Women’s Custom HRT

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Weekly Estradiol Patch

Estradiol Vaginal Cream

Progesterone Capsules

Women’s Custom Hormone Replacement Therapy (HRT) uses bioidentical hormones such as estradiol (patch or vaginal cream) and oral progesterone (when indicated) to restore hormonal balance during perimenopause and menopause. This therapy helps address symptoms caused by declining estrogen and progesterone levels while supporting overall health and longevity.

Potential Benefits

  • Relief from hot flashes and night sweats

  • Mood stability: reduced anxiety/irritability

  • Mental clarity & reduced brain fog

  • Healthy skin elasticity and collagen production

  • Enhanced sleep quality

  • Increased energy levels & reduced fatigue

  • Bone density support and reduced risk of osteoporosis

  • Cardiovascular health support

  • Vaginal health: reduced dryness/discomfort

  • Improved libido and sexual wellness

estrogen patch online prescription
  • Estradiol Patch: Estradiol

    Estradiol Vaginal Cream: Estradiol

    Progesterone Capsules: Progesterone

    If approved, appropriate dose will be determined by a licensed healthcare provider during your complimentary online exam.

  • Hormone therapy delivers estrogen and progesterone in forms that provide either whole-body support or targeted support, depending on your individual needs.

    Estradiol Patch (weekly) is applied to the skin to deliver a steady, low dose of estrogen into the bloodstream over time. This allows for whole-body support without passing through the digestive system.

    Estradiol is a form of estrogen that helps regulate many systems in the body, including brain function, metabolism, temperature regulation, and reproductive tissues. By restoring estrogen levels, the patch may help support mood, energy, sleep, and relief from symptoms like hot flashes or night sweats, while maintaining a steady, even release throughout the week.

    Estradiol Vaginal Cream (applied internally) works directly on the surrounding tissues. It is designed for targeted support in maintaining the health of vaginal and urinary tissues. As levels decline, these tissues can become thinner, drier, and more sensitive.

    By delivering estrogen directly to the area, the cream helps support tissue hydration, elasticity, and comfort, often improving symptoms like dryness, irritation, and discomfort with intimacy.

    Progesterone Capsules (taken orally)help balance the effects of estrogen and plays a key role in calming the nervous system. Progesterone is often used to support sleep, mood, and hormonal balance, and is especially important for protecting the uterine lining in women who are taking estrogen and still have a uterus.

    Many people notice a calming effect, as progesterone interacts with receptors in the brain that support relaxation and sleep quality.

  • I’ve been told everything is “normal,” but I still don’t feel like myself. Could hormones be part of it?
    Yes, this is very common. Hormonal shifts don’t always show up clearly on standard lab tests, and “normal” ranges don’t always reflect optimal levels for how you feel. Symptoms like fatigue, mood changes, brain fog, sleep issues, or low libido can still be hormone-related, even if labs appear within range.

    How do I know if hormone therapy is right for me?
    It starts with how you’re feeling. If you’re experiencing changes in energy, mood, sleep, cycles, or overall well-being, hormone therapy may be worth exploring. Your provider will review your symptoms, health history, and (when appropriate) labs to determine if it’s a good fit.

    What symptoms can hormone therapy support?
    HRT may help support:
    • Low energy or fatigue
    • Mood changes, anxiety, or irritability
    • Brain fog or difficulty concentrating
    • Sleep disturbances
    • Hot flashes or night sweats
    • Vaginal dryness or discomfort
    • Low libido or changes in intimacy
    • Weight or body composition changes

    Is hormone therapy only for menopause?
    No. While it’s commonly used during perimenopause and menopause, younger women can also experience hormone imbalances. HRT may be appropriate at different stages of life depending on your symptoms and goals.

    Will hormone therapy help me feel like myself again?
    Many women report feeling more like themselves once their hormones are balanced, including more energy, clearer thinking, better mood, and improved overall well-being. Results vary, but the goal is to support you in feeling more aligned and balanced.

    Can hormone therapy help with intimacy or low libido?
    Yes, it can. Hormones like estrogen and testosterone play important roles in sexual health. Balancing these levels may help support libido, comfort, and overall intimacy.

    Is hormone therapy safe? I’ve heard mixed things.
    Modern hormone therapy, especially when personalized and monitored, has a strong safety profile for many women. Your provider will review your individual risk factors and guide you through options that align with your health and goals.

    What’s the difference between bioidentical and synthetic hormones?
    Bioidentical hormones are designed to be structurally similar to the hormones your body naturally produces. Synthetic hormones may have a different structure. Your provider will help determine the best option based on your needs and preferences.

    Do I need blood work before starting?
    Sometimes. Lab work can provide helpful insight, but treatment decisions are often based on a combination of symptoms, history, and labs, not labs alone.

    How long does it take to feel a difference?
    Some women notice improvements within a few weeks, while others may take a few months. Hormone therapy is a gradual process, and your provider will adjust your plan over time to optimize results.

    Do I need progesterone if I don’t have a uterus?
    Not always. Progesterone is typically used to protect the uterine lining in women who still have a uterus. If you’ve had a hysterectomy, your provider will determine whether progesterone is necessary based on your specific situation.

Disclaimer: Products are only available if prescribed after an online consultation with a licensed healthcare provider. Compounded medications are dispensed by third-party USA licensed pharmacies. The Food and Drug Administration does not review compounded medications for safety or effectiveness and the statements on this page have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent diseases. Results may vary. Discontinue use and seek care if you if you experience any adverse reaction to this product. Product is offered by subscription which you can cancel anytime. Photo is for illustration purposes; actual packaging may differ.

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HRT Benefits

Regain your inner altitude.

HRT

Rise into your potential.

Feel like yourself again. Support your body’s natural balance with custom HRT during perimenopause and menopause.

Formats to fit your lifestyle:

Weekly Estradiol Patch: whole-body

Estradiol Vaginal Cream: targeted

Progesterone Capsules: balance

High-level care, wherever you are.

24/7 Online provider support

Manage treatments online

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How Birdie Online Works

  • Step 1

    HEALTH QUESTIONNAIRE

    Complete a no-obligation form online about your health history and goals for treatment.

  • Step 2

    COMPLIMENTARY EVALUALTION

    Meet with a licensed healthcare provider 100% online to see if you qualify for a treatment plan.

  • Step 3

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    If approved, your prescription will ship directly to you. Get regular online check-ins and support.

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Popular Products

Designed to elevate.

Grounded in research.

Research is our passion- check out some HRT related articles:

Arnautu, A. M., et al. (2025). Menopausal hormone therapy—Risks, benefits and emerging options: A narrative review. International Journal of Molecular Sciences, 26(22), 11098. https://doi.org/10.3390/ijms262211098

Cho, L., et al. (2023). Rethinking menopausal hormone therapy: For whom, what, when, and how long? Circulation, 147(7), 597–610. https://doi.org/10.1161/CIRCULATIONAHA.122.061559

Hodis, H. N., & Mack, W. J. (2022). Menopausal hormone replacement therapy and reduction of all-cause mortality and cardiovascular disease: Timing matters. The American Journal of Medicine, 135(5), 561–566.

Kim, J. E., et al. (2020). Effects of menopausal hormone therapy on cardiovascular disease: A systematic review and meta-analysis. Scientific Reports, 10, 20649. https://doi.org/10.1038/s41598-020-77534-9

Schwab, A. I., et al. (2025). The history of menopausal hormone therapy and its impact on health outcomes. Autonomic Neuroscience.