Hormone Relief For Every Woman

Our customized hormone treatments offer life-changing relief from fatigue, hot flashes, low libido and more, helping you feel alive like never before.

Check your symptoms with our assessment and see if hormone treatment is right for you.

Hormone Health Expertise

Get personalized care and guidance from US-licensed medical providers with advanced training in hormone therapy.

Bioidentical Hormones

Our providers prescribe bioidentical hormones — safe, effective and identical to your body’s natural hormones.

Customized Treatments

Your dedicated medical provider will personalize your treatment based on your symptoms and work collaboratively with you to get the results you want.

Ongoing Support

Enjoy exclusive access to 1-1 online video consults and messaging with your Medical Provider and Member Support team.
THE PROBLEM

Are Your Hormones Holding You Back?

Hormone symptoms aren’t just uncomfortable. They can also impact your health, relationships and career. Yet most medical providers don’t know how to treat them. Instead, they get misdiagnosed or dismissed as “normal.” Which means women are often left to suffer in silence.

Until now…
THE SOLUTION

Introducing Fem Excel

Fem Excel is dedicated to creating a healthier, happier future for women as their bodies change.

Unlike other clinics that focus only on “female” hormones, our protocol focuses on your estrogen, progesterone, testosterone and thyroid for the most accurate diagnosis and life-changing results.

The Excel Advantage for Women

Our Providers
Experience the expertise of leading hormone specialists led by Peter Fotinos, MD. and a dedicated medical team committed to your health. With personalized care tailored to your unique needs, you can trust in our comprehensive approach to hormone therapy.
Protocol
Discover the transformative edge of The Excel Advantage, our unique symptom-based protocol designed to rejuvenate your vitality and support healthy aging. With regular assessments and 6-month blood tests, our evidence-based treatments help you achieve remarkable and lasting health improvements.
Prescriptions
Our bioidentical hormone replacement therapy (BHRT) uses hormones that mimic those your body naturally produces, ensuring optimal results. With personalized treatments, we address all aspects of hormone health, providing relief from unwanted symptoms.
Online Platform
Our state-of-the-art clinic platform connects you directly with your dedicated medical provider and Member Support team. Enjoy seamless communication, quick responses, and reduced wait times, ensuring that you always receive the support you need, when you need it.
Your customized treatment awaits. To get started, complete your assessment.
CHECK YOUR SYMPTOMS

Is HRT Right for Me?

If you have any of these symptoms, HRT can be a safe and effective solution to get the relief you need.
  • Hot Flashes
  • Night Sweats
  • Sleep Problems
  • Weight Gain
  • Low Energy
  • Low Sex Drive
  • Skin Changes
  • Brain Fog
  • Mood Swings
  • Thinning Hair
  • Infertility
  • Miscarriage
  • Heavy or Irregular Periods
  • Vaginal Dryness
  • Anxiety

To see if hormone replacement therapy (HRT) can help you, start your free online assessment.

HELP FOR HORMONES

What We Treat

At Fem Excel, we understand the challenges of hormonal changes at every stage of life. Whether you’re dealing with the inevitable symptoms of menopause or managing PCOS, our hormone specialists provide safe, effective solutions to treat your symptoms and put you back in control.

Premenopause represents the period before the start of perimenopause, the transitional phase towards menopause. During premenopause, estrogen levels remain constant. But, crucial hormones such as progesterone, thyroid and testosterone begin to decline. Hormone therapy works to restore these declining hormones, resulting in less uncomfortable symptoms. Benefits of hormone treatment include increased energy, elevated mood, stronger sex drive and better weight control.

Menopause happens anywhere from your 40s to your 60s, with an average age of 51. During this stage, estrogen production and periods become erratic. You may notice symptoms like hot flashes, night sweats, low mood, sleep disturbances, reduced libido, weight gain and vaginal dryness. These changes are a result of fluctuating estrogen levels. By carefully customizing your hormone treatment, we can help minimize your symptoms so you can start living again.

