Women’s Hormonal Health

Feel like yourself again.

Bioidentical estradiol and progesterone for perimenopause, menopause, and hormonal imbalance — personalized dosing with ongoing provider support.

Reviewedby a licensed provider
1:1personalized dosing
2-dayshipping, included
Personalized, not one-size

Hormone needs are individual.

Dosing is personalized and adjusted with ongoing provider support and optional lab monitoring — because the right protocol for your symptoms, history, and stage is yours alone.

Treatment is prescribed only when a licensed provider determines it is appropriate. Individual results vary.

Your options

Choose your treatment.

Your provider recommends the right medication and form for your body, history, and goals.

Daily cream

Estradiol (Topical, Cream)

A daily topical cream that may help relieve menopausal symptoms like hot flashes, night sweats, and sleep changes.

Daily capsule or troche

Progesterone (Oral, Tablets)

A daily capsule or troche that may help support sleep, mood, and hormone balance, often taken alongside estrogen.

Vaginal cream

Vaginal Estradiol (Topical, Cream)

A low-dose vaginal cream that may help relieve dryness, discomfort, and urinary symptoms tied to menopause.

Also in Women’s Hormonal Health

Daily gel

Women’s Testosterone Therapy (Topical, Gel)

A daily low-dose testosterone gel for women, sometimes prescribed off-label for low sexual desire. There is no FDA-approved testosterone product for women in the US.

Requires recent lab work. Not available in Alabama, Louisiana or West Virginia.

Weekly injection

Women’s Testosterone Therapy (Injection)

A weekly low-dose testosterone injection for women, sometimes prescribed off-label for low sexual desire. There is no FDA-approved testosterone product for women in the US.

Requires recent lab work. Not available in Alabama, Louisiana or West Virginia.

Prescription required. Prescribed only if a licensed provider finds it appropriate. You must be 18 or older. Compounded medications are not FDA-approved. Availability varies by state.

Common questions

What you need to know.

Perimenopause often begins in the 40s, sometimes earlier, with irregular cycles, hot flashes, night sweats, sleep disruption, mood changes, brain fog, and changes in libido. Symptoms can start years before periods stop. A hormone panel plus a provider review of your symptoms gives the clearest picture.
Studies of FDA-approved hormone therapy show that for many healthy women under 60, or within about 10 years of menopause, the benefits for symptoms often outweigh the risks. Compounded bioidentical hormones are not FDA-approved and have not been studied in the same way. Estrogen carries serious risks, including blood clots, stroke, and endometrial and breast cancer, and whether it is right for you depends on your personal and family history. A licensed provider reviews your full assessment, and labs where appropriate, before prescribing. See the Important Safety Information on this page.

Estradiol cream is applied to the skin once a day. Your provider sets the dose and adjusts it with you over the first few months.

If you have a uterus, taking estrogen alone increases the risk of overgrowth of the uterine lining, which can lead to cancer. Progesterone is prescribed with estrogen to lower that risk, and your provider chooses the form and dose. Women without a uterus may not need it.
It varies from person to person. Your provider checks in on your symptoms and adjusts your dose over the first few months. Tell your provider if your symptoms don’t improve or you have side effects.
Labs aren’t required for estradiol or progesterone. Menopause treatment is often guided primarily by symptoms, but a baseline hormone panel helps your provider personalize dosing and track progress. Your provider will advise whether labs are recommended in your case.
Important Safety Information

Know the risks before you start.

Prescription only. The estradiol, progesterone and testosterone prescribed through Ellia are compounded. Compounded medications are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. FDA-approved estrogen products carry the warnings below. Your provider will review them with you before prescribing.

Serious risks of estrogen

Who should not use estrogen

Do not use it if you have unexplained vaginal bleeding, have or have had breast or uterine cancer, have had blood clots, a stroke or a heart attack, have liver disease, have a blood-clotting disorder, are pregnant, or have had an allergic reaction to it.

Common side effects

Headache, breast tenderness, irregular bleeding or spotting, bloating, nausea and fluid retention. Progesterone can cause drowsiness or dizziness.

Testosterone for women

There is no FDA-approved testosterone product for women in the United States. Side effects can include acne, unwanted hair growth and, rarely, a deeper voice, which may not go away.

Get emergency help right away for chest pain, sudden shortness of breath, pain or swelling in one leg, sudden severe headache, vision changes, or weakness or numbness on one side of the body. Call 911 in an emergency.

Your protocol is one assessment away.

Charged only if a clinician approves. Reviewed by a licensed provider. 2-day shipping included.

See treatment options