Do I need blood tests before starting treatment?

No. Menopause is diagnosed from your symptoms, not bloodwork, so you don't need lab tests to start care. Your visit focuses on your symptoms, history, and whether hormone therapy is a safe fit for you.

Can I start hormone therapy without an in-person clinic visit?

Yes. Care starts with a live video or phone visit with a licensed clinician who reviews your symptoms and health history. No in-person clinic visit is required. Once your plan is set, follow-up care can often continue asynchronously through messaging rather than another scheduled visit.

Will hormone therapy definitely stop my hot flashes?

Most women see significant improvement, but no treatment works identically for everyone and prescribing is never guaranteed. Your clinician reviews your symptoms and history to find the approach most likely to help you.

Vasomotor symptoms

Cool the heat at its source.

Yes — hot flashes and night sweats are highly treatable, and hormone therapy is the most effective option available. They're driven by changes in the brain's temperature-regulation center as estrogen falls, which narrows your comfortable temperature range. They are not something to simply endure: with the right treatment, most women feel meaningful relief within weeks.

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Compounded Biest + progesterone · Compounded (503A pharmacy)

$189/mo

monthly or quarterly billing

Compounded Biest paired with progesterone for uterine protection.

Learn more

No membership fee. The price is the medication — free shipping and clinician messaging included. See full pricing

Symptoms we treat

What this looks like

Sudden waves of heat in the face, neck, and chest
Drenching night sweats that disrupt sleep
Flushing, sweating, and chills
Racing heart during a flash

Our approach

Evidence-led, clinician-reviewed care

We start with the treatments the guidelines support and tailor them to you.

Estradiol

Transdermal or oral estradiol restores the estrogen that calms the brain's thermostat — the spine of evidence-based menopause care.

Paired with progesterone

If you have a uterus, estradiol is paired with micronized progesterone to protect the uterine lining.

The evidence

What the guidelines say.

Our recommendations follow The Menopause Society and ACOG. Every therapy carries benefits and risks, and a licensed clinician reviews whether it is appropriate for you.

The Menopause Society, 2023

Hormone therapy is the most effective treatment for vasomotor symptoms, and is appropriate for healthy symptomatic women who are within 10 years of menopause or younger than 60.

The Menopause Society, 2022 Hormone Therapy Position Statement

Hormone therapy has both benefits and risks; the decision to treat is individualized with a licensed clinician based on symptoms, health history, and preferences.

FAQ

Questions, answered

Many women notice fewer, milder flashes within 2-4 weeks, with full benefit by about 12 weeks.

Feel like yourself again.

Take the 3-minute assessment, then meet your clinician by video or phone. No obligation.

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