Say Goodbye to Hot Flashes and Hello to the Top 17 Online Menopause Treatment Companies of 2026
Many women need and seek relief from menopause symptoms, but finding high-quality medical care can be challenging. This is why online menopause treatment is growing.
Physicians often receive limited training in menopause management, which can result in an overfocus on symptom management rather than addressing hormonal root causes, says Bruce Dorr, MD, a board-certified ob-gyn and the senior medical adviser at Biote in Irving, Texas. Hormones influence nearly every system in your body, including mood, sleep, temperature regulation, metabolism, and sexual health.
Online platforms for menopause management can offer a variety of treatments, such as menopause hormone therapy (MHT, previously called HRT), as well as nonhormonal treatments like antidepressants, which can help ease hot flashes and mood symptoms.
“Providers can also recommend evidence-informed lifestyle interventions and supplements during virtual consultations,” says Janet Choi, MD, a board-certified reproductive endocrinologist and the chief medical officer at Progyny in New York City.
From hormone therapy to mental health support, here are the best online menopause treatment platforms to consider.
Our Top Picks for Online Menopause Treatment
When to Consult Your Doctor
“Menopause is defined as no menstrual cycles for one year in a normally menstruating woman,” says Dr. Dorr. But as hormone levels begin to fluctuate in perimenopause, symptoms like hot flashes, night sweats, irregular periods, and sleep changes can appear long before your final menstrual cycle.
“Perimenopause can start anytime when regular hormone levels and ovarian function begin to change. This typically ranges from 40 to 51 years of age, but I’ve actually seen women in their twenties with night sweats and hot flashes,” he explains.
It’s worth noting that online menopause treatment can be valuable, especially if your local provider doesn’t specialize in menopause, but it doesn’t replace essential in-person care.
“I would be cautious if you are getting online treatment from a provider that has not seen you in person in the past and doesn’t have your full medical history and access to your medical records,” says Pamela Berens, MD, a board-certified ob-gyn at UTHealth Houston in Bellaire, Texas.

Midi Health
Pros
- Offers comprehensive menopause support
- Hormonal, nonhormonal, GLP-1 medications available
- Can order mammograms, lab tests
- Lifestyle guidance
- Accepts insurance; available nationwide
Cons
- Doesn’t accept Medicare or Medicaid
- May not always see same practitioner
Key Specs
- Clinicians: MD, NP, CNM, ND
- Offers prescriptions: Yes
- Accepts insurance: Yes
- Other services: Lifestyle support, GLP-1 meds, midwives, naturopathic doctors
Midi Health offers one of the most complete menopause telehealth care models among the platforms we reviewed. Midi provides a wide array of treatment options, including hormonal and nonhormonal medications, supplements, botanicals, and lifestyle support.
Your care with Midi begins with an in-depth health questionnaire and a virtual visit with a clinician. Midi’s team includes physicians (MDs), nurse practitioners (NPs), certified nurse midwives (CNMs), and naturopathic doctors (NDs) who can help address symptoms like hot flashes, sleep issues, low libido, mood changes, weight concerns, and aging skin.
If you need screenings, such as mammograms, labs, or Pap tests, Midi clinicians can refer out to a local facility or lab. In addition to prescriptions (including sexual health support and weight management medications, like GLP-1s), Midi offers lifestyle guidance for nutrition, exercise, sleep, and stress management.
Midi is available nationwide. It works with many PPO insurance plans but doesn’t accept Medicare or HMO plans. Some users also report seeing different practitioners for follow-up appointments, which can feel less personal. Overall, Midi delivers comprehensive menopause care on a single platform.
/winona-logo.png?sfvrsn=14f9b228_1)
Winona
Pros
- MHT-focused care
- Hormone, skin care, hair loss medications available
- Ongoing messaging with physician
- Offers educational content, private community
Cons
- Doesn’t accept insurance; only available in 33 states
- No live virtual visits
- Some compounded meds
Key Specs
- Clinicians: MD, DO (Doctor of Osteopathic Medicine)
- Offers prescriptions: Yes
- Accepts insurance: No
- Unique services: MHT with bioidentical hormones
To get started with Winona, you complete a detailed questionnaire about your health history, followed by a virtual review by a physician who creates a treatment plan tailored to your symptoms and health history. You can message your doctor anytime to make adjustments or ask questions.
It’s important to know that there are no live video visits with a physician on Winona — all care and prescriptions are managed through a messaging portal on the website. Winona also doesn’t accept insurance and is only available in 33 states.
