Care for the symptoms doctors keep dismissing.

Bioidentical HRT, PCOS care, cycle and sleep support — built around labs, not assumptions.

See if I qualify 4.5
  • Labs before prescribing
  • From $79/mo
  • FSA/HSA eligible
  • Doctor-reviewed in 24 hrs

From $79/moClinician review in 24hFree 2-day shipping

Right for you if
Perimenopause or menopause symptoms (sleep, hot flashes, mood) PCOS, irregular cycles, or hormonal acne Want care from clinicians who order labs before prescribing

Care in this category

Estradiol + Progesterone

Estradiol + Progesterone

Estradiol · Progesterone · DHEA

From $89/mo
PCOS friendly
Metformin

Metformin

Metformin

From $79/mo
Estradiol patch

Estradiol patch

Estradiol patch · Trazodone · L-theanine

From $99/mo

Prescription treatments require an online visit reviewed by a U.S.-licensed provider, who determines if a treatment is clinically appropriate. Compounded medications are prepared by licensed U.S. pharmacies and are not FDA-approved. Individual results vary.

★★★★★
Absolutely love Zappy Health. Very professional, customer service is amazing. Fast shipping and everything is certified. Zappy Health has transformed my life. I am in the best shape with my health! Thank you Zappy Health for helping me achieve my goals on a wellness journey.
Nebiat Verified Trustpilot review
★★★★★
Zappy Health is extremely easy to enroll in. They were helpful every step of the way & I knew within the hour of submitting my application that I was a candidate. As soon as I made my decision to start my journey the communication from them has been impressive.
Jayne Verified Trustpilot review
★★★★★
The initial process of ordering the medication was extremely easy. The app is very helpful and I cannot wait to receive my medication and start my journey. Thank you so much!!
Amy Verified Trustpilot review

Verified Trustpilot reviews, published as written. Individual results vary and are not typical.

Most women here were told it was stress or age long before anyone thought to draw the labs.

How it works

How women's care works

1

Two-minute quiz

Tell us your symptoms, cycle history, and what's changed. No dismissive intake.

2

Labs where they matter

For hormone therapy, a clinician orders the bloodwork that should have been drawn already — and reads it.

3

A plan from your numbers

Bioidentical HRT, a PCOS protocol, or cycle support — dosed to you, not a one-size template.

4

Ongoing adjustment

Symptoms and labs guide titration over the first months. Message your clinician as things shift.

Why this works

Labs first

Prescribed from bloodwork, not a symptom checklist.

Bioidentical

Estradiol and progesterone identical to your body's own — transdermal where clotting risk matters.

Root-cause PCOS

Metformin for insulin resistance, spironolactone for androgen excess — not just birth control.

2–4 weeks

Sleep and mood shift early; full effect by 8–12 weeks.

We prescribe only where it's clinically appropriate. HRT is dosed conservatively, transdermally where that lowers risk — and we'll tell you when a symptom needs an in-person workup we can't do online.

A note from our medical director
By the time a woman reaches this intake, she's usually already been waved off once — told it's stress, or just aging, by someone who never ordered a single lab. So we start where that visit should have: bloodwork first, then a real conversation about what the numbers and the symptoms are saying together. We dose bioidentical hormones conservatively and lean transdermal when clotting risk is part of the picture, and we'd rather adjust slowly over the first few months than chase a fast fix. And we'll tell you plainly when a symptom needs an in-person workup we can't do online — that honesty is part of the care, not a limit on it.
Medical Director · Zappy clinical team

See how it works

Two minutes on what to expect — from the quiz to your first shipment.

Short explainer — video coming soon.

Questions, answered.

Will HRT cause weight gain?
No. Properly dosed bioidentical HRT typically improves body composition by stabilizing estrogen and progesterone.
Do you treat PCOS?
Yes. Metformin, spironolactone, and inositol protocols based on your bloodwork — addressing insulin resistance and androgen excess, not masking symptoms.
Do I need labs first?
For hormone therapy, yes. A clinician orders full bloodwork before any HRT prescription so the dose is built on numbers, not guesses.
Can I take HRT and a GLP-1?
Often, yes. Your clinician reviews the full picture — medications, history, and goals — before prescribing either.
How long until I feel different?
Most report sleep and mood changes within 2–4 weeks; full effect by 8–12 weeks.
Can I pause anytime?
Yes. Pause or stop at any time — no contracts, no fees. Your clinician can help you taper where that's the safer path.
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