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Weeks 2–6: Deeper, more restful sleep and fewer 3 a.m. wake-ups.
Weeks 4–8: Calmer mood, steadier energy, and a more even emotional baseline.
Weeks 6–12: Fewer hot flashes and night sweats, returning libido, and relief from dryness and discomfort.
A complete plan: estrogen, progesterone, and testosterone work together, not in isolation.
Every hormone is bioidentical, the same molecular structure your body makes naturally.
One care team, one plan, one price, adjusted to you as your body responds.
Personalized combination of bioidentical estrogen (topical cream and vaginal), oral progesterone, and DHEA capsules
Topical estrogen for hot flashes, mood, and energy; vaginal estrogen for dryness and intimacy
Progesterone dosed at bedtime for its natural calming, sleep-supportive effect
DHEA to support energy, libido, and overall hormonal foundation
Each medication comes in more than one strength, so your provider can fine-tune every component to you
Compounded bioidentical hormones from a licensed U.S. pharmacy
All medications, provider access, and nurse support included in one price
Concentration: Estrogen · Progesterone · DHEA. A personalized combination of bioidentical hormones prepared by a licensed U.S. compounding pharmacy using plant-derived, bioidentical ingredients. Your provider determines which components and strengths are right for you.
Bedtime progesterone has a naturally sedating effect. Most women notice they're sleeping through the night first.
Estrogen and progesterone together calm the nervous system and lift the fog, irritability, and fatigue.
Estrogen quiets the flashes and sweats that disrupt your sleep and drain your days.
Vaginal estrogen relieves dryness and discomfort, while supporting healthy testosterone levels can help restore libido and energy.
Estrogen, progesterone, and testosterone are designed to work together, protecting and balancing one another.
The same molecules your body makes, in a combination tailored to your symptoms and adjusted as you change.
Answer a short questionnaire about your symptoms and health history, about 5 minutes. No lab work required to begin.
A live consultation with a licensed clinician in your state who specializes in women's hormone health and builds your personalized plan.
Your compounded medications ship from a licensed U.S. pharmacy, and your nurse care team stays with you for check-ins and adjustments.
Real People. Real Results.
"I was skeptical about online HRT but the process was so easy and my provider actually listened. My hot flashes are almost gone and I have energy again. I wish I had done this sooner."
"I didn't even connect my anxiety to perimenopause until my provider explained it. Two months in and I feel calm and clear-headed for the first time in years."
"I was waking up drenched every night for over a year. After starting treatment the night sweats were mostly gone within a month. I'm sleeping soundly again and it's life-changing."
"Every other provider just brushed me off. This time they actually explained everything and built a plan around my body. I finally have answers that make sense."
"After two years of awful sleep, mood swings, and zero energy I found this. My provider built a plan around my whole body, not just one symptom. Within 6 weeks I was sleeping through the night and actually wanted to leave the house."
Three hormones, one personalized plan. Your provider builds the combination that's right for you.
Your provider personalizes which medications and strengths are included based on your assessment, symptoms, and health history. Not every woman needs all three.
Your provider determines the right medication, form, and strength for you. For reference, our compounded options include:
Medication | Form | Strengths |
Estradiol Cream | Topical | 2 mg/mL, 5 mg/mL, 10 mg/mL |
Estradiol Vaginal Cream | Vaginal (suppository) | 2.5 mg/gm |
Progesterone | Oral capsule | 110 mg, 150 mg, 220 mg, 300 mg |
DHEA | Oral capsule | 5 mg, 15 mg, 25 mg |
Not every strength or medication is right for everyone. Your prescribing provider personalizes your plan.
Get answers to your questions and find the right solutions for your journey.
Based on your assessment, a licensed clinician designs a personalized combination of bioidentical hormones, which may include estrogen (topical and vaginal), oral progesterone, and DHEA. One all-inclusive price covers your consultation, every prescribed medication, bloodwork (if needed at any point), and free discreet delivery.
Estrogen, progesterone, and testosterone decline together through perimenopause and menopause, and they work together in your body. Treating them as one plan, rather than one pill, is what brings sleep, mood, energy, and intimacy back into balance.
We focus on the hormones that shape how you feel, including testosterone. Where it is appropriate for you, DHEA can be included in your plan to gently support healthy testosterone levels. Your provider tailors your plan and monitors how you respond over time.
A 20-year follow-up to the original Women's Health Initiative study found no increase in deaths from breast cancer or heart disease among women using estrogen-based hormone therapy. For most healthy, symptomatic women under 60 or within 10 years of menopause, the benefits of HRT outweigh the risks, and modern bioidentical formulations have a more favorable safety profile than older ones. HRT isn't right for everyone, which is why every patient has a thorough consultation with a licensed clinician before anything is prescribed.
Estrogen handles hot flashes, mood, energy, and (vaginally) dryness and comfort. Progesterone balances estrogen, protects the uterine lining, and supports sleep. DHEA is included to gently support your testosterone levels, which influence energy, libido, mood, and muscle and bone strength. Your provider decides the right combination for you.
Many women feel a calming, sleep-supportive effect the very first night. Deeper sleep typically settles in over weeks 2 to 6, calmer mood and steadier energy in weeks 4 to 8, and fewer hot flashes plus returning libido and comfort by weeks 6 to 12. Your provider fine-tunes your plan along the way.
No. Perimenopause and menopause are diagnosed based on your symptoms and health history, not routine hormone testing. Lab work is included as a free part of the program and integrated when it's clinically valuable, so you can start feeling better sooner.
No. Your plan is personalized: some women need all three, others just one or two. A licensed clinician tailors it to your symptoms and health history and adjusts as your body responds.
Yes. Each medication is offered in more than one strength, and your provider selects and adjusts the right strength of each based on your symptoms, health history, and how your body responds over time. You don't need to figure this out yourself; it's all part of your personalized plan.
One all-inclusive price covers your provider consultation, your personalized compounded prescriptions, bloodwork (if needed at any point), and free discreet home delivery, with no hidden access or membership fees. Start for $97 your first month (then $197 / month), or choose the 3-month plan: $380 for the first 3 months ($160 / month), then $480 every 3 months. Cancel anytime.
Answer a few questions and discover treatments tailored to you. Quick, simple, and private.
Estrogen · Progesterone · Testosterone. The Women's Complete HRT Program uses compounded bioidentical medications, which may include estradiol, progesterone, and DHEA, prepared by a licensed U.S. compounding pharmacy. Available only by prescription and not for everyone. Women with a history of hormone-sensitive cancers, blood clots, stroke, liver disease, or certain other conditions may not be candidates. Some formulations contain peanut oil, so tell your provider about allergies. Your prescribing provider will review your individual risk factors and determine eligibility. Telehealth HRT is currently unavailable in Mississippi and Alabama.
Safety info: GLP-1–based medications are used as part of medical weight-management programs for adults who meet specific clinical criteria. These medications may cause side effects, some of which can be serious (such as the potential risk of thyroid C-cell tumors). Do not use GLP-1 medications if you or your family have a history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Always consult a healthcare professional before starting or changing any medication.
Medication (when prescribed) is included in the cost of the DirectMeds program. Medical treatment is provided and supervised by licensed healthcare professionals.