Backed by our 6-Week Symptom Promise.

Feel like yourself again.

Personalized, body-identical hormone therapy for perimenopause and menopause — from clinicians who actually listen.

  • Estradiol, progesterone and vaginal estrogen
  • Daily tablet or cream — your choice
  • Starts at $129/mo · HSA/FSA eligible
Takes 90 seconds · 100% private · free
FDA approvedHealSend menopause kit: estradiol tablets, bi-estrogen cream, progesterone capsules and vaginal estrogen cream
Body-identicalEstradiol + progesterone
Pill or creamYour choice

As seen on

USA TODAYAXIOSForbesBusiness Insider
★★★★★4.9 Google reviews
2K+HealSend members
FDA approved
FDA-approvedoptions available

Told to just “get on with it”?

Perimenopause and menopause aren’t things you have to push through. They’re hormonal shifts — and they’re treatable.

WrinklesBrain fogAnxietyBloatingDepressionAcnePainful intercourseDifficulty exercisingWeight gainDry skinHair loss
Hot flashes

80%

Up to 80% of women experience hot flashes during the menopause transition.

How long they last

7.4 yrs

Median total duration of hot flashes and night sweats.

Average age

51

Average age of menopause in the U.S.

The Menopause Society; Avis NE, et al. JAMA Intern Med. 2015 (SWAN); ACOG.

Your hormones didn’t decline. They went haywire.

In perimenopause, estrogen spikes and crashes — so symptoms come and go. HRT smooths the ride.

Illustration only. Your clinician sets dosing based on your symptoms and history.

How are your symptoms affecting you?

Five quick taps, one at a time. We’ll show your score and a likely starting protocol.

Menopause symptom score

—Menopause symptom score
Answer to see your result

Higher score = more symptoms. Your answers stay on this page.

Your likely pathAnswer every question to see
See if HRT is right for me

Not a diagnosis. A licensed clinician reviews your answers and decides what, if anything, is appropriate.

Your menopause kit. Matched to you.

Four body-identical options. Your clinician chooses the hormones, the dose and the format — and adjusts as you go.

HealSend Estradiol Tablets
Most popular★ Your match

Estradiol Tablets

Body-identical estrogen · once daily

  • For hot flashes, night sweats and sleep
  • One small tablet a day
  • Dose adjusted at follow-ups
Starting at
In stock
Start Estradiol
HealSend Bi-Estrogen Topical Cream
2-in-1 cream★ Your match

Bi-Estrogen Cream

2-in-1 estradiol + estriol · daily topical

  • Two estrogens in one cream
  • Rub in daily — no pills
  • Clinician-set strength
Starting at
In stock
Start the cream
HealSend Progesterone Capsules
If you have a uterus★ Your match

Progesterone Capsules

Micronized progesterone · at bedtime

  • Protects the uterine lining with estrogen
  • Taken at night — may support sleep
  • Paired with your estrogen
Starting at
In stock
Add progesterone
HealSend Vaginal Estrogen Cream
Add-on★ Your match

Vaginal Estrogen Cream

Low-dose local treatment

  • For dryness and discomfort
  • Very low dose, local action
  • Use alone or with HRT
Starting at
In stock
Add vaginal cream

Prescription required; your clinician decides which option and format is appropriate. Compounded medications are prepared by state-licensed U.S. pharmacies for individual patients and are not FDA-approved or reviewed by the FDA for safety, effectiveness or quality.

What to expect, week by week.

Relief rarely arrives all at once. Here’s how it typically builds.

Comfort, mood & sleep
Week 2

Comfort, mood & sleep

Many women notice better sleep and steadier moods first.

Steadier energy
Week 4

Steadier energy

Fewer afternoon dips and less brain fog.

Clearer, calmer days
Week 6–8

Clearer, calmer days

Hot flashes ease and focus comes back. Your clinician reviews your dose.

Your new baseline
Month 3+

Your new baseline

Ongoing care, check-ins and annual reviews — adjusted as you go.

Typical milestones, not a guarantee. Everyone’s timeline is different.

Woman with arms raised against a blue sky

Sleep through the night. Feel like you again.

Most women start with one daily tablet or cream — and a clinician who actually listens.

  • Body-identical estradiol and progesterone
  • Tablet or cream — switch anytime
  • Backed by our 6-week symptom promise
See if HRT is right for me

Model shown. Individual results vary.

6-WEEK SYMPTOM PROMISE 6 HealSend

Feel a difference, or it’s on us.

  • If your symptoms haven’t improved by week 6, your first month is free
  • Unlimited clinician messaging, $0 per visit
  • Switch formats anytime
  • Month-to-month, cancel anytime

* Terms apply. Applies to members who follow their prescribed plan.

Start my plan — risk-free

4 reasons women choose HealSend.

Most clinics hand you a script and disappear. We cover everything you need to start safely — and stay on track.

Menopause-trained
clinicians

Reviewed by a licensed clinicianTrained in menopause care

Every plan is reviewed and prescribed by a licensed U.S. clinician who treats menopause — not a generic script.

Licensed U.S.
pharmacies

Every prescription is filled by a licensed U.S. pharmacy and shipped free in discreet packaging.

Unlimited access
to your clinician

Member messaging their clinician
Hot flashes are way down, but I’m still waking up at 3am.
HSYour clinicianGood progress. Let’s take your progesterone at bedtime and check in again in two weeks.

Message a licensed clinician anytime. Questions and dose adjustments are part of your plan, not an extra visit.

On-time refills,
every time

HealSend shipping box
Next shipmentArrives in 2 days
Supply left9 days
ShippingFree · discreet
StatusOn schedule

Refills ship automatically so your medication arrives before you run out.

Women like you, in their words.

Hear it from members.

Real members on sleep, flashes and feeling like themselves again.

4.9 · Google Reviews

2K+ Members

Individual results vary. Testimonials are from real HealSend members shared with permission.

Your questions. Honest answers.

What is body-identical hormone therapy?
Hormones that are chemically identical to the estrogen and progesterone your body makes.
Do I need progesterone?
If you have a uterus, yes — progesterone protects the uterine lining when you take estrogen.
Isn’t HRT linked to breast cancer?
Risk depends on your age, history and type of therapy. For many healthy women under 60, benefits generally outweigh risks. Your clinician reviews your personal and family history first.
Tablet or cream — which is right?
Your clinician will recommend one based on your history; estrogen through the skin may carry lower clot risk than pills for some women.
What is Bi-Estrogen cream?
A compounded cream that combines two estrogens, estradiol and estriol, in one daily application. Compounded medications are not FDA-approved.
Am I in perimenopause if I still have periods?
Often, yes. Irregular cycles with symptoms are classic perimenopause.
Do I need blood tests?
Usually not to start — perimenopause is diagnosed mainly by symptoms. Your clinician will tell you if labs are needed.
Do you accept insurance?
No, but plans are HSA/FSA eligible.

Feel like yourself again.

Body-identical HRT, a clinician who listens, and a promise that it’s worth it.

See if HRT is right for me

By starting, you agree to our terms & privacy policy. Prescribed only when clinically appropriate.

A HealSend member smiling in the sun < 2 mintypical reply

Contact us

You ask.
We answer.

Questions about HRT, your plan or an order? A real person on our care team picks up.

+1 (888) 282-5851

7 days a week · 8am – 8pm ET

Secure messaging
24/7 in your patient portal
Average reply
Under 2 minutes
Clinician questions
Unlimited, $0 per visit
HealSend HRTStarts at $129/mo
Get started