Winona offers an option for people who receive most of their care in person but specifically want telehealth-based, physician-guided MHT.

PlushCare
Pros
- One-stop healthcare model
- Multiple provider types
- Accepts insurance; available nationwide
Cons
- Not a menopause-specific platform
- Membership required
Key Specs
- Clinicians: MD, DO, NP, MFT (Marriage and Family Therapist), LCSW (Licensed Clinical Social Worker)
- Offers prescriptions: Yes
- Accepts insurance: Yes
- Other services: Full-service telehealth, urgent care visits, chronic care management
PlushCare is different from most of the platforms on our list because it provides comprehensive healthcare, but we included it because it also offers menopause treatment as part of its offerings.
Menopause care through PlushCare begins with a virtual visit from a licensed clinician who reviews your medical history and goals. These providers include primary care MDs, NPs, and mental health professionals who can prescribe hormone and nonhormonal medications and more.
PlushCare is a good option for people who prefer taking care of all their health needs on a single platform. It does require a membership ($19.99/month), which is not covered by insurance.
Check out our full review of PlushCare.

Brightside Health
Pros
- Offers therapy, psychiatry with licensed providers
- Fast appointment access
- Providers can prescribe medications if needed
- Regular progress tracking, skill-building tools
- Accepts insurance; available nationwide
Cons
- Mental health platform only
- No menopause-specific services
Key Specs
- Clinicians: MD, LCSW, LMFT (Licensed Marriage and Family Therapist), LPC (Licensed Professional Counselor), PMHNP (Psychiatric-Mental Health Nurse Practitioner)
- Offers prescriptions: Yes
- Accepts insurance: Yes
- Other services: Offers therapy, psychiatry, or both; guided lessons
De Angelis notes that feelings like anxiety, irritability, or sudden rage are common but misunderstood symptoms of perimenopause: “These symptoms are often compounded by midlife stressors, such as career changes, caregiving responsibilities for aging parents, and children leaving home.”
Appointment availability is one of the biggest perks of Brightside, and users can message their providers between sessions for added support. The platform also includes self-paced guided lessons to reinforce coping and regulation skills. Brightside Health’s mental health treatment options can complement menopause-specific treatments.
Check out our full review of Brightside Health.
/weight-watchers-logo.png?sfvrsn=ee7672a4_1)
WeightWatchers for Menopause
Pros
- Menopause-specific programs
- Providers can prescribe medications if needed
- Optional RDN support
- Community support
Cons
- Membership required
- Clinician visits and MHT, GLP-1 medications may be additional cost
Key Specs
- Clinicians: MD, RDN (Registered Dietitian Nutritionist)
- Offers prescriptions: Yes
- Accepts insurance: Yes, for certain treatments and prescriptions
- Other services: Nutrition plan, community, strength training classes
WeightWatchers for Menopause offers weight management guidance plus access to clinicians, community, and medications, including MHT and GLP-1s, when appropriate.
There are two program options: WeightWatchers Core+ Meno and WeightWatchers Med+ Meno. Both plans include nutrition guidance, community support, and access to educational content. Core+ Meno starts at $22 per month, and clinician visits and ongoing care are additional costs. Med+ Meno starts at $65 per month and includes clinician visits, ongoing care, and access to MHT and GLP-1s. Both programs require a 12-month commitment.
This hybrid model, with nutrition and behavior change as the foundation, plus optional clinical care, makes WeightWatchers' menopause programs a strong choice. And unlike many telehealth services, WeightWatchers offers both virtual and in-person workshops, allowing members to choose the level of support that works best for their comfort and schedule.

Sesame Care
Pros
- Offers hormonal, nonhormonal menopause treatments
- Includes common labs with menopause subscription
- Access to other medical care beyond menopause
Cons
- Doesn’t accept insurance
- Not a menopause-exclusive platform
- Continuity of care may vary by provider
Key Specs
- Clinicians: MD, NP, ob-gyn
- Offers prescriptions: Yes
- Accepts insurance: No
- Other services: Full-service telehealth, urgent care visits, specialty care providers
Sesame Care offers access to licensed clinicians across multiple specialties through a marketplace approach. The platform allows you to choose from primary care and other specialists. It’s not designed exclusively for menopause support, but it may appeal to people who prefer a one-stop shop for all their healthcare needs.
