Hot flashes, sleep disruption, brain fog, mood changes — MHT from menopause-specialized doctors, starting at $39.99/mo. Connect in 12 hours. Free shipping.

Menopause Hormone Therapy Online | Expert HRT from Alloy

HORMONE REPLACEMENT THERAPY

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Estradiol is your body’s primary form of estrogen, which declines dramatically in menopause. Hormone therapy is considered the gold standard for menopause treatment, as it safely and effectively replenishes lost estradiol. We offer several forms, and your doctor will find the right one for you. 

For women who need it, progesterone is prescribed alongside estradiol, based on your full health history.

What is Estradiol?

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Take once daily, a convenient and cost-effective option. 


Estradiol Pill MHT

Estradiol Pill

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A simple once daily gel, blends easily into the skin.


Estradiol Gel MHT

Estradiol Gel

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A simple, quick-drying daily spray you apply to your arm. 


Estradiol Spray MHT

Evamist® Spray

Apply it once or twice a week and estrogen is absorbed steadily through your skin. 


Estradiol Patch MHT

Estradiol Patch

95% of Alloy customers taking HRT have symptom relief in 2 weeks or less - HRT

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95% of Alloy customers taking HRT feel symptom relief in 2 weeks or less 

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More to know on HRT

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Early Initiation of HRT on Fracture Risk and Bone Longevity

Blog - The Role of Hormone Replacement Therapy (HRT) in  Metabolic Health

The Role of HRT on Metabolic Health and Diabetes

Blog - When to Start HRT after Breast Cancer

Blog - Biodentical HRT Insiders Guide

You deserve to feel your best. Our team of experts are ready to create a treatment plan for you. 

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FAQ - HRT

Perimenopause describes the years leading up to menopause, beginning in your forties, when the estrogen levels in your body start to fluctuate. Symptoms of perimenopause vary among women but can include irregular periods, prolonged and sometimes very heavy periods, sleep disruption, acne, mood swings, irritability, anxiety, depression, weight gain, and occasional hot flashes and night sweats.

What is perimenopause?

Menopause officially begins one year after the date of your last period. Prior to this, starting for most women around the age of 40, you are perimenopausal, and after one year of no periods you are forever and ever postmenopausal. (If menopause is your wedding date, perimenopause is like your engagement–some are short and some are long, very long! And being postmenopausal is like being married, except it's always, definitely forever.) Menopausal symptoms, however, begin and end on a timetable all their own, starting well before the last period and continuing for months to even years after. It can be a fantastic, freeing time of life, but there are a host of symptoms that make it hard to enjoy. There are many symptoms of menopause, but some of the most common are hot flashes, night sweats, sleep disruption, vaginal dryness, mood swings, brain fog, and weight gain.

What is menopause?

Hormone Replacement Therapy (HRT) is the name most people know, and you may now also see it called Menopausal Hormone Treatment (MHT). The newer term was introduced to more accurately reflect what actually happens in your body during treatment. HRT/MHT isn't designed to restore your hormones to the levels they were at before menopause. Instead, the goal is simply to use the amount of hormone that adequately relieves your menopause symptoms. The amount of estrogen used after menopause is much less than your ovaries normally produce at ovulation, and at least one half to one third the amount found in a low-dose oral contraceptive. In a 2017 position paper, The Menopause Society stated that this treatment is safe and effective for the overwhelming majority of healthy menopausal women. It's important to talk to a doctor about what's right for you, and Alloy provides access to doctors who specialize in menopause treatment.

What is Hormone Replacement Therapy and is it safe for me?

Progesterone is one of the hormones that the ovary produces after ovulation. Progesterone balances the estrogen produced in a normal cycle by limiting the growth of the uterine lining. Each menstrual cycle is delicate balance of these two hormones. The imbalance of these two hormones (more estrogen and less progesterone) can lead to unduly long and extremely heavy periods in perimenopause. Estrogen alone (unopposed) leads to unchecked thickening and possibly long term risks of endometrial cancer, and that is why after menopause women with a uterus need to take both estrogen and progesterone. Women with hysterectomies, women with hormonal IUDs, transgender women and women who have congenital absence of the uterus do not need to take progestins.

What is progesterone and why is it prescribed?

They're the same thing. HRT (Hormone Replacement Therapy) has been used as a term for decades. MHT (Menopausal Hormone Therapy) is an updated term that is preferred by the medical community. They moved away from "replacement" because hormones aren't being replaced so much as restored. Whether your doctor calls it MHT, HRT, or hormone therapy, they're talking about the same treatment.

What's the difference between MHT and HRT?

Yes. There's a nationwide manufacturing shortage affecting estradiol patches right now. It's a supply issue, not specific to Alloy, and it's expected to be temporary. If you're starting HRT, your doctor will work with you to find the best option available.

Is there currently a shortage of estradiol patches? 

It depends on current availability. Because of the shortage, your doctor may recommend a gel, spray, or pill to start, or a higher strength patch cut to size if one is available. All of these deliver the same hormone and are matched to get you an equivalent dose.

If I start HRT now, will I be able to get a patch? 

Yes. The gel and spray deliver the same hormone, estradiol, through the skin into your bloodstream, just like the patch. Your dose is matched to give you the same results. The pill works differently, since it's taken by mouth, and your doctor will help determine if it's a good fit for you.

Are the gel, spray, and pill as effective as the patch? 

Let your doctor know. Whether you'd rather avoid a daily application, prefer not to take a pill, or have another preference, your care team will factor that into your treatment plan from the start.

What if I have a strong preference for one delivery method? 

All 50 U.S. states and D.C. (Global users can still access our content & resources.)

Where is Alloy available?

Alloy orders are sent via US mail, so in most cases that means three to five days from the time of your order.

When will I receive my Alloy delivery?

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In under 2 weeks, 95% of customers report real symptom relief. Connect with menopause-specialized physicians for personalized care, with medicine delivered to your door and free shipping.