FAQ

Evernow 101

Start here for answers to essential questions about Evernow—what we do and how we do it. If you’ve got a query you don’t see addressed on this page, feel free to contact us!

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Why should I try Evernow?

At Evernow, we're doing telemedicine a little differently. Our membership provides access to medical providers through a practice called "asynchronous telemedicine." This means you don't need a specific appointment date or time—when you have a question, you message your provider through your account and they reply to you within a business day. We're excited about our approach because it gets you on the path to feeling better ASAP.

Over time, 80% of our members have complete relief from symptoms like hot flashes, night sweats, and vaginal dryness. And while no medical provider can promise that every single symptom will go away completely, we do promise to walk hand-in-hand with you while we work to bring you the relief you’re looking for.

How do Evernow providers determine my treatment plan?
  • First, you’ll complete our online health profile. We’ll ask about your age, blood pressure, symptoms, and other medical information relevant to your treatment. 
  • Because every woman has a unique medical history, and because some of these histories require greater care and scrutiny (such as if you’ve had a hysterectomy or have an underlying medical condition), this virtual consultation collects the details our medical team needs to determine whether you are a good candidate for hormonal treatments.
  • Our health profile incorporates guidelines of professional medical societies such as ACOG (American College of Obstetricians and Gynecologists) and NAMS (North American Menopause Society).
  • Once you've signed up, we'll connect you with an Evernow clinician who will review your health profile answers in-depth and create a detailed treatment plan for you. She'll be by your side to help find the perfect solution for you—prescription treatment, delivery to your door, and unlimited messaging. You don't have to wait for your treatment plan to ask questions, either. You can message your provider immediately after you're signed up.
Does Evernow require bloodwork?

Bloodwork is unnecessary for treatment of menopausal symptoms. Guidelines from The American College of Obstetricians and Gynecologists (ACOG) and The North American Menopause Society (NAMS) recommend treating patient symptoms rather than hormone levels in the blood. For more information, please read our article about why we are able to treat menopausal symptoms without blood testing.

Where is Evernow available?

We are currently available in Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, New York, Nevada, North Carolina, North Dakota, South Dakota Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Texas, Tennessee, Virginia, Washington, Wisconsin, and Wyoming.

What should I expect in my first few months of Evernow?

Week 1: Your package will arrive at your door and you can start your treatment right away. Depending on your medical history and needs, you’ll be receiving estrogen in the form of an estradiol patch, pill, or cream, along with progesterone if needed. Instructions are included on your treatment plan.

Week 2: Breast tenderness, bloating, or sleep changes? These are normal, temporary side effects. Your Evernow provider will check in again this week, and if at any point you experience something you want to ask about, please ask.

Week 3: The third week of treatment is when most women begin to experience noticeable relief from hot flashes, night sweats, and vaginal dryness. We expect that as these hormonal symptoms diminish, you’ll begin to experience better sleep and increased energy. If you’re not yet experiencing relief at 3-4 weeks, let your provider know so your treatment can be adjusted.

Looking ahead: By the end of the 3rd month of your treatment, we expect that you will have fully adjusted to the hormones and experienced continuous relief from your symptoms. Our hormone-based treatment plans are clinically proven to eliminate hot flashes, night sweats, and vaginal dryness in 80% of women, along with other symptoms.

What medications does Evernow prescribe?

Our doctors and nurse practitioners prescribe estradiol, progesterone, venlafaxine, and paroxetine. We offer several forms of estradiol: Estradiol patch, Estradiol pill and Estradiol cream.

  • Estradiol (Estrogen): Evernow prescribes bio-identical estradiol, is effective at addressing menopause symptoms including hot flashes, night sweats, and vaginal dryness.
  • Progestin (Progesterone): Progesterone is prescribed to women with a uterus who are taking estradiol during menopause. This is because estrogen promotes the continuous growth of cells in the uterus. When you’re menstruating, those cells are shed every month through your period. Once menstruation stops (through menopause, for example), estrogen alone can make the the cells build up, thickening your uterus and leading to abnormal growths, which can then lead to uterine cancers. Progestin helps prevent this by keeping the uterine lining thin. 
  • Venlafaxine: Venlafaxine is an SSRI that is prescribed off-label to treat menopausal symptoms. As a treatment in menopause it is prescribed in very low doses. Venlafaxine is a non-hormonal treatment.
  • Paroxetine: Paroxetine is an SSRI that is FDA-approved to treat menopausal symptoms. As a treatment in menopause it is prescribed in very low doses. This is a non-hormonal treatment.
Who is a good candidate for hormone therapy?