Sesame Care offers a self-pay option so users can access care without the limitations associated with insurance. Users book and pay providers directly. Sesame Care doesn’t accept insurance, even if you are insured. Prices can vary depending on the clinician, as each practitioner sets their own fee.
Sesame Care offers a subscription model with an annual fee of $99. The subscription fee doesn’t include visit costs, but it does provide discounted appointment pricing and one free lab draw per year.
After selecting your provider, you’ll have a video visit to review symptoms, health history, and treatment goals. Clinicians may recommend a care plan that includes lab testing at local facilities, and any prescriptions are sent to a local pharmacy. Overall, Sesame Care is an accessible option for menopause treatment, with access to medications without insurance.

Nurx
Pros
- Prescription medications delivered to your home
- Accepts certain insurance plans
- Simple online questionnaire and care model
Cons
- Costs vary; some may not be covered by insurance
- No face-to-face care
Key Specs
- Clinicians: MD, NP, PA (Physician Assistant), RN
- Offers prescriptions: Yes
- Accepts insurance: Yes
- Other services: Women’s health–specific medication delivery
Nurx specializes in making it simple to access prescription medications for a wide range of women’s health services, including birth control, sexual health, mental health support, and more.
This care model doesn’t replace primary care physician or ob-gyn visits, but it can be a convenient way to access medication. A provider reviews your online health questionnaire and prescribes medication when appropriate. Pricing varies based on insurance coverage and your treatment plan.
It’s worth noting that while Nurx has announced plans to launch menopause-specific care, that offering is not yet fully available. At the time of this review, there’s no clear indication that Nurx clinicians are actively prescribing MHT.
Nurx is a solid option for people seeking women’s health–focused prescription services, such as birth control, acne treatment, migraine prevention, or weight management medications. It may not be the best fit for people looking for specialized menopause care.
/hone-health-logo.png?sfvrsn=2f264390_1)
Hone Health
Pros
- Lab-driven approach to menopause and healthy aging
- Offers hormonal, nonhormonal treatments
- Medications and supplements ship directly to your home
- Provides lifestyle guidance
Cons
- Doesn’t accept insurance
- Ongoing costs may be higher than menopause-only platforms
Key Specs
- Clinicians: MD
- Offers prescriptions: Yes
- Accepts insurance: No
- Other services: Advanced lab testing, supplements, lifestyle optimization, longevity-focused care
Hone Health positions itself as a comprehensive longevity platform, rather than a menopause-only telehealth service. Menopause care begins with advanced lab diagnostics, either completed at home or a lab, followed by a virtual visit to review results and health history.
Based on your lab results, treatment may include medications, supplements, and lifestyle strategies for nutrition, exercise, stress management, and sleep. Medications or supplements are shipped to your home. Hone emphasizes ongoing support, with clinicians available to adjust medications as needed.
Hone doesn’t accept insurance. Instead, it uses a membership model. There are two membership tiers for women (Basic $25/month, Premium $149/month), with access to regular physician consultations, labs, and medication options. Provider follow-up visits and medication costs aren’t included in the fee.
Overall, Hone Health is designed for menopause support that addresses symptoms while also extending to longevity and lifestyle optimization.
/wisp-logo.png?sfvrsn=421a2845_1)
Wisp
Pros
- Prescription pickup at local pharmacies
- Simple intake process
- Quick access to hormone medications
- No insurance required
Cons
- Separate medication costs
- No face-to-face support
Key Specs
- Clinicians: Certified Menopause Experts
- Offers prescriptions: Yes
- Accepts insurance: No
- Other services: Fast pharmacy pickup and online consultations
Wisp is a direct-to-consumer telehealth platform that offers fast, symptom-focused menopause care through medications. A certified menopause expert reviews your medical history and treatment requests through Wisp’s secure platform and follows up with personalized recommendations; in some states, a brief phone or video call may be required. You have access to your provider via messaging for three months for medication monitoring and support.
If treatment is prescribed, medications are sent to a local pharmacy. Wisp offers hormone therapy for patients ages 40 and older or for younger folks who have had a hysterectomy with ovary removal. Other treatments for skin or sexual health are available to younger patients, based on eligibility. Wisp doesn’t accept insurance for provider contact, but you can use your insurance at the pharmacy.
Unlike platforms that center care around labs, long-term physician relationships, or lifestyle optimization, Wisp’s model is best for people who want quick access to menopause-related prescriptions without face-to-face support. For those seeking holistic menopause care, a more comprehensive platform may be a better fit.

