Hers vs Inner Balance for Menopause: Medicines, Price, Refunds and Who Each Fits
Hers vs Inner Balance is a choice between separate hormone medicines and one compounded cream. Hers prescribes estradiol as a pill or patch plus a progesterone pill, from $79 a month for pills and $134 for patches on a 12-month plan. Inner Balance sells Oestra, one compounded vaginal cream with both hormones, at $199 a month. Neither takes insurance.
The HRT Index is the independent decision resource for online menopause and HRT care — comparing telehealth providers on clinical legitimacy, care quality, medication fit, price transparency, and access, with every claim verified and dated, so women can choose the path that fits their situation before their first consult.
Affiliate disclosure: Hers and Inner Balance are both affiliate partners. On this page, only the labeled Hers button is an affiliate link; links to Inner Balance go straight to its own pages. We may earn a commission if you start care through that labeled link. That doesn't change the facts below, and we point out where each one falls short. See our affiliate disclosure.
What we actually verified · Last verified November 2026
- What we read on November 4, 2026: For Hers: its menopause page, its HRT insurance and pricing article (updated December 23, 2025) and its terms and conditions (dated October 20, 2026). For Inner Balance: its home page, Oestra product page, HRT and menopause treatment pages, FAQ, HSA/FSA page, refund policy, terms of use and two help-center articles. We checked medical points against The Menopause Society, the FDA, ACOG, MedlinePlus and federal drug-scheduling rules.
- What we confirmed: Hers says oral medicines start at $79 a month and patches at $134 a month "with a 12-month plan." Inner Balance lists Oestra at "$199/mo" with "Cancel anytime." Inner Balance's own help center says "Compounded medications are not approved by the FDA." Neither company bills insurance.
- What we did not do: we didn't sign up, pay, talk to a clinician or receive medicine from either company. This is a documentation review, not a patient test.
- What we could not confirm: what Hers charges on day one for a 12-month plan; whether Hers's starting prices include progesterone and vaginal cream; whether the Hers products you'd get are FDA-approved (its pages don't say); which Oestra dose you'd get (Inner Balance publishes different numbers in different places); whether Oestra's pharmacy is a 503A or 503B pharmacy (Inner Balance says both); and whether HSA/FSA purchases can be refunded (Inner Balance says both yes and no).
- Verification Standard: we judge online menopause care on five pillars, in this order: clinical legitimacy, care quality, medication fit, price transparency and access. We don't give either company a score. Our methodology explains how we work.
Jump to: At a glance · Who fits which · Cost · Medicines · Billing and refunds · Insurance and HSA/FSA · States and ages · Care after sign-up · Reviews · In-person first · Questions to ask · FAQ · Sources
Hers vs Inner Balance at a glance
Both are online, cash-pay menopause services. You fill out an online intake, a clinician reviews it, and if treatment is appropriate, medicine ships to you. The big difference is the medicine itself: Hers prescribes separate estradiol and progesterone products, while Inner Balance sells one compounded cream for everyone it treats.
| What you're comparing | Hers | Inner Balance | What it means for you |
|---|---|---|---|
| Advertised price | Oral medicines from $79 a month; patches from $134 a month (Hers) | "$199/mo" for Oestra (Inner Balance) | Hers's starting prices are lower. Compare full quotes for your exact plan. |
| Commitment | Starting prices are "with a 12-month plan" | "Cancel anytime"; ships a 90-day supply | Hers ties its lowest price to a year. Inner Balance ships three months at a time. |
| What you get | Estradiol pill or patch, progesterone pill, estradiol vaginal cream, "if you're eligible" | Oestra: one daily vaginal cream with estradiol and progesterone | Separate, adjustable products vs one combined cream |
| FDA-approved or compounded | Doesn't say on the pages we read | Compounded; Inner Balance says compounded medicines "are not approved by the FDA" | Ask Hers for the exact product. Oestra is not an FDA-approved product. |
| Insurance | Not required; doesn't bill insurers; some medicines HSA/FSA eligible | Doesn't accept insurance; HSA/FSA eligible | Neither bills your health plan |
| Money-back guarantee | None; "no refunds for partially used subscription periods," with case-by-case exceptions | A 6-month guarantee with strict windows and exclusions | Inner Balance offers more on paper, if you meet every condition |
| States | "Not available in all 50 states"; no list published | "Some Services may not be available in your state"; no list published | Check your state during intake |
| Visits | "100% online care" | "No lab work required to start, and no in-person visits" | Both are mainly message-based |
| Our links | Labeled affiliate button | Plain links to its own pages | We may earn a commission only through the labeled Hers button |
All rows checked November 4, 2026, on each company's own pages, linked in the sources.
