Estrogen receptors exist throughout our bodies. They are in our brain, bones, skin, hair, every organ and system. That’s why when estrogen levels start to fluctuate in perimenopause and menopause, the physical, mental and emotional symptoms can make you feel like a stranger in your own body.
Getting treatment grounded in evidence-based medicine can help. Your monthly Hemma membership includes everything you need to feel at home in your body again: ongoing access to your licensed clinician, visits scheduled as needed, prescription treatment*, and fast shipping right to your door.
No waiting rooms. No pharmacy lines. No copays.
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Hormonal changes during perimenopause and menopause can impact nearly every part of your life, yet many women don’t realize these shifts could be influencing how they feel day to day.
Additional Costs: Laboratory testing is an additional cost only if ordered by your physician. Many patients begin care based on intake and symptom review, and laboratory testing is ordered selectively when clinically appropriate. If required, labs are billed separately.
Commitment: Flexible 3-month rolling membership. Cancel anytime before medications ship.
Payment: Pricing transparency is important to us. All fees are disclosed upfront, so there will never be any surprise charges. We are now HSA/FSA eligible!
You'll Always Know: What medication you're being prescribed. Why it's the right choice for your medical needs. What your specific cost will be.
Our care model is structured and billed around a three month period, or 12 weeks, as hormone therapy often takes time to adjust. You'll have ongoing access to clinicians and can schedule follow up visits whenever adjustments or additional support are needed.
If you have a uterus and take systemic estrogen, we also prescribe oral micronized progesterone (a bioidentical hormone) to help protect your uterine lining. If it’s needed, we include progesterone in your treatment plan at no additional cost during your initial intake.
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Easy-to-take oral pill, effective for treating common symptoms of menopause. Safe and effective form of hormone therapy.
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A transdermal estrogen patch, effective for treating common symptoms of menopause. Often considered for women with certain cardiovascular or clotting risk factors, when clinically appropriate.
Estradiol cream is an easy-to-apply gel you apply to your thigh daily. Designed to provide effective relief from menopause symptoms.
A targeted relief from vaginal dryness, irritation, painful sex, and recurrent UTIs during menopause. This low-dose estrogen acts locally with minimal absorption into the bloodstream. Available in vaginal insert or gel.
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For women who benefit from both systemic therapy such as a pill or patch and local vaginal treatment.
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Paroxetine and desvenlafaxine are non-hormonal prescription options that help reduce menopausal hot flashes and night sweats, with paroxetine also supporting mood by modulating serotonin to decrease the frequency and intensity of symptoms.
If you have a uterus and take systemic estrogen, we also prescribe oral micronized progesterone (a bioidentical hormone) to help protect your uterine lining. If it’s needed, we include progesterone in your treatment plan at no additional cost during your initial intake.
All of Hemma’s treatment methods are effective, so the method of delivery is a personal choice made between each patient and their doctor. Factors like the hormones prescribed, cost, and lifestyle can help patients make the best choice for their needs. Your choice can be adjusted after initial intake.
Every woman’s response is unique. Many notice improvements within 2–6 weeks, often with better sleep and calmer mood first. Relief from hot flashes, improved energy, and sharper focus may take longer. Full benefits can take up to 3 months. At Hemma, treatment adjustments are guided not only by lab results but also by how you feel in daily life.
Hemma does not require bloodwork or hormone testing to be prescribed HRT, which is in accordance with the North American Menopause Society and the American College of Obstetrics and Gynecology. Hormone levels vary greatly from day-to-day, and even hour-to-hour, so testing is not the most precise way to determine if you could benefit from HRT. At Hemma, our physicians prescribe and adjust HRT based on the severity of your symptoms.
*Important disclaimer: The above statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality.
Disclaimer
Hemma Wellness Group provides educational resources, digital tools, and access to licensed healthcare professionals through affiliated U.S. platforms. We do not provide medical care, and the information on this website is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or a qualified healthcare provider regarding any medical concerns. If you are experiencing a medical emergency, call 911 or seek emergency care immediately. Use of this website and related services does not establish a doctor-patient relationship with Hemma Wellness Group or its team. All clinical services are delivered by licensed U.S. providers through secure, HIPAA-compliant platforms.