Stella
Pros
- Offers clinical care, community support, symptom tracking
- Menopause-trained clinicians
- Hormonal, nonhormonal treatments
- Wellness coaching, live Q&As, educational content
- Accepts insurance; available nationwide
Cons
- Doesn’t prescribe testosterone
- App-based tracking may not appeal to everyone
Key Specs
- Clinicians: MD, ND, ob-gyn
- Offers prescriptions: Yes
- Accepts insurance: Yes
- Other services: App with community board, coaching, symptom tracking, guided audio
Stella combines medical care for menopause with lifestyle coaching and community support. It’s designed for women 35 to 70 years old. It pairs medical visits and prescriptions as needed with ongoing wellness coaching, symptom tracking, guided audio tools, and access to a digital community through the Stella app.
Getting started begins with a detailed questionnaire, followed by a virtual visit with a clinician certified by The Menopause Society. Providers can prescribe FDA-approved hormone therapy or nonhormonal medications for sleep, mood, hot flashes, and more.
Stella can also help coordinate in-person referrals if needed. After the initial visit, you’ll have access to unlimited wellness coaching, lifestyle strategies, meditation and audio tools, and educational resources.

Allara
Pros
- Offers clinical care, metabolic testing, nutrition, and lifestyle guidance
- Access to multidisciplinary team
- Frequent follow-ups
- Accepts insurance; available nationwide (services vary by state)
Cons
- Frequent appointments may feel time-intensive
- Requires extensive testing
Key Specs
- Clinicians: MD, ob-gyn, endocrinologist, NP, RD
- Offers prescriptions: Yes
- Accepts insurance: Yes
- Other services: Hormonal/metabolic testing, RD visits, Care Concierge support
After filling out a detailed questionnaire, you’ll have two visits: one with a menopause-trained ob-gyn or women’s health NP, and another with an RD. Extensive hormonal and metabolic testing is a core part of the evaluation. Based on lab results and symptoms, the care team creates a personalized plan for you.
You’ll get regular weekly or biweekly follow-ups with a physician and dietitian, with unlimited access to them between sessions. You also have a Care Concierge team that helps coordinate referrals or any other ongoing needs. Care doesn’t replace regular in-person screenings, so your team may recommend in-person exams and request that your in-person provider share notes with the Allara team.
Allara accepts many insurance plans, though coverage and availability vary by state. If your insurance is accepted, Allara doesn’t charge a monthly fee. For out-of-network insurance, costs add up to $149 a month for its Complete Care Program and $129 a month for the Nutrition Program. Costs for lab work, medications, and supplements are not included in the membership fee. Insurance may cover labs and prescriptions.
While the frequent visits and required testing may feel intensive for some, Allara remains a strong choice for people seeking multidisciplinary menopause support.
/hermd-logo.png?sfvrsn=ea731552_1)
HerMD
Pros
- Whole-person approach
- Inclusive LGBTQIA+ model
- Providers can prescribe medication, order labs if necessary
- Available nationwide
Cons
- Doesn’t accept insurance
- Only accepting new patients in certain states
Key Specs
- Clinicians: MD, NP, PA
- Offers prescriptions: Yes
- Accepts insurance: No
- Other services: Trauma-informed care, inclusive LGBTQIA+ model
HerMD was founded by Somi Javaid, MD, a board-certified ob-gyn, to address the common concerns in midlife care, when patients may feel unheard, dismissed, or rushed through appointments.
HerMD offers extended virtual visits and a comprehensive approach to menopause and sexual health grounded in gynecology, sexual medicine, and trauma-informed care. Clinicians can prescribe FDA-approved hormonal and nonhormonal treatments, order labs and imaging, and more. Providers can also help coordinate referrals for services that require in-person care.
HerMD is notable for its model, which integrates biological, psychological, and social factors into every care plan. Clinicians consider sexual well-being, mental health, relationship dynamics, and the lived experiences that shape midlife health.

Versalie
Pros
- Provides directory of menopause-trained clinicians
- Extensive expert-reviewed educational content
- Offers products for menopause symptoms
Cons
- CARE directory only available in 25 states
- Insurance coverage depends on your provider
Key Specs
- Clinicians: N/A
- Offers prescriptions: No
- Accepts insurance: Yes
- Other services: Clinician directory, menopause products, expert advisory oversight
Versalie is a unique platform that functions as a curated directory where you can connect with menopause-trained clinicians and find evidence-based educational content and symptom-management products.