The short version: if you want standard, separate hormone products and the lowest advertised monthly price, and you're fine with a 12-month plan, Hers is the one to check first. If you specifically want one combined cream and accept that it's compounded and costs more, Inner Balance is built for that. Either way, get the complete quote in writing before you pay.
Hers vs Inner Balance: which one fits you?
Hers fits women who want ordinary estradiol and progesterone products, chosen and dosed separately, at a lower advertised price. Inner Balance fits a narrower group: women who want a single compounded cream and understand the tradeoffs. Some women should start with neither.
| Your situation | Where to start | Why |
|---|---|---|
| You want medicines that aren't compounded | Check Hers, and ask for the exact product | Oestra is compounded. Hers names standard estradiol and progesterone forms. |
| You want the lowest advertised monthly price | Check Hers | $79 pill and $134 patch starting prices vs $199 a month |
| You've been told a patch may suit you | Check Hers | Hers lists a patch. Inner Balance's Oestra is a vaginal cream only. |
| You don't want a 12-month plan | Check Inner Balance, or look elsewhere | Hers's starting prices need a 12-month plan |
| You want one product instead of a pill plus a patch | Inner Balance | Oestra combines both hormones in one cream |
| You want a refund option if it doesn't help | Read Inner Balance's guarantee closely | It has a 90-to-180-day window and excludes some plans |
| You only have vaginal dryness or pain with sex | A clinician, about local vaginal estrogen | Oestra is sold as whole-body therapy. See our vaginal estrogen guide. |
| You need insurance to pay | Neither first | Both are cash-pay. See does insurance cover HRT for menopause? |
| You want testosterone | A menopause clinician | Neither includes testosterone in its menopause treatment |
| Unexplained bleeding, past blood clot, stroke, heart disease, liver disease, or breast or uterine cancer | An in-person clinician first | See when to start in person |
Prices are each company's published prices, checked November 4, 2026. They're examples, not quotes.
A 20-second self-check
Nobody sees your answers but you.
- Are you paying cash? If not, start with an in-network option instead.
- Does it matter to you that a medicine is FDA-approved? If yes, Oestra isn't, so start with Hers and ask what product you'd get.
- Do you have a uterus? Then ask either company how it protects your uterine lining and how it'll check that.
- Are you free of the red flags in the last row above? If not, see a clinician in person first.
If you're still not sure which kind of care fits, that's what our free tool is for.
The right online menopause care isn't the same for every woman — it depends on your symptoms, what you've already tried, your age, your state and your health history. Some situations belong with an in-person clinician first. Use The HRT Index's Find My HRT Path tool to explore a featured care option for your situation — and to flag when online care isn't the right starting point — before your first consult.
See which menopause care option fits you
Find My HRT Path is free, takes about 60 seconds and doesn't ask for your email. It asks about your symptoms, what you've already tried, your age, your state and your health history. It isn't a diagnosis and doesn't decide whether you should take hormones. A clinician does that. Our partner relationships affect which providers it features. (How it works)
Hers vs Inner Balance cost: what you'd pay in 3 months and a year
At advertised prices, Hers costs less than Inner Balance for both pills and patches. Over a year at the monthly rate, that's $948 for Hers pills or $1,608 for Hers patches, against $2,388 for Inner Balance. These are illustrations from published prices, not quotes.
| Plan | Advertised price | 3 months | 12 months |
|---|---|---|---|
| Hers pills, 12-month plan | From $79 a month | $237 | $948 |
| Hers patches, 12-month plan | From $134 a month | $402 | $1,608 |
| Inner Balance Oestra | $199 a month | $597 | $2,388 |
How we worked it out: we multiplied each advertised monthly price by 3 and by 12. Inner Balance's pages we read show $199 a month and no lower later rate. If your checkout shows a different rate, go by the checkout. Sources: Hers pricing article and Inner Balance product page, both read November 4, 2026.
