What it's used for
May reduce hot flashes and night sweats.
TopicalHormone Therapy (HRT) · Topical
Estradiol cream with progesterone capsules may help selected menopausal symptoms after an individualized discussion of benefits and risks.
$299 · Month Supply 2mg/ml or 4mg/ml + 100mg, 150mg or 200mg
Ships to all 50 states.
About this treatment
Estradiol cream with progesterone capsules may help selected menopausal symptoms after an individualized discussion of benefits and risks. Compounded medicines are not FDA approved or reviewed for safety, effectiveness, or quality before marketing.
The science
Estradiol replaces estrogen activity that declines during menopause. Adequate progesterone helps protect the uterine lining in patients with a uterus using systemic estrogen.
Results depend on the formulation, route, and individual health factors. Evidence for an approved ingredient does not establish that a compounded product works the same way.
Benefits & evidence
May reduce hot flashes and night sweats.
May improve some estrogen-related symptoms.
Appropriate progesterone helps protect the uterine lining.
Individual results vary and are not guaranteed.
Your next steps
Pick your treatment, plan length and state, then check out.
Share your health history and goals in a secure online form.
A licensed clinician reviews your intake, orders any required labs and decides if treatment is right for you.
If approved, your medication ships discreetly, with follow-up care along the way.
Safety information
Commonly reported effects include breast tenderness, spotting, bloating, headache, and drowsiness.
Discuss unexplained vaginal bleeding, hormone-sensitive cancer, liver disease, and a history of blood clots, stroke, or heart attack; avoid during pregnancy. Seek urgent care for chest pain, breathing trouble, or stroke symptoms.
Compounded medications are prepared by a pharmacy for individual patients. They are not FDA approved and have not been reviewed by the FDA for safety or effectiveness.
Stop and contact your care team if you have a severe reaction. For a medical emergency, call 911.
Frequently asked questions
Use the cream and capsules exactly as prescribed. Do not skip progesterone without discussing your uterine protection plan with your clinician.
Follow your clinician's review schedule. Contact them sooner for persistent side effects, worsening symptoms, or concerns about your response.
Follow the dispensing label for temperature, light protection, and discard dates. Ask your pharmacist before using medicine stored incorrectly.
Before starting: Estradiol, Progesterone, Testosterone (free & total), SHBG, CBC, CMP, Lipid panel,TSH, FT4, FT3. Follow-up: If testosterone is prescribed, follow up is at 12 weeks: Estradiol, Testosterone (free & total), CBC. At 1 year across the board, follow up: CMP, Lipids, Estradiol, Progesterone, Testosterone (free & total) Your clinician will tell you where and when to complete them.
It can ship to all 50 states.
Treatment is only prescribed when a licensed clinician decides it is appropriate. If it isn't, your care team will explain why and talk through other options.