The platform is available in 25 states and built around three offerings: Versalie CARE connects users with clinicians specifically trained in menopause for virtual appointments. Versalie LEARN provides free educational content written by experts in menopause and hormone health. Versalie SHOP features products for symptoms like hot flashes, dryness, sleep issues, and brain fog.
Once Versalie connects you with a clinician in your area, you’ll need to check whether that provider accepts insurance. While it doesn’t provide direct medical care, Versalie is a strong option for people who want trusted educational content, menopause symptom products, and an easy way to find menopause-trained clinicians in one place.
/gennev-logo.png?sfvrsn=3610624e_1)
Gennev
Pros
- Integrated MD and RD care
- Health coaches, mental health support available
- Providers can prescribe medications if needed
- Offers separate weight management program
- Accepts insurance; available nationwide
Cons
- Self-pay can be pricey
- Multiple visits recommended
Key Specs
- Clinicians: MD, ob-gyn, RDN
- Offers prescriptions: Yes
- Accepts insurance: Yes
- Other services: RDN support, GLP-1 meds, weight management program
Gennev is another platform that integrates medical care with ongoing nutrition and lifestyle support from RDs. Gennev combines menopause-trained ob-gyns, RDNs, mental health specialists, and health coaches to create a plan tailored to your individual needs.
After a 30-minute virtual appointment with a physician, they’ll develop a treatment plan that includes medication, if appropriate. Physicians may refer patients to RDNs for more in-depth support and unlimited text messaging between sessions. Dietitians and physicians share notes and coordinate care.
Gennev also offers a weight management program separate from the menopause program for women who need support with midlife weight changes. This care includes visits with a physician and a dietitian, lab work, and, in some cases, weight loss drugs, such as GLP-1s.
Gennev provides nationwide virtual care and accepts insurance for both physician and dietitian appointments. However, self-pay visits can add up if your insurance doesn’t cover them. Gennev costs $199 for initial dietitian visits and $119 for follow-up visits. When consulting a doctor, it costs $250 for initial visits and $199 for follow-ups.
Gennev stands out for women who value ongoing nutrition guidance woven directly into their medical treatment plan.

Respin
Pros
- Focuses on whole-person wellness
- Menopause-trained clinicians
- Providers can prescribe medications, order labs
- Coaching, guided programs, community support
- Educational, lifestyle resources available
Cons
- Does not accept insurance
- Membership required
Key Specs
- Clinicians: MD, NP
- Offers prescriptions: Yes
- Accepts insurance: No
- Unique services: Coaching, community, extensive wellness tools
Respin Health offers a holistic virtual care model with clinical care, lifestyle interventions, and community-based support. The platform offers medical care with movement, nutrition, sleep optimization, stress support, and symptom-tracking tools. (Fun fact: Respin Health was founded by actress Halle Berry.)
Users start with an online symptom and health questionnaire, followed by a plan selection based on the level of clinical care and coaching included. There are three tiers of membership, ranging from $20 to $45 a month, and visits cost $55 per session. Clinicians are menopause-trained and can prescribe medications (no testosterone), order labs, and help personalize a plan based on symptoms and goals.
Respin emphasizes whole-person wellness. Members have access to group coaching, guided programs, a private community called the “Inner Circle” ($12/month), and movement and lifestyle resources via the app. Product recommendations and educational content are also included. Respin doesn’t accept insurance, and many offerings are structured as self-pay memberships.

Evernow
Pros
- Offers a variety of flexible care plans
- Hormone, GLP-1, skin care, hair loss medications available
- Membership with unlimited messaging, follow-ups
- Accepts insurance; available nationwide
Cons
- Doesn’t accept Medicare, Medicaid
- Membership fee doesn’t include visits
Key Specs
- Clinicians: MD, NP, ob-gyn, APRN (Advanced Practice Registered Nurse)
- Offers prescriptions: Yes
- Accepts insurance: Yes
- Other services: GLP-1, skin care, hair loss medications
Evernow users can choose between a pay-per-visit option using insurance or an ongoing membership with unlimited messaging and support. It’s a good option for people who are either just starting to explore menopause treatment or want more continuous contact with a menopause-trained clinician.
Treatment options include hormone therapy, GLP-1s, prescription skin care, hair loss treatments, support for vaginal health, and more. Many Evernow clinicians are trained by the The Menopause Society in midlife and menopause care to create personalized plans based on your symptoms and medical history.
