Try Our Estradiol Gel For Your Hot Flashes
A clear, quick-absorb daily estrogen gel for fast-acting relief.
*When you pay for 3 months supply at once
Our Treatments, made by our partner pharmacy is...
Over 2 Million American Women Are On HRT For Menopause...
The #1 Physician-Recommended Treatment for Menopause, Made Easy & Tailored To Your Symptoms.
Clinically Proven
Bioidentical HRT is backed by decades of research and recommended by NAMS and ACOG as the gold standard for menopause relief.
Fast Relief
Most women notice improvements within 2–4 weeks. For some, it takes a bit longer.
Root Cause Solution
Hot flashes, night sweats, mood swings, sleep issues, brain fog — HRT targets the root hormonal cause, not just individual symptoms.
Tailored To You
Your prescription is personalized to your symptoms, health history, and body. No generic one-size-fits-all dosing.
1:1 Doctor Guidance
Your Elsie physician will hold your hand the whole way. Adjusting dosages until you find your sweet spot.
Bioidentical Hormones
The hormones we make are the exact same as your body makes, making them easy and natural for your body to absorb.
Get approved today, click below and start your medical assessment to see if you're eligible for treatment.
Our customers used to be in your shoes, here's what they say about us:
I hadn't slept more than 4 hours straight in over a year. I was exhausted, snapping at my kids, getting written up at work. My doctor kept telling me it was stress. I found Elsie and within 3 weeks of starting my cream, I'm sleeping 6-7 hours again. I actually feel like a functioning human. I cried when I realized the old me was still in there.
I saw 4 different doctors before anyone took me seriously. Panic attacks behind the wheel, anxiety out of nowhere, heart racing at 3am. One doctor literally referred me to a psychiatrist. Elsie was the first place that actually listened and said 'this is hormonal, we can help.' My prescription arrived in 5 days and the panic attacks have almost completely stopped. I wish I'd found this two years ago.
I didn't even recognize myself anymore. No interest in anything, cooking, going out, even talking to my husband. Everything felt like a chore. I was sleeping in a separate room because of the night sweats. Elsie matched me with a doctor who actually explained what was happening to my body and put me on a compound cream tailored to my symptoms. Two months in and my husband says he's got his wife back :)
I woke up one day with hot flashes, brain fog, and this crawling skin sensation that made me think something was seriously wrong. The Elsie team was SO patient with all my questions. The whole process took like 15 minutes and my doctor visit was the next day. Everything shipped to my door. Super easy, and I'm already feeling the difference with the night sweats.
The brain fog was scaring me. I genuinely thought I was developing early Alzheimer's. Forgetting words mid-sentence, walking into rooms with no clue why. My energy was gone, my patience was gone, I felt like a completely different person. My Elsie doctor put me on a tailored HRT plan and about a month later the fog started lifting. I can think clearly again. The support team checks in on you too which honestly made me feel like someone actually cared.
Ready to feel like yourself again?
Get up to 20% off your HRT treatment! Take our short medical assessment to see if you're eligible.
Get startedHow Does It Work?
Your life is complicated enough. We've designed Elsie to be as easy as possible, every step of the way. The onboarding requires a bit of work from you. But once you're in, Elsie is your invisible friend, making your life easier every day. Here's how it works:
Quick Assessment & Your Personal Plan
Start with taking our medical assessment. Answer some questions about yourself, your menopause symptoms and medical history. It takes about 5 minutes. We'll make a custom treatment plan for you based on your symptoms.
Approval & Your Medication
If you qualify for treatment, you'll get a recommendation from your Elsie physician on a custom formulation that suits you. Next, you pay for your meds — monthly billing, or save 20% by paying every 3 months.
Delivery & Treatment Start
Before we ship, we need to verify your identity in Elsie's Patient Portal — a quick photo of your driver's license or your SSN. Once that's done, your meds ship to your door in 3–5 days.
Ongoing Care
Access your physician 24/7 in the patient portal. After 3 months, you'll have your first mandatory follow-up. We mitigate side effects, check in on you, adjust dosages and change medications if needed.
