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Personalized perimenopause treatment plans, prescribed by expert physicians

Our solutions

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Perimenopause & Menopause Relief

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Skin Health

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Sexual Health

What is perimenopause?

At some point in your 40s, you'll probably start to notice some changes. You may see obvious changes in your menstrual cycle, or not-so-obvious changes like mood swings or sleep issues.

Welcome to perimenopause! Perimenopause is the gradual transition from your reproductive years into menopause. It can last anywhere from a few months up to ten years. Your estrogen and progesterone levels fluctuate wildly, and you may start to feel symptoms associated with shifting hormone levels.

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Things are changing. You deserve answers.

Entering perimenopause is confusing. There's no official start, and limitless combinations of symptoms and changes you may experience. It's an inevitable process, and it can be overwhelming, but you don't have to suffer.


If you're experiencing symptoms, we can help. Our menopause-trained doctors can help you find a treatment plan that works for you.

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The cruel joke of perimenopause is multilayered and complex. First of all, each one of us will experience our own unique cocktail of the roughly 34 symptoms of menopause, so there is no immediate way to recognize it. Secondly, it occurs at a time of life that is often busy and stressful, and because we manage everyone else’s lives, we only tune into our own bodies sporadically.

Anne Fulenwider

Co-founder & Co-CEO of Alloy

How it works

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  1. Tell us about yourself

    Fill out a quick medical intake form.

  2. Work with a physician

    Create a treatment plan for your symptoms.

  3. Get relief delivered

    Prescription medication delivered to your door.

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Perimenopause & menopause-specialized doctors

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Ongoing care and education

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Medicine delivered to your door

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Free shipping • Cancel anytime

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Perimenopause is treatable

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

*Survey of Alloy customers on hormonal treatment

What Alloy customers are saying

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“I was amazed at how informed and prompt the doctor was in responding to my questions and helping me! I am a doctor myself and very very informed about many things to do with my health but I am an oncologist. I have learned so much from the doctor and Alloy and the YouTube channel! So many brilliant capable women standing up and saying no more this is not OK and we’re gonna fix this now. I am so thrilled to be part of Alloy! I have referred every woman I know to the site.”

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Lisa on Trustpilot
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My experience has been excellent. They responded quickly, listened to my symptoms and responded with a protocol that’s easy to follow. I’m feeling 100 percent better. Thank you so very much.

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Ketteridge on Trustpilot
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Thankful for Alloy and their doctors that make women’s health a priority! I love that I don’t have to jump through hoops or over-explain my needs in order to get the menopausal healthcare that I need in order to live a vibrant life. Thank you!

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Regina on Trustpilot
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“My Alloy has been a lifesaver! Dr. Menn is very responsive, has answered several questions and provided additional information I had not thought to request, arming me for a visit to my PCP for a cardiac issue. Getting HRT through my OBGYN proved impossible. Within 3-4 days of starting my treatment, my sleep improved dramatically. Three weeks in and my skin on my body has started looking/feeling like skin again instead of flaky/itchy parchment paper. So far no migraines (fingers crossed for that to continue!!). Now just need to give it more time to work its magic on my bones, heart, brain. So glorious to have my life retuning to me!!!”

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Julia on Trustpilot
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“I love this was a hassle free process, and I felt I was actually listened to and taken seriously, something I feel can be sorely lacking in the medical world when it comes to women. Women know their bodies, and it shouldn’t be a struggle to get the treatment that works best for you. We’re all different, and the key is finding what works for us individually. Thank you, Alloy. My quality of life during perimenopause is so much better now!”

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Stephanie on Trustpilot
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“This company is great. I have access to a doctor who prescribed hormones when no other doctor would. I am happy and relieved that Alloy provides top notch service in their doctors and customer service.”

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Cathy on Trustpilot
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“This service is life changing, for a peri-menopausal woman like myself. I had been living with low level depression, hot flashes, bladder issues, and abdominal weight gain. I was introduced to a doctor within a day or so online, conferred with her about my symptoms, and recieved medication within the week! I have been on low level estrodial (.5mg) and progesterone for 2 weeks now, and I have seen progress towards relief of my menopausal systems. I'm starting to feel like myself again. Thank you, MyAlloy!”

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Leo on Trustpilot
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“My doctor wasn't interested in pursuing care for perimenopause. I looked for other options and read about Alloy. In two weeks I feel so much better and like I'm human again. The process was simple and worth so much. Thank you.”

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Jennifer on Trustpilot
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“My obgyn has to take time off and I needed to up my HRT prescription but I had a 3 month wait for another doctor so I used Myalloy. I was very happy they got me what I needed within a week. This service is a life saver in a medical desert.”

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Anon on Trustpilot

Frequently asked questions

  • What is perimenopause?+
    The Menopause Society says perimenopause is “the gradual transition between the reproductive years and menopause (the cessation of menstrual periods)” Basically, it’s a time when your hormones are fluctuating, and you’re still getting your period, but you also may be having symptoms of menopause. The most common symptoms of perimenopause are changes to your menstrual cycle, mood swings, anxiety and depression, weight changes, and sleep disruptions.
  • What does it mean?+
    It means menopause is coming…you won’t know exactly when (the length of perimenopause varies from person to person, and it can last up to 10 years!), but it’s coming.
  • What’s happening with my hormones?+
    They’re all over the place. Truly. They’re up and they’re down, and it can be erratic.
  • What are the main symptoms of perimenopause?+
    Common symptoms of perimenopause include mood swings, anxiety/depression, sleep issues, weight changes, and unruly periods (heavy, painful, irregular). Incidentally, other than period changes, these are also symptoms of simply being alive, which is one of the reasons it’s so hard to tell when it’s happening! Perimenopause symptoms vary from person to person, and your experience won’t look the same as your friend’s, or your sister’s, or even your mom’s. You may not even be able to pinpoint your exact symptoms–sometimes it’s just a feeling that something is off, or you’re not quite yourself. Consulting with a menopause-trained doctor is a great first step in figuring out what’s going on.
  • What can I do about it?+
    The first thing you can do is recognize it, which isn’t easy, since there is no precise start time and the symptoms can be so varied. And, know you’re not alone! The second thing you can do is get help from a menopause-trained doctor. You don’t have to feel crappy–there are safe, effective treatments available to help you!
  • How do I treat perimenopause?+
    For most women, a low-dose birth control pill is the best treatment for perimenopause. Birth control pills contain estrogen and progesterone, which will help even out your hormone levels and alleviate symptoms. It will also regulate your cycle, help with those painful, heavy periods, and provide contraception, which, yes, you still need! Ask us about how younger siblings are made. Alloy offers multiple low-dose birth control options, and, for some, Menopausal Hormone Therapy. Your menopause specialist will help you figure out the best treatment plan for you.