Perimenopause, menopause, hormonal symptoms — real provider, individualized plan.
HRT · women's hormone health

Hormone balance,
real care.

Perimenopause hot flashes, sleep disruption, mood changes, low libido — or already on bioidentical HRT and need a thoughtful refill. A licensed provider reviews your history and individualizes your plan.

Start your visit → How it works
Licensed providers in 50 states Sent to your pharmacy HIPAA-secure

What brings you here?

Pick the closest match — your intake will tune from there.

Perimenopause + menopause

Hot flashes, night sweats, mood changes, irregular cycles, sleep that's not the same. A real provider listens, reviews your history, and individualizes the plan.

  • Estradiol patch or oral
  • Micronized progesterone
  • Sleep, mood, libido considerations
  • Risk-benefit discussion with you
Start your visit →

Bioidentical refill

Already on bioidentical estradiol and/or progesterone with another provider and need a renewal? Bring your current protocol — we can continue or adjust.

  • Estradiol patch / cream / tab
  • Micronized progesterone
  • Testosterone for women (off-label)
  • Dose adjustment by symptoms
Refill my HRT →

Thyroid + adjuncts

Hypothyroid and need refills or dose adjustment? Or want to add DHEA, low-dose naltrexone, or spironolactone for hormonal acne?

  • Levothyroxine — refill or new
  • DHEA — physiologic dosing
  • Spironolactone for hormonal acne
  • Low-dose naltrexone (LDN)
Start your visit →

How it works

Three steps. No appointment. No waiting room.

01

Tell us what you need

Short condition-specific intake — symptoms, history, current meds, allergies. Upload any relevant photo or document if it helps.

On your phone
02

A real provider reviews it

A licensed clinician on our team reads your chart, confirms identity, and decides whether a prescription is appropriate. They may message you if they need more info.

No appointment
03

Rx sent to your pharmacy

The prescription is signed and sent (faxed or e-prescribed) to the pharmacy of your choice or our network compounder. Confirmation email follows.

Sent to your pharmacy
50States with licensed PrescriberNow providers
AsyncReviewed without an appointment or waiting room
HIPAAEncrypted intake, audit-logged chart
AnyAny U.S. pharmacy or our network compounder

What we can prescribe

Real bioidentical hormones, real risk-benefit discussion, individualized to your symptoms.

Estrogen

Estradiol formulations

  • Estradiol patchClimara / Vivelle-Dot 0.025-0.1 mg/day
  • Estradiol tab0.5 / 1 / 2 mg oral
  • Estradiol creamvaginal — 0.01% (Estrace)
  • Bioidentical compounded creamsindividualized strengths
Patch preferred for VTE risk: Transdermal estradiol bypasses first-pass liver and has a lower clot risk than oral for most women.
Progesterone

Endometrial protection + sleep

  • Micronized progesterone (Prometrium)100 / 200 mg at bedtime
  • Required if uterus + estrogenalways paired
  • Helps sleep + moodfor many women
  • Compounded optionsif oral isn't tolerated
Always pair: If you have a uterus and take estrogen, you must also take progesterone to protect the endometrium. Non-negotiable.
Adjuncts

Thyroid + skin + sex

  • Levothyroxine25-200 mcg, full ladder
  • Testosterone for women (compounded)off-label, low-dose
  • DHEA25 / 50 mg
  • Spironolactone25-100 mg for hormonal acne
Note: Testosterone for women is off-label in the US and requires extra-careful dosing. Spironolactone for acne is well-established; watch potassium.

When to call 911 instead

HRT has rare but serious risks. Get immediate care for:

  • Chest pain, shortness of breath, or leg swelling — possible clot.
  • Sudden severe headache with vision changes — possible stroke.
  • New or unexplained breast lump — see your gyn or PCP for in-person evaluation.
  • Heavy vaginal bleeding on HRT — see your gyn promptly.
Simple pricing
$59.99per visit

One visit fee covers the provider review, prescription, and follow-up messaging. Labs and medication billed separately.

Start your visit →
Lab cost varies by insurance. Bioidentical compounded medications are typically affordable cash-pay through specialty pharmacies.

Common questions

If yours isn't here, message us at team@prescribernow.com.

Is HRT safe?+
Modern HRT done thoughtfully — patch estradiol, micronized progesterone — has a much better safety profile than the older oral conjugated estrogen + medroxyprogesterone studied in the 2002 WHI trial. Risk-benefit varies by personal and family history. Your provider walks you through it.
Patch, cream, or pill?+
Transdermal (patch or cream) bypasses the liver, lower clot risk for most women. Oral is convenient and well-studied. Vaginal is the best option for primarily genitourinary symptoms. Most patients use a combination.
Do I need progesterone?+
If you have a uterus and take estrogen, yes — to protect the endometrium from hyperplasia and cancer. If you've had a hysterectomy, progesterone is optional (but many women take it for sleep + mood benefits).
What about testosterone for women?+
Low-dose testosterone (compounded) is off-label in the US for women but well-studied for HSDD. Your provider will discuss whether it makes sense for your situation.
How long can I stay on HRT?+
There's no automatic stop date. Modern guidance is to use HRT as long as the benefits outweigh the risks for YOU specifically. Many women stay on indefinitely with annual review.
Will I need labs?+
Sometimes. For routine perimenopausal symptoms, history and symptom review may be enough. For some patients (thyroid concerns, persistent symptoms, monitoring) we send a lab order.

Hormone care, on your terms.

A short intake. A real provider review. An individualized plan based on YOUR symptoms and history.

Start your visit →
Real provider review · individualized plan