Our Treatments & Pricing
No hidden membership fees. No cancellation fees. No hidden fees for doctor visits, shipping or anything else. One price — that stays the same each month.
Local Estradiol Cream
A targeted low-dose estrogen cream for vaginal and urinary symptoms. Restores moisture and comfort exactly where you need it — without raising overall hormone levels.
Get up to 20% off this treatment, see if you're eligible.
Trivea® 3-in-1 Cream
A personalized hormone cream made for your body. Your doctor picks the exact estrogen and progesterone combo based on your symptoms.
Get up to 20% off this treatment, see if you're eligible.
Estradiol Biweekly Patch
A small, discreet patch that delivers steady estradiol through the skin all week. Apply and forget — no daily routine needed.
Get up to 20% off this treatment, see if you're eligible.
Estradiol Gel
A clear, odorless estrogen gel applied daily. Quick pump, quick absorb, gets to work on hot flashes, night sweats, and more.
Get up to 20% off this treatment, see if you're eligible.
Progesterone Tablets
Bioidentical progesterone taken at bedtime. Balances your estrogen therapy, protects your uterus, and helps you sleep.
*Included with Patch if prescribed. Get up to 20% off, see if you're eligible.
Local Estradiol Cream
A targeted low-dose estrogen cream for vaginal and urinary symptoms. Restores moisture and comfort exactly where you need it — without raising overall hormone levels.
Get up to 20% off this treatment, see if you're eligible.
Trivea® 3-in-1 Cream
A personalized hormone cream made for your body. Your doctor picks the exact estrogen and progesterone combo based on your symptoms.
Get up to 20% off this treatment, see if you're eligible.
Frequently Asked Questions
Bioidentical Hormone Replacement Therapy uses hormones that are chemically identical to what your body naturally produces. Unlike synthetic hormones, bioidentical hormones — including estradiol and progesterone — are designed to work with your body, not against it. They come in various forms like creams, patches, gels, and capsules, and are prescribed based on your individual symptoms and health profile.
Yes. Bioidentical HRT is backed by decades of clinical research and is recommended by leading medical organizations including the North American Menopause Society (NAMS) and the American College of Obstetricians and Gynecologists (ACOG) as the most effective treatment for menopause symptoms. Every Elsie prescription is written by a board-certified physician who reviews your full medical history to ensure HRT is right for you.
No. Most women do not need lab work to start HRT. Your doctor will evaluate your symptoms and medical history during your consultation and prescribe treatment based on that. In some cases, your doctor may recommend labs — but it's not required to get started.
Absolutely. Elsie treats menopause-related symptoms in women aged 40 and over in any of our approved states. Whether you're in early perimenopause or post-menopause, if your symptoms are affecting your quality of life, our doctors can help.
Most women begin noticing improvements within 2-4 weeks, especially with symptoms like hot flashes and night sweats. Other benefits — like better sleep, mood stability, and mental clarity — may continue improving over the first 2-3 months as your body adjusts to treatment.
Hormonal changes during menopause can contribute to weight gain, especially around the midsection. While HRT is not a weight loss treatment, many women report that restoring hormonal balance helps reduce cravings, improve energy and sleep, and makes it easier to maintain a healthy weight alongside diet and exercise.
Same quality of care, without the waiting room. Elsie connects you with board-certified physicians who specialize in menopause and HRT. Your consultation is done online, your prescription is personalized to you, and your medication is shipped directly to your door. No driving, no scheduling weeks out, no sitting in an office for 10 minutes of face time.
Not at this time. However, we've priced our treatments to be affordable and competitive. We're exploring insurance options for the future. Many of our patients find that the convenience, speed, and quality of care more than make up for paying out of pocket.
It takes about 10 minutes. Complete our online intake questionnaire, and a board-certified physician will review your information — usually within 24 hours. If approved, your personalized medication is compounded and shipped directly to your door.
We're here for you. Reach us at hello@tryelsie.com or call +1 (413) 444-2997. Our support team is happy to help with any questions about your treatment, orders, or account.
Ready to start getting your old self back?
It doesn't take long to see if you're eligible. Click below to do our quick medical assessment now!
Get Started Now →