Question 1

Can I get an estrogen or progesterone prescription online without an in-person visit?

Accepted Answer

Yes, if it's medically appropriate for you. Getting HRT online with Wisp starts with a patient intake form about your symptoms, health history, and goals. A licensed provider reviews it and, if medically necessary and appropriate, may write an online estrogen or progesterone prescription. Options include Estradiol Patches, Systemic Topical Estradiol Gel, Oral Micronized Progesterone, Oral Provera, and Estradiol/Norethindrone Acetate. Most care happens over secure chat, but a video call may be needed if your state requires one or your provider wants a closer look.

Question 2

How does online hormone replacement therapy work with a licensed provider?

Accepted Answer

Think of it as your provider visit, minus the commute. At Wisp, a licensed provider reviews your patient intake form, connects with you over secure chat (or video, when needed), and helps build a plan if HRT online is medically necessary and appropriate. Plans can start at $33/month and include your consult, follow-ups, and monthly Care Team access, so your plan can be adjusted as your symptoms shift. Medication is paid for separately at your pharmacy.

Question 3

What symptoms can be treated through a Wisp Menopause Consult?

Accepted Answer

Our board certified medical providers can help you address a wide range of symptoms — because menopause isn't just hot flashes. Through your consult, you can get personalized treatment, if medically appropriate, for: Mood Changes Hot Flashes Vaginal Dryness Night Sweats Difficulty Sleeping Weight Changes Low Libido Digestive Issues Urinary Symptoms Joint Aches Palpitations Menstrual Changes Fatigue Brain Fog Skin Concerns Hair Concerns and more

Question 4

Which states are eligible for Menopause Consults?

Accepted Answer

Wisp offers menopause care in all 50 states. If you live in the following states, you must be able to accept a phone or video call: AR, DE, DC, KS, MS, NM, RI, VT, or WV.

Question 5

Do I have to be a certain age for menopause treatment?

Accepted Answer

On average, women experience menopause at 52 years old, and the transition into menopause (perimenopause) most often begins between ages 45 and 55. If symptoms are getting in the way of your life, that's a great time to talk to a provider about whether Hormone Replacement Therapy (HRT) may be right for you. At Wisp, we provide hormone treatment to those 40 years of age and older, or those younger than 40 who have had a hysterectomy and ovary removal. Ovary removal is not necessary to receive Estriol Face Cream or Vaginal Estrogen. These are standalone offerings you can purchase outside of the Menopause Consult, and you can ask your provider any questions about them. We prescribe Estriol Face Cream and Vaginal Estrogen to those 35 years of age and older.

Question 6

When should I expect to hear from a provider?

Accepted Answer

A provider may determine whether a treatment option is appropriate for you based on your medical history within 72 hours of your initial consult. Whether it's an online estrogen prescription, progesterone, or both, if prescribed, your prescription is sent to your pharmacy the same day.

Question 7

What are the side effects of hormone replacement?

Accepted Answer

There are some possible side effects of treatment with hormones, which include: Headaches Breast pain or tenderness Changes in menstrual flow and duration Nausea Mood changes, including low mood or depression Diarrhea For many people, these side effects may be mild and can ease as your body adjusts to treatment. If they stick around or something feels off, let your provider know.

Question 8

Does hormone replacement therapy increase cancer risk?

Accepted Answer

The Women’s Health Initiative study resulted in widespread headlines that hormone replacement therapy as a treatment for menopause could increase your risk for stroke, heart disease, blood clots, or cancer. Since then, researchers have taken a closer look, and the picture is more nuanced. Risks can depend on your age, how long it's been since menopause started, your health history, and the type and dose of hormones used. Some studies suggest there is a small risk of developing breast cancer for women who use combined HRT therapy, such as estrogen and progesterone. Because risks vary from person to person, your provider can help you weigh your personal risk against the potential benefits of treatment. Note: In November 2025, the FDA announced it was removing the boxed warnings about cardiovascular disease, breast cancer, and probable dementia from hormone therapy labels. The boxed warning for endometrial cancer remains on systemic estrogen-alone products.

Question 9

How quickly should I see results?

Accepted Answer

When starting hormone replacement therapy (HRT), many patients may begin to notice symptom relief of hot flashes, night sweats, mood changes, and sleep disturbance within a few weeks, although it may take up to 12 weeks to feel the full benefits. It’s important to keep in touch with your Wisp provider for any concerning symptoms and share your current symptoms at your follow-ups for any adjustments needed to your treatment plan. Remember, each person's experience with HRT can vary, so patience is key!

Question 10

Does your estrogen come from horses?

Accepted Answer

No. Wisp’s Estrogen HRT uses plant-based bioidentical estrogen. Bioidentical hormones are identical in chemical and molecular structure to the hormones your body makes on its own. Some estrogen medications, like Premarin, are made from estrogens taken from pregnant horse urine, and those are still available today.

Question 11

Can I swim and shower with the estradiol patch?

Accepted Answer

Yes, you can swim, shower, and bathe with the patch! We recommend keeping the patch under your bathing suit or using water proof bandages (i.e. tegaderm) to ensure that the patch stays on and dry. Avoid applying soaps or lotions directly to the patch or area surrounding the patch, and avoid any direct shower stream on the patch.

Menopause & Perimenopause Consult Online

Menopause & Perimenopause Consult Online