Hormone therapy has been shown to be the most effective treatment for many of the most troublesome symptoms of menopause, but deciding whether to try hormone therapy is a decision only you can make, based on your symptoms, needs, quality of life, and personal health history.

When prescribing treatment, our medical team takes your unique health profile into account and will prescribe hormonal treatment if indicated, or non-hormonal treatment if you are not a candidate for MHT.

If you’re considering the estradiol patch or the estradiol pill, be sure to talk to your Evernow medical provider about possible contraindications, especially if you have a history of an estrogen-sensitive cancers, liver disease, undiagnosed vaginal bleeding, coronary heart disease, a history of blood clots, or stroke.

The most common reasons people don't qualify for menopausal hormone therapy is because of health condition that contraindicates the treatment (like high blood pressure or breast cancer) or because the symptoms reported do not include hot flashes, night sweats, or sleep disturbances. If you have specific questions about why you may not have qualified after completing our health profile, please email support@evernow.com for help.

What are the ingredients in Evernow's hormone therapy treatments?
  • The only ingredient in our Estradiol patch and pill is bioidentical estrogen.
  • Bioidentical hormones are hormones that are structurally the same as hormones produced naturally in the body. As you age, your body produces less estradiol and other estrogens. Taking estradiol helps address the symptoms of these changes in hormones.
Are there non-hormonal treatment options for my symptoms?

Hormone replacement therapy is the most effective treatment for menopausal symptoms including hot flashes, night sweats, and sleep disruptions.

For women who are unable to take hormone replacement, we offer paroxetine and venlafaxine, which are both considered effective for the treatment of menopause symptoms.

What are bioidentical hormones?

Bioidentical hormones are hormones that are structurally the same as hormones produced naturally in the body. As you age, your body produces less estradiol and other estrogens. Taking estradiol helps address the symptoms of these changes in hormones.

What are common side effects of hormone therapy?

Breast tenderness, bloating, vaginal spotting, or headache are common and temporary side effects. In the first few weeks, as your body adjusts to your treatment, it’s normal to experience some side effects like breast tenderness, headaches, bloating, spotting, or mood changes.

Can I use hormone therapy if I have a history of breast cancer?

If you have or have had breast cancer, you are not a candidate for menopausal hormone therapy. However, we also offer effective, non-hormonal options to treat menopause symptoms. These can be used by people who have recovered from breast cancer.

In the health profile you create during sign-up, we ask about personal history of breast cancer and leave a space for a message to your provider where you can mention family history. This will help your provider understand which treatment is most appropriate for you.

Can I use hormone therapy if I have had a hysterectomy?

Many people who have had a hysterectomy benefit from menopausal hormone therapy. If you've had your uterus removed, only estrogen is needed and not progesterone. The Women’s Health Initiative (WHI) study showed that estrogen, taken alone, had a lower risk for breast cancer than postmenopausal women who took estrogen plus progesterone.

Whether you are taking menopausal hormone therapy or not, maintaining an accurate record of surgeries and procedures will help you and your doctor ensure you get the most appropriate treatment.

How much does Evernow cost?

Our most popular plan is $129 a month for unlimited messages with a medical provider, prescription medication, shipping and handling.

New Evernow members are eligible for a 30-day money-back guarantee if you are not satisfied with your treatment.  


Can I use insurance to pay for Evernow?

We are not in network with insurance providers but we do accept FSA and HSA cards.

Can I use my FSA or HSA to pay for Evernow?

While we are not in network with insurance providers, we do accept FSA and HSA cards.

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Top Questions

Why should I try Evernow?

At Evernow, we're doing telemedicine a little differently. Our membership provides access to medical providers through a practice called "asynchronous telemedicine." This means you don't need a specific appointment date or time—when you have a question, you message your provider through your account and they reply to you within a business day. We're excited about our approach because it gets you on the path to feeling better ASAP.

Over time, 80% of our members have complete relief from symptoms like hot flashes, night sweats, and vaginal dryness. And while no medical provider can promise that every single symptom will go away completely, we do promise to walk hand-in-hand with you while we work to bring you the relief you’re looking for.

Does Evernow require bloodwork?

Bloodwork is unnecessary for treatment of menopausal symptoms. Guidelines from The American College of Obstetricians and Gynecologists (ACOG) and The North American Menopause Society (NAMS) recommend treating patient symptoms rather than hormone levels in the blood. For more information, please read our article about why we are able to treat menopausal symptoms without blood testing.

Who is a good candidate for hormone therapy?

Hormone therapy has been shown to be the most effective treatment for many of the most troublesome symptoms of menopause, but deciding whether to try hormone therapy is a decision only you can make, based on your symptoms, needs, quality of life, and personal health history.

