
Perimenopause
Your body is changing.
You're not alone.
Support for the in-between with personalized treatment plans.
- Irregular periods
- Mood swings
- Hot flashes
- Sleep changes
- Anxiety
- Weight gain

Support for the in-between with personalized treatment plans.

Evidence-based treatment options to help you feel better, inside and out.
Starting in your 40s, sometimes earlier, your estrogen and progesterone levels begin to rise and fall unpredictably. This stage is called perimenopause. Over time, they decline until your periods stop for good. Menopause is reached after 12 months without a period, usually around age 51.
As estrogen drops, you may notice:
Hormone therapy replaces some of the estrogen your body is making less of, which can help ease these symptoms. Your provider reviews your health history and recommends the option that fits you.
Perimenopause: symptoms often start in your 40s. Menopause: 12 months without a period. Illustration only; timing varies from woman to woman.
Support your changing hormone needs with a personalized treatment plan designed for whole-body and targeted relief: estradiol and progesterone for common perimenopause and menopause symptoms, plus vaginal estradiol cream for localized support when needed.

One patch a week. Apply it and go about your day. For hot flashes and night sweats that disrupt your sleep.
Card authorized at checkout. Charged only if a provider approves.

One small daily pill to help ease hot flashes, night sweats and restless nights.
Card authorized at checkout. Charged only if a provider approves.

Applied to the skin once daily to relieve hot flashes and night sweats. No pills to swallow.
Card authorized at checkout. Charged only if a provider approves.

Taken with estrogen to protect the uterine lining. One capsule at bedtime, for women who have a uterus.
Card authorized at checkout. Charged only if a provider approves.
Product images are for illustration only. Actual packaging may vary.

Targeted relief for dryness and discomfort, right where you need it. For vaginal dryness, discomfort during sex and urinary urgency.
Card authorized at checkout. Charged only if a provider approves.
Product images are for illustration only. Actual packaging may vary.
Your provider sets your exact dose and schedule. Not sure which one fits? Start your assessment and we’ll help you choose.

Whole-body relief and targeted comfort in one plan: a weekly patch, bedtime progesterone and vaginal cream.
Card authorized at checkout. Charged only if a provider approves.

A weekly estradiol patch with bedtime progesterone, together in one plan.
Card authorized at checkout. Charged only if a provider approves.

A daily estradiol pill with bedtime progesterone, the simplest way to start.
Card authorized at checkout. Charged only if a provider approves.
Product images are for illustration only. Actual packaging may vary.
Progesterone is included when your provider recommends it. New to hormone therapy? Your provider may start you on a monthly plan first, then move you to a bundle once your dose is set.
Treatment for perimenopause and menopause may include bioidentical hormone therapy. This treatment is not a form of birth control and does not prevent pregnancy.
If contraception is needed, consider a non-hormonal or barrier method, such as condoms, a diaphragm, or spermicide. Always let your Care Team know before starting any hormonal birth control so they can make sure your treatment plan remains appropriate.
Estradiol is a bioidentical form of estrogen, meaning its molecular structure is the same as the estrogen naturally produced by your body. It replaces estrogen levels that decline during perimenopause and menopause, and is designed to help relieve common symptoms including hot flashes, night sweats, sleep disruption, and vaginal discomfort.
Perimenopause: symptoms often start in your 40s. Menopause: 12 months without a period. Illustration only; timing varies from woman to woman.
Stick it on clean, dry skin on your lower belly or hip. Change it once a week and use a new spot each time. Don't apply it to your breasts or waistline.
Take one pill by mouth each day, at about the same time.
Rub it into your inner arm or thigh once a day. Let it dry, then wash your hands. Keep the area away from kids, partners and pets until it is fully absorbed.
Insert with the applicator, usually every day for the first week or two, then a few times a week.
Take one capsule by mouth at bedtime. It can make you sleepy.
Enclomiphene is a daily tablet that helps your body make more of its own testosterone instead of replacing it, which helps preserve sperm production.

A daily pill that helps your body make more of its own testosterone, without injections.
Card authorized at checkout. Charged only if a provider approves.

A higher strength of the same daily tablet, when your provider recommends it.
Card authorized at checkout. Charged only if a provider approves.
Product images are for illustration only. Actual packaging may vary.
Your provider sets the strength (12.5 mg or 25 mg) after reviewing your intake.
Some treatments shown include compounded medications. Compounded drugs are permitted to be prescribed under federal law, but are not FDA-approved and do not undergo FDA safety, effectiveness, or manufacturing review. Prescription required.
Low libido can be linked to hormones. For treatments focused on desire and arousal, explore Sexual Health.
A licensed provider reviews your health history and decides whether treatment is appropriate.
Message your care team anytime through your secure patient portal.
Before each refill, your provider reviews your progress and adjusts your treatment if needed.
Each one opens its own secure online visit. You’re only charged if a provider approves your treatment.
