Hot flashes & night sweats
Temperature surges, sweating, waking overheated, or sleep disruption.
ABIM Board-Certified Internal Medicine
Physician-guided menopause care
Same physician throughout care
Menopause & Hormone Therapy
You shouldn’t have to guess why you suddenly don’t feel like yourself.
Are your symptoms actually menopause—and would hormone therapy help, or is something else being missed?
Start with a focused physician consultation that reviews your symptoms, medical history, medications, health risks, previous treatment, and whether hormone therapy or a non-hormonal option may fit your situation.
- $65 initial video consultation
- No required menopause membership
- Labs ordered when they may change the medical decision
- Prescription treatment only when medically appropriate
You do not need to decide whether HRT is right for you before booking.
Symptoms affecting sleep, work, intimacy, or daily life?
You do not have to wait until they become unbearable. Same-day consultations may be available
based on scheduling, state eligibility, and completion of the required intake.
★★★★★
Verified Text2MD patient reviews
$65
Initial physician video consultation
Same Physician
Continuity as treatment evolves
No Required Membership
Pay for the care you need
Patient Experience
Trust the physician before you trust the prescription.
See what patients say about Text2MD physician access, communication, continuity, and overall care.
★★★★★
TEXT2MD PATIENT REVIEWS
The Real Goal
The goal isn’t to make you 25 again. It’s to help you feel like yourself again.
Better sleep. Fewer hot flashes. More stable mood. Better daily function. More confidence in your body and your health decisions.
Healthy, functional, and rested
Personalized treatment—not one-size-fits-all hormones
Guided by symptoms, risk, and real medical judgment
Does Any Of This Sound Like You?
Menopause does not always look like hot flashes.
Symptoms can overlap with thyroid disease, anemia, sleep disorders, depression, medication effects, metabolic problems, and other conditions. That is why the visit starts with the whole picture.
Poor sleep
Frequent waking, insomnia, early awakening, or waking unrefreshed.
Mood changes
Irritability, anxiety, emotional swings, or feeling unlike yourself.
Brain fog
Word-finding problems, forgetfulness, poor concentration, or mental fatigue.
Weight & body-composition change
More abdominal fat, lower muscle mass, appetite changes, or harder weight maintenance.
Vaginal & urinary symptoms
Dryness, discomfort, painful intercourse, urinary urgency, or recurrent urinary symptoms.
Cycle changes
Irregular timing, skipped periods, heavier or lighter bleeding, or perimenopausal transition.
Low energy & recovery
Fatigue, reduced exercise tolerance, slower recovery, or declining daily function.
Where Am I In The Transition?
Perimenopause → Menopause → Postmenopause
Many women do not know where they are in the transition—or whether their symptoms fit. This is one reason individualized evaluation matters.
Use your symptom pattern, cycle history, age, and overall health context—not a single assumption—to understand where you are and what may help next.
What Will The Consultation Actually Answer?
Four questions that matter more than “Are my hormones low?”
The goal is not to chase a laboratory number. It is to determine what is causing your symptoms and which treatment has the best benefit-risk balance for you.
1
Could this actually be menopause?
Review symptom pattern, cycle history, age, medications, and other possible causes.
2
Would hormone therapy likely help my symptoms?
Match the treatment discussion to the symptoms and goals that matter to you.
3
What risks apply specifically to me?
Consider cardiovascular, clotting, cancer, bleeding, liver, migraine, and other relevant history.
4
What are my alternatives if HRT is not the best fit?
Discuss local therapy, non-hormonal medication, sleep, metabolic care, and specialist evaluation when appropriate.
Treatment Is Not One-Size-Fits-All
The plan depends on the symptom, the risk, and the woman.
Hormone therapy is one tool—not the only tool. The appropriate route, dose, and medication depend on your symptoms, medical history, whether you have a uterus, and your individual risk profile.
Transdermal option
Transdermal patch
For appropriate patients with bothersome vasomotor symptoms, route and dose are individualized.
Systemic option
Oral capsule
Some patients may benefit from oral medication, but route choice depends on symptom goals and risk factors.
Local therapy
Vaginal / local therapy
Genitourinary symptoms may respond to local therapy that is different from systemic treatment.
Alternative option
Non-hormonal medication
When systemic hormone therapy is not desired or appropriate, other evidence-based options may be considered.
Worried About HRT Safety?
The question is not simply “Is hormone therapy safe?”
The better question is whether a specific treatment is appropriate for a specific woman. Benefit and risk depend on factors such as age, time since menopause, symptoms, route, dose, uterus status, medical history, and contraindications.
The early Women’s Health Initiative results changed practice dramatically, but they should not be reduced to “all hormone therapy is dangerous.” Modern decision-making is individualized rather than based on one blanket rule.
