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Menopause & HRT · Hormone care

Midlife isn't a deficiency. You don't have to white-knuckle it.

Hot flashes, broken sleep, brain fog, mood swings, low libido — the symptoms of perimenopause and menopause are real, and they're treatable. Cypress care starts with a symptom-led assessment, not a SKU. A licensed clinician reviews what you're feeling and, if it's appropriate, prescribes a personalized hormone regimen from our formulary.

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Symptom-led intake · Clinician-personalized regimen
100% confidential

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Your care
Clinician-ledCare
State-LicensedCompounding Pharmacies
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Available inAll 50 US states

Menopause & HRT

Replacing what your body has stopped making.

Through perimenopause and into menopause, your ovaries wind down their production of estrogen and progesterone. That hormonal shift — not a character flaw, not "just stress" — is what drives hot flashes, night sweats, sleep disruption, mood changes, brain fog, and changes in libido and vaginal comfort.

Hormone replacement therapy (HRT) works by restoring those hormones. At Cypress, that can mean estradiol (the main estrogen), progesterone, biest (a blended estrogen preparation), or a combination — delivered as a patch, gel, cream, tablet, or capsule. The right form and dose depend on your symptoms, your history, and your preferences.

You don't shop SKUs and guess. You complete one symptom-led assessment, and an independent licensed clinician determines whether HRT is appropriate for you and which regimen fits.

The formulary

What your clinician can prescribe from.

These are the preparations your clinician can prescribe from. The right form and dose depend on your visit — this is what they choose from, not a cart.

Estradiol Patches
Transdermal · twice-weekly
Steady delivery
View details →
Estradiol Gel
Transdermal · daily
Dose-flexible
View details →
Estradiol Tablet
Oral · daily
Simple routine
View details →
Estradiol Vaginal Cream 0.01%
Local · vaginal
Localized relief
View details →
Biest 50:50
Blended estrogen · ± progesterone
Blended estrogens
View details →
Progesterone Capsules
Oral · nightly
Often paired
View details →

Most preparations are available as monthly or quarterly plans. If you have a uterus and are prescribed estrogen, your clinician will typically pair it with progesterone to protect the uterine lining.

How it works

Simple online care, built around you.

Start your assessment

3-minute screener · No commitment

1
Complete your intake
Tell us about your health history, goals, symptoms, and what's changed. This takes less than 3 minutes.
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2
Get provider review
A licensed U.S. provider reviews your information and determines whether treatment is appropriate — typically within 24 hours.
Learn More
3
Start your plan
If eligible, your plan may include a personalized compounded hormone regimen with pharmacy coordination, ongoing oversight, and direct-to-door delivery.

Our physician partner

Medical oversight by Arora Health

Your care is reviewed and overseen by board-certified, U.S.-licensed physicians at Arora Health & Aesthetics — our independent medical partner, with clinician coverage in all 50 states.

Dr. Sean Arora, Co-Founder and CEO of Arora Health & Aesthetics

Dr. Sean Arora

Arora Co-Founder & CEO

  • Board-certified physician
  • Licensed in all 50 states

Dr. Sean Arora is a board-certified physician and the founder of Arora Health & Aesthetics, bringing deep expertise in wellness, family medicine, and telehealth innovation.

He leads one of the nation's most comprehensive medical oversight and compliance networks, supporting clinics through full-spectrum medical directorship, nationwide telehealth provider coverage, and evidence-based protocol development across peptides, hormone optimization, weight loss, regenerative medicine, and aesthetic treatments.

Known for his forward-thinking approach to patient safety and scalable clinical operations, Dr. Arora partners closely with medical spas, wellness clinics, and telehealth organizations to ensure responsible, compliant, and impactful care. Licensed in all 50 states, he is dedicated to expanding access to high-quality wellness services through innovation, leadership, and patient-centered standards.

Dr. Shannon Arora, Chief Medical Officer of Arora Health & Aesthetics

Dr. Shannon Arora

Chief Medical Officer

  • Hospital-trained physician
  • Preventive & longevity medicine

Dr. Shannon Arora is a physician dedicated to making a meaningful impact on patient health through both traditional medicine and proactive wellness care.

