Menopause care by clinicians who actually specialize in menopause.

In 2002 the Women's Health Initiative raised concerns that led many women to stop HRT. A 20-year follow-up found no increase in deaths from breast cancer or heart disease among women using estrogen-based therapy, and current consensus holds that for most healthy, symptomatic women under 60 the benefits outweigh the risks. HRT isn't right for everyone, so every Nuvella patient has a thorough consultation with a licensed clinician before anything is prescribed.

Nuvella currently provides services to all US states EXCEPT Mississippi and Alabama, where prescription of HRT medications via telehealth is prohibited.

Transparent, competitive pricing on compounded HRT with no hidden costs or membership fees. Choose a monthly plan at $197/month or an upfront plan at $540 for your first 3 months ($180/month). Both include your provider consultation, personalized prescription, and free discreet home delivery.

You can cancel at any time. Simply contact our support team and we'll take care of it. There are no long-term contracts or cancellation penalties.

HRT is the most clinically studied treatment for perimenopause and menopause symptoms — hot flashes, night sweats, sleep disruption, mood changes, anxiety, brain fog, fatigue, vaginal dryness, joint pain, and changes in weight or body composition. Your provider will evaluate your symptoms and build a plan around what you're actually experiencing.

No. Perimenopause and menopause are diagnosed based on your symptoms and history, not routine hormone testing. Blood work is included free and integrated when it's clinically valuable — we'll send an at-home lab kit to your door at no additional cost when needed.

Nuvella is built exclusively for women. Every part of the experience — the assessment, the clinical protocols, and the nurse care team — is designed specifically for women navigating perimenopause, menopause, and midlife hormonal changes.

No. Everything is done from home. You'll start with a quick online assessment, then have a live consultation with a licensed clinician in your state. Once your plan is approved, your medications are compounded at a licensed U.S. pharmacy and shipped directly to your door.

Yes. Every Nuvella patient has a live, synchronous consultation with a licensed clinician in their state who specializes in women's health. You'll also have access to a dedicated nurse care team for questions, follow-ups, and adjustments throughout your program.

Nuvella is a cash-pay program and does not bill insurance directly, but we do accept HSA and FSA payments and can provide receipts for reimbursement. Operating cash-pay removes prior authorizations and delays so your provider can prescribe what's clinically right for you.

Every woman responds differently. Many notice early changes in sleep and mood in weeks 1–2, meaningful improvement in hot flashes and energy in weeks 3–6, and full benefit as your provider optimizes your plan around days 60–90. Nuvella is designed as a guided program with clinical check-ins along the way.

Yes, and it's encouraged. Research shows women who combine HRT with GLP-1 medications see greater results than either alone. Through your Nuvella care team you can access GLP-1 weight loss programs as well as NAD+ and peptide protocols. Your provider can help determine the right combination for your goals.