Menopause Relief
Hot flashes, night sweats, disrupted sleep and mood changes are signs of falling estrogen and progesterone. Hormone replacement therapy (HRT) restores them — and there's no single version of it. Your physician builds your plan from bioidentical estradiol (as a patch, pill, cream or vaginal form) and, for women with a uterus, progesterone, then tailors the type, dose and route to your body and labs.
Same day prescription
FDA-regulated sources
US-licensed longevity doctors
FSA/HSA eligible
10,000+ people exploring health with us
What's in this protocol:
Estradiol
Bioidentical estrogen to relieve hot flashes, protect bone density and support mood, sleep and skin — available as a skin patch, oral tablet, topical cream, or vaginal form, chosen by your physician.
Progesterone
Bioidentical progesterone — as an oral capsule or topical cream — to balance estrogen, support sleep, and protect the uterine lining for women with a uterus.
One plan, built around your body.
Estradiol, in the form that fits you
Bioidentical estrogen relieves hot flashes and night sweats, supports sleep and mood, and protects bone density. Your physician chooses the route — a skin patch, oral tablet, topical cream, or a vaginal form for local symptoms.
Progesterone when it belongs in the plan
For women with a uterus, progesterone balances estrogen, supports sleep, and protects the uterine lining — taken as an oral capsule or a cream. Whether and how it is added is part of the personalization.
One physician, one coordinated plan
Hormone therapy is individualized — there is no off-the-shelf combination. Your Chia physician reviews your history and labs, selects the hormones, forms and doses that fit you, and adjusts them over time with monitoring. Like all hormone therapy, HRT carries risks — including blood clots, stroke, and, with estrogen plus a progestogen, breast cancer — and it isn't right for everyone; suitability depends on your age, time since menopause, and health history, which your physician reviews.
How it works
Take the 2–min health quiz
US licensed doctor reviews & approves
Treatment is shipped in discreet packaging
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What patients are saying
4.9 out of 5
"The night sweats were soaking the sheets and wrecking my sleep. Two weeks on the patch and they were basically gone. I forgot what a full night felt like."
Denise R.
"Adding progesterone at night was the piece that fixed my sleep. I take it before bed and I'm actually drowsy at a normal hour again."
Maureen F.
"My doctor put me on the patch instead of a pill because of a clotting risk in my family. Same relief, and it fit my life — I change it twice a week and forget about it."
Paula M.
"My doctor was clear that with a uterus I needed progesterone alongside the estrogen, not just estrogen. I appreciated the honesty about why."
Colleen S.
"The vaginal form was a quiet game-changer for symptoms nobody warns you about. I wish I'd asked sooner instead of suffering through it."
Renata K.
"The oral capsule made me a little sleepy at first, which turned out to be exactly what my insomnia needed. Timing it at bedtime was the trick."
Ingrid P.
"My bone density scan was heading the wrong way. Between estradiol and lifting weights, this year's scan held steady. My doctor was pleased and so am I."
Carol B.
"Estrogen alone left me feeling a bit edgy. Once progesterone was added, everything evened out — mood, sleep, the whole picture."
Yolanda M.
"I was skeptical about hormones after all the scary headlines. My physician walked me through the real risks and started me low. Six weeks in, I feel human again."
Sylvia D.
"I asked specifically for bioidentical rather than the older synthetic kind, and that's what I got. It matters to me that it's the same molecule my body makes."
Ruth A.
"The cream let us dial in exactly the right dose for me. It took one adjustment and then it just worked — flashes down, sleep up."
Bernadette L.
"The cream option worked for me because I don't love swallowing pills. My physician adjusted the dose once and it's been smooth since."
Delia H.
"Between the estrogen and the progesterone, my night sweats and my 2am waking both settled down. It took a few weeks, but it held."
Fern C.
"I was nervous about hormones and my doctor talked me through the safety data on micronized progesterone specifically. That conversation is why I felt comfortable starting."
Loretta W.
"The night sweats were soaking the sheets and wrecking my sleep. Two weeks on the patch and they were basically gone. I forgot what a full night felt like."
Denise R.
