Find Yourself Again.
Hot flashes, sleepless nights, brain fog and mood swings aren't something you have to push through. Get a personalized hormone therapy plan from a licensed provider, shipped to your door.
No labs needed for estrogen and progesterone plans
Licensed providers · Personalized plans · Ships to your door
Hormone Therapy, Bundled for You.
Estrogen and progesterone are the core of menopause hormone therapy. Your provider confirms what fits your symptoms and health history.
How would you like to take estradiol?
Most popularEstradiol + Progesterone
Estradiol tablets with progesterone to protect your uterus.
As low as
$109/4 wks
on a 24-week plan
Includes testosteroneTriple Bundle
Estradiol tablets and progesterone, plus low-dose testosterone gel.
As low as
$169/4 wks
on a 24-week plan
Prefer a Single Medication?
Each one is also available on its own.
Adding testosterone? Your $79 lab fee comes back as credit if you don't qualify.
Plans with testosterone start with a $79 lab panel. If your results show testosterone isn't right for you, we send you a $79 code good on any Forva plan for 12 months.
Every plan includes
- A provider visit by phone or video
- Your prescribed medication
- Medication supplies
- Expedited shipping
- Ongoing care and dose adjustments
- A dedicated support team
Labs. Optional for estrogen and progesterone plans: add a $89 panel at checkout if you'd like a baseline. Plans with testosterone start with a $79 lab panel, credited back if your results show testosterone isn't right for you. Follow-up labs every 3 months are $79 each.
Billing. You only pay for medication your provider prescribes.
It's Not Just Stress. And It's Not Just You.
- Hot flashes and night sweats
- Wide awake at 3am
- Brain fog and forgetfulness
- Anxiety, irritability or mood swings
- Low libido
- Weight shifting to your middle
- Achy joints
- Feeling like a stranger in your own body
These are common signs of perimenopause and menopause, often starting in your 40s. Too many women are told to ride it out. You deserve care that takes them seriously.
Millions of Women Are Going Through This Right Now.
Menopause symptoms can last for years, and most women don't get care for them. It's real, it's common, and there's treatment that works.
- 1.3M
- U.S. women enter the menopause transition each year, The Menopause Society estimates.1
- Up to 80%
- of women have hot flashes or night sweats during the menopause transition.2
- 7.4 years
- is how long frequent hot flashes last, at the median.3
- 87%
- of women in a 2025 Mayo Clinic survey hadn't sought medical care for their menopause symptoms.4
Your Hormones Changed. Your Treatment Can Too.
For many women, replacing the hormones that fall during menopause is what finally brings relief.
Estrogen
The most effective treatment for hot flashes and night sweats. In a review of 24 trials, oral hormone therapy cut how often hot flashes happened by about 75% compared with placebo.
Progesterone
Protects the lining of your uterus while you take estrogen.
Testosterone, if right for you
In trials, testosterone improved sexual function in postmenopausal women. It's clinician-selected and not right for every woman.
Evidence for estrogen and progesterone comes mainly from studies of FDA-approved products, and the testosterone trials used other testosterone products. Forva's compounded versions were not used in these studies. Testosterone is not FDA-approved for use in women. Sources: The Menopause Society 2022 hormone therapy position statement; MacLennan AH et al., Cochrane Database Syst Rev, 2004.
Care That Fits Your Life.
Complete Your Online Assessment
Tell us about your symptoms, your cycle, your health history and your goals. It takes about 5 minutes.
Labs, If You Need Them
Labs are optional for estrogen and progesterone, and you can add a panel at checkout. Plans with testosterone start with a blood test.
Meet Your Provider
A licensed provider reviews everything with you by phone or video and builds a plan around your symptoms. You only pay for medication if it's prescribed.
Delivered to Your Door
Your medication ships from a U.S. state-licensed pharmacy, with everything you need to start.
Care That Keeps Up With You
Your body keeps changing, and your plan can too. Your provider adjusts your dose as you go, and our care team answers your questions along the way.
Real Providers. Real Pharmacies. Real Answers.
Hormone therapy is a prescription, and you deserve to know exactly who is behind yours.
