Physician-prescribed estrogen, progesterone, and testosterone therapy for women, delivered to your door. Video visit, labs, and ongoing provider oversight included.
HRT replaces the estrogen and progesterone the ovaries have stopped producing. It does not cure menopause. It is for women with bothersome symptoms who have been evaluated by a provider.
The most common reason women are evaluated for hormone therapy during perimenopause and menopause.
Waking through the night, often driven by night sweats and falling estrogen.
Local symptoms that respond to estrogen, systemic or applied vaginally.
Irritability, low mood, and anxiety that track with hormonal shifts.
Low energy and poor concentration that come with declining estrogen.
Testosterone also declines with age in women. Low desire, low energy, and loss of muscle tone are the symptoms our providers evaluate testosterone for.
Bioidentical hormones have the same molecular structure as the ones your body produces: estradiol and progesterone, rather than synthetic or animal-derived alternatives.
Estradiol and progesterone that match the body's own hormones. Not claimed to be safer or more effective than FDA-approved products.
Compounded bioidentical estradiol and micronized progesterone, prepared by a licensed 503A pharmacy.
Your provider selects the form and route for you, based on symptoms, history, and preference.
Compounded hormone therapy has not been reviewed or approved by the FDA and is not the same as commercially available FDA-approved products.
A video visit with a licensed provider before anything is prescribed, not a questionnaire. Available in all 50 states.
Complete the intake and book a video visit with a licensed provider.
Baseline labs are ordered and reviewed by your provider.
Your provider prescribes a personalized protocol if you are a candidate.
Medication ships from a licensed pharmacy, with ongoing follow-up and lab rechecks.
From $149.99 · No hidden fees · Cancel anytime
Our ongoing monthly program is $199.99 per month with labs included, or $149.99 per month if you bring a recent full panel. Self-pay, month to month, HSA/FSA accepted.
One flat rate every month with nothing to arrange. Labs, bloodwork review, medication and provider oversight are all covered, and you can stop at any time.
For patients who already have complete, recent bloodwork. Upload your results at intake and a licensed provider reviews them before prescribing.
We direct you to a local lab for a quick draw, then your provider reviews the panel and builds your protocol from it. Nothing to arrange yourself.
Three months at the lowest monthly rate on the page, for patients who arrive with their own complete bloodwork. Same provider review, one shipment.
Labs are included on Programs 01 and 03 and not included on the bring-your-own-labs programs. No insurance required · HSA/FSA accepted · no membership fee · cancel anytime. Dispensed by a 503A licensed pharmacy and shipped in plain packaging.
Online providers who prescribe hormone therapy for women. Every HRT patient is evaluated by a licensed provider specializing in hormone optimization, reviewing your labs, history, and goals before prescribing.
Advanced Practice RN specializing in acute care and responsive patient management.
Delivers holistic, primary-focused care for hormone therapy patients.
Leads clinical oversight across all hormone therapy programs including HRT.
Board-certified internist specializing in hormone optimization.
Patient-first internist bringing whole-body care to hormone therapy.
Decades of adult and geriatric clinical experience in telehealth hormone therapy.
Expert in rapid clinical assessment and metabolic hormone care.
Specializes in critical and complex metabolic conditions.
Provides accessible, personalized hormone care.
Applies a whole-body clinical lens to hormone optimization programs.
Brings high-level diagnostic precision to hormone optimization programs.
Estrogen relieves the symptoms. Progesterone protects the uterine lining in women who still have a uterus. Each is available as a compounded cream or capsule; your provider selects the form and adjusts it from labs over time.
Transdermal cream applied to the skin for systemic symptoms, or applied vaginally where your provider prescribes it for local symptoms. Capsules are the oral option.
A compounded combination of estriol and estradiol. Estriol, the weaker estrogen, makes up the larger share, for women whose provider wants a gentler estrogen profile.
Prescription-strength micronized progesterone, compounded and monitored by a provider, not an over-the-counter cream. Capsules are commonly taken at bedtime because progesterone can cause drowsiness.
Every product in this section is compounded. Compounded hormone therapy is prepared by a licensed 503A compounding pharmacy and has not been reviewed or approved by the FDA. Compounded medications are not the same as commercially available FDA-approved products.
Women produce testosterone too, and levels fall through the 40s and 50s. Our providers evaluate for low sexual desire, low energy, reduced motivation, and difficulty maintaining muscle.
The 2019 Global Consensus Position Statement, endorsed by the Endocrine Society and the Menopause Society, supports testosterone for postmenopausal women with low sexual desire at doses that keep levels in the normal female range. It did not find sufficient evidence for other uses.3
There is no FDA-approved testosterone product for women in the United States, so prescribing testosterone to women is off-label. Our compounded testosterone is prepared by a licensed 503A pharmacy and has not been reviewed by the FDA.
Compounded testosterone as a cream or lotion, applied to a rotating site for low, adjustable daily dosing. Your provider selects cream or lotion by skin type and preference; levels are rechecked after the first cycle.
