Prolong HealthWomen's Health
Hormone support built
around your symptoms.
A real evaluation of your symptoms and history, reviewed by a licensed provider — because hormone therapy isn't one-size-fits-all.
Not sure how your symptoms compare? Try our free menopause symptom quiz.
Choose your treatment
Pick a product to start your visit. You'll go straight to secure medical intake, and a licensed provider reviews every request.
- Most popular
Hormone Therapy
Estradiol (oral, patch or gel) + vaginal options; progesterone if needed
12-week program
from$79/moGet started 
Non-Hormonal Therapy
Paroxetine or desvenlafaxine · hot flash relief
12-week program
from$79/moGet started
Prescription required; a licensed provider decides and nothing is guaranteed. Starting prices vary by dose and plan. Compounded medications are not FDA-approved. Images are representative. FSA/HSA accepted.
Support that comes with your program
Licensed U.S. providers
A licensed provider reviews your history and decides whether treatment is appropriate. Nothing is prescribed automatically.
Follow-ups built in
A month-1 follow-up, quarterly reviews, and a refill review after any medication change.
24/7 patient support
Support is included with your program and available around the clock, day or night.
Free shipping, no commitments
Medication ships free if prescribed, and you can cancel anytime.
- Start your evaluation
Tell us what you're experiencing and your health history.
- Provider review
A licensed provider reviews your symptoms and any relevant labs.
- Personalized plan
Your treatment is built around your specific symptoms, not a template.
- Ongoing support
Your provider adjusts your plan as your symptoms change.
Who Qualifies
Hormone therapy through Prolong Health starts with your symptoms, not a one-size protocol. During your intake, a licensed provider reviews factors like fatigue, mood changes, low libido, irregular cycles, or perimenopause and menopause symptoms alongside your broader health history to determine whether hormone therapy is appropriate for you.
How your hormone therapy plan is reviewed and personalized
Hormone therapy is reviewed individually — your provider considers your specific symptoms, history, and any lab work before recommending a plan. If a treatment isn't right for you, you'll hear that directly from a licensed provider, not an automated result.
Once your intake is reviewed, your provider determines eligibility and, if appropriate, builds a plan around your specific symptoms and lab results rather than a standard dose. Your plan can be adjusted as your provider monitors your progress.
Understanding Hormone Imbalance
Hormone changes can show up differently for every patient — some notice energy or mood shifts, others notice changes in cycle regularity or libido. A licensed provider evaluates your full picture before recommending a course of treatment, rather than treating symptoms in isolation.
Pricing & What's Included
Prolong Health is cash-pay — there's no insurance to bill. Women's hormone therapy is $79 per month, billed as $237 every 12 weeks, and includes your provider reviews and, if prescribed, your medication. Labs are not included; if your provider orders labs, the cost is yours. FSA/HSA cards, Visa, Mastercard, Apple Pay and Google Pay are accepted. You can cancel anytime for any reason and request a refund at any time, except for a month in which your medication has already been ordered.
In-depth guide
A plain-language guide to menopause and perimenopause hormone therapy
Perimenopause is the transition leading up to menopause, and menopause is when periods have stopped for good. During this time, hormone levels shift, and many women notice hot flashes, night sweats, sleep trouble, mood changes, vaginal dryness, or changes in sex drive. Symptoms and their intensity differ a lot from person to person. Some women need no treatment, and others want help.
Prolong Health's women's program connects you with a licensed provider who can review your symptoms and health history online and decide what, if anything, fits. Prolong Health itself does not practice medicine. Clinical care is provided by licensed providers through our partner, Agile Telehealth. This guide explains how the program works, what treatments a provider may choose from, and what risks to understand first.
Who this is for
- Women with symptoms of perimenopause or menopause that are affecting daily life, such as hot flashes, poor sleep, or vaginal dryness.
- Women who want a provider to review their history and talk through options, including non-hormonal ones.
- Women who are comfortable with mostly online care and regular follow-up reviews.
Who this may not be right for
- Anyone who wants a guaranteed prescription. A licensed provider decides after reviewing your intake.
- Women with undiagnosed vaginal bleeding. This needs an in-person medical workup before any hormone treatment.
