Menopause
Menopause care, on your terms.
Hormone therapy options for perimenopause and menopause, prescribed by our physician after a video visit and delivered to your door.
- Video visit
- Labs as directed
- Ships free
Prescriptions are reviewed and issued by Clay Buchanan, MD.
Free assessment · Available in Texas and Florida · Prescription required
† “From” prices are 12-month plan rates, billed monthly. Models shown. See plan terms.

Is this right for me?
Women navigating perimenopause or menopause symptoms.
This may be a fit if you're
- Women 18+ in Texas or Florida
- Hot flashes, night sweats, sleep or mood changes, or vaginal symptoms
- Want a clinician to review hormone therapy options
- Can share personal and family medical history
This isn't for you if you're
- History of breast or endometrial cancer
- History of blood clots or stroke
- Unexplained vaginal bleeding
- Pregnant or could be pregnant
Your clinician reviews your full history either way. This list isn't complete.
Treatment options
Options your clinician may prescribe.
Prescription required. Medications are prescribed only if our physician determines they are clinically appropriate.
FDA-approvedEstradiol
Oral tablet, patch or cream
An FDA-approved estrogen used in menopausal hormone therapy.
From $69/mo (see pricing footnote)
FDA-approvedProgesterone
Oral capsule
An FDA-approved progestogen often prescribed with estrogen.
From $69/mo (see pricing footnote)
FDA-approvedVaginal estrogen
Vaginal cream or insert
A low-dose local estrogen for vaginal symptoms.
From $69/mo (see pricing footnote)
† “From” prices are 12-month plan rates, billed monthly. Models shown. See plan terms.

Clinical oversight
Clinical oversight
Our physician reviews every evaluation and prescribes only when it's the right call.
Clay Buchanan, MD · Medical Director and prescribing physician
Video evaluations are performed by licensed clinicians through our telehealth partner. Every prescription is reviewed and issued by Dr. Buchanan.
Meet our physician & care teamHow it works
Four steps, all online.
Share your history
Answer a few questions about your health and goals. It's free.
Video visit
Meet a licensed clinician by video. Labs are ordered if your treatment needs them.
Physician review
Our physician, Clay Buchanan, MD, reviews your visit and prescribes only if it's right for you.
Approve your plan, ships free
Choose your plan (you're charged only then). Your medication ships free, and your care team is a message away.
What's included
One monthly price covers your care.
- Video visit with a licensed clinician
- Messaging with your care team
- Your medication, if prescribed
- Free, discreet shipping
- Annual video check-in
- Cancel anytime, no membership fees
- Follow-ups to adjust your plan
What to expect
Your first year, step by step.
- Day 0Assessment and video visit (labs if your clinician directs)
- Day 1If prescribed, approve your plan
- Day 2–5Ships free
- Week 6–12Check-in to review how you're feeling and adjust
- Every 12 monthsVideo check-in and review of your plan
Timing varies. Treatment continues only if your clinician determines it's appropriate.
Safety information
Important safety information.
Common side effects may include
- Breast tenderness
- Bloating
- Spotting
- Headache
- Nausea
- Mood changes
This is not a complete list.
Estrogen-containing medications carry a boxed warning about risks including stroke, blood clots, and certain cancers; see the prescribing information on each medication page. Report unusual vaginal bleeding to your care team.
StemNovaMD is not an emergency service. If this is a medical emergency, call 911 or go to the nearest emergency room.
Full safety information for each medication:
Frequently asked questions
Do I need labs?
Not always. Your clinician will decide based on your history and symptoms.
Is this bioidentical hormone therapy?
Estradiol and progesterone are FDA-approved and structurally identical to hormones your body makes. Any compounded option is labeled as not FDA-approved.
Can I use this during perimenopause?
Often, yes. Your clinician will review your symptoms and history to decide.
What if I’ve had a hysterectomy?
Tell your clinician. It changes which options are appropriate for you.
How am I billed?
You're charged only after you approve your plan. Plans renew until you cancel. Shipping is free.
Can I cancel?
Yes, anytime online in your account.
This page is for general education. It is not medical advice and does not create a clinician–patient relationship.
Start your menopause assessment. Our physician reviews every request.
About 10 minutes. No charge unless you're prescribed. Serving adults in Texas & Florida.
Cancel anytime · No membership fees