Start with what you feel — and see the price up front.
Menopause shows up differently for every woman. We organize care around your symptoms, match you to the treatment the evidence supports, and show transparent, à-la-carte pricing with no membership fee. Most plans begin with body-identical estradiol and progesterone.
Find your symptom, find your plan
Each path explains the science, the options, and what to expect — no hype, no pressure.
Hot flashes & night sweats
Hot flashes and night sweats are the most common — and most treatable — symptoms of menopause. Hormone therapy is the most effective treatment available.
Sleep disruption
Menopause disrupts sleep through night sweats, anxiety, and falling progesterone. Treating the hormonal cause restores rest in a way sleep aids cannot.
Mood & brain fog
Brain fog, irritability, and low mood are real, hormone-driven symptoms of the menopause transition — not personal failings.
Vaginal & urinary (GSM)
Vaginal dryness, irritation, painful intimacy, and recurrent urinary symptoms respond well to low-dose local therapy with minimal systemic absorption.
Bone & longevity
Coming soon
We recommend what the guidelines actually support.
Our protocols follow The Menopause Society and ACOG. We lead with body-identical estradiol and progesterone, and we will never tell you that “bioidentical” or compounded means safer, more natural, or better. Hormone therapy has benefits and risks, and a clinician reviews whether it is right for you.
Explore the science hubThe Menopause Society, 2023
Hormone therapy is the most effective treatment for vasomotor symptoms such as hot flashes and night sweats.
ACOG
Compounded “bioidentical” hormones are not safer or more effective than standard hormone therapy.
À la carte, priced per medication
One price per medication — and that price is the medication. Free shipping, unlimited clinician messaging, and automatic refills are included, with no membership fee. We lead with body-identical estradiol and progesterone; compounded options such as Biest (estradiol + estriol) are clearly labeled as compounded by a 503A pharmacy.
Estradiol patches
Transdermal patch, applied twice weekly · Prescription
$159/mo
monthly or quarterly billing
Estradiol patch, applied twice weekly.
Estradiol tablets
Oral tablet, once daily · Prescription
$79/mo
monthly or quarterly billing
Oral estradiol for menopause symptoms.
Estradiol gel
Transdermal gel, applied daily · Prescription
$99/mo
monthly or quarterly billing
Transdermal estradiol gel, applied daily.
Progesterone capsules
Oral capsule, at bedtime · Prescription
$59/mo
monthly or quarterly billing
Micronized progesterone for sleep and uterine protection.
Biest 50:50
Compounded (estradiol + estriol) · Compounded (503A pharmacy)
$149/mo
monthly or quarterly billing
A compounded estradiol-and-estriol option, prescribed when chosen with your clinician.
Biest 50:50 + progesterone
Compounded Biest + progesterone · Compounded (503A pharmacy)
$189/mo
monthly or quarterly billing
Compounded Biest paired with progesterone for uterine protection.
Estradiol vaginal cream
Vaginal cream · Prescription
$99/mo
billed monthly
Local estrogen for vaginal and urinary symptoms.
No membership fee. The price is the medication — free shipping and clinician messaging included. See full pricing
Every price includes the whole experience
Care, delivery, and support are part of the medication price — never billed separately.
Free shipping
Every order ships free and discreetly to your door, including refills.
Unlimited clinician messaging
Message your care team anytime about dosing, side effects, or questions.
Automatic refills
Your medication arrives on schedule — no reordering, no gaps in care.
Cancel anytime
No lock-in and no commitment. Pause or cancel from your account in a few clicks.
No membership fee
You pay for medication only. There is no separate subscription or platform fee.
HSA / FSA eligible
Prescription costs are typically eligible for HSA and FSA reimbursement.
The price is the medication. That’s the whole model.
Many telehealth services bundle a recurring membership on top of your prescription, so the number you remember isn’t the number you pay. We do it differently: you pay for the medication, and shipping, clinician messaging, and refills are included. No membership fee, no consultation fee, no hidden add-ons at checkout.
$0
Membership fee
Included
Shipping & messaging
Yes
Cancel anytime
Prices reflect cash-pay medication costs and may change as formulary and pharmacy partners are updated. Compounded medications are prepared individually by a state-licensed 503A pharmacy rather than mass-manufactured to a standardized, tested product. Your final plan, price, and billing frequency are confirmed by your clinician and shown in your account before any charge.
Clear terms, easy to cancel
The price you see on each medication is what you pay. It covers the prescription, free shipping, automatic refills, and unlimited messaging with your care team. There is no membership fee, platform fee, or separate charge for the clinician review.
Real medicine, transparent pricing.
Take the 3-minute assessment. See your options and price before you commit.