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HRT & Hormone Support

You're Not Imagining It.Explore HRT for Perimenopause and Menopause Symptoms

Hot flashes, disrupted sleep, brain fog, mood swings, weight that won't budge. These are real, clinical symptoms of hormonal change, not just aging, not just stress. Clinicians trained in menopause care offer Hormone Replacement Therapy (HRT) and non-hormonal options, built around your body, your symptoms, and your health history.

Begin My EvaluationSee treatment options

Your first charge covers your clinical evaluation and first prescription cycle. If treatment is not clinically appropriate for you, your payment is refunded in full.

Care format
12-week cycles
Your plan is reviewed every cycle and renewed only when clinically appropriate.
Labs
Ordered when needed
Billed separately when your clinician orders them.
Progesterone included
When prescribed
Most women on estrogen need progesterone too. When your clinician prescribes it, it is included in your plan at no extra cost.
From $59
per month, all-inclusive
Recognizing the signs

Perimenopause can start
a decade before your last period

Most women are in their early 40s when hormone levels begin to shift, often years before menopause. Symptoms can appear gradually or suddenly, and vary significantly between women.

  • Hot flashes and night sweats
  • Sleep disruption and fatigue
  • Brain fog and difficulty concentrating
  • Mood changes, anxiety, or irritability
  • Unexplained weight gain, especially around the abdomen
  • Vaginal dryness or discomfort
  • Low libido or loss of drive
85%
of women experience menopausal symptoms, yet fewer than 1 in 4 receive any treatment.
4 to 8 years
Average duration of the perimenopause transition. A stage that deserves thoughtful clinical support, not dismissal.

These figures reflect published clinical data. Individual experience varies; your clinician will evaluate your personal history.

Treatment options

HRT and non-hormonal options,
tailored to your body

Your clinician recommends the option best suited to your symptoms, health history, and lifestyle. Delivery method and dosage are personalized at evaluation and adjusted over time.

HEMMA HORMONE HEALTH

The right treatment, chosen for you

$79/month, billed as $237 per 12 weeks

You should not have to figure this out alone.

Whether systemic HRT, local estrogen, or a non-hormonal option suits you best, your clinician will recommend the right starting point based on your symptoms and health history. Progesterone is included in the price when clinically appropriate. Your treatment is adjusted over time as you respond.

Hot flashesNight sweatsMood changesSleep disruptionVaginal drynessNon-hormonal optionProgesterone included
Begin My Evaluation
HEMMA EXTENDED HORMONE CARE

Both fronts, one plan

$99/month, billed as $297 per 12 weeks

Some symptoms need more than one answer.

For women managing both systemic symptoms and vaginal discomfort at the same time. Systemic and local estrogen are prescribed together and adjusted over time as you respond. Progesterone is included in the price when clinically appropriate.

Hot flashesNight sweatsVaginal drynessSystemic + localFull coverageProgesterone included
Begin My Evaluation

Prices shown are monthly equivalents. Plans are billed as 12-week cycles, for example $79/month = $237 per 12 weeks and $99/month = $297 per 12 weeks. All pricing includes clinical consultation, prescription, and home delivery. Labs are ordered as clinically indicated and billed separately. Individual results vary.

Coming soon

Testosterone support for women is
coming soon

Some women ask about testosterone during perimenopause and menopause, especially when concerns like low libido, fatigue, or changes in motivation persist. Hemma is working with our clinical partners on a women-specific pathway that may be considered when clinically appropriate.

Join the waitlist for launch updates only. Joining the list does not guarantee eligibility, prescribing, or availability in every state.

We only use your email to send updates about this waitlist.

What to expect when it launches

Clinician review first

Any future testosterone pathway would start with a licensed clinician reviewing your symptoms, history, and goals before deciding whether it can be considered.

Monitoring as needed

If a future protocol is clinically appropriate, monitoring may be recommended based on your clinician's judgment and the plan they prescribe.

Waitlist only for now

This service is not live yet. We are collecting interest and will share updates if and when it becomes available.

Potential future access would depend on clinical appropriateness, state availability, and partner-clinician review. Individual results may vary.

