- Core service
- Perimenopause and menopause care, including hormone therapy
- Hormone therapy plan
- $349 first month, then $99/month
- Comprehensive lab panel
- $199, one time
- Format
- Online assessment, video visit, medication shipped from a licensed U.S. pharmacy
What we help women with
- Perimenopause and menopause symptoms: hot flashes, night sweats, broken sleep, mood changes, brain fog
- Hormone therapy (HRT): estradiol in several forms, with progesterone for women who have a uterus
- Vaginal dryness and painful sex (genitourinary syndrome of menopause), including vaginal estrogen options
- Weight changes in midlife, including GLP-1 medicines for women who qualify
- Low libido and sexual wellness
- Energy, sleep and fatigue, starting with labs to look for measurable causes
- Hair thinning and skin changes linked to hormones
- Lab testing: hormones, thyroid, iron, vitamin D, lipids with apoB and Lp(a), and metabolic markers
Is this you?
Perhaps you are in your 40s, your periods are changing, and you are waking at 3 a.m. Perhaps you are in your 50s and hot flashes are wrecking your sleep, or your waist has changed even though your habits have not. Perhaps you were told your labs were normal and to come back in a year.
These experiences are common and real. The Office on Women's Health lists sleep problems, forgetfulness, trouble focusing, mood changes and vaginal dryness alongside hot flashes among typical symptoms. Many are very treatable.
Hormones first, then the rest
For many women, the most effective starting point is addressing the hormonal change itself. The Menopause Society describes hormone therapy as the most effective treatment for hot flashes and night sweats, and notes that it helps prevent bone loss. Benefits are most likely to outweigh risks for healthy women who start before 60 or within 10 years of their last period. Your clinician will review your personal risks, including blood clots, stroke and breast cancer, before recommending anything, and will add progesterone if you have a uterus.
Other treatments can complement hormone therapy or stand alone when hormones are not right for you: medical weight care, sleep and fatigue workups, sexual wellness options and targeted lab testing. Peptides and NAD+ are also available after evaluation, but the evidence for them in humans is limited and we will tell you so plainly.
Why midlife changes your body composition
Research from the Study of Women's Health Across the Nation (SWAN) found that fat mass starts rising and lean mass starts falling about two years before the final period, with fat gain nearly doubling in pace during the transition. That is why the middle can change even when the scale barely moves.
Strength training, adequate protein, sleep and, where appropriate, medical treatment all help. Bone matters too: the USPSTF recommends bone density screening for women 65 and older, and earlier for postmenopausal women at increased risk.
Women's health expertise behind the site
Our medical content is reviewed by Dr. Vanessa Niles, R.N., M.D., F.A.C.O.G., a board-certified OB-GYN and Fellow of the American College of Obstetricians and Gynecologists with more than 40 years in women's health. Care itself is provided by independently licensed clinicians who follow current guidance from bodies such as The Menopause Society and ACOG, and who will refer you for in-person care, such as a pelvic exam, mammogram or bone density scan, when you need it.
How it works
You start with a free online eligibility check, then meet a licensed clinician by video or online. If labs are needed, you visit a local service center. If treatment is appropriate, your medication ships from a licensed U.S. pharmacy, often a compounding pharmacy. Compounded medications are not FDA-approved and are not equivalent to branded products. Follow-up continues online, and prices are confirmed at your eligibility review. Services are available only in states where our clinicians are licensed.
