Built for the years nobody prepares you for
Perimenopause can start in your early 40s — sometimes earlier. If something's changed and nobody's taking it seriously, that's what we're here for.
Perimenopause & menopause care
Five minutes tells you whether treatment makes sense for you. If it doesn't, we say so.
Membership only starts if we can actually help.
Perimenopause can start in your early 40s — sometimes earlier. If something's changed and nobody's taking it seriously, that's what we're here for.
The first three steps are free. Step four is where you see your price.
Tap what you're experiencing. Sleep, hot flashes, mood, brain fog, periods, everything else.
Age, where you are, and where you are in the transition. Thirty seconds.
A short set of clinical questions. This is the part that decides whether we can help.
One price, in writing. Then a menopause-trained provider reviews everything and writes your plan.
The full menu for perimenopause and menopause. Your clinician decides what, if anything, to prescribe — and every option is labeled as what it is, with the price up front.
| How it usually works | Here | |
|---|---|---|
| Estradiol — patch, tablet, or gelFDA-approved to treat: hot flashes & night sweats · prevent bone loss | $54–149/mo as a shipped subscription | ~$4–35/mo generic, at your own pharmacy |
| Micronized progesterone — nightly capsuleFDA-approved role: protects the uterine lining while you take estrogen | $20–39/mo shipped, often a separate subscription | ~$10–20/mo generic, same pickup as your estradiol |
| One-capsule option — estradiol + progesterone togetherFDA-approved to treat: moderate-to-severe hot flashes, for women with a uterus | Rarely offered — most services default to creams | The FDA-approved capsule — price told to you before it's prescribed |
| Combination creams — estrogen + progesterone in one topical or vaginal creamCompounded to your prescribed strength · not individually FDA-reviewed | The centerpiece of $50–150/mo "bioidentical" subscription packages | ~$22–32/mo, prepared by a licensed compounding pharmacy |
| Vaginal estradiol — cream, insert, or ringFDA-approved to treat: vaginal dryness · pain with intercourse · related urinary symptoms | ~$40/mo on autoship, whether you need it or not | ~$10–40/mo generic, refilled when you need it |
| Non-hormonal optionsFDA-approved to treat: hot flashes, for women who can't or prefer not to take hormones | Often swapped for supplement upsells | FDA-approved prescriptions — no supplements, no upsells |
Not on the list: testosterone, weight-loss drugs, or controlled substances. Compounded preparations are made to order by state-licensed compounding pharmacies — like all compounded medications, they aren't individually FDA-reviewed, and we'll always tell you which kind you're getting.
Each of these is in your member agreement — not just on this page.
Founding membership · First 100 members: first month free, $69 rate locked for as long as you stay.
Counted from the waitlist, in order. No payment until care begins.
You're not imagining it. And you're not alone.