Statewide telehealth · Medication included
Women's Hormone Program
Perimenopause and menopause care from a clinician who has time to get the dosing right.
$149/ month
Request a ConsultationWhat's Included
Everything at $149/mo
Testosterone Where Indicated
Testosterone therapy, where clinically indicated, is included — see the section below for how that's decided.
Clinician-Designed Protocol
Built for perimenopause and menopause, around your symptoms, history, and goals.
Quarterly Follow-Up Visits
With more frequent check-ins during initial titration, when dosing needs closer attention.
Secure App Messaging
Message your care team between visits, with a one-business-day response.
Not included: Labs are billed separately at cash price, or add all scheduled labs for +$25/month.
Your own pharmacy
Estradiol and progesterone go where insurance already works.
Estradiol and progesterone prescriptions are sent to your pharmacy, where insurance typically covers them — not marked up and dispensed through the practice.
"We don't mark up medication you can get for a copay. You're paying for the clinician who knows how to dose it."
Testosterone
Where clinically indicated.
There is no FDA-approved testosterone product for women in the United States. When it's appropriate, it's prescribed off-label or compounded — something insurance doesn't cover and few primary care providers or OB-GYNs are set up to offer. Where clinically indicated, it's included in your program at no additional cost.
The evidence for testosterone in women is strongest for libido and quality of life in peri- and post-menopause; evidence beyond that is thinner. Your clinician will discuss with you whether it's appropriate for your history and goals — it isn't a default part of every protocol.
Available as an add-on
Compounded formulations.
Commercially available, FDA-approved estradiol and progesterone products exist and are the starting point for most patients. Compounded formulations — including custom-dose or combination preparations like Biest — are available through MEND when a commercial product isn't the right fit: a dose that isn't manufactured, an allergy to a component, or a preservative-free requirement.
The 2020 National Academies (NASEM) report on compounded hormone therapy recommends limiting it to patients who can't use an FDA-approved product. MEND follows that guidance: compounding is offered as a clinically determined option for patients an approved product doesn't fit — not a default upgrade.
Pricing: available — ask about pricing.
How It Works
From labs to ongoing care
Labs
A full hormone evaluation establishes your baseline before any protocol is designed.
Protocol Design
Your clinician builds a bioidentical hormone protocol suited to your symptoms, history, and goals.
Titration
Initial dosing often needs closer attention than a stable protocol — early check-ins happen more often than quarterly.
Ongoing Management
Once you're stable, typically six to twelve months in, most patients step down to quarterly visits and eventually Maintenance.
Who it's for
Honestly framed.
Good fit
- Women in perimenopause or menopause experiencing symptoms
- Women who want a clinician with time to titrate dosing carefully
- Women interested in bioidentical hormone therapy, including testosterone where appropriate
- Women who want prescriptions sent to their own pharmacy, not marked up
Not the right fit if
- Not yet in perimenopause and haven't discussed symptoms with a clinician
- Looking for testosterone specifically without a discussion of whether it's clinically appropriate for you
- Looking for a one-time prescription with no follow-up titration
Pricing
Your protocol — including testosterone where clinically indicated — is included in your $149/month price. Compounded formulations are a separate add-on when needed.
Labs are billed separately at cash price, or add all scheduled labs for +$25/month.
Maintenance — $99/month, after stabilization: Most patients reach a stable protocol within six to twelve months. From there, most step down to Maintenance — ongoing prescriptions including testosterone where clinically indicated, secure messaging, and an annual comprehensive review. This exists because women's hormone therapy plateaus once dosing is dialed in — unlike testosterone therapy in men, which requires the same monitoring indefinitely, which is why the Men's Hormone Program has no equivalent step-down.
FAQ
Common Questions
Start With a Conversation
A free consultation gets you a clear picture of what a protocol built for perimenopause or menopause actually looks like.