HRT
Hormone therapy for menopausal and perimenopausal symptoms, individually reviewed.
Member pricing via Peak Performance Wellness
Choose your plan
- One-time consult — charged only if prescribed
- Clinician review and care-team messaging included
- Pay once for this supply. No automatic renewal — start a new consult if you want more later.
- This is not a subscription. There is nothing to cancel.
- Billed every 3 months · shipped as your clinician directs across the plan
- Clinician review and care-team messaging included
- We'll bill this supply again when it's due. Complete the portal follow-up so the next fill can ship. You may still have medication on hand.
- Cancel anytime in your patient portal
Free eligibility check · $0 today · You are charged only if a clinician prescribes
What members say
Experience of intake, shipping, and care-team follow-up — not a promise of results.
“The intake was fast and a real clinician actually reviewed my plan. I never felt like I was filling out a form into a void.”
“Discreet shipping, clear instructions, and the care team answered every question. Exactly the experience I wanted.”
“I was skeptical about ordering online, but the clinician oversight and no-charge-unless-approved made it feel safe.”
“Follow-up from the portal was straightforward. I knew when to check in instead of guessing when a refill was due.”
“Pricing was on the page before I started. No surprise add-ons at checkout, which is what had put me off other sites.”
“Messaging the care team about side effects got a real reply, not a chatbot. That is why I stayed.”
“I liked that the plan price did not change after the clinician set my dose. I knew what I was signing up for.”
“The gym storefront made it feel like part of training, not a random pharmacy tab I would never open again.”
“Eligibility check was free and I was not charged until a clinician prescribed. That removed the last reason to stall.”
Why people choose this
The most effective option for hot flashes
For vasomotor symptoms such as hot flashes and night sweats, hormone therapy remains the most effective treatment available.
Sleep and daily function
When night sweats are what keep waking you, treating them often improves sleep, and much else follows from that.
Genitourinary symptoms
Vaginal dryness and discomfort respond well to hormone therapy, and local options exist for people who cannot take systemic treatment.
Lowest effective dose, reviewed
Your clinician aims for the smallest dose that controls symptoms and revisits whether you should continue.
Results vary. Nothing here is a promise of an outcome or of a prescription.
Good to know
As ovarian hormone production falls, the symptoms that follow are largely driven by that decline. Hormone therapy replaces estrogen, usually with a progestogen if you still have a uterus, at the lowest dose that controls your symptoms. Your clinician reviews the balance of benefit and risk for you specifically, because it genuinely differs from person to person.
Hormone therapy carries real risks that vary with your age, time since menopause, and history, including risks around blood clots, stroke, and certain cancers. It is not appropriate for everyone, and a clinician may decline. Treatment is reviewed periodically rather than continued indefinitely by default.
- Known, suspected, or past history of breast cancer
- Known or suspected estrogen- or progesterone-dependent cancer
- Undiagnosed abnormal vaginal bleeding
- Active or prior deep vein thrombosis or pulmonary embolism
- Active or recent stroke or heart attack
- Known liver impairment or disease
- Known clotting disorder such as protein C, protein S, or antithrombin deficiency
- Known or suspected pregnancy
- Migraine, particularly migraine with aura
- High triglycerides
- Gallbladder disease
- Uncontrolled hypertension
- Family history of breast or hormone-sensitive cancer
- Smoking, especially over age 35
- Baseline history and any labs the clinician requires before starting
- Age-appropriate breast and cervical screening kept up to date
- Report new or unexpected vaginal bleeding promptly
- Report leg pain or swelling, chest pain, shortness of breath, or sudden vision or speech change immediately
- Breast tenderness
- Bloating or fluid retention
- Headache
- Nausea
- Irregular spotting in the first few months
- Blood clots
- Gallbladder disease
- Elevated blood pressure
- Mood changes
Your dose, schedule, and how long you stay on treatment are set by the prescribing clinician after reviewing your intake, and may differ from any general description here. General information, not medical advice.
It depends on you. Age, how long since menopause, and your personal and family history all change the risk picture, which is exactly why a clinician reviews it individually rather than applying a single answer.
If you have a uterus and take estrogen, a progestogen is normally prescribed alongside it to protect the lining of the womb. Your clinician will explain what applies to you.
New or unexpected vaginal bleeding, leg pain or swelling, chest pain, shortness of breath, or sudden changes to vision or speech. Seek care immediately for the last few rather than waiting for a message reply.
HRT
From $231.00 · $0 today