Zepym Health

Women's health

Menopause care, made for you.

Bioidentical estradiol, progesterone and DHEA in capsules, creams, troches and vaginal options, prescribed and adjusted by a licensed physician.

Find your treatment
  • Board-certified doctors
  • Licensed U.S. pharmacies
  • 100% online
  • Free, discreet shipping

Every women's health treatment, in one place.

Real products and real prices from our pharmacy. Your physician helps you choose the hormone, the form and the dose.

Cream

Estradiol / Progesterone Cream

Combination bioidentical hormones (estradiol and progesterone) in topical cream. Provides estrogen and progesterone balance applied to skin.

Starting at $109/mo

  • Capsule

    Estradiol Capsules

    Bioidentical estradiol in oral immediate-release capsules. Taken daily by mouth for systemic hormone support.

    Starting at $69/mo

  • Capsule

    Progesterone Capsules

    Bioidentical progesterone in sustained-release oral capsules. Supports hormonal balance and endometrial protection. Taken at bedtime.

    Starting at $69/mo

  • Injection

    Estradiol Cypionate

    Long-acting estradiol injection for menopause and perimenopause symptoms and for gender-affirming hormone therapy, given every one to two weeks. Prescribed and dosed by a licensed physician.

    Starting at $139/mo

  • Capsule

    7-Keto DHEA Capsules

    7-Keto DHEA, a metabolite of DHEA that does not convert to testosterone or estrogen. Supports energy and metabolism without hormonal side effects.

    Starting at $79/mo

  • Dissolving tablet

    BIEST (20:80) 0.05 mg ODT

    A low-dose bioidentical estrogen (20% estriol, 80% estradiol) in a tablet that dissolves in the mouth, for hot flashes, night sweats and other menopause symptoms. Prescribed and dosed by a licensed physician.

    Starting at $89/mo

  • Dissolving tablet

    BIEST (20:80) 0.1 mg ODT

    A stronger dose of bioidentical estrogen (20% estriol, 80% estradiol) in a dissolving tablet, for menopause symptoms not controlled by the lower dose. Prescribed and dosed by a licensed physician.

    Starting at $89/mo

  • Cream

    BIEST (20:80) Cream

    Bioidentical estrogen cream (estriol and estradiol in 20:80 ratio) applied topically. Supports hormonal balance and menopausal symptoms. Prescribed and dosed by a licensed physician.

    Starting at $109/mo

  • Cream

    BIEST (50:50) Cream

    Bioidentical estrogen cream (estriol and estradiol in 50:50 ratio) applied topically. Supports hormonal balance and menopausal symptoms with equal estriol and estradiol content.

    Starting at $109/mo

  • Dissolving tablet

    BIEST (50:50) ODT

    Bioidentical estrogen dissolving tablet (estriol and estradiol in 50:50 ratio). Orally disintegrating for fast absorption. Supports hormonal balance and menopausal symptoms.

    Starting at $69/mo

See all 32 treatments

Hot flashes, poor sleep and dryness are treatable.

Hormone therapy is the most effective treatment for hot flashes and night sweats, and it also treats vaginal dryness and helps prevent bone loss, according to The North American Menopause Society.

The right treatment depends on your age, symptoms, how long since your last period and your health history, which is why a physician reviews it with you.

See the treatments

What you can expect

  • Fewer hot flashes

    Vasomotor symptoms are what hormone therapy treats most effectively.

  • Better sleep and mood

    Many women sleep better once night sweats ease, and mood often follows.

  • Comfort and intimacy

    Vaginal estrogen treats dryness and discomfort with very little reaching the rest of the body.

  • Adjusted over time

    Your physician reviews your symptoms and adjusts the dose and form as your needs change.

Individual results vary. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate.

How women's hormone care works

  1. Step 1

    Day 1

    Answer a few questions online. A US-licensed physician reviews your symptoms, history and risks.

  2. Step 2

    Weeks 1–4

    You start your treatment. Some symptoms ease within weeks; others take a few months.

  3. Step 3

    Month 3

    Check-in with your physician to review how you feel and adjust the dose or form.

  4. Step 4

    Ongoing

    Your physician reviews the plan with you at least once a year, with messaging in between.

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The science

Why progesterone often comes with estrogen

Estrogen relieves most menopause symptoms. If you still have a uterus, taking estrogen alone thickens its lining, so progesterone is added to protect it.

Hormone therapy is not for everyone: a history of breast cancer, blood clots, stroke or liver disease changes the decision. Your physician weighs your benefits and risks with you.

Find your treatment

Women's Health FAQs

Contact support
Is hormone therapy safe?

For healthy women under 60 or within 10 years of menopause, The North American Menopause Society considers the benefits to outweigh the risks for most. Your physician reviews your personal history before prescribing.

What does bioidentical mean?

The hormone has the same molecular structure as the one your body makes, such as estradiol and progesterone. Compounded bioidentical hormones are not FDA-approved products.

Do I need progesterone?

If you have a uterus and take estrogen, yes: progesterone protects the lining of the uterus. If you've had a hysterectomy, usually not.

What about vaginal dryness?

Low-dose vaginal estrogen treats dryness and painful intercourse with very little absorbed into the rest of the body.

How is it billed?

Monthly, every 3 months or every 6 months; longer plans cost less per month. Shipping is free and you can pause or cancel anytime.

Feel like yourself through every stage.

Answer a few questions online. A licensed physician reviews them and, if it's right for you, your treatment ships to your door.

  • Physician review before anything is prescribed
  • US-licensed compounding pharmacy
  • Unlimited messaging with your care team
  • Free, discreet shipping
  • Pause or cancel anytime
Get started

From $59/mo

Women's health content medically reviewed by our physician

Scott Nass, MD Doctor of Medicine, board-certified in Family Medicine

Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.

References

1The 2022 hormone therapy position statement of The North American Menopause Society.Menopause, 2022

Compounded medications are not FDA-approved and the FDA has not reviewed them for safety, efficacy, or quality. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.