Hormone replacement therapy that works.
Your body knows what it needs. HRT restores the hormones that time takes away, bringing back the energy, clarity, and vitality you remember. We handle the science so you can get back to living.
You’re not imagining it. How you feel is real.
HRT provides the most effective symptom relief for many women in menopause or perimenopause, with improvements often noticeable in days or weeks.
If several of these sound familiar, it’s not in your head. It’s likely hormonal, and it’s treatable.
Bioidentical hormones only. Nothing synthetic.
We only prescribe bioidentical hormones, molecularly identical to the ones your body already makes, so they fit your receptors precisely and work with your biology, not against it.
Bioidentical
What we use- Molecularly identical to your own hormones
- Fits your receptors precisely, natural response
- Compounded to your labs & symptoms (503A pharmacy)
- Often better tolerated, with fewer side effects
Synthetic hormones
What we don’t- ✕Not an exact structural match to your body
- ✕More likely to cause side effects
- ✕One-size-fits-all dosing
Protocols you can trust, priced simply.
Flat monthly rate, no hidden fees, no memberships. Every bundle includes physician assessment, bioidentical hormones from a 503A pharmacy, dosage adjustments, nationwide delivery, and 24/7 physician access.
- Progesterone, Fast SL (sublingual)
- Personalized protocol adjustments
- Discreet nationwide shipping
- 24/7 direct access to your physician
- Everything in Foundation, plus:
- Estradiol (pill or cream, your choice)
- Covers hot flashes, sleep & mood
- Bioidentical, from a 503A pharmacy
- Everything in Essentials, plus:
- Testosterone cream for libido & energy
- Includes baseline testosterone labs
- The most complete restoration protocol
*Eleva MD does not manufacture compounded medications. Actual product appearance and labeling of the medication you receive will differ from website images.
Signs you may need each hormone.
Your symptoms point to what’s out of balance. Here’s what each hormone typically addresses, your physician confirms with labs and your intake.
Calm, sleep & cycle
- Trouble falling or staying asleep
- Anxiety, irritability, or a racing mind at night
- PMS and mood swings
- Irregular or changing cycles
These signs can begin as early as your early 30s, progesterone is often the first hormone to decline.
Hot flashes & clarity
- Hot flashes and night sweats
- Vaginal dryness or discomfort
- Brain fog and difficulty concentrating
- Joint aches and skin changes
Libido & drive
- Low libido or loss of desire
- Low energy and motivation
- Reduced muscle tone and strength
- Low mood or mental fog
How 
works
Take a quick assessment online. A licensed physician reviews it and builds your custom HRT bundle. Ongoing care is included.
No clinic visits, no referrals, no insurance battles.
Take the assessment
A quick 2-minute, 6-question assessment matches you with a custom HRT bundle built for you.
Medical MD review
A board-certified physician reviews your health history and symptoms, then approves your bundle. Not a bot or an algorithm.
Ongoing care included
Delivered to your door, with unlimited physician access and dosage adjustments, no memberships or fees.
Ready to feel like yourself again?
Trying to decide if HRT is right for you?
Get our free education guide on hormone replacement therapy, what to expect, the signs to watch for, and how to know when it’s time.
HRT questions, answered.
Everything you need to know about menopause, bioidentical hormones, and your protocol. Still unsure? Our care team replies within a few hours.
Message the care teamWhat is menopause?
Menopause occurs when a woman's ovaries stop releasing eggs. It's confirmed after 12 consecutive months without menstruation, typically developing between the late 40s and early 50s.
What are the characteristic symptoms?
Every woman experiences menopause differently. Symptoms fall into several categories: vasomotor (hot flashes, night sweats), genitourinary (vaginal dryness, bladder changes), mood changes, shifts in libido, weight fluctuations, and decreased bone density, all from the decline in hormone production.
Are bioidentical hormones more natural?
Bioidentical means structurally identical to the hormones your body produces. Your body makes multiple versions of estrogens and progesterones, and some can be replicated. Being bioidentical doesn't necessarily mean it comes from a natural source, though certain estrogen and progesterone formulations are derived from plant and animal sources.
How long should I take these treatments?
Menopause treatments are designed for long-term use. Duration varies by individual and depends on symptom severity and your personal health risk profile. Symptoms can begin 4–8 years before your final period and may persist for years afterward.
What risks are associated with treatment?
Hormonal therapy is generally safe for most patients, though individual risk varies with health history and medication type. It can slightly increase the risk of stroke, heart attack, blood clot, and breast cancer; your provider assesses your personal risk factors. Newer non-oral formulations offer improved safety profiles with lower associated risks.