Licensed providers in all 50 states
Free shipping on prescriptions
Rediscover Your
Spark in Midlife.
Pick the one that sounds like you
Starting at $66/month plus the cost of medication
Video or message-based visits
Prescriptions shipped free if clinically appropriate
Or, we can introduce the topic more gradually and ease users into the LP:
Rediscover Your
Spark in Midlife.
Pick the one that sounds like you
Starting at $66/month plus the cost of medication
Video or message-based visits
Prescriptions shipped free if clinically appropriate
Or, we can introduce the topic more gradually and ease users into the LP:
Rediscover Your
Spark in Midlife.
Pick the one that sounds like you
Starting at $66/month plus the cost of medication
Video or message-based visits
Prescriptions shipped free if clinically appropriate
Or, we can introduce the topic more gradually and ease users into the LP:
50-state
medical group
Care available nationwide
Menopause-specialized providers
Led by women's health clinicians
Video or
message-based
Whichever fits your life
Free
shipping
In-house mail-order pharmacy
50-state
medical groupCare available nationwide
Menopause-specialized providers
Led by women's health clinicians
Video or
message-basedWhichever fits your life
Free
shippingIn-house mail-order pharmacy
50-state
medical groupCare available nationwide
Menopause-specialized providers
Led by women's health clinicians
Video or
message-basedWhichever fits your life
Free
shippingIn-house mail-order pharmacy
It's Not You. It's Menopause.
As estrogen naturally declines during menopause, the skin of the vagina and urinary tract become thinner, drier, and less elastic. That's why symptoms like vaginal dryness, discomfort during sex, urinary urgency, and recurrent UTIs become so common.
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
Sex hurts
Thinner, less elastic tissue with reduced lubrication and blood flow. It tends to progress if it's left alone, and it's one of the most treatable parts of this transition.
May be considered
Estradiol vaginal insert
Systemic estradiol
Lubricants & moisturizers
I'm dry all the time
The same tissue change — it isn't only about sex. Antihistamines and some antidepressants add to it.
May be considered
Estradiol vaginal insert
Topical cream
Medication review
My desire disappeared
Hormones, sleep, mood, medication, and pain all feed desire. Painful sex quietly ends it, so pain is usually treated first.
May be considered
Treating pain first
Hormone therapy
Thyroid evaluation
Sleep support
Itching, burning, irritation
Thinning tissue is more easily irritated by soap, laundry detergent, and friction that never bothered you before.
May be considered
Vaginal estrogen
Barrier moisturizers
Irritant review
Tearing or spotting after sex
Fragile tissue can split at the vaginal opening. Any bleeding should be reviewed by a provider rather than assumed to be hormonal.
May be considered
Estradiol vaginal insert
Provider evaluation first
Vaginal estrogen
Pelvic floor referral
I can't get aroused the way I used to
Reduced blood flow to the vulva and clitoris means arousal takes longer and feels less intense. It responds to treatment.
May be considered
Vaginal estrogen
Systemic hormone therapy
Lifestyle and sleep review
Everything feels tight or too small
Tissue loses elasticity and the vaginal opening can narrow, especially after months of avoiding penetration.
May be considered
Vaginal estrogen
Dilators
Pelvic floor physical therapy
UTIs keep coming back
The urethra and bladder rely on estrogen too. Recurrent infections and sudden urgency are part of the same change, not bad luck
May be considered
Vaginal estrogen
Urine culture
Referral if infections persist
It's Not You. It's Menopause.
As estrogen naturally declines during menopause, the skin of the vagina and urinary tract become thinner, drier, and less elastic. That's why symptoms like vaginal dryness, discomfort during sex, urinary urgency, and recurrent UTIs become so common.
The good news? These changes are common, and there are personalized treatment options that may help restore comfort and improve your quality of life.
Estradiol
Patch
Micronized Progesterone
Estradiol
Cream
Estradiol Rx
Vaginal InsertEstradiol
PatchMicronized Progesterone
Estradiol
CreamEstradiol Rx
Vaginal Insert
Start HRT Treatment
Quick, secure access to HRT medications through a message-based consultation. A good fit if you've used hormone therapy before and know what has worked for you.