"Adding progesterone at night was the piece that fixed my sleep. I take it before bed and I'm actually drowsy at a normal hour again."
Maureen F.
"My doctor put me on the patch instead of a pill because of a clotting risk in my family. Same relief, and it fit my life — I change it twice a week and forget about it."
Paula M.
"My doctor was clear that with a uterus I needed progesterone alongside the estrogen, not just estrogen. I appreciated the honesty about why."
Colleen S.
"The vaginal form was a quiet game-changer for symptoms nobody warns you about. I wish I'd asked sooner instead of suffering through it."
Renata K.
"The oral capsule made me a little sleepy at first, which turned out to be exactly what my insomnia needed. Timing it at bedtime was the trick."
Ingrid P.
"My bone density scan was heading the wrong way. Between estradiol and lifting weights, this year's scan held steady. My doctor was pleased and so am I."
Carol B.
"Estrogen alone left me feeling a bit edgy. Once progesterone was added, everything evened out — mood, sleep, the whole picture."
Yolanda M.
"I was skeptical about hormones after all the scary headlines. My physician walked me through the real risks and started me low. Six weeks in, I feel human again."
Sylvia D.
"I asked specifically for bioidentical rather than the older synthetic kind, and that's what I got. It matters to me that it's the same molecule my body makes."
Ruth A.
"The cream let us dial in exactly the right dose for me. It took one adjustment and then it just worked — flashes down, sleep up."
Bernadette L.
"The cream option worked for me because I don't love swallowing pills. My physician adjusted the dose once and it's been smooth since."
Delia H.
"Between the estrogen and the progesterone, my night sweats and my 2am waking both settled down. It took a few weeks, but it held."
Fern C.
"I was nervous about hormones and my doctor talked me through the safety data on micronized progesterone specifically. That conversation is why I felt comfortable starting."
Loretta W.
"The night sweats were soaking the sheets and wrecking my sleep. Two weeks on the patch and they were basically gone. I forgot what a full night felt like."
Denise R.
"My doctor put me on the patch instead of a pill because of a clotting risk in my family. Same relief, and it fit my life — I change it twice a week and forget about it."
Paula M.
"The vaginal form was a quiet game-changer for symptoms nobody warns you about. I wish I'd asked sooner instead of suffering through it."
Renata K.
"My bone density scan was heading the wrong way. Between estradiol and lifting weights, this year's scan held steady. My doctor was pleased and so am I."
Carol B.
"I was skeptical about hormones after all the scary headlines. My physician walked me through the real risks and started me low. Six weeks in, I feel human again."
Sylvia D.
"The cream let us dial in exactly the right dose for me. It took one adjustment and then it just worked — flashes down, sleep up."
Bernadette L.
"Between the estrogen and the progesterone, my night sweats and my 2am waking both settled down. It took a few weeks, but it held."
Fern C.
"The night sweats were soaking the sheets and wrecking my sleep. Two weeks on the patch and they were basically gone. I forgot what a full night felt like."
Denise R.
"My doctor put me on the patch instead of a pill because of a clotting risk in my family. Same relief, and it fit my life — I change it twice a week and forget about it."
Paula M.
"The vaginal form was a quiet game-changer for symptoms nobody warns you about. I wish I'd asked sooner instead of suffering through it."
Renata K.
"My bone density scan was heading the wrong way. Between estradiol and lifting weights, this year's scan held steady. My doctor was pleased and so am I."
Carol B.
"I was skeptical about hormones after all the scary headlines. My physician walked me through the real risks and started me low. Six weeks in, I feel human again."
Sylvia D.
"The cream let us dial in exactly the right dose for me. It took one adjustment and then it just worked — flashes down, sleep up."
Bernadette L.
"Between the estrogen and the progesterone, my night sweats and my 2am waking both settled down. It took a few weeks, but it held."
Fern C.
"The night sweats were soaking the sheets and wrecking my sleep. Two weeks on the patch and they were basically gone. I forgot what a full night felt like."
Denise R.
"My doctor put me on the patch instead of a pill because of a clotting risk in my family. Same relief, and it fit my life — I change it twice a week and forget about it."
Paula M.