Postmenopause is when all your periods have stopped, marking the end of ovarian function. During this phase, your body’s estrogen levels are still low. For this reason, many women may still struggle with menopausal symptoms. Hormone treatment can help reduce these aggravating symptoms related to energy, mood, libido and sleep that may persist after menopause. Studies also show that hormone therapy helps delay skin aging.

It’s estimated that PCOS affects 1 in 10 women of childbearing age. Many women have PCOS and don’t even know it. That’s why it’s best to get tested. FemExcel offers the advanced testing needed to diagnose and uncover the root cause of your PCOS, which is most often hormonal. To get started, check your symptoms with our free online assessment.

Weight loss can be challenging, but our comprehensive approach, including Semaglutide and Hormone Replacement Therapy (HRT), can help. Semaglutide is a GLP-1 medication that aids in weight loss by regulating appetite and metabolism. HRT helps address hormonal imbalances to improve energy levels, mood, and overall well-being. Studies show that proper hormone management can significantly aid in weight loss efforts.

Our At-Home Hormone Test

Our test is virtually painless and uses the latest remote blood collection technology to collect your sample easily and assess your hormone levels.

We measure 13 key biomarkers to gain insight into your specific symptoms. From here, you’ll meet with one of our licensed physicians so we can get to know you and create a plan together. Because every woman deserves to be heard and empowered to live her best life.
Discover the convenience of our painless At-Home Hormone Test Kit. Click below to see it for yourself.

What We Measure

HDL Cholesterol (High-Density Lipoprotein)

Proper HDL (good cholesterol) levels help your arteries clear out the cholesterol your body doesn’t need. Low levels indicate an elevated risk for heart disease. Low levels are caused by smoking, obesity, type 2 diabetes, and a lack of exercise. Knowing where your HDL is can help us determine the cause of your symptoms and what actions to prioritize.

Lipid Profile (Cholesterol + Triglycerides)

Lipid levels (fat in your blood), including triglycerides and bad cholesterol (LDL or low-density lipoprotein), significantly impact cardiovascular health. Poor diet and lack of exercise contribute to elevated lipid levels, low levels of good cholesterol (HDL, or high-density lipoprotein), and increased body fat and visceral fat. These effects increase the risk of cardiovascular problems such as clogged arteries (atherosclerosis), heart disease, and stroke. If your levels are high, we will focus on diet, exercise, and stress management to get your levels back in check and reduce the associated risks. 

Proper HDL (good cholesterol) levels help your arteries clear out the cholesterol your body doesn’t need, negating the above effects. Low HDL levels can be caused by smoking, obesity, type 2 diabetes, and a lack of exercise. HRT combined with exercise can increase your HDL, which will also help you lose weight. Knowing your lipid levels can help us determine the cause of your symptoms and what actions to prioritize.

Free T3 (Triiodothyronine)

T3, the most active of the three thyroid hormones, controls over 200 functions in the body. It sustains muscle control, brain function, heart and digestive health, and is pivotal in metabolism and bone health. Given its influence on almost every physiological process, maintaining optimal T3 levels is crucial for combating fatigue, weight gain, depression, brain fog, muscle aches, and joint pain.

Creatinine

This measurement gives insight into kidney function and lets us know how well they are filtering waste from your blood. An increased level can indicate poor kidney function, which is essential to know if you have type 2 diabetes, high blood pressure, or any other condition that elevates the risk for kidney disease. Loss of kidney function can affect your skin, appetite, energy levels, sleep, and so much more.

Insulin

Testing insulin levels is vital for uncovering issues like insulin resistance, prediabetes, and diabetes. In 2021, an estimated 97.6 million adults aged 18 years or older had prediabetes, highlighting the critical importance of insulin monitoring women’s health. Uncovering and acting upon hidden dangers like this reduces the risk of cardiovascular disease, kidney disease, nerve damage, eye problems, obesity, and weight gain. Our healthcare providers can offer personalized lifestyle and exercise recommendations tailored to individual needs based on these results.

