Hormones, in balance.
Compounded bioidentical HRT for perimenopause and menopause — estradiol, biestrogen, progesterone, and testosterone. Prescribed by physicians who specialize in menopausal care.
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Showing all 7 products across 3 sections.
Estrogen therapy
Bioidentical estradiol for systemic symptom relief. Biestrogen adds tissue-level support, and vaginal estrogen handles local comfort directly.
Biestrogen 80/20 Cream
Combination of Estradiol (80%) and Estriol (20%). Estriol adds vaginal tissue support and potential protective effects.
Estradiol Cream
Bioidentical estradiol for menopausal symptom relief. Hot flashes, vaginal dryness, mood, sleep.
Vaginal Estrogen Cream
Restores vaginal tissue, prevents painful sex and UTIs. Very safe, with minimal systemic absorption compared to oral or patch HRT.
Progesterone
Cream and capsule progesterone options used for uterine protection, sleep, mood, and broader hormone balance.
Progesterone Capsules
Oral micronized progesterone provides reliable uterine protection with estrogen therapy. Promotes deep sleep via GABAergic activity.
Progesterone Cream
Balances estrogen, reduces PMS and perimenopause symptoms, promotes sleep, and protects uterine lining.
DHEA support
Topical and capsule DHEA support for energy, libido, and hormone resilience when the picture is broader than estrogen alone.
DHEA Capsules
Oral DHEA supports hormonal balance, libido, energy, and cognitive function. More systemic conversion than topical.
DHEA Cream
Precursor hormone that converts to both estrogen and testosterone locally. Supports libido, energy, mood, and skin quality.
No matching products in this collection.
Try a product name, symptom, or protocol detail.
Symptom-first matching.
What you're actually experiencing is the best guide to what to try first. A physician confirms the right protocol after reviewing your intake and symptoms.
Start with biestrogen cream
Systemic estrogen addresses vasomotor symptoms (hot flashes, sweats) typically within 2–3 weeks. Biestrogen (80% E2 + 20% E3) adds tissue-level support. Usually paired with progesterone if you have a uterus.
Try progesterone alone or first
Micronized progesterone often improves sleep and mood within 1–2 cycles. For many women in early perimenopause, progesterone is the first intervention that helps — before estrogen is needed.
Add low-dose testosterone
Women naturally produce testosterone, and low levels contribute to libido loss, low energy, and reduced lean mass. Low-dose testosterone cream is applied daily; most women notice changes within 4–8 weeks.
Menopause specialists
Trained in HRT prescribing
Bioidentical formulations
Body-identical hormones
Discreet packaging
No branding on the outside
Full refund if not approved
Automatic · no forms
Common questions.
The ones we get most in this category. For the full list, see our complete FAQ.
What does "bioidentical" actually mean?
Bioidentical hormones have the same molecular structure as the hormones your body naturally produces — estradiol (E2), estriol (E3), progesterone, and testosterone. This is different from synthetic hormones (like conjugated equine estrogens or medroxyprogesterone) which have modified structures. Bioidenticals are well-studied and widely prescribed in modern HRT.
Do I need a uterus check or blood work first?
Most patients don't need labs to start. Your medical intake covers the clinical screening your physician needs. If you have a uterus and are starting estrogen, your physician will prescribe progesterone alongside to protect the uterine lining. Ultrasound is only needed if your history suggests it.
How long until I feel better?
For hot flashes and night sweats: 2–3 weeks at effective dose. For mood, sleep, and energy: 4–6 weeks. For libido and body composition changes with testosterone: 6–12 weeks. Your physician will adjust dose at the 4-week and 3-month marks based on how you're responding.
Is HRT safe long-term?
Modern research supports long-term use of bioidentical HRT for most women when started within 10 years of menopause. The risks associated with the old WHI study (conjugated equine estrogens + medroxyprogesterone) don't translate directly to bioidentical hormones at lower doses. Your physician discusses your personal risk profile based on your medical history.
Can I switch between creams, pellets, and oral?
Yes. Different delivery methods have different absorption profiles, side-effect profiles, and convenience levels. If one isn't working for you, message your physician from your dashboard and they'll work with you to switch.
Real medicine. Real relief. Delivered discreetly.
Pick your protocol and check out. Complete your medical intake. A menopause-trained physician reviews within 24 hours. If you're not a fit, full refund — automatically.