Meet with a provider
Schedule a video visit to talk through what's happening, review your history, and build a treatment plan. Best if your symptoms overlap, you've been dismissed before, or you want to ask questions out loud.
Treatment Tailored to Your Symptoms
Not every option is right for everyone. That's what the consultation is for.
Estradiol
Vaginal Insert
Topical estrogen therapy to help relieve dryness and improve comfort.
Estradiol
Topical Cream
A convenient patch that delivers steady estrogen throughout the day.
Estradiol
Patch
Targeted estrogen therapy designed to support vaginal comfort and health.
Micronized Progesterone
Oral progesterone to help support balance as part of your hormone plan.
From intake to treatment,
in four steps
STEP 1
Complete the online intake
Tell us how you're feeling, in your own words. It takes a few minutes on your phone.
STEP 2
Start your consultation
A provider evaluates your symptoms and history, and prescribes medication if appropriate.
STEP 3
Treatment shipped to your home
If prescribed, medication ships to your door for free — no pharmacy line, no waiting room.
STEP 4
Track symptoms and adjust
Stay connected with check-ins, medication updates, and unlimited provider messaging.
Let's Talk About Sex
Changes in sex drive during menopause are common, and they're rarely caused by just one thing. Hormonal changes, vaginal discomfort, poor sleep, stress, relationship dynamics, and overall well-being can all play a role.
Our licensed menopause clinicians take a personalized approach, looking beyond symptoms to understand what's contributing to your experience and recommending a treatment plan that's right for you.
Dr. Tara Scott
Clinical Chair, Women's Health & Menopause Care
Dr. Tara Scott
Clinical Chair, Women's Health & Menopause Care
Lauren Cramer, PA-C
Clinical Lead, Women’s Health
Lauren Cramer, PA-C
Clinical Lead, Women’s Health
Dr. Doug Lucas
Clinical Lead, Bone Health & Longevity
Dr. Doug Lucas
Clinical Lead, Bone Health & Longevity
What changes when
someone finally listens
My sleep has changed DRAMATICALLY for the better since getting on accurate dosages of estradiol, testosterone and progesterone. My gut health has also improved significantly - so much so that I can’t believe I used to live the way I was living.
Verified Patient
Robyn C.
“Thank you! Consistency is key and I’m grateful for all the support and education I’ve received that put me on the [right] path! Very excited and happy to share with others how well this has worked for me!”
Verified Patient
Tonia H.
I was lost when I first signed up… and now I can say this program has changed my life. Brain fog is gone, energy is up, [I’m] stronger, have lost weight, reduced pain and inflammation, and am consistently meeting nutrient goals.
Verified Patient
Natalie B.
My sleep has changed DRAMATICALLY for the better since getting on accurate dosages of estradiol, testosterone and progesterone. My gut health has also improved significantly - so much so that I can’t believe I used to live the way I was living.
Verified Patient
Robyn C.
“Thank you! Consistency is key and I’m grateful for all the support and education I’ve received that put me on the [right] path! Very excited and happy to share with others how well this has worked for me!”
Verified Patient
Tonia H.
I was lost when I first signed up… and now I can say this program has changed my life. Brain fog is gone, energy is up, [I’m] stronger, have lost weight, reduced pain and inflammation, and am consistently meeting nutrient goals.
Verified Patient
Natalie B.
My sleep has changed DRAMATICALLY for the better since getting on accurate dosages of estradiol, testosterone and progesterone. My gut health has also improved significantly - so much so that I can’t believe I used to live the way I was living.
Verified Patient
Robyn C.
“Thank you! Consistency is key and I’m grateful for all the support and education I’ve received that put me on the [right] path! Very excited and happy to share with others how well this has worked for me!”
Verified Patient
Tonia H.
I was lost when I first signed up… and now I can say this program has changed my life. Brain fog is gone, energy is up, [I’m] stronger, have lost weight, reduced pain and inflammation, and am consistently meeting nutrient goals.
Verified Patient
Natalie B.
My sleep has changed DRAMATICALLY for the better since getting on accurate dosages of estradiol, testosterone and progesterone. My gut health has also improved significantly - so much so that I can’t believe I used to live the way I was living.
