--- title: "Menopause and HRT Treatment for Women | Vitals Vault" description: "Oral estradiol, estradiol vaginal cream and progesterone for perimenopause and menopause, prescribed after a clinician reviews your history." canonical: "https://www.vitalsvault.com/treatments/categories/womens-hormones" last-updated: 2026-08-22 --- # Menopause and HRT Treatment for Women | Vitals Vault > Oral estradiol, estradiol vaginal cream and progesterone for perimenopause and menopause, prescribed after a clinician reviews your history. ## Find your menopause care. ### Estradiol Oral Capsule [![Estradiol capsules package](https://static.vitalsvault.com/treatments/editorial/6acaeb76f8a9ac3bf6db22fb-lane61-womens-estradiol-oral-tablet-hero-1200-dd701b5068a2dc50.webp)](https://www.vitalsvault.com/treatments/womens-estradiol-oral-tablet?audience=women&source=catalog) Capsule · 1.1 mg From $60/mo Billed $349 every 180 days [Learn more](https://www.vitalsvault.com/treatments/womens-estradiol-oral-tablet?audience=women&source=catalog) ### Progesterone Capsules [![Progesterone capsules package](https://static.vitalsvault.com/treatments/editorial/6acaeb768bb4424770e88494-lane61-womens-progesterone-micronized-hero-1200-873f3e0e0df533a2.webp)](https://www.vitalsvault.com/treatments/womens-progesterone-micronized?audience=women&source=catalog) Capsule · 100 mg / 200 mg From $60/mo Billed $349 every 180 days [Learn more](https://www.vitalsvault.com/treatments/womens-progesterone-micronized?audience=women&source=catalog) ### Estradiol Vaginal Cream [![Estradiol vaginal cream package](https://static.vitalsvault.com/treatments/editorial/6acaeb76d7ab86d6160064d3-lane61-womens-estradiol-vaginal-cream-cms-1200-5f9cf33427d79a90.webp)](https://www.vitalsvault.com/treatments/womens-estradiol-vaginal-cream?audience=women&source=catalog) Vaginal Cream · 0.1% From $37/mo Billed $199 every 168 days [Learn more](https://www.vitalsvault.com/treatments/womens-estradiol-vaginal-cream?audience=women&source=catalog) Free shipping. HSA/FSA eligible. Prescribed only if appropriate. ## For your days. Your nights. Your sense of you. Explore care for hot flashes, disrupted nights, and changes in intimate comfort. ![Woman on a neighborhood walk](https://static.vitalsvault.com/treatments/editorial/vv-menopause-benefit-comfort-81646c253b7810bd.webp) ### More ease in your everyday For days that feel less interrupted by hot flashes. ![Woman enjoying a quiet morning by her kitchen window](https://static.vitalsvault.com/treatments/editorial/vv-menopause-benefit-rest-df56716bf17f2cd0.webp) ### Make room for restful nights For fewer night-sweat interruptions and more settled rest. ![Midlife couple cooking together](https://static.vitalsvault.com/treatments/editorial/vv-menopause-benefit-connection-94f89f0966798262.webp) ### Comfort in the moments that matter For relief from vaginal dryness and more comfortable closeness. ## Your comfort, over time. Start with what’s changed and what matters to you. Your clinician helps you choose a plan, so you can take the first step toward feeling more comfortable. DISCLAIMER These are possible experiences with clinician-prescribed estrogen therapy, not a promise or a timeline for every product above. Systemic estrogen treats hot flashes and night sweats; vaginal estrogen targets local symptoms. Later milestones describe ongoing support, not steadily increasing effects. Results and timing vary. Compounded products are not FDA-approved. Research: [Hormone therapy](https://menopause.org/patient-education/menopause-topics/hormone-therapy) · [Early changes and follow-up](https://www.nhs.uk/medicines/hormone-replacement-therapy-hrt/about-hormone-replacement-therapy-hrt/) · [Vaginal symptom relief](https://www.nhs.uk/medicines/hormone-replacement-therapy-hrt/vaginal-oestrogen/common-questions-about-vaginal-oestrogen/) · [Compounded therapies](https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2023/11/compounded-bioidentical-menopausal-hormone-therapy) ## From goal to doorstep in four steps ![Woman completing a private online health intake at home](https://static.vitalsvault.com/treatments/editorial/vv-women-step-1-19f398db27ce4c19.webp) Step 1 ### Tell us your goals A few minutes ![Clinician reviewing a care plan](https://static.vitalsvault.com/treatments/editorial/vv-care-realistic-v2-review-1eb398070165ba12.webp) Step 2 ### A clinician reviews Within 72 hours ![Discreet treatment delivery](https://static.vitalsvault.com/treatments/editorial/vv-care-realistic-v2-delivery-ccc24f296592c9be.webp) Step 3 ### Delivered to your door 2–5 business days ![Woman checking her ongoing care plan on her phone at home](https://static.vitalsvault.com/treatments/editorial/vv-women-step-4-9b8fbfbd2e51582d.webp) Step 4 ### Ongoing care Ongoing [Explore treatments](https://www.vitalsvault.com/treatments/categories/womens-hormones#v2-treatments) ## Your questions, answered. Can I get help before my periods stop? You can seek care during perimenopause, before periods stop completely. Your clinician reviews your symptoms, cycle changes, health history, and goals. Testing is recommended when it would help clarify your care. How is vaginal estrogen different from tablets or patches? Tablets and patches deliver estrogen throughout the body and can help hot flashes and night sweats. Vaginal estrogen is used for local symptoms such as dryness and irritation. Your clinician helps match the treatment to what you’re experiencing. Will I need progesterone with estrogen? If you have a uterus and use systemic estrogen, you will generally need a progestogen to protect the uterine lining. Progesterone cream should not be relied on