Polycystic Ovarian Syndrome (PCOS)

Addressing PCOS is vital as this condition significantly heightens the risk of developing type 2 diabetes and cardiovascular disease. Our comprehensive testing includes LH, FSH, free T3, insulin, vitamin D3, triglycerides, progesterone, HDL, and creatinine, providing detailed insights into your symptoms. From weight gain and fertility challenges to excess body hair, hair loss, and acne, our tests unveil the hormonal imbalances contributing to PCOS symptoms. By identifying these issues, we empower you to reclaim control over your health and relieve symptoms while improving your chances of ovulation.

Estradiol (The most powerful form of estrogen)

Testing estradiol levels is essential for understanding hormonal balance and addressing postmenopause symptoms and concerns. Estradiol levels become erratic leading up to menopause and then decline significantly, resulting in symptoms such as hot flashes, mood swings, and vaginal dryness. Low estradiol levels are also associated with an increased risk of osteoporosis, heart disease, Alzheimer’s, and stroke. Balancing estradiol levels can help alleviate symptoms, enhance bone and heart health, aid in weight loss, and enhance the quality of life after menopause. Note: We primarily test estradiol levels after you’ve gone through menopause.

Progesterone

Recognizing progesterone’s role in health is essential for treating women of all ages, not just during menopause. Testing progesterone levels is crucial for understanding hormonal health and identifying symptoms like irregular cycles, mood swings, and hot flashes. Progesterone naturally declines in the lead-up to and during menopause due to decreased ovarian function, exacerbating these symptoms. It serves as a vital mood regulator, particularly evident during postnatal depression and menopause. Supplementation can provide a valuable mood boost during these phases when hormone levels drop, aiding women in overcoming emotional challenges. Optimizing progesterone levels can improve mood, aid restful sleep, support bone health, enhance fertility, reduce hot flashes, and protect against breast, uterine, and ovarian cancer.

Total and Free Testosterone

Testosterone is not just a male hormone. It’s just as important, if not more important, in women than in men. Low levels are linked to reduced sexual desire and energy levels, which can resemble symptoms of depression, such as mood changes, feeling blue, and fatigue. Checking free testosterone levels is crucial because it indicates how much hormone is available for use by the body. Optimizing these levels can improve libido, mood, and overall vitality. Plus, you’ll notice some great benefits like increased collagen and skin elasticity, a reduction in the appearance of wrinkles, weight loss, and a faster metabolism.

Vitamin D3

Checking your vitamin D3 levels is crucial, but did you know it’s not really a vitamin? It’s a hormone. This hormone helps balance other hormones and lowers the risk of conditions like polycystic ovary syndrome and endometriosis. During menopause, many people run low on D3, leading to problems like osteoporosis and low mood. If your levels are low, we can boost them with supplements. They’ll help balance your hormones, keep your bones strong, support your immunity, and lift your mood. So, keeping an eye on your D3 levels and maintaining healthy levels can really improve how you feel.

Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH)

LH and FSH are hormones produced by the pituitary gland that work together to regulate the reproductive system and support sexual health. With reproduction, LH matures the egg on the ovary, and FSH releases the egg. Furthermore, LH and FSH influence the production of estrogen via the ovaries. Variations in your LH and FSH levels provide insight into your symptoms and overall hormone health and contribute to understanding your estrogen and progesterone levels. This test aids in the diagnosis of perimenopause and PCOS. 

DHEA-S

DHEA-S plays a significant role in women’s hormonal health, so monitoring and maintaining levels is crucial. DHEA-S levels naturally decline as women age, affecting libido, energy levels, and bone health. Supplementation has been shown to alleviate symptoms, with studies suggesting that restoring levels to those of younger individuals may reverse the effects of aging. Increasing DHEA-S levels may boost estrogen and testosterone in peri and postmenopausal women, supporting hormone health and improving their quality of life. DHEA-S is also the best hormone for treating stress. Additionally, it reduces belly fat and improves cholesterol, sleep quality, and memory.