- Women with a history of blood clots or stroke, certain cancers such as some breast or uterine cancers, or liver disease. Systemic estrogen is generally not recommended in these situations.
- Women who are or may be pregnant.
- Anyone needing urgent or emergency care. Call 911 for chest pain, trouble breathing, or signs of stroke.
How the program works, step by step
- Step 1: Online intake. You complete a comprehensive online intake about your symptoms, medical history, and medicines. A licensed provider reviews it. This is usually done online on your own schedule (asynchronously). In some states, a live video consult may be required.
- Step 2: Provider decision and first order. If treatment is appropriate, your provider orders your first medication. If it is not, you will be told. Labs are ordered only when your provider thinks they are needed.
- Step 3: Month-1 follow-up. About a month in, you do an online follow-up so your provider can see how you are doing and adjust the plan. If you have bothersome symptoms or side effects sooner, you can reach out earlier.
- Step 4: Review after any change. If your medication or dose changes, a refill review happens 4 weeks later to check how the change is working.
- Step 5: Quarterly reviews. After that, you have a quarterly online review with your provider to check symptoms, side effects, and whether the plan still fits.
What's included
- Provider review of your online intake by a licensed provider
- Your medication, if a provider orders it
- A month-1 follow-up and quarterly reviews
- A 4-week refill review after any medication change
- Labs are not included. They are ordered only if merited, and you pay for them if you get them.
Pricing summary
The women's hormone therapy program is $79 per month, billed as $237 every 12 weeks. It is one price for the program, whichever medication your provider chooses.
Prolong Health is cash-pay, so there is no insurance billing. We accept FSA and HSA cards, Visa, Mastercard, Apple Pay, and Google Pay.
Labs are not included in the price. If your provider orders labs, you pay for them.
You can cancel anytime. You can ask for a refund at any time, except for a month in which your medication has already been ordered.
Eligibility, safety and side effects
Menopause treatments help some women and are not right for others. The points below are general information from public drug references, not a complete list and not advice for you. Your provider will review your own risks, and you should read the medication guide that comes with any prescription.
Common side effects
- With estrogen and progestin: breast tenderness, bloating, headache, nausea, and spotting or irregular bleeding
- With paroxetine or desvenlafaxine (non-hormonal pills): nausea, sleepiness, dry mouth, and sexual side effects
- Side effects often depend on the medicine and dose, which is why follow-up reviews matter
Serious risks and warnings
- Estrogen and progestin products have carried boxed warnings, the FDA's strongest warning, about endometrial (uterine lining) cancer when estrogen is used without a progestin, heart and blood vessel problems, breast cancer, and probable dementia in women 65 and older.
- Systemic estrogen can raise the risk of blood clots and stroke.
- For women who still have a uterus, a progestin such as progesterone is generally paired with estrogen to protect the uterine lining. Your provider will decide whether you need it.
- These medicines are not for women with undiagnosed vaginal bleeding, certain cancers, a history of blood clots or stroke, liver disease, or pregnancy.
- Do not stop paroxetine suddenly. Talk with your provider about how to stop it safely.
- Call 911 or seek emergency care for chest pain, shortness of breath, sudden weakness on one side, trouble speaking, severe headache, or a painful, swollen leg. See a clinician promptly for new or unexpected vaginal bleeding.
Tell your provider about every medicine and supplement you take and about your personal and family health history. Treatment is never guaranteed, and results vary from person to person. Your provider can adjust or stop treatment at any time as your needs change.
Sources and further reading
- MedlinePlus (U.S. National Library of Medicine): Menopause
- Hormone Foundation: Menopause
- MedlinePlus (U.S. National Library of Medicine): Estrogen and progestin (hormone replacement therapy)
Frequently asked questions
Options include estradiol as a pill, patch, or gel; estradiol vaginal cream or a vaginal insert; progesterone if needed for women who have a uterus and take estrogen; or non-hormonal options, which are the pills paroxetine or desvenlafaxine. Your provider picks based on your symptoms and history.
Start Your Hormone Therapy Evaluation
This starts your intake with Agile Telehealth, our licensed telehealth partner. Nothing is charged or prescribed at this step.