The usual path
- Weeks of waiting for an appointment
- Too often told it's just stress or just aging
- Left to push through it on your own
With Forva
- Start online in about 5 minutes
- A licensed provider visit by phone or video
- A personalized plan shipped to your door, with ongoing care
Licensed U.S. providers
Every plan is prescribed by a provider licensed in your state, after a visit by phone or video. Nothing ships without one.
U.S. state-licensed pharmacies
Your medication is prepared by state-licensed U.S. pharmacies and shipped to your door.
Personalized, not one-size-fits-all
Tablet or cream, bundle or single, with or without testosterone: your provider fits the plan to you.
A care team in your corner
Questions about your plan, your order or shipping? A dedicated support team is here to help.
LegitScript certified. LegitScript independently reviews telehealth companies for legal and safety compliance before certifying them. Tap to verify Forva's certification on LegitScript's site.In Their Words.
HRT gave me my life back. At 46, I was dealing with brain fog, joint pain, night sweats, anxiety, exhaustion, and hair loss. After starting treatment, so much of that lifted. Adding testosterone helped me feel sharper, more confident, and more like myself again.
At 43, perimenopause hit me hard. The anxiety, UTIs, mood swings, and constant sense of doom were overwhelming. After starting HRT I feel calm, strong, and more like myself again. Estrogen and progesterone helped a lot, but testosterone has been the final piece.
Individual experiences. Results vary.
Questions Women Ask Before Starting.
How do I know if I'm in perimenopause?
Perimenopause usually starts in your 40s and can last several years. Irregular periods, hot flashes, poor sleep and mood changes are common signs. Your provider looks at your symptoms and history to decide what fits.
Can I start hormone therapy in perimenopause?
Yes. Many women start in perimenopause, when symptoms often begin, rather than waiting for their periods to stop. Your provider looks at your symptoms and cycle to decide what fits.
Do I need labs?
Not for estrogen and progesterone plans. You can add a $89 panel at checkout if you'd like a baseline. Plans with testosterone start with a $79 lab panel, and if your results show testosterone isn't right for you, your $79 comes back as Forva credit.
How does the lab credit work?
On plans with testosterone, if your provider decides testosterone isn't right for you because of your lab results, we send you a one-time $79 code. Use it on any Forva plan within 12 months. It has no cash value, and it doesn't apply if you cancel or skip your blood draw. The optional $89 panel for estrogen and progesterone plans isn't credited, since those plans don't depend on labs.
Is hormone therapy safe?
Much of the fear about hormone therapy traces back to a 2002 study of women who were, on average, in their 60s. The Menopause Society's 2022 position statement says that for healthy women under 60, or within 10 years of menopause, the benefits generally outweigh the risks for treating hot flashes and preventing bone loss. That guidance comes from studies of FDA-approved products. Hormone therapy isn't right for everyone, which is why your provider reviews your personal and family history before prescribing.
Why would I need progesterone?
If you have a uterus, estrogen on its own can thicken the uterine lining. Progesterone protects it. Your provider will tell you whether you need it, for example after a hysterectomy you may not.
Tablet or cream: which is better?
Both deliver estradiol. Some women prefer a daily tablet, others a cream on the skin. Your provider helps you choose, and you can switch later.
Can I add testosterone?
Some women add low-dose testosterone, most often for low libido after menopause. It isn't FDA-approved for women and isn't right for everyone, so your provider decides whether it fits. Plans with testosterone start with a $79 lab panel, credited back if your results show testosterone isn't right for you.
How soon will I feel better?
It varies. Many women notice fewer hot flashes within the first few weeks, and it can take a few months to feel the full effect. Your provider can adjust your plan along the way.
What does it cost?
Estradiol + progesterone bundles start at $109 every 4 weeks on a 24-week plan, and single medications start at $69. Your provider visit, medication, supplies and shipping are included, and you only pay for medication your provider prescribes.
Are your medications FDA-approved?
Forva's women's medications are compounded by state-licensed pharmacies. Compounded medications are not FDA-approved or reviewed by the FDA for safety, efficacy or quality.
Ready to Feel Like You Again?
Take the 5-minute assessment. A licensed provider takes it from there.
Am I Qualified?Treatment requires a provider visit, and medication is prescribed only if it's appropriate for you. Individual results vary. Forva's women's medications are compounded by state-licensed pharmacies; compounded medications are not FDA-approved or reviewed by the FDA for safety, efficacy or quality.