Women’s health
Perimenopause + menopause care
You’re notimagining thebrain fog
Free consultations. No blood work required. Flat pricing, no membership. HSA / FSA eligible. All 50 states. Built by a menopause specialist. Cancel anytime
Sound familiar?
Most women never get the “classic” hot flashes first.
You get told it is just stress. Tap what sounds like you.
Swipe for more, tap any card
Which one is this?
Perimenopause vs. menopause: same story, different chapters.
Perimenopause
The transition. Your hormones are swinging.
- You're still having periods, even if they've gone irregular.
- Symptoms can start as early as 35, sometimes while your cycles still look completely normal.
- It can last years, and it's when most symptoms first show up and get dismissed.
Menopause
The milestone. Your periods have stopped.
- You're over 45 and haven't had a period for a full year.
- The symptoms are the same ones, and they don't always stop at the milestone.
- Hormone therapy is still an option if your last period was within the past 10 years.
What they share: Same symptoms, same hormones behind them, same treatment. Whichever chapter you're in, care looks the same, and Belle treats both.
Why you were dismissed
Two generations of women were told they couldn’t have hormones.
A flawed 2002 study scared doctors off hormone therapy for twenty years, and only about 1,000 of 20,000+ US OB-GYNs hold a menopause certification. Getting offered an antidepressant and a shrug wasn’t your imagination either.
The 60-second check
Eight questions. Each one teaches you something.
No email required to see your result.
What to expect
Most women experience significant relief in symptoms within 4 to 6 weeks.
Chart for illustrative purposes only. Individual results vary.
The big questions
“You need blood work first.” No. Tap to see why.
The big questions that keep women from care, each answered in a minute, with a short video from our medical team.
The treatments
Bioidentical hormones, in forms that are actually in stock.
Compounded creams and injections from licensed US pharmacies, so your therapy never disappears in a patch shortage.
Compounded medications are prepared by licensed pharmacies and are not FDA-approved. A Belle provider determines whether a prescription is appropriate.
Pricing, whole truth
One flat rate. Every dose. No membership.
Foundation plan · Estradiol + progesterone
- Estradiol, cream or injection
- Progesterone, when part of your plan
- Provider review and unlimited dose adjustments
- Check-ins at weeks 6, 12, 18, and 24
- Free 20-minute consultations, any time
- Shipping from a licensed US pharmacy
Optional add-ons
- Testosterone$40/mo
- Vaginal estradiol cream$40/mo
Testosterone and vaginal estradiol cream are $40 a month each as add-ons, and are also available on their own.
Elsewhere, memberships, visit fees, and lab bundles take a typical hormone therapy patient to $130 to $300 a month. We charge once, and we put the number on the page.
Your payment is HSA and FSA eligible. To give you the best price, quality, and access to care, we do not partner with insurance.
Claim your plan
Free 20-minute consultations, whenever you want one
Who built this
Built entirely by a menopause specialist.
Dr. Pat Taylor, MD is Belle’s Chief Medical Officer and a Menopause Society Certified Practitioner. He built this program end to end: the screening, the therapies, the check-ins, and the education you’ll get along the way.
“Two generations of women were told they couldn’t have this. I built the program I’d want for the women in my own life.”
- Menopause Society Certified Practitioner
- Chief Medical Officer, Belle
How it works
And we don’t disappear after the box ships.
- 1
The 60-second check, then your health history. Safety first.
- 2
A free 20-minute consultation with a menopause-trained provider, or skip it if you're ready.
- 3
Your personalized treatment plan, built with real guidance: cream or injection, add-ons if they fit.
- 4
Delivered to your door. Check-ins at weeks 6, 12, 18, and 24 keep your dose right.
- 5
Automated education every week in your patient portal: short videos and content from our medical team, matched to exactly where you are.
Questions, answered
Everything you’ll want to know before starting.
Do I need blood work first?
No. Perimenopause and menopause are diagnosed from symptoms and cycle history. Hormone levels swing so much day to day that a single lab draw cannot rule perimenopause in or out. If your history suggests something else, like a thyroid condition, we will tell you and point you to the right next step.
Will hormone therapy make me gain weight?
This is the most common fear, and the evidence points the other way. The weight shift you may have noticed in your 40s comes from the metabolic change of perimenopause itself. Research suggests hormone therapy helps stabilize that shift rather than add to it.
Is hormone therapy safe? What about breast cancer?
If you're generally healthy and within about 10 years of your last period, research supports hormone therapy as safe and effective. Combined estrogen and progesterone therapy carries a small increased risk of breast cancer, on the order of one additional case per thousand women per year in studies. We will walk through your personal history in screening, and staying current on mammograms is part of the plan.
What does bioidentical mean?
The estradiol and progesterone we prescribe are molecularly identical to the hormones your body makes. Bioidentical describes the molecule. It does not by itself make a product safer or riskier, which is why route and dose matter more, and why we favor transdermal forms.
Why compounded medications?
FDA-approved estradiol patches are effective and also chronically hard to find at pharmacies. Compounded creams and injections from licensed US pharmacies keep your therapy in stock and let doses be tailored. Compounded medications are not FDA-approved, and we are upfront about that tradeoff: we use them to keep access reliable.
How long until I feel better?
It takes about 4 to 6 weeks on a dose to know if it is working, and there is a good chance you'll never need more: about half of women do well on their starting dose. We check in with you at week 6 and adjust from there. Different symptoms improve at different speeds.
How long would I stay on it?
It is your decision, revisited together over time. For symptom relief alone, you might take it through the menopause transition. Research suggests longer use, started early, supports bone, heart, and brain health. There is no single mandatory stopping age.
Do I still need my regular doctor and OB-GYN?
Yes. Belle manages your hormone therapy, check-ins, and dose changes. Mammograms, Pap tests, blood pressure, and other preventive screening stay with your own clinicians, and we are clear about that boundary from day one.
Your symptoms are real. So is the treatment.
Treat your symptomsNot ready yet? That’s okay.
Get Dr. Taylor’s free perimenopause guide: what’s happening, what helps, and the questions worth asking any clinician you see.