What the numbers don't tell you
- What Hers charges on day one. Hers's terms say subscriptions are charged "at regular intervals as described for that product or service during the checkout process." Its pricing article doesn't say how the 12-month plan is billed. Ask what's due today and when the next charge falls.
- Whether Hers's price includes progesterone and vaginal cream. Hers lists them as parts of a menopause kit, but its starting prices are for pills and patches. Ask if adding them changes your price.
- How Inner Balance bills. Its FAQ says "You'll receive a 3-month supply of Oestra with each shipment. We bill monthly." Its terms say fees may be due "monthly, every two months, or every three months." Ask which applies to you.
- Dose changes at Inner Balance. Its pages say "Dose adjustments may incur an additional cost." The amount isn't published.
- Leaving Inner Balance early. Its terms say that if you got 3 months of Oestra and cancel before all 3 months are paid, "you may be charged a fee to reactivate." Ask what you'd owe.
Is either one cheaper than your own doctor?
Often, yes. Hers's own article lists generic Estrace (estradiol) at "about $33 from retail pharmacies." If you have insurance and a clinician who'll prescribe, ordinary estradiol and progesterone filled at your pharmacy may cost less than either subscription. What you're paying for here is speed and convenience. Our HRT cost guide for 2026 goes deeper.
Medicines: what Hers and Inner Balance prescribe
Hers offers a menu of separate medicines a clinician can mix and match. Inner Balance offers one product, Oestra, a compounded cream containing estradiol and progesterone. Neither service guarantees a prescription.
| Medicine | Hers | Inner Balance |
|---|---|---|
| Estradiol pill (whole-body) | Listed | Not offered |
| Estradiol patch (whole-body) | Listed; patch plans start at $134 a month | Not offered |
| Progesterone | Progesterone pill | Inside Oestra, in the same cream |
| Vaginal cream | Estradiol vaginal cream | Oestra, a daily vaginal cream sold for whole-body effect |
| FDA status | Not stated on the pages we read | Compounded; not FDA-approved |
| Testosterone | Not listed | Not in Oestra; Inner Balance says its clinicians "can evaluate that separately" |
Source: Hers menopause page, Inner Balance product page, Inner Balance HRT page. Read November 4, 2026.
Compounded vs FDA-approved: the biggest difference here
The FDA says "compounded drugs are not FDA-approved," which means it doesn't verify their safety, effectiveness or quality before they're sold (FDA). That applies to the finished product, even when each hormone in it also exists in approved medicines. ACOG says compounded bioidentical hormone therapy "should not be prescribed routinely when FDA-approved formulations exist" (ACOG).
Inner Balance's own help center agrees that FDA-approved products "should be the first-line choice for most patients." It says Oestra is meant for people with a specific need, such as an allergy to an ingredient in commercial products or a dose or combination that isn't sold (Inner Balance help center). Inner Balance attributes that framing to a 2020 National Academies review of compounded hormones. Some of its other pages are less careful. Its FAQ calls Oestra's hormones "FDA-approved," and says hormone therapy does not cause breast cancer. The Menopause Society lists breast cancer among the risks of whole-body hormones (The Menopause Society).
"Bioidentical" just means the hormone has the same structure as the one your body makes. The Menopause Society says bioidentical hormones "do not have to be custom compounded," and that custom-compounded hormones "are not safer or more effective than approved bioidentical hormones." Hers's pages don't say whether its products are FDA-approved, so ask: "What exact product will I receive, and is it FDA-approved?" Our compounded vs FDA-approved HRT guide and FDA-approved HRT medication list explain more.
