Hormone Therapy Treatments for Women
Personalized hormone solutions that work with your body for PCOS, Menopause, and more.
Testosterone
Progesterone
Thyroid
Estradiol
Metformin
Metformin lowers insulin levels, which helps reduce excess testosterone, regulate periods, and improve fertility. It enhances insulin sensitivity, improves blood sugar control, supports weight loss, and lowers cholesterol. It also benefits liver health and lowers prediabetes risk. 15-16
Spironolactone
from $199/month
Semaglutide
Semaglutide is a GLP-1 medication that reduces appetite and cravings to support steady weight loss. Prescribed within a clinically guided program, it supports metabolic health and sustainable results. HRT may be added when appropriate to help preserve muscle. 1 19 20 34
Affordable & transparent pricing
Full consultation & test kit package
- Online consultation to discuss symptoms and treatment
- At-home hormone test kit
- Customized treatment plan
- Online consultation to review your results
Medical membership
- Easy online video access to your provider
- Ongoing care from your dedicated Fem Excel team
- Regular check-ins
- Unlimited messaging with your care provider
- No contracts, pause, or cancel anytime
- First month free
- Regular hormone testing
$50/month
Core Medications
- Progesterone – $50/month
- Thyroid – $50/month
- Estradiol – $50/month
Add-ons (billed every 2 months)
- Testosterone cream – from $15/month
- Metformin – from $24/month
- Spironolactone – from $9/month
What our patients say
Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.
These are their stories, not just of better health, but of lives transformed.
Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.
These are their stories, not just of better health, but of lives transformed.
Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.
These are their stories, not just of better health, but of lives transformed.
Very knowledgeable & professional
“Very knowledgeable & professional. Details about the whole process and the medications that I may be taking. I was very happy to have a caring one on one with the NP. It is the help I was waiting for in the convenience of my own quiet setting.”