Personal benefit-risk discussion
Symptom severity matters
Route and formulation matter
Your history matters more than headlines
The consultation turns a frightening headline into a personalized medical decision based on your symptoms, timing, and risk profile.
What About Hormone Testing?
More testing is not automatically better care.
Menopause is often diagnosed clinically from age, symptoms, and menstrual history. Laboratory testing can still be valuable when the diagnosis is unclear, symptoms suggest another condition, or results may change treatment—but the goal is not to treat a lab number in isolation.
Labs may be useful when they answer a real question
- Symptoms may have another cause
- Menopause status is uncertain
- There is abnormal bleeding or another clinical concern
- Metabolic, thyroid, anemia, or other health issues need evaluation
- A result would change treatment or monitoring
What Text2MD does not do
- Assume every symptom is caused by “low hormones”
- Promise that a target hormone number will fix how you feel
- Order broad panels simply because they look comprehensive
- Ignore sleep, medications, thyroid disease, anemia, mood, or metabolic health
- Use testing as a substitute for clinical judgment
How It Works
From “something feels wrong” to a plan you understand.
Four straightforward steps designed to reduce uncertainty and keep the medical decision individualized.
Step 1
Intake
Share symptoms, cycle history, medications, relevant health history, prior treatment, and your goals.
Secure online intake
Step 2
Physician consultation
Review your symptoms and risk factors and identify whether additional testing or in-person evaluation is needed.
Video consultation
Step 3
Compare options
Discuss hormone therapy, local treatment, non-hormonal options, lifestyle factors, and expected benefits and limitations.
No automatic protocol
Step 4
Personalized plan
The plan may include treatment, testing, referral, monitoring, or deciding that medication is not needed.
Same physician for follow-up
Transparent Pricing
Find out what may actually help before committing to treatment.
The consultation is for physician evaluation and treatment planning. Medication, laboratory testing, imaging, and outside services are separate when needed.
$65 initial video consultation
No required menopause membership
Same physician follow-up
Labs only when clinically useful
Initial video visit
$65
Physician evaluation
Medication and labs separate
Medication and labs separate
Is This The Right Starting Point?
Convenient access still requires the right level of care.
Telemedicine can be an excellent starting point for many menopause concerns, but some symptoms need urgent, in-person, gynecologic, or other specialist evaluation.
Common reasons to request a consultation
- Bothersome hot flashes or night sweats
- Sleep, mood, or cognitive changes during the menopausal transition
- Questions about hormone therapy safety or candidacy
- Vaginal or urinary symptoms related to menopause
- Need for an independent review of a current hormone regimen
- Uncertainty about whether symptoms are menopause or something else
Situations that may need in-person evaluation first
- New or unexplained postmenopausal bleeding
- Chest pain, shortness of breath, stroke symptoms, or suspected blood clot
- New breast mass or other concerning breast symptom
- Severe pelvic pain or significant unexplained bleeding
- Symptoms requiring physical examination, imaging, or urgent assessment
- Any medical emergency
Before You Book
Six quick answers.
Clear answers to the questions that often stop women from seeking help.
Do I need blood tests before the consultation?
Not necessarily. Menopause is often diagnosed clinically based on age, symptoms, and menstrual history.
If testing may clarify the diagnosis, identify another condition, improve safety, or change treatment,
your physician can discuss which tests are useful.
Is hormone therapy safe?
Safety depends on the individual, the indication, age, time since menopause, medical history,
contraindications, route, dose, and type of treatment. The consultation focuses on your personal benefit-risk balance
rather than treating hormone therapy as universally safe or universally dangerous.
Will I automatically receive hormone therapy?
No. Treatment is prescribed only when the physician determines it is medically appropriate.
Some patients may be better served by non-hormonal treatment, local therapy, additional testing,
in-person evaluation, or another specialist.
What if I still have periods?
Menopause symptoms can begin during perimenopause, before periods stop completely.
Your cycle pattern, symptoms, age, pregnancy considerations, and other causes are reviewed before treatment decisions.
Can you review hormone treatment prescribed by another clinic?
Yes. Bring the medication names, doses, route, timing, laboratory results, symptoms,
side effects, and what you hope the treatment will accomplish.
Is there a required membership?
No required menopause membership is part of this consultation model.
You pay for the medical care you need. Medication, testing, and follow-up costs depend on your treatment plan.
You Do Not Have To Figure This Out Alone
What is actually driving your symptoms—and what may help?
Bring the symptoms that are affecting your life, your medical history, and any previous hormone treatment. Your physician will help determine whether menopause is the likely explanation, whether hormone therapy may fit, what risks matter in your case, and what alternatives you have.
$65 Initial Video Visit
Board-Certified Internal Medicine
No Required Membership
Same Physician
Individualized Treatment Decision
Text2MD is not an emergency service. Consultation does not guarantee hormone therapy or any specific prescription.
Treatment depends on medical appropriateness, patient location, physician licensure, and applicable law.