Menopause & hormone therapy care, online
Perimenopause, menopause, hot flashes, broken sleep, vaginal dryness and low libido — evaluated by a licensed clinician who can prescribe hormone therapy or a non-hormonal treatment, sent to your own pharmacy.
Ondoc evaluation
$150
or commercial insurance where accepted
Prescriptions
Sent to your pharmacy
Standard FDA-approved menopause medications
What happens next
Online intake, then clinician review
Labs or a short video visit only if needed
What a menopause visit covers
Perimenopause changes
Cycles that shorten, lengthen, skip or become unpredictable, with new mood, sleep or energy changes in your late 30s to 40s.
Hot flashes & night sweats
Sudden heat, flushing and drenching sweats that interrupt work and sleep — the symptom hormone therapy treats most reliably.
Sleep disruption
Waking at 2–4am, or sleep broken by sweats, so the whole next day feels foggy.
Vaginal dryness & urinary symptoms
Dryness, burning, pain with sex, and recurrent urinary irritation from genitourinary changes after menopause.
Low libido & sexual-health concerns
Reduced desire, arousal or comfort — evaluated properly rather than treated with one default medication.
Mood, memory & concentration
New irritability, low mood or word-finding trouble that tracks with your cycle or the menopause transition.
Menopause after a hysterectomy or early menopause
Surgical or early menopause changes the treatment calculation, so it is reviewed on its own terms.
Hormone-therapy review
Already on hormone therapy and want it reviewed, adjusted, continued, or safely stopped.
How it works
- 1
Start online
Answer focused questions about your cycles, symptoms, history and current medicines.
- 2
Choose insurance or self-pay
Commercial insurance where accepted, or $150 self-pay for the Ondoc evaluation.
- 3
A clinician reviews your case
Symptoms, risks, blood pressure, family history and screening status — plus labs when they would change the decision.
- 4
You get a plan
Hormone therapy, local vaginal treatment, a non-hormonal prescription, or a combination — with the reasoning explained.
- 5
Prescriptions go to your pharmacy
Standard menopause medications are filled at the pharmacy you already use.
- 6
Follow-up
A check-in to confirm the symptoms actually improved and to adjust the dose or route.
Treatments your clinician may consider
Your clinician chooses the treatment, route and strength with you. There is nothing to select yourself.
Systemic estrogen therapy
Estradiol as a patch, gel, spray or tablet — the most effective treatment for hot flashes and night sweats. Standard FDA-approved products, filled at your own pharmacy.
Filled at your own pharmacy.
Progesterone / progestin
Added for anyone with a uterus who takes systemic estrogen, to protect the lining of the uterus. Micronized progesterone is often chosen and can also help sleep.
Filled at your own pharmacy.
Local (vaginal) estrogen
A low-dose cream, tablet, insert or ring used vaginally for dryness, painful sex and recurrent urinary symptoms. Very little is absorbed into the bloodstream, and it can often be used when systemic estrogen is not the right choice.
Filled at your own pharmacy.
Combination estrogen + progestogen products
A single patch or tablet that contains both hormones, when that simplifies a regimen you'll actually keep taking.
Filled at your own pharmacy.
Non-hormonal prescription options
Certain SSRIs/SNRIs, gabapentin, oxybutynin and newer non-hormonal options for hot flashes, plus vaginal moisturizers and DHEA for genitourinary symptoms — for women who cannot or prefer not to use hormones.
Filled at your own pharmacy.
Testosterone for women (narrow use)
Considered only in specific situations, most often distressing low sexual desire after menopause once other causes are addressed. It is not part of routine menopause treatment and most women never need it.
Compounded preparations are made and shipped by a compounding pharmacy.
Compounded hormone preparations (only when justified)
Used when an FDA-approved product genuinely will not work — for example a documented allergy to an ingredient or a strength that isn't manufactured. When a compounded preparation is prescribed, it is made and shipped by the compounding pharmacy rather than filled at a retail counter.
Compounded preparations are made and shipped by a compounding pharmacy.
Perimenopause, menopause, and what changes
Perimenopause is the transition, often starting in the late 30s or 40s. Estrogen swings rather than simply falls, so cycles become unpredictable and symptoms can appear while you are still having periods. Treatment here often looks different from treatment after menopause — cycle control and symptom control may both matter.
Menopause is dated from twelve months after your last period. After that point, hot flashes, sleep disruption, genitourinary dryness and bone loss are driven by persistently low estrogen, and treatment is aimed at replacing enough of it to relieve symptoms at the lowest effective level — or at treating the symptoms directly without hormones.
Genitourinary symptoms behave differently from hot flashes: they tend to persist or worsen over time rather than fade, and they respond well to local vaginal treatment even when systemic hormones are not used.
If you don't want hormones
- Non-hormonal prescription treatments for hot flashes
- Vaginal moisturizers, lubricants and pelvic-floor referral for painful sex
- Sleep, alcohol, caffeine and temperature strategies that measurably reduce night sweats
- Bone, blood-pressure, lipid and thyroid review, because menopause changes those risks
- Cancer-screening status review (mammogram, cervical, colon) as part of the same visit
Testosterone for women
A narrow branch of menopause care, not the main service. It is considered in specific situations — most often distressing low sexual desire after menopause once other causes have been addressed.
When testosterone is and isn't appropriate for womenBefore you start
Hormone therapy has benefits and risks that depend on your age, how long since menopause, and your personal and family history. Your clinician reviews those with you before prescribing, and some histories make hormone therapy unsafe.
The Ondoc fee pays for the clinical evaluation and is non-refundable. A paid evaluation does not guarantee that a prescription will be issued — that is the clinician's decision.
Common questions
Ready when you are
A licensed clinician reviews your symptoms, history and risks, orders labs when they change the decision, and builds a menopause treatment plan — hormonal or non-hormonal — with prescriptions sent to your own pharmacy.