therapy also offer microneedling.
Hormone Replacement Therapy Provider Statistics: every number →
Find hormone therapy providers near you
Compare Google ratings, reviews and posted prices at med spas in your city.
Who performs hormone replacement therapy?
48% of the 4,802 hormone replacement therapy providers that name their clinical team online list a physician (MD or DO).
56% of the 4,802 hormone replacement therapy providers that name their clinical team online list a nurse practitioner.
16% of the 4,802 hormone replacement therapy providers that name their clinical team online list a physician assistant.
Hormone Replacement Therapy Provider Statistics: every number →
What percentage of menopausal women use hormone therapy?
NHANES data (Sprague et al., Obstet Gynecol 2012; 10,107 women aged 40+) show oral postmenopausal hormone use in the U.S. fell from 22.4% in 1999–2000 to 11.9% in 2003–2004, after the 2002 WHI results, and to 4.7% by 2009–2010. [1]
Among U.S. women aged 45–64 eligible for menopausal hormone therapy (NHANES 2013–2020; JAMA Netw Open 2026), 20.7% of privately insured women vs 10.7% of Medicaid-insured women reported ever using hormone therapy. [2]
How common are hormone replacement therapy side effects and complications?
In the WHI estrogen-plus-progestin trial (JAMA 2002; 16,608 women, mean 5.2 years), the absolute excess risks per 10,000 women per year were 7 more heart-disease events, 8 more strokes, 8 more pulmonary embolisms and 8 more invasive breast cancers, against 6 fewer colorectal cancers and 5 fewer hip fractures. [3]
FDA's public FAERS data (openFDA, through the 2026-07-30 update) contain 187,637 adverse-event reports listing an estradiol product as a suspect drug; these are report counts across all uses (menopause, contraception combinations, etc.), not rates. [4]
How do patients rate hormone replacement therapy providers on Google?
Google reviews of med spas offering hormone replacement therapy average 4.88 stars, across 1,157,445 reviews of 8,339 rated listings.
96% of the Google reviews left for hormone replacement therapy providers are 5-star.
Star ratings in Google reviews of hormone replacement therapy providers
Share of 1,157,445 reviews
Source: Google reviews, MedSpaStandard, October 2026
84% of hormone replacement therapy providers with at least 5 reviews hold a 4.8-star rating or better.
2.8% of the Google reviews left for hormone replacement therapy providers give 1 or 2 stars.
1.3% of hormone replacement therapy providers with at least 5 reviews average under 4.0 stars.
Google lists results as a review theme for 11% of hormone replacement therapy providers with review themes.
Google lists natural-looking results as a review theme for 5.7% of hormone replacement therapy providers with review themes.
What these numbers can't tell you
- Counts are Google Maps listings we classify as med spas, so they include dermatology and plastic surgery practices that offer med spa treatments and exclude spas without a Google listing.
- A treatment counts when the spa's Google listing or website names it, so a spa with an outdated menu can be over- or under-counted.
- Credentials count only clinicians a spa names with a credential (MD, DO, NP, PA, RN) on its own website, so spas that leave their team off their website are left out of those shares.
- We hold no patient records: every figure describes providers, their listings and their Google reviews, not who gets treated.
- Ratings and review themes are Google's, as shown on each listing on the snapshot date; Google filters some reviews and does not publish how.
Frequently asked questions
How many med spas offer hormone replacement therapy?
8,796 of the 53,215 US med spas in the MedSpaStandard directory (17%) offer hormone replacement therapy, going by their Google listings and websites, as of October 2026. Nationally there are 2.6 med spas offering hormone replacement therapy per 100,000 residents.
Which state has the most hormone replacement therapy providers per capita?
Florida has the most hormone replacement therapy providers per capita: 5.7 per 100,000 residents (1,322 med spas), according to MedSpaStandard directory data for October 2026. Florida has the most hormone replacement therapy providers, with 1,322 med spas.
What other treatments do hormone replacement therapy providers offer?
92% of med spas offering hormone replacement therapy also offer Botox, according to MedSpaStandard directory data for October 2026. 88% of med spas offering hormone replacement therapy also offer dermal fillers.
Who performs hormone replacement therapy at med spas?
48% of the 4,802 hormone replacement therapy providers that name their clinical team online list a physician (MD or DO), according to MedSpaStandard directory data for October 2026. 56% of the 4,802 hormone replacement therapy providers that name their clinical team online list a nurse practitioner.
How do patients rate hormone replacement therapy providers on Google?
Google reviews of med spas offering hormone replacement therapy average 4.88 stars, across 1,157,445 reviews of 8,339 rated listings, according to MedSpaStandard directory data for October 2026. 96% of the Google reviews left for hormone replacement therapy providers are 5-star.
Sources and methodology
Our data. October 2026 snapshot of 53,215 US med spa Google listings and their websites. How we build these numbers
- pubmed.ncbi.nlm.nih.gov · National Library of Medicine
- pubmed.ncbi.nlm.nih.gov · National Library of Medicine
- pubmed.ncbi.nlm.nih.gov · National Library of Medicine
- api.fda.gov · U.S. Food and Drug Administration
MedSpaStandard. (2026, October 30). Hormone Replacement Therapy Statistics 2026. https://medspastandard.com/statistics/hormone-replacement-therapy/
Medical disclaimer. MedSpaStandard is for education only and is not medical advice. Talk to a licensed provider about your own health, and check any provider's license with your state board.