"The vaginal form was a quiet game-changer for symptoms nobody warns you about. I wish I'd asked sooner instead of suffering through it."
Renata K.
"My bone density scan was heading the wrong way. Between estradiol and lifting weights, this year's scan held steady. My doctor was pleased and so am I."
Carol B.
"I was skeptical about hormones after all the scary headlines. My physician walked me through the real risks and started me low. Six weeks in, I feel human again."
Sylvia D.
"The cream let us dial in exactly the right dose for me. It took one adjustment and then it just worked — flashes down, sleep up."
Bernadette L.
"Between the estrogen and the progesterone, my night sweats and my 2am waking both settled down. It took a few weeks, but it held."
Fern C.
"The night sweats were soaking the sheets and wrecking my sleep. Two weeks on the patch and they were basically gone. I forgot what a full night felt like."
Denise R.
"My doctor put me on the patch instead of a pill because of a clotting risk in my family. Same relief, and it fit my life — I change it twice a week and forget about it."
Paula M.
"The vaginal form was a quiet game-changer for symptoms nobody warns you about. I wish I'd asked sooner instead of suffering through it."
Renata K.
"My bone density scan was heading the wrong way. Between estradiol and lifting weights, this year's scan held steady. My doctor was pleased and so am I."
Carol B.
"I was skeptical about hormones after all the scary headlines. My physician walked me through the real risks and started me low. Six weeks in, I feel human again."
Sylvia D.
"The cream let us dial in exactly the right dose for me. It took one adjustment and then it just worked — flashes down, sleep up."
Bernadette L.
"Between the estrogen and the progesterone, my night sweats and my 2am waking both settled down. It took a few weeks, but it held."
Fern C.
"Adding progesterone at night was the piece that fixed my sleep. I take it before bed and I'm actually drowsy at a normal hour again."
Maureen F.
"My doctor was clear that with a uterus I needed progesterone alongside the estrogen, not just estrogen. I appreciated the honesty about why."
Colleen S.
"The oral capsule made me a little sleepy at first, which turned out to be exactly what my insomnia needed. Timing it at bedtime was the trick."
Ingrid P.
"Estrogen alone left me feeling a bit edgy. Once progesterone was added, everything evened out — mood, sleep, the whole picture."
Yolanda M.
"I asked specifically for bioidentical rather than the older synthetic kind, and that's what I got. It matters to me that it's the same molecule my body makes."
Ruth A.
"The cream option worked for me because I don't love swallowing pills. My physician adjusted the dose once and it's been smooth since."
Delia H.
"I was nervous about hormones and my doctor talked me through the safety data on micronized progesterone specifically. That conversation is why I felt comfortable starting."
Loretta W.
"Adding progesterone at night was the piece that fixed my sleep. I take it before bed and I'm actually drowsy at a normal hour again."
Maureen F.
"My doctor was clear that with a uterus I needed progesterone alongside the estrogen, not just estrogen. I appreciated the honesty about why."
Colleen S.
"The oral capsule made me a little sleepy at first, which turned out to be exactly what my insomnia needed. Timing it at bedtime was the trick."
Ingrid P.
"Estrogen alone left me feeling a bit edgy. Once progesterone was added, everything evened out — mood, sleep, the whole picture."
Yolanda M.
"I asked specifically for bioidentical rather than the older synthetic kind, and that's what I got. It matters to me that it's the same molecule my body makes."
Ruth A.
"The cream option worked for me because I don't love swallowing pills. My physician adjusted the dose once and it's been smooth since."
Delia H.
"I was nervous about hormones and my doctor talked me through the safety data on micronized progesterone specifically. That conversation is why I felt comfortable starting."
Loretta W.
"Adding progesterone at night was the piece that fixed my sleep. I take it before bed and I'm actually drowsy at a normal hour again."
Maureen F.
"My doctor was clear that with a uterus I needed progesterone alongside the estrogen, not just estrogen. I appreciated the honesty about why."
Colleen S.
"The oral capsule made me a little sleepy at first, which turned out to be exactly what my insomnia needed. Timing it at bedtime was the trick."
Ingrid P.
"Estrogen alone left me feeling a bit edgy. Once progesterone was added, everything evened out — mood, sleep, the whole picture."
