Menopause is a medical conversation, and you deserve to be heard in it.
Perimenopause and menopause deserve more than a seven-minute appointment. A US-licensed clinician reviews your symptoms and your labs, then prescribes a bioidentical hormone plan only when it fits your history.
- Clinician-led, US-licensed
- Labs reviewed where indicated
- Compounded in the USA by licensed 503A pharmacies
- Free online visit, no consult fee
Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.
What it is
Bioidentical hormone therapy, structured as real medical care
Hormone replacement therapy replaces hormones your body produces less of through the menopausal transition. The protocols here are bioidentical, meaning the estradiol, progesterone, bi-estrogen blend, DHEA, and T3 thyroid support are structurally identical to the hormones your body already makes. Your clinician decides which of these, alone or in combination, fits your symptoms and your labs.
This is a clinical process, not a product you order off a shelf. You complete an online assessment, a US-licensed clinician reviews your history and, where indicated, lab work, and a prescription is written only when the medical picture supports it. The clinician remains your prescriber of record and the person you message with questions.
Every dose is compounded in the USA by licensed 503A pharmacies under your individual prescription. No hidden overseas supply chain. Your formulation is prepared specifically for you, in the form your clinician selects.
How it works
From assessment to a plan built around you
You tell us the whole picture
A focused online assessment captures your symptoms, your cycle history, your medical history, and your goals. Hot flashes, broken sleep, mood changes, and brain fog are clinical signals, and they are recorded as such, not waved off.
A clinician reviews, with labs where indicated
A US-licensed clinician evaluates your intake. Where it informs the decision, lab work such as TSH, free T3 and T4, estradiol, progesterone, and DHEA-S is reviewed before anything is prescribed. The hormones chosen reflect what your body is missing.
Your formulation is compounded for you
If a bioidentical plan fits, the clinician writes the prescription and a licensed 503A pharmacy in the USA compounds your specific formulation. Your clinician sets the form and dose, and adjusts over time through async messaging and follow-up.
Our standard
Compounded in the USA. Nothing less.
Safety is the whole point. Every dose is prepared by a licensed 503A pharmacy inside the United States, under a prescription written by a clinician who has reviewed your history. No hidden overseas supply chain.
Compounded in the USA
Your hormones are prepared inside the United States by a licensed 503A pharmacy under your individual prescription. No hidden overseas supply chain, ever.
Clinician prescribed
A US-licensed clinician reviews your intake, discusses the trade-offs and the medical evidence, and is your prescriber of record. Never sold off a shelf.
Labs where indicated
Where it informs the decision, your clinician reviews TSH, free T3 and T4, estradiol, progesterone, and DHEA-S, so your plan reflects what your body needs.
Who it's for
For women who want the full picture taken seriously, and a clinician who reviews it.
A licensed clinician reviews your intake and recommends a bioidentical hormone plan only when it fits your history and your labs. The online visit is free. You only pay if a clinician prescribes, and you're never charged for medication you weren't prescribed.
- You are in perimenopause or menopause and noticing hot flashes, night sweats, or disrupted sleep
- Mood changes, brain fog, or a lower libido have crept in alongside the hormonal shift
- Body composition has changed in ways that diet and routine no longer explain
- You have thyroid-type symptoms such as fatigue or cold intolerance and want labs reviewed
- You have been hurried through past appointments and want a clinician who reviews the full picture
Your clinician reviews your history for contraindications including a personal history of hormone-sensitive cancers, blood clots, or cardiovascular disease, and prescribes only when the evidence supports it. Not everyone qualifies.
What you receive
One plan. Everything included.
A flat monthly price covers your compounded medication, the clinical care, and shipping. Your clinician sets the exact form and dose during your consult and adjusts it over time.
- Bioidentical hormone formulation prescribed for you, US-licensed
- Compounded in the USA by a licensed 503A pharmacy
- Lab review where indicated, including thyroid and hormone panels
- Flat monthly pricing, medication included
- Async messaging with your care team and dose adjustments over time
- Cancel or pause anytime
Starting from
Free online visit. You only pay when prescribed.
- Cancel anytime
- No insurance needed
- Discreet shipping
- HSA/FSA eligible
Compounded bioidentical hormones are not FDA-approved and have not been shown by the FDA to be safer or more effective than FDA-approved hormone therapies. Your clinician will discuss the trade-offs and the medical evidence with you. All prescriptions require approval by a licensed healthcare provider, and individual results may vary.
Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.
HRT questions
Things people ask before they sign up.
If something is not here, reach out, we'd rather answer it plainly than have you guess.
What if I am not approved for hormone therapy?
The online visit is free, so there is nothing to refund. You are never charged for a medication you were not prescribed. A clinician may decide it is not the right fit for you, and that is part of responsible care.
Is bioidentical hormone therapy FDA-approved?
Compounded bioidentical hormones are not FDA-approved and have not been shown by the FDA to be safer or more effective than FDA-approved hormone therapies. They are prepared by a licensed 503A pharmacy in the USA under your clinician's prescription for patients with a documented clinical need. Your clinician will discuss the trade-offs and the medical evidence with you.
What hormones are part of the program?
The protocols are bioidentical only. Depending on your symptoms and labs, a clinician may prescribe estradiol, progesterone, a bi-estrogen blend known as BIEST, DHEA, or T3 thyroid support, alone or in combination. Your clinician decides which of these fits your history and reviews relevant lab work before prescribing.
Will my labs be reviewed before anything is prescribed?
Where it informs the decision, yes. Your clinician may review TSH, free T3 and T4, estradiol, progesterone, and DHEA-S so your plan reflects what your body is missing. Lab review is part of treating menopause as a real medical conversation rather than a guess.
How do I get bioidentical HRT prescribed online?
It is a fully online process. You start with a free assessment, and a US-licensed clinician reviews your intake, your symptoms, and any indicated lab work. If a bioidentical hormone plan fits your history, the clinician writes the prescription and your formulation is compounded in the USA by a licensed 503A pharmacy under that prescription. Your clinician remains your prescriber of record and the person you message with questions.
Can compounded hormones help with hot flashes, sleep, and brain fog during menopause?
Hot flashes, night sweats, disrupted sleep, mood changes, and brain fog are recognized parts of the hormonal picture of perimenopause and menopause, and they are exactly the symptoms a clinician evaluates. Rather than promise a specific result, this page describes a clinical process: a clinician reviews your symptoms and labs and prescribes a bioidentical plan only when it is appropriate. Your clinician will discuss what the evidence does and does not support for your situation.
How much does the HRT program cost?
The online visit is free. If a clinician prescribes, HRT is $139/month on the 3-month plan ($417 billed every 3 months). One price includes the medication, clinician care, and shipping. Plans are HSA and FSA eligible.
Who prescribes the hormones, and do I need an in-person visit?
A US-licensed clinician reviews your intake and is the prescriber of record. The review is asynchronous, so you complete the online assessment and the clinician evaluates it, reviews indicated labs, and messages you. The process is described as an online intake and clinician review rather than an in-person visit, and your hormones are never sold off a shelf.
Menopause is a medical conversation.
Take the free assessment. A US-licensed clinician reviews your symptoms and your labs, then prescribes a bioidentical plan only when it fits. The online visit is free, and you only pay if you're prescribed.