When prescribing treatment, our medical team takes your unique health profile into account and will prescribe hormonal treatment if indicated, or non-hormonal treatment if you are not a candidate for MHT.

If you’re considering the estradiol patch or the estradiol pill, be sure to talk to your Evernow medical provider about possible contraindications, especially if you have a history of an estrogen-sensitive cancers, liver disease, undiagnosed vaginal bleeding, coronary heart disease, a history of blood clots, or stroke.

The most common reasons people don't qualify for menopausal hormone therapy is because of health condition that contraindicates the treatment (like high blood pressure or breast cancer) or because the symptoms reported do not include hot flashes, night sweats, or sleep disturbances. If you have specific questions about why you may not have qualified after completing our health profile, please email support@evernow.com for help.

What are the ingredients in Evernow's hormone therapy treatments?
  • The only ingredient in our Estradiol patch and pill is bioidentical estrogen.
  • Bioidentical hormones are hormones that are structurally the same as hormones produced naturally in the body. As you age, your body produces less estradiol and other estrogens. Taking estradiol helps address the symptoms of these changes in hormones.
How much does Evernow cost?

Our most popular plan is $129 a month for unlimited messages with a medical provider, prescription medication, shipping and handling.

New Evernow members are eligible for a 30-day money-back guarantee if you are not satisfied with your treatment.  


Getting started

Why should I try Evernow?

At Evernow, we're doing telemedicine a little differently. Our membership provides access to medical providers through a practice called "asynchronous telemedicine." This means you don't need a specific appointment date or time—when you have a question, you message your provider through your account and they reply to you within a business day. We're excited about our approach because it gets you on the path to feeling better ASAP.

Over time, 80% of our members have complete relief from symptoms like hot flashes, night sweats, and vaginal dryness. And while no medical provider can promise that every single symptom will go away completely, we do promise to walk hand-in-hand with you while we work to bring you the relief you’re looking for.

How do Evernow providers determine my treatment plan?
  • First, you’ll complete our online health profile. We’ll ask about your age, blood pressure, symptoms, and other medical information relevant to your treatment. 
  • Because every woman has a unique medical history, and because some of these histories require greater care and scrutiny (such as if you’ve had a hysterectomy or have an underlying medical condition), this virtual consultation collects the details our medical team needs to determine whether you are a good candidate for hormonal treatments.
  • Our health profile incorporates guidelines of professional medical societies such as ACOG (American College of Obstetricians and Gynecologists) and NAMS (North American Menopause Society).
  • Once you've signed up, we'll connect you with an Evernow clinician who will review your health profile answers in-depth and create a detailed treatment plan for you. She'll be by your side to help find the perfect solution for you—prescription treatment, delivery to your door, and unlimited messaging. You don't have to wait for your treatment plan to ask questions, either. You can message your provider immediately after you're signed up.
Does Evernow require bloodwork?

Bloodwork is unnecessary for treatment of menopausal symptoms. Guidelines from The American College of Obstetricians and Gynecologists (ACOG) and The North American Menopause Society (NAMS) recommend treating patient symptoms rather than hormone levels in the blood. For more information, please read our article about why we are able to treat menopausal symptoms without blood testing.

Where is Evernow available?

We are currently available in Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, New York, Nevada, North Carolina, North Dakota, South Dakota Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Texas, Tennessee, Virginia, Washington, Wisconsin, and Wyoming.

What should I expect in my first few months of Evernow?

Week 1: Your package will arrive at your door and you can start your treatment right away. Depending on your medical history and needs, you’ll be receiving estrogen in the form of an estradiol patch, pill, or cream, along with progesterone if needed. Instructions are included on your treatment plan.

Week 2: Breast tenderness, bloating, or sleep changes? These are normal, temporary side effects. Your Evernow provider will check in again this week, and if at any point you experience something you want to ask about, please ask.

Week 3: The third week of treatment is when most women begin to experience noticeable relief from hot flashes, night sweats, and vaginal dryness. We expect that as these hormonal symptoms diminish, you’ll begin to experience better sleep and increased energy. If you’re not yet experiencing relief at 3-4 weeks, let your provider know so your treatment can be adjusted.

Looking ahead: By the end of the 3rd month of your treatment, we expect that you will have fully adjusted to the hormones and experienced continuous relief from your symptoms. Our hormone-based treatment plans are clinically proven to eliminate hot flashes, night sweats, and vaginal dryness in 80% of women, along with other symptoms.

Medications & Treatments

What medications does Evernow prescribe?

Our doctors and nurse practitioners prescribe estradiol, progesterone, venlafaxine, and paroxetine. We offer several forms of estradiol: Estradiol patch, Estradiol pill and Estradiol cream.