What's in Oestra, and the open questions
Inner Balance's product page says each pump has "3 mg estradiol + 100 mg micronized progesterone." Its help center describes two versions with different amounts: Oestra Menopause at 0.5 mg estradiol and 50 mg progesterone, and Oestra Start at about 2 mg estradiol and about 80 mg progesterone (Inner Balance help center). It also describes its pharmacy as a "503A U.S. pharmacy" on one page and a "503B" pharmacy in its FAQ. Those are different kinds of compounders. Ask for your exact dose and pharmacy in writing.
If you have a uterus
If you still have a uterus and take whole-body estrogen, you need a progestogen, such as progesterone, to protect the uterine lining. The Menopause Society says women with a uterus "must use EPT [estrogen plus progestogen] to protect against uterine cancer." MedlinePlus explains that estrogen raises the risk of cancer of the uterine lining, which is why women who haven't had a hysterectomy are given a progestin with it (MedlinePlus). Hers says the same on its menopause page: progesterone "helps protect the uterine lining."
This matters more with a compounded product. The Menopause Society warns that compounded hormones "may not even contain the prescribed amounts," and that too little progesterone may leave you unprotected against uterine cancer. If you choose Oestra, ask how the clinician will check that the progesterone in it protects you.
Cream vs pill or patch
The Menopause Society describes whole-body hormone therapy as pills, patches, sprays, gels or a vaginal ring, and says blood-clot risk "may be lower" with a patch, gel or spray than with pills. Oestra is a vaginal cream sold for whole-body effects, which isn't one of those standard forms. Low-dose vaginal estrogen is a different thing: it treats dryness and pain with sex, and "very little goes into blood circulation." If those are your only symptoms, ask about local treatment. See our vaginal estrogen guide.
Testosterone
Neither company includes testosterone in its menopause treatment. Inner Balance says Oestra "does not contain added testosterone," though its FAQ also says one pump delivers "testosterone (via conversion)." Testosterone is a Schedule III controlled substance under federal rules (eCFR), so any prescription needs a clinician's evaluation and follow-up.
Billing, cancelling and refunds: which is easier to leave?
Inner Balance offers more on paper: it says "Cancel anytime" and has a 6-month money-back guarantee. Hers's starting prices come with a 12-month plan and no refunds for partly used periods. But Inner Balance's guarantee has tight windows and conflicting rules. Read both before you pay.
| Hers | Inner Balance | |
|---|---|---|
| How to cancel | In the app under "My Subscriptions," through the Customer Help Center, or by calling 1-800-368-0038 (terms) | Log in and message the care team through its "secure portal" (terms) |
| Deadline to avoid the next charge | At least two days before the renewal processing date | Not stated on the pages we read |
| Early charges | The first renewal may be charged early; later ones up to two days early | A 90-day supply ships at a time; ask when each charge falls |
| Refunds | "We do not offer refunds for partially used subscription periods," with case-by-case exceptions | "Refunds are not processed automatically upon cancellation"; you ask through the account's secure chat |
| Money-back guarantee | None published | Request at least 90 days and no later than 180 days after your first order, and within 14 days of cancelling; up to six months of treatment payments; one refund per customer |
| What the guarantee excludes | n/a | The one-time 3-month supply, the annual plan, labs and supplements |
| Pause | Terms mention a pause option | Not mentioned on the pages we read |
| Policy date | October 20, 2026 | Not dated on the pages we read |
Source: Hers terms, Inner Balance refund policy, Inner Balance terms. Read November 4, 2026.
A guarantee example: say you start Oestra on December 1, 2026. Your refund window opens 90 days later, on March 1, 2027, and closes 180 days later, on May 30, 2027. If you cancel, you have 14 days to ask. Put those dates in your calendar on day one, and take screenshots.