What to expect

Your medical evaluation,
step by step

Starting treatment does not require a prior diagnosis or lab results. Your clinician reviews your intake and current symptoms to determine the right path, which may or may not include blood work.

  1. 1

    Secure intake form

    You complete a detailed symptom and health history questionnaire, around 5 to 7 minutes, fully confidential. No appointment needed to begin.
  2. 2

    Clinician review

    A licensed clinician trained in menopause care reviews your information. In most states this happens without a video call. Where a live visit is required by state law, same-day appointments are often available.
  3. 3

    Treatment recommendation

    Your clinician reaches out via the secure patient portal with their recommendation and next steps. You can adjust your preferences before anything is prescribed.
  4. 4

    Prescription and delivery

    If treatment is appropriate, your prescription is issued and medication ships directly to your home, typically within 5 to 9 days.

Do I need blood work?

For most perimenopause and menopause symptoms, blood work is not required to begin treatment. Hormone levels fluctuate significantly day to day during perimenopause, meaning a single test result is rarely the deciding factor in a treatment decision.

Your clinician evaluates your symptoms, health history, and overall clinical picture. Lab testing may be ordered when:

  • Your intake indicates a need for baseline monitoring
  • Your clinician determines labs would guide your treatment decisions
  • You are starting a protocol where ongoing monitoring is part of the care plan
Labs ordered by your clinician are billed separately and paid directly. They are never bundled into your membership without your knowledge.
About the commitment

Why care is structured in
12-week cycles

Hormone therapy is not a quick fix, and that is not a bad thing. The 12-week cycle is a clinical standard, not a sales decision. Here is why it matters for your care plan.

  • Hormones need time to stabilize

    Most women do not feel the full benefit of HRT until 8 to 12 weeks in. Starting and stopping early means your body never reaches steady state and you never get a fair sense of how the plan is working.

  • Safe dose adjustment takes time

    Your clinician adjusts your dose based on how you respond. That process of adjusting, waiting, and evaluating typically requires multiple weeks done safely and carefully.

  • Your plan is reviewed every cycle

    At the end of each 12-week cycle, your treatment is reviewed and renewed only if it is still appropriate. You are never locked in indefinitely.
Your first charge covers your clinical evaluation and first prescription cycle. If treatment is not clinically appropriate for you, your payment is refunded in full.

What the first 12 weeks may look like

  1. Weeks 1 to 2

    Intake completed, clinician review, prescription issued if appropriate. Medication arrives at your door.

  2. Weeks 2 to 4

    Your body begins adjusting. Any mild side effects are most common in this window. Your clinician is available throughout via secure messaging.

  3. Weeks 4 to 8

    Many women begin noticing meaningful improvement in sleep, hot flashes, and mood. A follow-up check-in at week 4 can adjust your dose.

  4. Weeks 8 to 12

    Full benefit may be reached. Your clinician reviews your progress and discusses continuing care for the next cycle.
  • Licensed Clinicians
    Care through our partner network
  • Progesterone Included
    No extra cost when prescribed
  • HIPAA Compliant
    Your health data is always protected
  • HSA / FSA Eligible
    Use pre-tax dollars for your care
Questions about HRT

Common questions about HRT,
answered clearly

When prescribed and monitored by a licensed clinician, hormone therapy can be an appropriate option for many women. For most healthy women under 60, or within 10 years of menopause onset, current clinical guidance indicates the benefits of HRT may outweigh the risks. Treatment decisions are always individualized based on your personal health profile.
See all FAQs
Take the first step

Your symptoms are real.
Your treatment should be too.

Complete a secure intake in 5 to 7 minutes. A clinician trained in menopause care reviews your symptoms and builds a personalized plan. Your first charge covers your evaluation and first treatment cycle. If treatment is not right for you, your payment is refunded in full.

Begin My EvaluationRead FAQs first

Continue reading

Hemma Wellness is not a medical practice. All clinical services are provided by licensed healthcare professionals through our partner network. Individual results may vary.

These statements have not been evaluated by the Food and Drug Administration. Compounded medications have not been evaluated or approved by the FDA for safety, efficacy, or quality. This content is intended for informational purposes only and does not constitute medical advice.

Labs are billed separately when ordered by your clinician, except where noted in specific program descriptions.