  • Estradiol (Estrogen): Evernow prescribes bio-identical estradiol, is effective at addressing menopause symptoms including hot flashes, night sweats, and vaginal dryness.
  • Progestin (Progesterone): Progesterone is prescribed to women with a uterus who are taking estradiol during menopause. This is because estrogen promotes the continuous growth of cells in the uterus. When you’re menstruating, those cells are shed every month through your period. Once menstruation stops (through menopause, for example), estrogen alone can make the the cells build up, thickening your uterus and leading to abnormal growths, which can then lead to uterine cancers. Progestin helps prevent this by keeping the uterine lining thin. 
  • Venlafaxine: Venlafaxine is an SSRI that is prescribed off-label to treat menopausal symptoms. As a treatment in menopause it is prescribed in very low doses. Venlafaxine is a non-hormonal treatment.
  • Paroxetine: Paroxetine is an SSRI that is FDA-approved to treat menopausal symptoms. As a treatment in menopause it is prescribed in very low doses. This is a non-hormonal treatment.
Who is a good candidate for hormone therapy?

Hormone therapy has been shown to be the most effective treatment for many of the most troublesome symptoms of menopause, but deciding whether to try hormone therapy is a decision only you can make, based on your symptoms, needs, quality of life, and personal health history.

When prescribing treatment, our medical team takes your unique health profile into account and will prescribe hormonal treatment if indicated, or non-hormonal treatment if you are not a candidate for MHT.

If you’re considering the estradiol patch or the estradiol pill, be sure to talk to your Evernow medical provider about possible contraindications, especially if you have a history of an estrogen-sensitive cancers, liver disease, undiagnosed vaginal bleeding, coronary heart disease, a history of blood clots, or stroke.

The most common reasons people don't qualify for menopausal hormone therapy is because of health condition that contraindicates the treatment (like high blood pressure or breast cancer) or because the symptoms reported do not include hot flashes, night sweats, or sleep disturbances. If you have specific questions about why you may not have qualified after completing our health profile, please email support@evernow.com for help.

What are the ingredients in Evernow's hormone therapy treatments?
  • The only ingredient in our Estradiol patch and pill is bioidentical estrogen.
  • Bioidentical hormones are hormones that are structurally the same as hormones produced naturally in the body. As you age, your body produces less estradiol and other estrogens. Taking estradiol helps address the symptoms of these changes in hormones.
Are there non-hormonal treatment options for my symptoms?

Hormone replacement therapy is the most effective treatment for menopausal symptoms including hot flashes, night sweats, and sleep disruptions.

For women who are unable to take hormone replacement, we offer paroxetine and venlafaxine, which are both considered effective for the treatment of menopause symptoms.

What are bioidentical hormones?

Bioidentical hormones are hormones that are structurally the same as hormones produced naturally in the body. As you age, your body produces less estradiol and other estrogens. Taking estradiol helps address the symptoms of these changes in hormones.

What are common side effects of hormone therapy?

Breast tenderness, bloating, vaginal spotting, or headache are common and temporary side effects. In the first few weeks, as your body adjusts to your treatment, it’s normal to experience some side effects like breast tenderness, headaches, bloating, spotting, or mood changes.

Can I use hormone therapy if I have a history of breast cancer?

If you have or have had breast cancer, you are not a candidate for menopausal hormone therapy. However, we also offer effective, non-hormonal options to treat menopause symptoms. These can be used by people who have recovered from breast cancer.

In the health profile you create during sign-up, we ask about personal history of breast cancer and leave a space for a message to your provider where you can mention family history. This will help your provider understand which treatment is most appropriate for you.

Can I use hormone therapy if I have had a hysterectomy?

Many people who have had a hysterectomy benefit from menopausal hormone therapy. If you've had your uterus removed, only estrogen is needed and not progesterone. The Women’s Health Initiative (WHI) study showed that estrogen, taken alone, had a lower risk for breast cancer than postmenopausal women who took estrogen plus progesterone.

Whether you are taking menopausal hormone therapy or not, maintaining an accurate record of surgeries and procedures will help you and your doctor ensure you get the most appropriate treatment.

Pricing & Insurance

How much does Evernow cost?

Our most popular plan is $129 a month for unlimited messages with a medical provider, prescription medication, shipping and handling.

New Evernow members are eligible for a 30-day money-back guarantee if you are not satisfied with your treatment.  


Can I use insurance to pay for Evernow?

We are not in network with insurance providers but we do accept FSA and HSA cards.

Can I use my FSA or HSA to pay for Evernow?

While we are not in network with insurance providers, we do accept FSA and HSA cards.

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