The HSA/FSA catch: Inner Balance's refund policy says HSA/FSA purchases "are eligible for a refund." Its HSA/FSA page says they "are non-refundable" and "not valid under the six-month money-back guarantee." If you plan to pay with an HSA or FSA card, get the answer in writing first.
Switching between them
Each company does its own intake and prescribing. To avoid a gap, start the new intake before cancelling the old plan, tell the new clinician exactly what you take now, and cancel only after the new prescription is confirmed. Don't stop or change hormones on your own.
Insurance and HSA/FSA at Hers and Inner Balance
Neither Hers nor Inner Balance bills your health insurance. Hers's terms say it isn't enrolled with Medicare, Medicaid or commercial insurers. Inner Balance's terms say "it does NOT accept insurance" and ask you not to submit claims. Both mention HSA/FSA: Hers says "some medications" are eligible, and Inner Balance lists Oestra as HSA/FSA eligible.
Paying with an HSA or FSA lets you use pre-tax money. It doesn't make either service in-network. If you want insurance to pay, a visit with an in-network clinician and a prescription filled at your pharmacy may cost less. See does Hers menopause take insurance? and does Inner Balance take insurance?
States and ages: can Hers or Inner Balance treat you?
Neither publishes a state list. Hers says its menopause care is "not available in all 50 states." Inner Balance's terms say "some Services may not be available in your state." Check during intake, before you pay.
Hers's terms require you to be at least 18. Inner Balance's FAQ says, "We work with women as young as 18." Neither age is a medical recommendation. The Menopause Society says hormone therapy helps control moderate to severe symptoms when started "within 10 years of onset of menopause or under age 60 years." Starting later isn't an automatic no, but it needs a careful, individual conversation.
Perimenopause: Hers says hormone therapy isn't FDA-approved for perimenopause but "may be prescribed off-label for perimenopausal symptoms at a provider's discretion." Inner Balance's FAQ says many women start "in their 30s or 40s." Either way, a clinician decides.
What care looks like after you sign up
Both start with an online questionnaire and continue by message. One order-of-steps difference: Inner Balance says that if you're a candidate, "you'll move straight to checkout," and a clinician reviews your information after that.
| Hers | Inner Balance | |
|---|---|---|
| Sign-up | Online intake; "Begin free consult" | Health quiz, then checkout, then clinician review |
| Labs | Not mentioned on the pages we read | "No lab work required to start" |
| Ongoing support | "Unlimited online access to provider messaging, regular check-ins, and treatment adjustments as needed" | "Unlimited clinical follow-up"; dose changes may cost extra |
| Video | No video visit option published on the pages we read | Terms say care may use audio, video or messaging; the first visit may be a questionnaire only |
| Shipping | Timing not published on the pages we read | 90-day supply; product page says "Estimated delivery: 5 business days" |
| Is a prescription guaranteed? | No; "if you're eligible" | No; a clinician decides |
Source: Hers menopause page, Hers terms, Inner Balance FAQ, Inner Balance product page, Inner Balance terms. Read November 4, 2026. These are company statements; we didn't time any replies.
Two details worth knowing. Inner Balance's terms say it "does not offer medical advice" itself; licensed providers at affiliated practices do. Hers's terms say it may use AI to help with messages, which licensed professionals review. Both setups are common in telehealth. Ask what happens to your payment if Inner Balance's clinician decides Oestra isn't right for you, and ask both for your clinician's name and pharmacy in writing.
What reviews can and can't tell you
Reviews help you spot service problems like billing, shipping and slow replies. They can't tell you whether a medicine will work for you.
Inner Balance shows "4.9/5" from "5,695 Reviews" on its own product page. That's a score the company chose to display, not an independent rating. It also shows symptom-improvement percentages marked "Based on internal data"; those aren't clinical trial results. Hers's menopause page cites clinical trials of estradiol in general, not trials of Hers itself. We cover each company's review picture in our Hers menopause review and our Inner Balance HRT review.
