Need a Dotti prescription? Learn which doctors prescribe estradiol patches, how to find a provider near you, and what to expect at your appointment.
If you're dealing with hot flashes, night sweats, or other menopause symptoms, your doctor may have mentioned Dotti (estradiol transdermal system) as a treatment option. But what if you don't have a doctor who prescribes hormone replacement therapy? Or what if your current provider isn't comfortable with HRT?
Finding the right prescriber matters — not just for getting a prescription, but for getting the right dose and ongoing monitoring. This guide walks you through exactly how to find a doctor who can prescribe Dotti near you in 2026.
If you're new to Dotti, start with our overview: What Is Dotti? Uses, Dosage, and What You Need to Know.
Several types of healthcare providers can prescribe Dotti and other estradiol patches:
OB/GYNs are often the go-to for menopause care. They're trained in women's reproductive health and are generally comfortable prescribing hormone therapy. Many OB/GYNs manage menopause patients as a core part of their practice.
Your primary care doctor can absolutely prescribe Dotti. Many family medicine and internal medicine doctors manage menopause symptoms, especially straightforward cases. If you already have a good relationship with your PCP, this is often the easiest route.
Endocrinologists specialize in hormones. They're a great fit if you have complex health issues alongside menopause — such as thyroid problems, diabetes, or a history of blood clots. They may also prescribe Dotti for other conditions like hypogonadism.
The North American Menopause Society (NAMS) certifies practitioners who have demonstrated expertise in menopause care. These specialists stay up to date on the latest HRT research and guidelines. You can search for a NAMS-certified practitioner on the NAMS website.
In 2026, telehealth has become one of the most popular ways to get a Dotti prescription. Platforms like Midi Health, Alloy, and Evernow specialize in menopause care and can prescribe estradiol patches online. This is especially helpful if you live in an area without a local menopause specialist.
Here are the best ways to find a doctor who can prescribe Dotti:
Visit the North American Menopause Society's website and use their "Find a Menopause Practitioner" tool. This directory lists NAMS-certified providers by location. These doctors have passed a competency exam focused on menopause care.
Call the number on the back of your insurance card and ask for in-network OB/GYNs or endocrinologists who specialize in menopause or hormone therapy. This helps you avoid surprise out-of-network bills.
If you'd rather not deal with in-person visits, telehealth menopause platforms offer virtual consultations. You can typically get a prescription within a few days. Many of these platforms also help with pharmacy coordination — which is especially useful given the current Dotti shortage.
Pharmacists often know which local doctors prescribe specific medications. If you have a good relationship with your pharmacist, ask them which providers in the area frequently prescribe estradiol patches.
At medfinder.com, we help connect patients with providers and pharmacies. If you're having trouble finding Dotti in stock, we can help you locate a pharmacy that has it.
Going to a new doctor can feel a little nerve-wracking. Here's what to expect when you visit a provider about Dotti:
Your doctor will likely:
Don't be afraid to ask questions. Good questions include:
For more on side effects, see our guide: Dotti Side Effects: What to Expect and When to Call Your Doctor.
Your doctor will send your prescription to a pharmacy. Here's where things can get tricky in 2026 — Dotti is currently experiencing supply shortages. Your pharmacy may not have it in stock right away.
Once you have a prescription for Dotti, there are a few things to keep in mind:
With the current shortage, you may need to call around or use online tools to find a pharmacy that has Dotti. Check out our guide on how to check if a pharmacy has Dotti in stock without calling.
Dotti can cost $105 to $191 at retail, but coupons and savings programs can bring the price down significantly — sometimes to as low as $25 with a GoodRx coupon. Read our full guide on how to save money on Dotti.
If Dotti is out of stock at every pharmacy near you, your doctor may be able to switch you to an equivalent estradiol patch like Climara (once weekly) or a generic estradiol patch. Learn more in our alternatives guide.
Most doctors will want to see you within 1 to 3 months after starting Dotti to check how you're doing. They may adjust your dose, add a progestogen if needed, or order blood work to check your estradiol levels.
Unfortunately, some doctors are still hesitant about hormone replacement therapy. If your provider refuses to prescribe Dotti or dismisses your symptoms, you have options:
Getting a Dotti prescription starts with finding the right provider. Whether that's your current PCP, an OB/GYN, a NAMS-certified menopause specialist, or a telehealth platform, the most important thing is finding someone who listens to your concerns and has experience with hormone therapy.
Once you have your prescription, use the resources on MedFinder to locate Dotti in stock near you and save money on your prescription. Menopause care is real healthcare — and you deserve to feel better.
You focus on staying healthy. We'll handle the rest.
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