Find What Works for You
Therapies to help you feel steady again — mood, sleep, and energy.
Estradiol Tablets
$66.33 / mo
$199 billed every 3 months (3-month supply)
Ease hot flashes and feel like yourself again with bioidentical estrogen. (3-month supply)
Bi-Est Cream
$69.67 / mo
$209 billed every 3 months (3-month supply)
A topical estrogen option for women who'd rather skip the pill. (3-month supply)
Bi-Est + Progesterone
$69.67 / mo
$209 billed every 3 months (3-month supply)
Both key hormones in one topical routine, formulated together. (3-month supply)
Estradiol Cream
$66.33 / mo
$199 billed every 3 months (3-month supply)
Ease hot flashes and feel like yourself again with bioidentical estrogen. (3-month supply)
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Progesterone
$66.33 / mo
$199 billed every 3 months (3-month supply)
Sleep deeper and feel more balanced with bioidentical progesterone. (3-month supply)
*Medications only issued when clinically appropriate after clinician evaluation. Individual results may vary. Not all products are suitable for every patient.
The next era of you is worth showing up for.
Perimenopause can start as early as your mid-30s, years before most women expect it. Weight gain, brain fog, fatigue, and hot flashes aren't just "getting older," they're your hormones changing, and there's real treatment for that. Bioidentical hormone replacement therapy is prescribed and monitored by a licensed clinician, personalized to where you are in the transition, whether that's perimenopause or menopause.
Cooler Nights, Steadier Days
Estradiol and Bi-Est restore your estrogen levels, easing hot flashes and night sweats so your days, and your sleep, feel like yours again.
Sharper, Clearer Thinking
Estradiol helps bring back the mental clarity that fades as estrogen drops.
Steadier, More Even Moods
Progesterone has a calming effect on the nervous system, so you get fewer swings and more even days.
Deeper, More Restful Sleep
Progesterone supports the kind of sleep that actually leaves you rested, which is why it's taken at night.
Firmer Skin, More Vitality
Estradiol supports collagen production and skin elasticity, so you feel it in your skin and your energy, not just your symptoms.
Comfort, Restored
Estradiol restores estrogen levels body-wide, easing dryness and irritation.
What is HRT?
Hormone replacement therapy replaces the estrogen and progesterone your body naturally produces less of during perimenopause and menopause. Hormones affect a lot more than your cycle. They influence sleep, mood, metabolism, and energy, and when they drop, how you feel drops with them. HRT works by restoring those levels to a range your body recognizes, using bioidentical hormones that match what your body already produces. Tap into any option in the catalog above for the full ingredient breakdown.
Your formula is compounded by a licensed U.S. pharmacy and dispensed with a valid prescription. Bioidentical means chemically identical to your own hormones, not that a compounded preparation outperforms an FDA-approved one. Your clinician reviews your symptoms and history before prescribing and adjusts as your body responds.
Options to Discuss With Your Clinician
| Your concern | Options to ask about |
|---|---|
| Hot flashes, night sweats, brain fog, prefer a pill | Estradiol Tablets |
| Same symptoms, prefer topical | Estradiol Cream |
| Topical estrogen, no progesterone needed | Bi-Est Cream |
| Looking for estrogen and progesterone together | Bi-Est / Progesterone Cream |
| Sleep and mood, already on estrogen | Progesterone Capsule |
* Hormone therapy isn't right for everyone, and it may not be appropriate with a history of certain cancers, blood clots, or liver disease. Your clinician confirms the right fit based on your symptoms and history. This table is a starting point for that conversation, not a substitute for it.
Common Questions
Isn't this just what happens when you get older?
Perimenopause happens because your ovaries produce less estrogen and progesterone, not because your body is wearing out. Hot flashes, brain fog, and disrupted sleep are a direct response to that drop, and estrogen therapy is the most established approach menopause specialists have for treating them. Whether it's the right approach for you is a decision for your clinician.
Does this actually work?
Much of the hesitation around HRT traces back to a widely misread 2002 study of older women on a different hormone formulation than what's prescribed today. Research and clinical guidance have moved a long way since, and many appropriate candidates see real symptom relief. Individual results vary, and your clinician confirms you're a good fit before prescribing anything.
Why do I need progesterone if I'm only having hot flashes?
If you still have a uterus, progesterone protects your uterine lining from the effects of estrogen on its own. It's not an upsell — it's a standard part of how estrogen therapy is prescribed.
"Dr. Powers was kind, caring, and compassionate, but she was also professional and knowledgeable. She invited me to share my history and what I expected from Solana health. She easily translated complex information into understandable concepts. She was informative without dumbing down content."
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