Yolanda M.
"I asked specifically for bioidentical rather than the older synthetic kind, and that's what I got. It matters to me that it's the same molecule my body makes."
Ruth A.
"The cream option worked for me because I don't love swallowing pills. My physician adjusted the dose once and it's been smooth since."
Delia H.
"I was nervous about hormones and my doctor talked me through the safety data on micronized progesterone specifically. That conversation is why I felt comfortable starting."
Loretta W.
"Adding progesterone at night was the piece that fixed my sleep. I take it before bed and I'm actually drowsy at a normal hour again."
Maureen F.
"My doctor was clear that with a uterus I needed progesterone alongside the estrogen, not just estrogen. I appreciated the honesty about why."
Colleen S.
"The oral capsule made me a little sleepy at first, which turned out to be exactly what my insomnia needed. Timing it at bedtime was the trick."
Ingrid P.
"Estrogen alone left me feeling a bit edgy. Once progesterone was added, everything evened out — mood, sleep, the whole picture."
Yolanda M.
"I asked specifically for bioidentical rather than the older synthetic kind, and that's what I got. It matters to me that it's the same molecule my body makes."
Ruth A.
"The cream option worked for me because I don't love swallowing pills. My physician adjusted the dose once and it's been smooth since."
Delia H.
"I was nervous about hormones and my doctor talked me through the safety data on micronized progesterone specifically. That conversation is why I felt comfortable starting."
Loretta W.
Individual results may vary.
Frequently asked questionsquestions
Hot flashes, night sweats, disrupted sleep and mood changes are signs of falling estrogen and progesterone. This is hormone replacement therapy (HRT): bioidentical estradiol and progesterone restore those hormones — relieving symptoms and helping protect long-term bone density. Bioidentical estrogen relieves the core symptoms and helps protect bone density, while progesterone balances estrogen, supports sleep and protects the uterine lining. It's prescribed and monitored by a physician.
Estradiol does the main symptom relief — easing hot flashes and night sweats, supporting sleep and mood, and protecting bone density. But for women with a uterus, unopposed estrogen isn't advised: progesterone is an essential pairing that balances estrogen, supports sleep and protects the uterine lining. Your physician decides the right combination and route based on whether you have a uterus and your health history.
Estradiol is bioidentical estrogen — it relieves hot flashes and night sweats, supports sleep and mood, and protects bone density through menopause. Progesterone is bioidentical progesterone — it balances estrogen, supports sleep, and protects the uterine lining, which is why it's paired with estradiol for women with a uterus.
There isn't one HRT — that's the point. Estradiol can be prescribed as a skin patch, an oral tablet, a topical cream, or a vaginal form for local symptoms, and progesterone as an oral capsule or a cream. Your physician chooses the route and dose that fit your symptoms, health history and preferences, and can change the form over time. So the exact combination you receive is tailored to you rather than fixed in advance.
Hormone therapy is individualized — there's no one-size dose, and it isn't right for everyone. HRT carries real risks, including blood clots, stroke, and — when estrogen is combined with a progestogen — breast cancer. Whether it's a safe fit depends on your age, how long it's been since menopause, and your personal and family history, which is why your Chia physician reviews your history and labs, screens for these risks, tailors the type, dose and route to you, and monitors you over time. After your intake, a licensed clinician reviews your information, typically within 24 hours, and may ask for a brief phone or video call before prescribing. If a clinician finds you're not eligible, you won't be charged.
Yes. All Chia clinicians are licensed and based in the United States, and every prescription is reviewed and approved by a licensed US provider before anything ships — care follows the same medical standards as in-person treatment. Once approved, your medication is prepared and shipped with tracking by email and text, and refill check-ins keep your care uninterrupted.
Yes — this treatment is FSA/HSA eligible; pay with your HSA/FSA card at checkout, and email support@chia.health if your administrator needs documentation. You can cancel anytime through your patient portal. Before your consultation, before your first shipment, or if you're found ineligible, you get a full refund; month-to-month plans include a 30-day money-back refund on unused monthly plans. Full details are at chia.health/legal/refund-policy.