for this protection. Your clinician will discuss an appropriate regimen and review your personal risks. Will I automatically get a prescription? No. A licensed clinician reviews your history and decides whether treatment is appropriate. Tell them about unexplained bleeding, any cancer or clotting history, your medications, and whether pregnancy is possible. Some catalog options are coming soon; each product page shows its status. ## The clinicians behind your care Your treatment is reviewed and prescribed by US-licensed clinicians in our network. ![Diana Kumar, MD, FACOG](https://static.vitalsvault.com/treatments/editorial/diana-kumar-md-c56d4b361d5774a7.webp) ### Diana Kumar, MD, FACOG Women's hormone health Board certified in obstetrics and gynecology and a Menopause Society Certified Practitioner. Works with members on perimenopause, menopause and hormone therapy. ![William Blackwell, MD](https://static.vitalsvault.com/treatments/editorial/william-blackwell-md-da493dcf19541ad1.webp) ### William Blackwell, MD Weight and metabolic health Board certified in emergency medicine and practicing telehealth since 2018. Focuses on weight management and metabolic health. ![Meenal Kheterpal, MD, FAAD](https://static.vitalsvault.com/treatments/editorial/kheterpal-md-faad-0719a17d75055313.webp) ### Meenal Kheterpal, MD, FAAD Dermatology Board certified dermatologist and Associate Professor of Dermatology at Duke University School of Medicine. Specializes in skin cancer and dermato-oncology. ![Shamail Tariq, MD](https://static.vitalsvault.com/treatments/editorial/shamail-tariq-md-18ac53212de5decd.webp) ### Shamail Tariq, MD Cardiometabolic health Board certified in cardiovascular disease and interventional cardiology. Focuses on preventive cardiology, blood pressure and cholesterol. ![Payel Gupta, MD](https://static.vitalsvault.com/treatments/editorial/payel-gupta-md-761421d304fefc01.webp) ### Payel Gupta, MD Allergy and immunology Triple board certified in allergy and immunology, internal medicine and pediatrics. Clinical instructor at the Icahn School of Medicine at Mount Sinai. ## Explore other goals [![Woman smiling while jogging outdoors beside a landscaped walkway](https://static.vitalsvault.com/treatments/editorial/womens-weight-running-wide-098ab3641434f990.webp)](https://www.vitalsvault.com/treatments/categories/womens-weight?source=catalog) ### Your pace. Your progress. Weight care that makes room for your health, your routines, and you. [Explore lose weight](https://www.vitalsvault.com/treatments/categories/womens-weight?source=catalog) [![Woman leaning against her partner on a quiet lakeside pier](https://static.vitalsvault.com/treatments/editorial/sw-hero-37358674ea1bf436.webp)](https://www.vitalsvault.com/treatments/categories/womens-sexual-health?source=catalog) ### More connection. More you. Your pleasure matters. Find private, personal care for desire and arousal. [Explore improve sexual function](https://www.vitalsvault.com/treatments/categories/womens-sexual-health?source=catalog) [![Woman with wavy brown hair smiling on a garden terrace](https://static.vitalsvault.com/treatments/editorial/womens-hair-terrace-hero-f958ad93d037628e.webp)](https://www.vitalsvault.com/treatments/categories/womens-hair?source=catalog) ### Your hair. Still you. Make room for fuller-looking hair. Find personal care that fits your everyday. [Explore improve appearance](https://www.vitalsvault.com/treatments/categories/womens-hair?source=catalog) [![Two women sharing tea and conversation at an outdoor picnic table](https://static.vitalsvault.com/treatments/editorial/womens-longevity-tea-wide-v2-b246549becb1d06e.webp)](https://www.vitalsvault.com/treatments/categories/womens-longevity?source=catalog) ### More life. On your terms. For the days you love—and the years ahead. Explore care built around you. [Explore live longer & better](https://www.vitalsvault.com/treatments/categories/womens-longevity?source=catalog) [![Woman smiling in a white blouse against a warm stone wall](https://static.vitalsvault.com/treatments/editorial/womens-thyroid-warm-portrait-wide-02dd42425b9a4c2d.webp)](https://www.vitalsvault.com/treatments/categories/womens-thyroid?source=catalog) ### Feel more like you. When your everyday feels different, start with answers. Explore thyroid care built around you. [Explore manage thyroid](https://www.vitalsvault.com/treatments/categories/womens-thyroid?source=catalog) [![Woman holding a glass of water with supplement bottles on the table](https://static.vitalsvault.com/treatments/editorial/womens-supplements-editorial-hero-9f9f70c2e2bd5f3a.webp)](https://www.vitalsvault.com/treatments/categories/womens-nutrients?source=catalog) ### Care for the way you live. Explore nutrient support with a clinician who considers your health, your routine, and what you need. [Explore supplements](https://www.vitalsvault.com/treatments/categories/womens-nutrients?source=catalog) [![Woman gently touching her cheek in a skincare studio portrait](https://static.vitalsvault.com/treatments/editorial/womens-skin-wide-v2-042d80920aebc2d3.webp)](https://www.vitalsvault.com/treatments/categories/womens-skin?source=catalog) ### Your skin. Your everyday. Make space for a simpler skin-care routine, guided by your concerns and your goals. [Explore clearer skin](https://www.vitalsvault.com/treatments/categories/womens-skin?source=catalog) ## Your body is changing. Your care can, too. Hot flashes. Restless nights. Comfort that feels different. You don’t have to just put up with it. Talk with a clinician who listens, and explore menopause care built around you. 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