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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95% of Alloy customers taking hormone therapy have symptom relief in 2 weeks or less.

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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?

Starting at $74.99 for 30 days of treatment


Estradiol Patch MHT

Estradiol Patch

Starting at $39.99 for 30 days of treatment


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Estradiol Gel MHT

Estradiol Gel

Estradiol Spray MHT

Estradiol Spray

Our board-certified medical team of menopause specialists is dedicated to helping women find relief and improve their health and quality of life. 

Your Complete Menopause Care Team MHT

Chief Medical Advisor Dr. Sharon Malone has decades of clinical and real-life experience treating women in menopausal and post-reproductive years.

[Learn More](/expert/dr-sharon-malone-md)

Sharon D Malone, Chief Medical Advisor

MD, FACOG, MSCP

Dr. Montville is a board certified OB/GYN with over 19 years clinical experience and a Menopause Society certified Menopause Practitioner.

[Learn More](/expert/michelle-montville)

Michelle Montville, Clinical Director

MD, FACOG, MSCP, DABOM

Dr. Dombo is a board-certified OB/GYN Specializing in Women's Health, Menopause, and Integrative Care with over 20 years of experience she combines evidence-based medicine with a deep understanding of cultural nuances in reproductive health, menopause, and beyond.

[Learn More](/expert/kudzai-dombo)

Kudzai Dombo, Director of Advocacy and Outreach

MD, MD, FACOG, MSCP

Your Complete Menopause-Expert Care Team

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?

Menopausal Hormone Treatment (MHT) is the newer term for what has commonly been known as Hormone Replacement Therapy (HRT). The name was changed to more accurately reflect what happens in your body when you take MHT. MHT is not intended to replace the hormones at the level that they were prior to menopause. The goal of treatment is simply to use the amount of hormone that adequately treats the symptoms of menopause. The amount of estrogen used after menopause is much less than the ovaries normally produce at ovulation and at least one half to one third the amount of estrogen in a low dose oral contraceptive. The Menopause Society published a position paper in 2017 stating that MHT is safe and effective for the overwhelming majority of healthy menopausal women. It's important to speak to a doctor about what the right treatment is for you. Alloy provides access to doctors who specialize in menopause treatments.

What is Menopausal Hormone Treatment 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?

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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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Online Menopause Treatment & Relief

Personalized menopausal hormone therapy (MHT) delivered through telehealth with ongoing support.

Menopause Relief

Prescription-strength topical treatments and skincare to address skin changes during menopause.

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Medical weight-care programs including GLP-1 treatment options tailored for midlife women.

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Treatment options for low libido, vaginal dryness, and sexual wellness related to menopause.

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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.