When to start with an in-person clinician
Some health histories need an exam or a full review that an online form can't replace. Start in person before choosing between Hers and Inner Balance if any of these apply:
- Unexplained vaginal bleeding, especially after menopause.
- A history of breast cancer, uterine cancer, liver disease, blood clots or heart disease. The Menopause Society says women with these "should not use hormone therapy" in general (The Menopause Society). A non-hormonal option or a specialist may be the right path. Our non-hormonal options guide covers what's available.
- You might be pregnant or are breastfeeding.
- New, severe or unexplained symptoms. If anything feels urgent, get urgent care or call 911.
The Menopause Society keeps a directory of menopause practitioners.
About the 2026 label changes: on February 12, 2026, the FDA approved labeling changes for six menopausal hormone therapy products. Risk statements about cardiovascular disease, breast cancer and probable dementia were removed from the boxed warning (FDA). Those changes were made to the labels of FDA-approved products; compounded products like Oestra don't carry FDA-approved labels. The changes also don't make hormone therapy risk-free: The Menopause Society still lists blood clots and breast cancer among its risks. Our 2026 label changes explainer has more.
Questions to ask Hers or Inner Balance before you pay
Copy these before you start an intake. Write down the answers.
| Ask | Why it matters |
|---|---|
| What exact medicine and dose will I get, and is it FDA-approved or compounded? | Hers doesn't say on its pages; Inner Balance publishes different Oestra doses |
| Which pharmacy makes or fills it, and is it a 503A or 503B pharmacy? | Inner Balance's pages say both |
| How will you protect and check my uterine lining? | It's the main safety job of progesterone |
| What's due today, and when is my next charge? | "Per month" isn't a payment date |
| Is progesterone included in my price? (Hers) | Hers's starting prices are for pills and patches |
| Exactly when can I request the guarantee refund, and does it apply if I pay by HSA or FSA? (Inner Balance) | The windows are tight and its pages disagree on HSA/FSA |
| What happens to my payment if the clinician doesn't prescribe? | Inner Balance takes you to checkout before review |
| Who's my clinician, and how do I reach them? | Know where to go before you need it |
Frequently asked questions
Is Hers cheaper than Inner Balance for menopause?
At advertised prices, yes. Hers starts at $79 a month for pills and $134 a month for patches on a 12-month plan. Inner Balance lists Oestra at $199 a month. Over a year, that's $948 or $1,608 at Hers against $2,388 at Inner Balance. Compare full written quotes.
Is Inner Balance's Oestra FDA-approved?
No. Oestra is compounded, and Inner Balance's help center says "compounded medications are not approved by the FDA." Each hormone in it also exists in FDA-approved medicines, but that doesn't make the compounded cream an approved product.
Are Hers menopause medicines FDA-approved?
Hers names estradiol pills, patches and vaginal cream plus a progesterone pill, but the pages we read don't say whether they're FDA-approved products or compounded. Ask for the exact product name before you pay.
Does Hers or Inner Balance take insurance?
No. Both are cash-pay and neither submits claims to your health plan. Inner Balance lists Oestra as HSA/FSA eligible. Hers says some of its medicines are HSA or FSA eligible.
Can I get my money back from Hers or Inner Balance?
Hers's terms say it doesn't refund partly used subscription periods, with case-by-case exceptions. Inner Balance has a 6-month guarantee, but you must ask between 90 and 180 days after your first order and within 14 days of cancelling, and some plans are excluded.
Does Find My HRT Path compare Hers and Inner Balance for me?
Find My HRT Path asks about your symptoms, what you've tried, your age, your state and your health history, then suggests a featured care option. It doesn't diagnose anything or check insurance. A clinician decides on treatment.
The bottom line
Hers vs Inner Balance is a choice between separate hormone products at a lower advertised price and one compounded cream at a higher one. Hers starts at $79 for pills and $134 for patches on a 12-month plan. Inner Balance charges $199 a month for Oestra, which isn't FDA-approved. Before you pay either one, confirm the exact medicine and dose, what's due today, your cancel deadline and how your uterine lining will be protected. If you have a red-flag health history, start with an in-person clinician.