With experience as a hospitalist, she brings a strong clinical foundation shaped by work in hospitals and nursing homes, offering a broad perspective on patient care across diverse settings. While her early career focused on acute care, Dr. Arora recognized an opportunity to create a more proactive, personalized approach within the health, wellness, and longevity space. She now focuses on optimizing patient health through advanced wellness therapies, preventative medicine, and longevity-focused care, helping patients improve energy, confidence, and overall quality of life.

As Chief Medical Officer, Dr. Arora is passionate about advancing innovation in regenerative medicine and wellness, while helping both patients and organizations achieve better outcomes through thoughtful, patient-centered care.

What HRT can help with

The symptoms women
actually come to us for.

You don't need all of these to start. One that's getting in the way of your life is enough reason to ask.

Hot flashes & night sweats
The classic vasomotor symptoms — sudden heat, flushing, sweating, often worst at night and wrecking your sleep. Estrogen therapy is the most effective treatment available for these, and for many women it's the single change that gives the most relief.
Brain fog & mood
Trouble finding words, losing your train of thought, irritability or low mood that doesn't feel like "you." The hormonal swings of perimenopause affect cognition and mood for many women. Stabilizing them can help — though your clinician will also screen for other contributors.
Sleep disruption
Waking at 3am, sweating through the sheets, or simply never getting deep rest. Progesterone in particular is often dosed at night because many women find it settling, and treating night sweats removes a major reason for waking.
Low libido & vaginal comfort
Declining interest, dryness, or discomfort during sex are common and rarely talked about. Local vaginal estrogen and systemic HRT can both play a role; your clinician will help you understand which fits your picture.

Safety

HRT is well-studied —
and not for everyone.

Hormone therapy is one of the most studied treatments in women's health, and for many women in midlife the benefits outweigh the risks. But it does carry risks — including, depending on the preparation and your history, effects on the risk of blood clots, stroke, gallbladder disease, and certain cancers. Estrogen taken by women with a uterus is generally paired with progesterone to protect the uterine lining.

HRT is generally not appropriate for women with a history of certain hormone-sensitive cancers, unexplained vaginal bleeding, active liver disease, or a history of blood clots or stroke, among other conditions. Your clinician will review your full history and tell you if a different path makes more sense.

Compounded preparations are not FDA-approved. Your clinician will discuss the options, including FDA-approved alternatives, so you can make an informed choice together.

Questions

Answers to
common questions.

How does HRT work at Cypress?
Symptom-led intake, then a personalized regimen from a clinician.
You start with a symptom-led assessment — what you're experiencing, when it started, what's getting in the way. A clinician reviews and, if appropriate, prescribes a personalized regimen from our formulary of estradiol, progesterone, biest, and combination preparations. You don't shop SKUs; the clinician determines the right protocol for you.
Do I need a recent blood test or my doctor's referral?
No referral needed; your clinician will tell you if labs are required.
No referral is required. Menopause is most often diagnosed clinically — from your symptoms, age, and cycle history — rather than from a single blood test. Your clinician will let you know if any labs are needed before or during treatment based on your individual picture.
Is "bioidentical" or compounded HRT safer than regular HRT?
Not a claim we make — here's the honest picture.
"Bioidentical" describes hormones with the same molecular structure as those your body makes; many FDA-approved products are also bioidentical. Compounded preparations are not FDA-approved and have not been shown to be safer or more effective than approved options — they're useful mainly when an approved product doesn't fit, such as a needed dose or form. Your clinician will discuss approved alternatives so you can choose together.
Why might I need progesterone too?
If you have a uterus, estrogen is usually paired with progesterone.
Estrogen taken on its own can cause the lining of the uterus to thicken, which raises the risk of endometrial problems over time. For women who still have a uterus, clinicians generally pair estrogen with progesterone to protect that lining. If you've had a hysterectomy, progesterone is often not needed. Your clinician makes this call.
When am I charged?
Not until a clinician confirms your eligibility.
You're not charged when you submit. Your card is saved. A licensed clinician reviews your assessment, typically within 24 hours. If approved, you'll be notified by email before the first charge. If not approved, you're not charged.
Can I use my FSA/HSA?
Yes — itemized receipts provided for self-submission.
Yes. HSA and FSA cards are accepted on any plan. We also provide itemized receipts in case you need to self-submit to your benefits provider.

Find out if HRT fits your picture.

The symptom-led assessment is free. Your clinician typically follows up within 24 hours with a personalized recommendation.

Start my assessment
Start my assessment