The pay-per-visit cost is $150, which insurance may cover. If you choose the membership option, it’s $35 per month if you pay for a year up front. With a membership, you have access to 24/7 secure messaging and follow-ups, but the cost of virtual visits is not included.
Evernow is available nationwide. Some insurance plans (not Medicare or Medicaid) will cover visits. Insurance does not cover membership fees, and some prescriptions may require out-of-pocket payment. However, we like that Evernow offers flexible plans, so you can choose the level of support you need.
/elektra-health-logo.png?sfvrsn=931b377a_1)
Elektra Health
Pros
- Offers clinical care, community support, coaching
- Hormonal, nonhormonal treatments
- Access to expert educational content, virtual events
- Can order labs when necessary
- Accepts insurance, including Medicare, Medicaid
Cons
- Only available in 16 states
- Self-pay can be pricey
Key Specs
- Clinicians: MD, ob-gyn, NP, CNM, APRN
- Offers prescriptions: Yes
- Accepts insurance: Yes
- Other services: Coaching, community support, educational content
Elektra Health goes beyond traditional telehealth by offering menopause-trained clinicians plus education, coaching, and community support. Getting started involves completing a menopause assessment, followed by a 30-minute virtual visit with a board-certified clinician who reviews your symptoms, medical history, and goals. They can prescribe treatments, order labs, recommend lifestyle strategies, and address other menopause-related concerns.
Users also get access to Elektra’s education and private community platform, which includes articles written by experts, virtual events, and an “Elektra Guide” who provides personalized coaching and unlimited messaging.
You can also sign up for community support and coaching if you don’t want or need clinical care. Insurance, including Medicaid and Medicare, may cover visits.
Comparison Table
How We Chose the Best Online Menopause Treatment Platforms
For this article, we examined online menopause care platforms, evaluating each one for safety, clinical quality, accessibility, and the type of support offered. We also consulted clinicians who did not select the platforms, but helped us understand what high-quality menopause care should include.
Experts include:
- Bruce Dorr, MD, board-certified ob-gyn
- Janet Choi, MD, board-certified reproductive endocrinologist
- Tamara De Angelis, MSW, LCSW
- Kate McLean, MD, board-certified ob-gyn and chief medical officer at Evvy in Seattle
- Pamela Berens, MD, board-certified ob-gyn
In addition, I’m a registered dietitian-nutritionist with extensive experience in women’s health and menopause education.
What to Look for When Choosing an Online Menopause Treatment Company
Online menopause care can be beneficial, especially if you don’t have local access to a menopause-trained clinician. Still, experts stress the importance of choosing platforms that provide safe, evidence-based care.
“Telehealth can absolutely be safe and effective,” says Dr. McLean. “[It’s] a safe, evidence-based way to receive menopause care, especially for treatments that don’t require a physical exam.”
Still, not all telehealth platforms follow the same standards, and quality may vary. Here’s what to consider:
- Comprehensive Initial Evaluation Berens stresses that a platform should review your complete medical history and not just rely on a short intake form. They should also request recent screenings (like a mammogram or Pap test) and clarify when in-person care is still necessary. “Talk with your in-person gynecologist about what your symptoms are, what treatment you are interested in, and who they would recommend to assist with your menopausal symptoms,” she adds.
- Clinician Qualifications “A license does not guarantee quality care,” says Dorr, noting that some telehealth clinicians hold licenses in all 50 states, but that doesn’t reflect menopause expertise. Look for platforms with Menopause Society–certified clinicians or ob-gyns with menopause-specific training.
- Guidance on When In-Person Evaluation Is Needed A reputable platform should clearly state which symptoms require an in-person pelvic exam, imaging, or labs, and help coordinate that care when needed. Dorr emphasizes that telehealth has limits: “If a patient starts to have complications, such as bleeding, then a physical visit will be necessary.”
- Evidence-Informed Prescribing Practices According to Dorr, most FDA-approved MHT regimens can be started after a basic symptom-centered history, but only when done by someone who understands risks.
- Follow-Up Visits and Ongoing Care Avoid platforms that provide auto-refills with little follow-up. Lack of oversight can create confusion or can be unsafe, Dorr notes. Look for care models that offer scheduled follow-ups and make it easy to check in with your provider.
- Insurance Transparency and Clear Pricing The best companies outline fees up front for visits, follow-ups, lab work, and prescriptions. Check and see whether the platform accepts insurance, which medications and visits are covered, and what out-of-pocket costs may be.