If you're still deciding which kind of menopause care to start with, Find My HRT Path can point you to a starting option and flag when in-person care should come first.
Related reading
- Hers menopause review
- Inner Balance HRT review
- Inner Balance alternatives
- Hers menopause alternatives
- Inner Balance vs Winona
- Hers vs Winona
- Gala Health vs Hers
- Midi vs Hers for menopause
- Best online HRT providers for menopause
Sources
All sources were read on November 4, 2026.
- Hers. Menopause care. https://www.forhers.com/menopause
- Hers. Does Insurance Cover HRT for Menopause? What You Need to Know (updated December 23, 2025). https://www.forhers.com/blog/does-insurance-cover-hrt
- Hers. Terms and Conditions (last updated October 20, 2026). https://www.forhers.com/terms-and-conditions
- Inner Balance. Oestra product page. https://www.innerbalance.com/product-page
- Inner Balance. Hormone replacement therapy treatment page. https://www.innerbalance.com/treatment/hrt
- Inner Balance. Menopause treatment page. https://www.innerbalance.com/treatment/menopause
- Inner Balance. FAQ. https://www.innerbalance.com/p/faq/
- Inner Balance. HSA/FSA. https://www.innerbalance.com/p/hsa-fsa/
- Inner Balance. Refund Policy. https://www.innerbalance.com/p/refund-policy
- Inner Balance. Terms of Use. https://www.innerbalance.com/p/terms-of-use
- Inner Balance Help Center. Oestra Menopause vs Oestra Start. https://help.innerbalance.com/en/articles/15007725-oestra-menopause-vs-oestra-start
- Inner Balance Help Center. Clinical Reference: Compounded Hormone Therapy — Regulatory Framework and Quality Standards. https://help.innerbalance.com/en/articles/16589649-clinical-reference-compounded-hormone-therapy-regulatory-framework-and-quality-standards
- The Menopause Society. Hormone therapy. https://menopause.org/patient-education/menopause-topics/hormone-therapy
- The 2022 hormone therapy position statement of The North American Menopause Society. Menopause, 2022;29(7):767–794. https://menopause.org/wp-content/uploads/professional/nams-2022-hormone-therapy-position-statement.pdf
- U.S. Food and Drug Administration. Compounding and the FDA: Questions and Answers. https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers
- U.S. Food and Drug Administration. FDA Approves Labeling Changes to Menopausal Hormone Therapy Products (February 12, 2026). https://www.fda.gov/news-events/press-announcements/fda-approves-labeling-changes-menopausal-hormone-therapy-products
- American College of Obstetricians and Gynecologists. Compounded Bioidentical Menopausal Hormone Therapy (Clinical Consensus, November 2023). https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2023/11/compounded-bioidentical-menopausal-hormone-therapy
- MedlinePlus (U.S. National Library of Medicine). Estradiol. https://medlineplus.gov/druginfo/meds/a682922.html
- Electronic Code of Federal Regulations. 21 CFR 1308.13, Schedule III. https://www.ecfr.gov/current/title-21/chapter-II/part-1308/subject-group-ECFR1b5b1b8bb4b5d3c/section-1308.13
- National Academies of Sciences, Engineering, and Medicine. The Clinical Utility of Compounded Bioidentical Hormone Therapy (2020). https://nap.nationalacademies.org/catalog/25791/the-clinical-utility-of-compounded-bioidentical-hormone-therapy-a-review-of-safety-effectiveness-and-use
- The Menopause Society. Find a menopause practitioner. https://www.menopause.org/for-women/find-a-menopause-practitioner
This page is for education only and is not medical advice. Prices and policies come from each company's own pages on the date shown and can change; your checkout page and your clinician have the final word. Don't start, stop or change any hormone treatment without talking with your clinician. If you have bleeding after menopause, chest pain, sudden shortness of breath, a sudden severe headache, vision or speech changes, or a painful swollen leg, get medical care right away.