Finding the Right Doctor for Divigel

If you've heard about Divigel (Estradiol gel 0.1%) and want to try it for menopause symptoms like hot flashes, the first step is finding a doctor who can prescribe it. Not every provider is familiar with transdermal hormone therapy, so knowing where to look can save you time and frustration.

In this guide, we'll walk you through which types of doctors prescribe Divigel, how to find one near you, and what to expect at your first appointment.

Which Doctors Can Prescribe Divigel?

Divigel is a prescription estrogen gel used to treat moderate to severe hot flashes caused by menopause. Several types of healthcare providers can prescribe it:

• OB/GYN (Obstetrician-Gynecologist) — These specialists are the most common prescribers of hormone replacement therapy (HRT). They understand the full range of menopause treatments and can help you decide if Divigel is right for you.
• Menopause Specialists — Some doctors have additional certification from the Menopause Society (formerly NAMS). These providers specialize in managing perimenopause and menopause.
• Endocrinologists — Hormone specialists who treat conditions related to the endocrine system. They can prescribe Divigel, especially if your case is complex.
• Primary Care / Family Medicine — Your regular doctor can prescribe Divigel too. Many primary care providers are comfortable managing straightforward menopause symptoms.
• Internal Medicine — Internists can also prescribe HRT, though some may refer you to a specialist.

How to Find a Divigel Prescriber Near You

1. Start with Your Primary Care Doctor

Your current doctor is often the easiest starting point. Ask if they're comfortable prescribing Divigel or if they'd recommend a specialist. Even if they refer you out, they can help coordinate your care.

2. Search the Menopause Society Provider Directory

The Menopause Society (menopause.org) maintains a directory of certified menopause practitioners. These doctors have passed an exam proving their expertise in menopause management. Search by zip code to find one near you.

3. Use Your Insurance Provider Directory

Log into your health insurance website and search for in-network OB/GYNs or endocrinologists. This ensures your visits will be covered and reduces out-of-pocket costs.

4. Ask Your Pharmacist

Pharmacists often know which local doctors regularly prescribe Divigel and other HRT products. They can point you in the right direction.

5. Check Online Reviews

Sites like Healthgrades, Zocdoc, and Vitals let you search for doctors by specialty and read patient reviews. Look for providers who mention menopause or hormone therapy in their profiles.

Telehealth Options for Divigel Prescriptions

You don't necessarily need to visit a doctor's office in person. Telehealth has made it easier than ever to get a Divigel prescription from home. Several telehealth platforms connect you with providers who specialize in menopause care:

• Midi Health — Focused specifically on menopause and perimenopause care
• Evernow — Online menopause clinic with HRT prescribing
• Your insurance telehealth portal — Many insurance plans now include virtual visits with OB/GYNs

Telehealth visits typically cost between $50 and $250 without insurance, and many are covered by insurance plans. The doctor can send your Divigel prescription directly to your pharmacy.

What to Expect at Your Appointment

Whether you visit in person or use telehealth, here's what your doctor will likely do:

1. Review your symptoms — How often do you have hot flashes? How severe are they? Do they disrupt your sleep or daily life?
2. Review your medical history — Your doctor will check for conditions that might make Divigel unsafe, such as a history of blood clots, stroke, breast cancer, or liver disease.
3. Discuss your options — Divigel isn't the only HRT option. Your doctor may also discuss alternatives like Estradiol patches, EstroGel, or oral tablets.
4. Order baseline tests — Some doctors check hormone levels, thyroid function, or do a mammogram before starting HRT.
5. Write your prescription — If Divigel is appropriate, your doctor will prescribe it. Divigel comes in single-dose packets ranging from 0.25 g to 1.25 g, applied once daily to the upper thigh.

What to Tell Your Doctor

Be upfront about your full health picture. Make sure to mention:

• Any history of blood clots, stroke, or heart attack
• Any history of breast cancer or other hormone-sensitive cancers
• All medications you currently take — some drugs like Carbamazepine, Rifampin, or St. John's Wort can interfere with Divigel
• Whether you still have your uterus (if so, you'll likely need a progestogen alongside Estradiol to protect against endometrial cancer)
• Your concerns about potential side effects

What If Your Doctor Says No?

Some doctors are hesitant to prescribe HRT. If your doctor declines, you have options:

• Ask why. There may be a legitimate medical reason, and understanding it helps you make an informed decision.
• Get a second opinion. Seek out a menopause specialist or OB/GYN with HRT experience.
• Try telehealth. Online menopause clinics specialize in HRT and may be more receptive.

How Much Will It Cost?

Once you have a prescription, cost is the next question. Brand-name Divigel can run $650 to $900 per month at retail. However, generic Estradiol gel is available for as low as $32 to $50 per month with discount coupons from GoodRx or SingleCare.

Most commercial insurance and Medicare Part D plans cover generic Estradiol gel. Brand Divigel may require prior authorization. Check out our guide to saving money on Divigel for more details.

Next Steps

Finding the right doctor is the first step toward relief from menopause symptoms. Once you have your prescription, you can use Medfinder to check if a pharmacy near you has Divigel in stock — without making a single phone call.

If you're new to Divigel, start with our complete guide to what Divigel is and how it works.