FOR PROVEN RELIEF

Our Treatments

Hormone replacement therapy (HRT), which supplements your body’s hormones as they decline, has been proven to be safe and effective. Fem Excel prescribes bioidentical hormones, which are biologically identical to what your body produces.
Progesterone (Capsule)
Progesterone treatment relieves PMS, promotes sleep, improves bone health, supports fertility and treats a variety of menopausal symptoms. Progesterone acts as a natural antidepressant to reduce anxiety and help with mood swings.
Thyroid (Capsule)
Approximately 1 in 8 women will be affected by a thyroid condition at some point in their lives. Along with an increase in energy levels and a more stable weight, thyroid treatment may help improve your sex drive, sleep, joint and muscle pain, and mood.
Testosterone (Cream)
Testosterone is important for bone density, muscle mass, cognitive function, mood, sexual function and energy. Women undergoing testosterone replacement therapy may experience reduced symptoms of fatigue and depression, as well as increased sex drive.
Estradiol (Capsule, Cream or suppository)
FDA-approved estradiol medication supports declining estrogen levels with an easy-to-use pill, cream or suppository. Estrogen therapy provides proven relief for hot flashes and night sweats, while supporting skin health and function including hydration and elasticity.
Metformin (Tablets)
Metformin effectively lowers insulin and reduces excess testosterone, helping you achieve more regular periods and improve fertility. By enhancing insulin sensitivity, it improves blood sugar control and supports weight loss. Metformin also lowers cholesterol levels, improves liver health, and lowers prediabetes risk. For a comprehensive PCOS plan, combine Metformin with thyroid and progesterone treatments.
Semaglutide (Tablets or Injection)
Semaglutide is a powerful GLP-1 medication that helps you achieve sustainable weight loss, with an average 15% reduction in body weight. By regulating appetite and metabolism, it surpasses the effectiveness of diet and exercise alone. Available in both injection and tablet forms, Semaglutide offers flexibility to fit your lifestyle.
OUR PROCESS

How Fem Excel Works

Our medical providers carefully review your health history, current symptoms and test results to determine the best treatment plan for your body.
Symptoms Check

Complete your free symptoms assessment, then order and return your $99 hormone test kit.

Online Consult 1

Discuss your symptoms and treatment options with your medical provider during your online consult.

Online Consult 2

Review your test results with your provider, who will create a treatment plan tailored to your needs.

Life-Changing Results

Your medications will be delivered to your door. We’ll regularly review your symptoms and treatment to ensure you feel your best, with renewed energy and confidence.

WE GET RESULTS:
85%
of our patients report improvement within 2 months
96%

 within 6 months

* At this time our medical providers prescribe in all states except Arkansas, Connecticut, Hawaii, Idaho, Kentucky, Louisiana, New Hampshire and Rhode Island.

AFFORDABLE

Transparent Pricing

Start with your online free assessment.

$99

Total Value
$299

START HEALING

Get Started Today For Only $99

Medical membership - $99/month

Medication

* Introductory offer: Semaglutide injections $199 for first month at 0.25mg, then $299 per month at 0.50mg. Semaglutide daily tablets $299 for first month 250 mcg, then $499 per month at 500 mcg.
REVIEWS

Real Stories From Satisfied Members

THE EXPERTS

The Team You Can Trust

Real relief deserves real expertise. And while only one in five OBGYNs are menopause-trained, 100% of Fem Excel medical providers have received advanced training in treating hormone conditions like PCOS and menopause.

The Fem Excel team consists of licensed medical providers with years of experience in helping female patients live their healthiest, happiest lives. To deliver real relief for women experiencing hormone symptoms, our providers customize every treatment to the patient’s unique health history and follow evidence-based HRT protocol.

Peter Fotinos, MD
Medical Director
Kelley Wyant, MSN, RN, NP-C
Director of Healthcare Operations
ABOUT US

Our Story

We believe women deserve power over their health. Fem Excel was created to put control back in your hands. At a time when you may feel ignored by your doctor, our mission is to help you feel seen, heard and understood. Every day, our HRT-trained medical specialists help women struggling with hormone imbalance get back to feeling their best.