Take control of
menopause.
Hot flashes, mood changes, sleep disruption - you don't have to just live with it. Physician-prescribed bioidentical HRT delivered to your door.
Get StartedBioidentical Estradiol
Bioidentical estrogen, patches or cream
How it works
Estradiol is the most potent form of estrogen your body naturally produces. As levels decline during menopause, replacing it with bioidentical estradiol - structurally identical to what your ovaries once made - helps restore hormonal balance. Available as patches for steady delivery or cream for flexible dosing.
Progesterone
Bioidentical progesterone, oral capsule
How it works
Bioidentical micronized progesterone protects the uterine lining when taking estrogen and supports better sleep and calmer mood. Taken as an oral capsule at bedtime, it also has a mild sedative effect that many women find helps with menopause-related insomnia.
Combined HRT
Estradiol + Progesterone custom compound
How it works
A custom-compounded combination of bioidentical estradiol and progesterone, dosed to your specific needs. Your physician tailors the ratio based on your symptoms, lab work, and response - giving you comprehensive hormonal support in one streamlined treatment.
Menopause Support Kit
HRT + supplements for hot flashes, mood, sleep
How it works
Our most comprehensive approach combines physician-prescribed bioidentical HRT with targeted nutraceuticals for hot flashes, mood, and sleep. The kit includes your custom hormone prescription plus clinically studied supplements that work alongside HRT for maximum relief.
3 Easy Steps
From consultation to relief - your HRT journey starts here.
Share Your Symptoms
Complete a detailed health assessment covering your menopause symptoms, medical history, and treatment goals - takes about 5 minutes online.
Physician Prescribes
A physician experienced in menopause care reviews your profile and prescribes the right bioidentical HRT protocol for your body and symptoms.
Delivered to Your Door
Your bioidentical hormones ship from an FDA-registered pharmacy in discreet packaging within 2-5 days. Ongoing physician monitoring included.
Menopause Affects Every Woman Differently
These are the most common symptoms - and how bioidentical HRT addresses each one.
Hot flashes
Sudden waves of heat that can strike at any time. HRT restores estrogen levels, reducing the frequency and intensity of hot flashes - often within weeks.
Night sweats
Hot flashes that occur during sleep, disrupting rest and recovery. Estradiol therapy significantly reduces nighttime sweating, helping you sleep through the night.
Mood changes
Irritability, anxiety, and low mood are common as estrogen and progesterone fluctuate. HRT stabilizes hormone levels, helping restore emotional equilibrium.
Sleep disruption
Falling asleep and staying asleep becomes harder as progesterone drops. Bioidentical progesterone has a natural calming effect that promotes deeper, more restorative sleep.
Brain fog
Difficulty concentrating and memory lapses are tied to declining estrogen, which supports neurotransmitter function. Restoring estradiol levels often sharpens mental clarity.
Weight gain
Hormonal shifts slow metabolism and increase abdominal fat storage. HRT helps restore metabolic function and, combined with lifestyle changes, supports healthier body composition.
The Evidence Behind Bioidentical Hrt
The WHI study in context
The 2002 Women's Health Initiative study created widespread fear around HRT, but the science has evolved significantly. The WHI used synthetic hormones (conjugated equine estrogens and medroxyprogesterone) in women who were on average 63 years old - well past the optimal window for starting therapy. Subsequent research has shown that bioidentical hormones started within 10 years of menopause onset carry a substantially different risk profile.
Bioidentical vs. synthetic
Bioidentical hormones are molecularly identical to the estradiol and progesterone your body produces naturally. Unlike synthetic progestins used in the WHI, bioidentical micronized progesterone has been associated with a lower risk of blood clots and may carry a more favorable breast cancer risk profile. INA exclusively prescribes bioidentical formulations.
The North American Menopause Society, the Endocrine Society, and the International Menopause Society all endorse HRT as the most effective treatment for vasomotor symptoms in appropriate candidates.
Your INA physician will evaluate your individual risk factors and determine whether HRT is right for you. Treatment decisions are always personalized.
Menopause & Hrt Faq
Is hormone replacement therapy safe?
For most women under 60 or within 10 years of menopause onset, bioidentical HRT is considered safe and effective by major medical organizations including the North American Menopause Society and the Endocrine Society. Your INA physician will review your personal health history, risk factors, and family history to determine whether HRT is appropriate for you. The benefits of symptom relief and bone protection often outweigh the risks for healthy women in the appropriate age window.
What is the difference between bioidentical and synthetic hormones?
Bioidentical hormones are structurally identical to the hormones your body naturally produces - estradiol, progesterone, and testosterone. Synthetic hormones like conjugated equine estrogens and medroxyprogesterone have different molecular structures. Research suggests bioidentical progesterone may carry a lower risk of blood clots and breast cancer compared to synthetic progestins, which is why INA exclusively prescribes bioidentical formulations.
How long until I feel relief from my symptoms?
Many women notice improvement in hot flashes and sleep within 2-4 weeks of starting HRT. Full benefits, including improvements in mood, energy, brain fog, and vaginal dryness, typically develop over 2-3 months as hormone levels stabilize. Your physician may adjust dosing during this period to optimize your results.
What side effects should I expect?
Some women experience mild breast tenderness, spotting, or bloating when starting HRT. These are usually temporary and resolve within the first 1-3 months as your body adjusts. If side effects persist, your physician can adjust the formulation, dose, or delivery method. Serious side effects are rare but will be discussed during your consultation.
Do I need blood work before starting HRT?
Your INA physician will determine whether blood work is needed based on your health history and symptoms. In many cases, a thorough symptom assessment and medical history review is sufficient to begin treatment. If labs are recommended, your physician will order a hormone panel that can be completed at a local lab or with an at-home test kit.
Can I start HRT if I am in perimenopause?
Yes. Many women benefit from starting HRT during perimenopause, the transitional years before menopause when hormone levels begin to fluctuate. In fact, starting earlier - during the so-called 'window of opportunity' - may provide the greatest benefits for bone health and cardiovascular protection. Your physician will tailor your treatment to your specific stage and symptoms.
You deserve relief from menopause symptoms
Complete your assessment in 5 minutes and get physician-prescribed bioidentical HRT delivered to your door.
Get Started