What’s the Difference Between Perimenopause and Menopause?
How Does Online Menopause Treatment Compare With In-Person Visits?
“You’ll still work with licensed clinicians who review your history, symptoms, and goals, making high-quality care more convenient and accessible,” says McLean. But some parts of menopause care still require physical exams, routine screenings, and hands-on assessments.
“If you’ve been seen by your gynecologist within the past year and you had a recent normal mammogram and gynecologic exam, telehealth visits to discuss symptoms and treatment may be appropriate,” says Berens. She adds that women should discuss the option of telehealth visits with their gynecologist at their yearly exam to ensure their in-person care is up to date.
Mental health care is often especially well suited to telehealth. De Angelis notes, “In terms of psychotherapy, I think that’s very individual. If you prefer the flexibility and increased access to care that telehealth offers, it can be just as effective.”
What Nonhormonal Medication Is Available Via Telehealth?
“There are many options for nonhormonal treatments for menopausal symptoms available, but these medications also have potential side effects just like any other medication,” says Berens. “Your provider would need to know your full health history to help you make the best decision.”
Common telehealth-prescribed nonhormonal options include:
- SSRIs and SNRIs Some antidepressants may help reduce hot flashes and improve mood. Low-dose paroxetine (Paxil) is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for hot flashes and night sweats. Berens notes that serotonin-norepinephrine reuptake inhibitors (SNRIs) such as venlafaxine (Effexor) have been shown to be especially helpful for breast cancer survivors.
- Gabapentin (Neurontin) Gabapentin is an anticonvulsant, but it may be prescribed off-label to help reduce nighttime awakenings triggered by hot flashes.
- Clonidine A blood pressure medication, clonidine is sometimes used off-label for hot flashes.
Can MHT Increase the Risks of Breast Cancer and Heart Disease?
“Recent research shows that for most healthy women under 60 or within 10 years of menopause, the benefits of MHT typically outweigh the risks,” says Dr. Choi. “The increased risk of breast cancer is primarily associated with combined estrogen-progestin therapy used long term, and the absolute risk increase is quite small,” she explains.
As with any medication, there are still significant safety considerations, so MHT use should be determined on a case-by-case basis. “HRT can increase your risk for blood clots and may not be a good option if you have liver disease,” says Berens. “The risk for heart disease appears to be higher for women who start HRT at [older than] age 60 or more than 10 years from menopause,” she adds.
FAQ
Online menopause care can be safe when offered by licensed clinicians who follow evidence-based guidelines and ensure you’re also receiving appropriate in-person screening.
Still, online care should complement, not replace, routine health exams, such as mammograms and other screenings.
Some online menopause platforms do accept insurance, while others operate on a self-pay or membership model. Insurance may cover some FDA-approved hormonal and nonhormonal treatments when necessary.
It’s a good idea to check coverage with both your insurer and the platform to avoid unexpected costs.
“Most menopause symptoms do eventually subside, though the timeline varies significantly by individual,” says Choi. She notes that hot flashes often improve within a few years after menopause, though some people may experience them for much longer.
Vaginal symptoms may persist without treatment because they’re linked to permanent hormone changes, but the right treatment can provide relief.
Why Trust Everyday Health

Caitlin Beale, MS, RDN
Author
Caitlin Beale, MS, RDN, is a registered dietitian and freelance health writer with experience in clinical nutrition, education, research, and private practice. Caitlin’s special interests include women's health, gut health, autoimmunity, and reproductive health. Committed to the belief that health information should be accessible to all, she is passionate about empowering individuals to make positive changes for their well-being. Caitlin holds advanced training certificates in women's health and integrative and functional nutrition.
Caitlin was born and raised in northern California, where she resides with her family. An avid lover of sunshine and the outdoors, she finds joy in activities such as visiting the beach, exercising, cooking, and indulging in a good read. You can find Caitlin’s writing in a variety of outlets and brands, including Motherly, Nourish, Signos, Greatest, Pure Encapsulations, Abbott, and Clue, among others.

Kara Smythe, MD
Medical Reviewer
Kara Smythe, MD, has been working in sexual and reproductive health for over 10 years. Dr. Smythe is a board-certified fellow of the American College of Obstetricians and Gynecologists, and her interests include improving maternal health, ensuring access to contraception, and promoting sexual health.