Araka
Possibly the best healthcare experience I’ve ever had

Alicia
Caring and thorough

Renée
I had been struggling since I hit menopause…

Lisa
References
Citations
- Davis SR, Wahlin-Jacobsen S. Testosterone in women—the clinical significance. Lancet Diabetes Endocrinol. 2015;3(12):980-992. https://doi.org/10.1016/S2213-8587(15)00284-3
- Davis SR, Baber R, Panay N, Bitzer J, Perez SC, Islam RM, et al. Global consensus position statement on the use of testosterone therapy for women. Climacteric. 2019;22(5):429-434. https://doi.org/10.1080/13697137.2019.1637079
- Elraiyah T, Sonbol MB, Wang Z, et al. The benefits and harms of systemic testosterone therapy in postmenopausal women: A systematic review and meta-analysis. J Clin Endocrinol Metab. 2014;99(10):3543-3550. https://doi.org/10.1210/jc.2014-2262
- Prior JC. Oral micronized progesterone for perimenopausal night sweats, sleep disturbance and coping difficulties. Menopause. 2023;30(6):673-681. https://pmc.ncbi.nlm.nih.gov/articles/PMC10241804/
- British Menopause Society. Progestogens and endometrial protection. April 2023. https://thebms.org.uk/wp-content/uploads/2023/04/14-BMS-TfC-Progestogens-and-endometrial-protection-APR2023-A.pdf
- Borozan S. Hormone replacement therapy for menopausal mood disorders: Emerging neurobiological mechanisms. Sleep Med Rev. 2022;66:101710. https://pmc.ncbi.nlm.nih.gov/articles/PMC11514567/
- Mu E. Using estrogen and progesterone to treat premenstrual, postnatal, and menopausal depression. Front Neuropsychiatry. 2025;17:422-431. https://pmc.ncbi.nlm.nih.gov/articles/PMC11882533/
- Endocrine Society Clinical Guidelines. Treatment of the Symptoms of Menopause. J Clin Endocrinol Metab. 2015;100(11):3975-4011. https://academic.oup.com/jcem/article/100/11/3975/2836060
- Jonklaas J, Bianco AC, Bauer AJ, et al. Guidelines for the treatment of hypothyroidism: American Thyroid Association task force on thyroid hormone replacement. Thyroid. 2014;24(12):1670-1751. https://doi.org/10.1089/thy.2014.0028
- Hoang TD, Olsen CH, Mai VQ, Clyde PW, Shakir MK. Desiccated thyroid extract compared with levothyroxine in hypothyroidism: A randomized, double-blind, crossover study. J Clin Endocrinol Metab. 2013;98(5):1982-1990. https://doi.org/10.1210/jc.2012-4107
- Wiersinga WM, Duntas L, Fadeyev V, Nygaard B, Vanderpump MP. 2012 ETA guidelines: The use of L-T4 + L-T3 in hypothyroidism. Eur Thyroid J. 2012;1(2):55-71. https://doi.org/10.1159/000339444
- Kafle B, Khadka B, Tiwari ML. Prevalence of thyroid dysfunction among depression patients in a tertiary care centre. J Nepal Med Assoc. 2020;58(229):654-658. https://doi.org/10.31729/jnma.5296
- Hodis HN, Mack WJ, Henderson VW, et al. Vascular effects of early vs late postmenopausal treatment with estradiol. N Engl J Med. 2016;374(13):1221-1231. https://doi.org/10.1056/NEJMoa1505241
- Endocrine Society Clinical Guidelines. Treatment of the Symptoms of Menopause. J Clin Endocrinol Metab. 2015;100(11):3975-4011. https://academic.oup.com/jcem/article/100/11/3975/2836060
- Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346(6):393-403. https://doi.org/10.1056/NEJMoa012512
- Lord JM, Flight IH, Norman RJ. Metformin in polycystic ovary syndrome: Systematic review and meta-analysis. BMJ. 2003;327(7421):951-953. https://doi.org/10.1136/bmj.327.7421.951
- Santer M, Ridd MJ, Francis NA, et al. Effectiveness of spironolactone for women with acne vulgaris (SAFA): a randomised, double-blind, placebo-controlled trial. BMJ. 2023;381:e2022-074349. https://www.bmj.com/content/381/bmj-2022-074349
- Kow CS, Ramachandram DS, Hasan SS, Thiruchelvam K. Spironolactone for the treatment of moderate to severe acne in adult women: a systematic review and meta-analysis of randomised controlled trials. Australas J Dermatol. 2025;66(3):165-168. https://pubmed.ncbi.nlm.nih.gov/39912292/
Frequently asked questions
Do you take insurance?
Can I take my Fem Excel treatment plan to my Primary Care Provider (PCP)?
Can PCOS be cured?
Currently, there is no cure for Polycystic Ovary Syndrome (PCOS). However, it can be successfully managed with the right care. Treatments focus on balancing hormones, improving insulin resistance, and addressing symptoms such as irregular cycles, acne, excess hair growth, weight gain, and fertility challenges. With the right treatment plan, many women see significant improvements in both their day-to-day symptoms and long-term health. At Fem Excel, our providers specialize in restoring hormone balance and treating the root causes of PCOS, so you can take control of your health and feel better long-term.
Will HRT help with weight loss?
How much does treatment cost?
Do I need a consultation to start treatment?
How do I order my at-home hormone test kit?
- Take the Free Assessment – Share your symptoms and health history.
- Have a Virtual Consult – Meet with a hormone expert online. If prescribed, treatment can start right away.
- Get Your At-Home Lab Kit – Sent after your consultation to give deeper insight into your hormones.
- Refine Your Plan – Once results are in, your provider will adjust your treatment if needed.
How long does it take to see results?
How do I refill my prescription?
What if I want to pause my treatment?
Can I switch to Fem Excel if I’m already undergoing treatment elsewhere?
What states do you cover?
How do I update my account information?
Start assessment
Ready to take the first step? Discover what your hormones are telling you with our free assessment.