For women who prefer less frequent dosing or do not absorb topical forms well. Your provider decides between topical and injectable based on labs, response, and preference.
Women's dosing is a small fraction of men's, and labs are checked before and during therapy to keep levels in the female range. Pellets are an in-office procedure we do not offer; once implanted, the dose cannot be adjusted. Men looking for testosterone therapy should see our men's TRT program.
Risk depends on age, time since menopause, health history, and formulation. The evaluation exists to sort this out for you as an individual.
Breast tenderness, bloating, headache, and spotting in the early months. Most ease as the body adjusts.
Acne, oily skin, and unwanted hair growth at higher levels, and voice changes with excess dosing. Levels are kept in the female range and rechecked.
Women with a history of breast cancer, estrogen-sensitive cancers, blood clots, stroke, or unexplained vaginal bleeding. Our providers screen for each before prescribing.
Persistent hot flashes, night sweats, disrupted sleep, vaginal dryness, mood changes, and low energy in your 40s and 50s are the most common reasons women are evaluated for HRT. Symptoms alone do not confirm candidacy; a provider reviews your history and labs to determine whether hormone therapy is appropriate.
Weight gain during menopause is common, but the clinical evidence does not show that HRT itself causes it. Some women notice temporary bloating or fluid retention in the first weeks. Your provider can adjust the formulation if that persists.
HRT is not a weight loss treatment and is not prescribed for that purpose. Some women find that better sleep and energy on HRT make it easier to maintain activity and eating habits, which can support weight management indirectly. For weight loss, our providers evaluate separately for GLP-1 programs.
Coverage varies by plan and is often limited for compounded or telehealth-prescribed hormone therapy. Our program is self-pay with transparent monthly pricing, so no insurance is required. HSA and FSA cards are accepted.
For many healthy women within about ten years of menopause, current guidance supports HRT as an appropriate option for symptom relief, with risks that depend on age, health history, and formulation. It is not appropriate for everyone, which is why our providers screen for cardiovascular history, clotting risk, and hormone-sensitive cancers before prescribing.1
The relationship between HRT and cancer risk depends on the type of therapy, duration, and individual history. Combined estrogen and progesterone therapy has been associated with a small increase in breast cancer risk with longer use in large studies, while estrogen alone has not shown the same pattern. Women with a personal history of breast or other hormone-sensitive cancers are generally not candidates. Discuss your history with your provider.2
Hair thinning during perimenopause and menopause is often linked to falling estrogen, and some women see improvement on HRT. It is not prescribed for hair loss on its own, and results vary. Your provider can review whether hormone therapy is likely to help in your case.
Many women notice improvement in hot flashes and sleep within the first few weeks. Mood, energy, and vaginal symptoms often take two to three months. Your provider typically rechecks labs and symptoms after that window and adjusts the protocol if needed.
Our ongoing monthly program is $199.99 per month with labs included, or $149.99 per month if you bring a recent full panel. Both include provider visits, medication, and shipping. A 90-day supply is $349.99 with labs included or $249.99 with your own labs. There are no insurance requirements and no long-term contracts.
Low sexual desire is the most consistent sign. Low energy, reduced motivation, difficulty building or keeping muscle, and a general flatness in mood are also reported. These symptoms overlap with low estrogen, thyroid issues, and sleep problems, so a provider reviews labs and history rather than treating a symptom list on its own.
The best-supported benefit is improved sexual desire in postmenopausal women, which is the use endorsed by the 2019 Global Consensus Position Statement from the Endocrine Society and the Menopause Society.3 Some women also report better energy and easier muscle maintenance, though the evidence for those is weaker. Testosterone is not prescribed for weight loss. Response varies, and a provider monitors levels to keep them within the normal female range.
No. There is no FDA-approved testosterone product for women in the United States, so prescribing testosterone to women is off-label. The compounded testosterone in our program is prepared by a licensed 503A compounding pharmacy and has not been reviewed by the FDA. Your provider will discuss what that means for you before prescribing.
Usually. Breast tenderness is a common early effect as the body adjusts to estrogen and typically eases within the first few months. If it persists or worsens, tell your provider; a change in dose or route often resolves it.
1 The 2022 Hormone Therapy Position Statement of The North American Menopause Society Advisory Panel. Menopause, 2022;29(7):767–794. PubMed
2 Chlebowski RT, et al. Association of Menopausal Hormone Therapy With Breast Cancer Incidence and Mortality During Long-term Follow-up of the Women's Health Initiative Randomized Clinical Trials. JAMA, 2020;324(4):369–380. PubMed
3 Davis SR, Baber R, Panay N, et al. Global Consensus Position Statement on the Use of Testosterone Therapy for Women. J Clin Endocrinol Metab, 2019;104(10):4660–4666. PubMed
Estrogen, progesterone, and testosterone therapy for women. Video visit, labs, and ongoing oversight included.
Start Your Evaluation →From $149.99 per month · No insurance required · HSA/FSA accepted · Cancel anytime