She graduated magna cum laude from Florida International University with a bachelor's degree in biology and earned her medical degree from St. George’s University in Grenada. She completed her residency in obstetrics and gynecology at the SUNY Downstate Medical Center in Brooklyn, New York. She worked in Maine for six years, where she had the privilege of caring for an underserved population.
Smythe is also passionate about the ways that public health policies shape individual health outcomes. She has a master’s degree in population health from University College London and recently completed a social science research methods master's degree at Cardiff University. She is currently working on her PhD in medical sociology. Her research examines people's experiences of accessing, using, and discontinuing long-acting reversible contraception.
When she’s not working, Smythe enjoys dancing, photography, and spending time with her family and her cat, Finnegan.

Orlando de Guzman
Fact-Checker
Orlando de Guzman is a writer and editor with expertise in health and environmental news. He has a background in investigative and science journalism and has worked on documentary films about war and trauma, health, sanitation, and the changing climate around the world. His interest in health and medicine started after an early career as a medical and legal translator.
De Guzman is a longtime health and fitness enthusiast who is interested in nutrition, diet, and mental health. He participates in endurance sports and cross-trains in several traditions of martial arts from Southeast Asia. De Guzman is interested in how the progressively complex movements of martial arts training can improve cognition and mental well-being, especially for those with PTSD and for those approaching middle age and beyond.
De Guzman has a dual B.A. in communications and international studies from the University of Washington in Seattle. He is committed to factual storytelling and evidence-based reporting on critical choices that affect our planet.

Lili Ladaga
Editor
- Bioidentical Hormones. Cleveland Clinic. April 15, 2022.
- Can DHEA Improve Menopause Symptoms? University Hospitals. October 17, 2024.
- Manson JE et al. Menopausal Hormone Therapy and Long-term All-Cause and Cause-Specific Mortality: The Women’s Health Initiative Randomized Trials. JAMA. September 12, 2017.
- Compounding and the FDA: Questions and Answers. U.S. Food and Drug Administration. September 16, 2025.
- Garg R et al. Menopause and Mental Health. Journal of Mid-Life Health. April 2025.
- Andrews R et al. Evaluating the Effects of Symptom Monitoring on Menopausal Health Outcomes: A Systematic Review and Meta-Analysis. Frontiers in Global Women's Health. December 3, 2021.
- Islam RM et al. Safety and Efficacy of Testosterone for Women: A Systematic Review and Meta-Analysis of Randomised Controlled Trial Data. The Lancet. October 2019.
- Erdélyi A et al. The Importance of Nutrition in Menopause and Perimenopause—A Review. Nutrients. December 21, 2023.
- Peate M et al. Addressing sociodemographic, socioeconomic, and gendered disparities for equity in menopause care. Cell Reports Medicine. June 18, 2024.
- Talaulikar V. Menopause transition: Physiology and symptoms. Best Practice & Research Clinical Obstetrics & Gynaecology. May 1, 2022.
- What Is Menopause? National Institute on Aging. October 16, 2024.
- Simon J A et al. Low-Dose Paroxetine 7.5 mg for Menopausal Vasomotor Symptoms: Two Randomized Controlled Trials. Menopause. October 2013.
- Ramaswami R et al. Venlafaxine in management of hot flashes in women with breast cancer: a systematic review and meta-analysis. Breast Cancer Research and Treatment. July 1, 2015.
- Yadav M et al. Potential role of gabapentin and extended-release gabapentin in the management of menopausal hot flashes. International Journal of General Medicine. July 2013.
- Sahni S et al. Contemporary Non-hormonal Therapies for the Management of Vasomotor Symptoms Associated with Menopause: A Literature Review. TouchREVIEWS in Endocrinology. October 13, 2021.
- Lederman S et al. Fezolinetant for Treatment of Moderate-to-Severe Vasomotor Symptoms Associated With Menopause (SKYLIGHT 1): A Phase 3 Randomised Controlled Study. The Lancet. March 12, 2023.
- Meczekalski B et al. A New Hope for Woman with Vasomotor Symptoms: Neurokinin B Antagonists. Journal of Clinical Medicine. February 21, 2025.
- Mehta J et al. Risks, Benefits, and Treatment Modalities of Menopausal Hormone Therapy: Current Concepts. Frontiers in Endocrinology. March 26, 2021.
- HHS Advances Women’s Health, Removes Misleading FDA Warnings on Hormone Replacement Therapy. U.S. Food and Drug Administration. November 10, 2025.