Hot flashes treatment

Personalized prescription hormone medicines (HRT) delivered to your door.

For menopausal women ages 45 - 59

$85 /month

90 day supply at a time

Private online consult for hot flashes related to menopause.
Treatment for vaginal pain and dryness related to menopause also available.
Personalized Hormone replacement therapy (HRT) medicine from U.S. pharmacy.
Message our medical team anytime, no additional charge for medicine adjustments.

3 simple steps to treat your hot flashes

1

Health questions

2

Medical team review

3

Free delivery to your door

Get Started

Call us. We’re here to help

Monday-Friday 4am-5pm PST
Saturday-Sunday 5am-4pm PST

What do we prescribe to treat hot flashes?

Our doctors and nurse practitioners prescribe 2 types of treatment: hot flashes treatment and vaginal dryness/pain treatment.

For hot flashes we recommend 2 separate medicines: a daily estrogen cream that you apply to your skin and a progesterone pill.

For vaginal dryness/pain we prescribe an estrogen vaginal cream

Please note - to use our service your periods must have stopped between 1-5 years ago. However, if you’re already on HRT, we may be able to help even though your periods stopped more than 5 years ago. If you’re still having your period - even if it’s sporadic - we can’t treat you.

Treatment and Risks

Hot flashes: We prescribe 2 hormones to help treat hot flashes that are associated with menopause: topical estrogen cream and an oral progesterone pill.

Topical Estrogen Cream: We only use prescription medicine recommended by widely-recognized clinical guidelines. There are alternatives to the treatments we prescribe. It's your right to request a prescription for these alternatives from other -providers or get over-the-counter medicines that can be used instead.

Oral Progesterone Pill: We typically prescribe and ship an oral micronized progesterone pill (Prometrium) to help prevent growth of the inner lining of the uterus (endometrial hyperplasia) for postmenopausal women who are on estrogen hormone therapy.

Vaginal dryness/symptoms associated with menopause: We prescribe one hormone, estrogen, to help with common symptoms associated with menopause - vaginal dryness, vaginal burning, and pain with sex. The medical term for what causes these symptoms is vulvovaginal atrophy.

Vaginal Estrogen Cream: We prescribe and ship a compounded vaginal estradiol cream.

Like all prescription medicines, the HRT treatments we prescribe for hot flashes and vaginal dryness come with the potential for serious side effects. Before you start using the medicine we prescribe, it’s important that you read the detailed information we provide in your Treatment Plan.

Who we can't help

See a doctor or nurse practitioner in person for HRT treatment if any of the following apply to you:

Under age 45
Age 60 or older
Pregnant
Breastfeeding
Had a period in the last 12 months (this means you’re not technically menopausal)
Undiagnosed abnormal uterine or vaginal bleeding
History of breast cancer
History of uterine or endometrial cancer
Currently have cancer, had cancer, or are being tested for cancer
Stroke, heart disease, or other vascular disease
Blood disorders, blood thickening or blood clots, deep venous thrombosis (DVT) or pulmonary embolus (PE)
Heart valve problems that could cause a blood clot
History of migraines with aura
Kidney problems
Liver problems
History of jaundice from past estrogen use or pregnancy
Thyroid problems
High triglycerides
Porphyria
HIV
Primary ovarian insufficiency or failure (menopause before the age of 40)