Hormone Replacement Therapy (HRT) Expertly Prescribed for You

Our clinicians take the time to listen and tailor hormone replacement therapy (HRT) to your unique needs and preferences.

HRT is the most effective treatment for perimenopause and menopause symptoms, providing fast relief from hot flashes, night sweats, poor sleep, vaginal dryness, and mood changes. HRT can also lower your risk for osteoporosis, heart disease, and may even protect your brain as you age.​

During your virtual visit, your clinician will design a safe, evidence-based care plan just for you.

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How It Works

1) Book Your Initial Consultation

Select an appointment time first, so you know that help is on the way

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2) Complete Your Onboarding

 Set up your patient portal, provide billing for future charges, share your health history and goals

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3) Meet with Your Clinician over Zoom

Discuss your questions, concerns and options with a clinician who really listens 

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4) Medications Arrive at Your Door

Work with your clinician to modify your care plan as needed

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5) Feel Like You Again

Take a holistic approach once your most pressing symptoms are addressed

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Our Clinical Team

At Inflexxion Health, your care is guided by a small, collaborative team of menopause-focused clinicians dedicated to safe, evidence-based treatment. Led by Dr. Rowena Chua and Dr. Nita Thapa, our team brings deep expertise and personalized attention to every patient.

Dr. Rowena Chua, Medical Practice President

“My approach blends conventional medicine with integrative strategies to help women feel balanced, resilient, and empowered. Both as a clinician, and as someone who understands these transitions on a personal level, I've seen how transformative the right support and treatment can be.”
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Dr. Nita Thapa, Chief Clinical Advisor

“My passion and mission is to empower women, and to give them all of the evidence-based tools and treatments that are available so they can make the best decision for their own health. It’s been a joy working with my teammates at Inflexxion Health to build this new healthcare platform.”
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Pricing

Inflexxion Health does not currently accept health insurance. Medication costs will vary by prescription.
Examples of our most common prescriptions are provided below.

Initial Consultation

Initial Consultation – $200

Click the "Book Now" button below to book your Initial Consultation with one of our highly qualified Clinicians.
Follow Up Visit

Follow-Up Visit – $75

New patients are required to attend a follow-up visit 10-12 weeks after starting HRT with Inflexxion Health.

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Estradiol Patch – $70/month

Inflexxion Health care providers prescribe in 90-day quantities; your medication is shipped directly from our pharmacy partner to you and the cost of shipping is included.
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Progesterone capsule (100mg) - $33/month

Inflexxion Health care providers prescribe in 90-day quantities; your medication is shipped directly from our pharmacy partner to you and the cost of shipping is included.
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Frequently Asked Questions

When should I start HRT?
The best time is during perimenopause (the transition period before menopause when hormone levels fluctuate, causing irregular periods and symptoms like hot flashes, sleep disruption, and mood changes) or within the first 10 years of menopause (generally before age 60). This is the "window of opportunity" when HRT has the greatest benefits for your heart, bones, and brain. If you're considering starting more than 10 years after your last period, you'll want tests to check your arterial health first.
Can I start HRT if I use a hormonal IUD?
Yes! Your hormonal IUD provides local progesterone to protect your uterine lining, so if you need estrogen for menopausal symptoms, you can add it. The combination generally works well together. The IUD handles the progesterone component while estrogen addresses other symptoms. You also don’t need to wait until your periods stop to get relief; many women begin treatment during perimenopause.
Can I start HRT if I have a family history of breast cancer?
Generally yes. Multiple studies show that having a family history of breast cancer doesn't mean you can't safely use HRT. Research (for example Kotsopoulos et al. 2016) has even found that women with BRCA1 or BRCA2 mutations who had their ovaries removed and then used HRT showed no increased breast cancer risk compared to those who didn't use hormones. That said, this is definitely a conversation to have with your clinician to weigh your individual situation.
Are tests needed to start HRT?
Not usually. For most healthy women starting HRT at menopause, you don't need special bloodwork or hormone level testing before beginning. Why? Because hormone levels fluctuate significantly throughout the day and from day to day, and there's substantial variation between individuals, so testing is considered unreliable for guiding treatment decisions (North American Menopause Society Position Statement, 2022). Your symptoms and health history are what guide the decision. The exception is if you're starting more than 10 years past menopause, when there's a small risk of worsening pre-existing arterial plaque in that first year. In that case, your clinician might want to assess your arterial health and heart strength with tests like a coronary calcium scan to make sure it's safe to start.
What doses are appropriate?

There's no one-size-fits-all answer. The old "lowest dose for shortest time" advice isn't evidence-based. The right dose is whatever effectively manages your symptoms based on your individual needs. Your clinician should personalize your treatment, the dose that works for you might be different from what works for someone else.

How long can I safely be on HRT?

As long as you need it! Current medical guidelines say there's no mandatory stop date. The benefits continue as long as you take it, which is especially important for bone protection and possibly brain health. Many medical societies like the North American Menopause Society (NAMS) and the American College of Obstetricians and Gynecologists (ACOG) now recommend that women can continue HRT beyond age 65 if they still have symptoms or want the ongoing protective benefits.

What does bio-identical HRT mean and is it better?

"Bio-identical" technically means the hormone's molecular structure matches what your body makes, like estradiol. But, the term is often misused. Some FDA-approved HRT products are already bio-identical, like estradiol patches, creams, and tablets. The term itself doesn't determine safety or effectiveness, nor does it mean that the hormones are “natural", even compounded bio-identical hormones have been formulated in a lab.
What matters most is working with a knowledgeable clinician who can help you choose safe, evidence-based therapies based on your specific needs and health history.

Ready to feel like yourself again?

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Inflexxion Health provides expert, evidence-based virtual menopause care. Subscribe to our newsletter for insights, resources, and support through this pivotal midlife transition.
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