Verified Patient
Robyn C.
“Thank you! Consistency is key and I’m grateful for all the support and education I’ve received that put me on the [right] path! Very excited and happy to share with others how well this has worked for me!”
Verified Patient
Tonia H.
I was lost when I first signed up… and now I can say this program has changed my life. Brain fog is gone, energy is up, [I’m] stronger, have lost weight, reduced pain and inflammation, and am consistently meeting nutrient goals.
Verified Patient
Natalie B.
My sleep has changed DRAMATICALLY for the better since getting on accurate dosages of estradiol, testosterone and progesterone. My gut health has also improved significantly - so much so that I can’t believe I used to live the way I was living.
Verified Patient
Robyn C.
“Thank you! Consistency is key and I’m grateful for all the support and education I’ve received that put me on the [right] path! Very excited and happy to share with others how well this has worked for me!”
Verified Patient
Tonia H.
I was lost when I first signed up… and now I can say this program has changed my life. Brain fog is gone, energy is up, [I’m] stronger, have lost weight, reduced pain and inflammation, and am consistently meeting nutrient goals.
Verified Patient
Natalie B.
What changes when
someone finally listens
“My sleep has changed DRAMATICALLY for the better since getting on accurate dosages.”
Verified Patient
Robyn C.
“Consistency is key and I'm grateful for all the support and education I've received.”
Verified Patient
Tonia H.
“I was lost when I first signed up… and now I can say this program has changed my life.”
Verified Patient
Natalie B.
“My sleep has changed DRAMATICALLY for the better since getting on accurate dosages.”
Verified Patient
Robyn C.
“Consistency is key and I'm grateful for all the support and education I've received.”
Verified Patient
Tonia H.
“I was lost when I first signed up… and now I can say this program has changed my life.”
Verified Patient
Natalie B.
Reviews are from verified LifeMD patients across various services. Individual results may vary.
Transparent Pricing
Treatment Tailored to Your Symptoms
As low as
$66
/month
Monthly provider consultations
A personalized treatment plan
Secure messaging with your care team
Prescription management and renewals
LifeMD+ membership: 24/7 urgent and primary care
6S Lifestyle Program: group coaching and dietitian services
The things you'd rather not ask out loud
The things you’d rather not ask out loud
Can LifeMD treat vaginal dryness and painful sex specifically?
How long until I notice a difference?
Is hormone therapy safe for me?
I still get periods. Is this even menopause?
Do I have to do a video visit?
Will this be awkward?
Own your body’s changes and love how you feel again
Get personalized care and prescription HRT online, backed by providers who specialize in women's midlife health.
Important Safety Information
Estradiol topical cream, Rx only, is a compounded product and has not been FDA-approved or evaluated for safety, efficacy, or quality, but may be used to treat menopausal symptoms such as hot flashes.
Estradiol (all forms), Rx only. Do not use to prevent heart disease or dementia. Estrogen alone may raise the chance of endometrial cancer, stroke, deep vein thrombosis, and probable dementia in women 65 and older; estrogen with a progestin may raise the chance of stroke, deep vein thrombosis, heart attack, invasive breast cancer, and probable dementia in women 65 and older. Use for the shortest time needed at the lowest useful dose. Call your doctor right away about unexplained or long-lasting vaginal bleeding. Possible side effects vary by formulation and may include headache, breast tenderness, back pain, cold symptoms, indigestion, abdominal pain, itching, and yeast infection.
Micronized progesterone, Rx only. When used with estrogen, it may increase the risk of deep vein thrombosis, pulmonary embolism, stroke, heart attack, probable dementia, and invasive breast cancer. Possible side effects include headache, breast tenderness, joint pain, depression, and dizziness. Capsules contain peanut oil.
Tell your provider before starting if you have a history of bleeding disorders, blood clots, breast cancer, liver problems, heart attack, stroke, an estrogen-sensitive tumor, or unexplained vaginal bleeding, or if you are or may be pregnant. This is not a complete list of risks, side effects, or interactions. Talk with your provider about the benefits and risks for you.