Get the relief and care you deserve

Feel better in 4-6 weeks* with access to treatment plans to help ease menopause symptoms.

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*Based on separate randomized, placebo-controlled clinical trials of oral estradiol and estradiol patches that each found a significant reduction in hot flashes as early as week 4. Source.

Not available in all 50 states. Prescription products require provider consultation.

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If eligible, would you like treatment shipped straight to you?

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Enjoy cooler nights in as few as 4 weeks1

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Get back to intimacy without the irritation2

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Recharge your body and mind with improved sleep3

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Support your heart and bone health for the years ahead4

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1. Based on separate randomized, placebo-controlled clinical trials of oral estradiol and estradiol patches that each found a significant reduction in hot flashes as early as week 4. Source.

2. In multiple randomized controlled trials, including a double-blind study of postmenopausal women, estradiol vaginal cream was shown to significantly improve vaginal dryness, itching, and irritation, and thinning of the vaginal lining. Source.

3. In a meta-analysis of randomized clinical trials, oral micronized progesterone was shown to improve sleep quality in postmenopausal women by helping them fall asleep faster compared to placebo. Source.

4. Hormone therapy is not FDA-approved for the treatment of heart conditions or bone loss unrelated to menopause or as the only treatment for postmenopausal bone loss before non-estrogen options.

Oral estrogen plays a role in supporting heart health in healthy women (under 60 or within 10 years of menopause onset) by helping the body manage fats and cholesterol more effectively. In separate clinical trials, oral and transdermal estrogen therapies have been shown to significantly increase bone mineral density and reduce bone turnover in menopausal and postmenopausal women.

What treatment may look like

Get access to three parts for total support. After reviewing your intake, a provider will prescribe a combination that’s right for you if eligible.

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Estradiol pill or patch

Progesterone pill

Estradiol vaginal cream

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Perimenopause & Menopause by Hers includes hormonal health support, educational resources, and prescription options, if appropriate. Hormone replacement therapies are not FDA-approved for the treatment of perimenopause but may be prescribed off-label for perimenopausal symptoms at a provider’s discretion.


1. Based on separate randomized, placebo-controlled clinical trials of oral estradiol and estradiol patches in postmenopausal women that each found a reduction in hot flashes. Source.

2. Progesterone is for menopausal women with a uterus who are taking estrogen hormone replacement therapy. Progesterone helps protect the uterine lining. It is not independently approved for treating the symptoms of menopause. Source

3. In a meta-analysis of randomized clinical trials, oral micronized progesterone was shown to improve sleep quality in postmenopausal women by helping them fall asleep faster compared to placebo. Source.

4. In multiple randomized controlled trials, including a double-blind study of postmenopausal women, estradiol vaginal cream was shown to significantly improve vaginal dryness, itching, and irritation, and thinning of the vaginal lining. Source.

Plans created by experts, featuring you

Dr. Shepherd is a board certified OB/GYN, published author, and women’s health expert who has spent her career advocating for women’s health and education.

"You’re allowed to take up space, to take time, to ask again, to say you’re not okay. Having a good health team is what you deserve. You don’t have to ask for permission when you’re collaborating on your health.”

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  • 1

    Online intake

    Answer questions about what you’ve been experiencing and see which treatment options you may be eligible for.

  • 2

    Provider evaluation

    A licensed provider trained in women's health will review your intake and determine if treatment is right for you.

  • 3

    Personalized plan

    If prescribed, you’ll get a personalized treatment plan that includes medication delivered right to you.

  • 4

    Ongoing support

    Get unlimited online access to provider messaging, regular check-ins, and treatment adjustments as needed.

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Graph for illustrative purposes only. Individual hormone levels may vary.

Frequently asked questions

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What is menopause?

  • Menopause marks the natural end of menstrual cycles. It’s defined as the point in time after 12 months without a period, usually occurring between ages 45–55.

What is the average age of menopause?

  • The average age for menopause is 51, though it can happen earlier or later. Genetics, health, and lifestyle all play a role.

When does menopause start?

  • Menopause is a point in time defined as when a person has gone 12 months without a period, but the transition phase (perimenopause) can start years earlier in the mid-40s.

How long does menopause last?

  • Menopause-related symptoms may last a few years, but the experience varies widely. Some people notice changes for less than two years, while others experience them for a decade or more.

When does menopause end?

  • A person is considered postmenopausal after they have passed the point of menopause. As time goes on, symptoms may ease for many, but some (like hot flashes or sleep changes) can linger for longer.

What are the first signs of menopause?

  • Early signs of menopause, which occur during the perimenopause stage, often include irregular periods, hot flashes, night sweats, and mood or sleep changes.

What are the common symptoms of menopause?

  • Common symptoms of menopause include hot flashes, sleep issues, mood swings, vaginal dryness, weight changes, and decreased bone density. Every person’s experience and body is unique.

Is weight gain a symptom of menopause?

  • Weight gain isn’t caused by menopause alone, but hormonal changes can shift fat storage, especially around the midsection. Aging, metabolism, and lifestyle also play a role.

Can you get pregnant after menopause?

  • No. Once menopause is reached (12 months without a period), natural pregnancy is no longer possible.

Is treatment safe?

  • For many, perimenopause and menopause treatment is safe,  but safety depends on age, personal health, and family history. A provider will help determine if treatment is right for you.

Is insurance required?

  • Insurance isn’t required, so there are no complicated insurance questions or health insurance plan considerations.

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