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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Will it make me gain weight?

Several studies over the past several years have shown that hormone replacement therapy can slow the creep of menopausal weight gain and abdominal fat redistribution in many women.

Where to apply the estradiol patch?

The patch is very easy to use. The packaging insert has a guide for you to reference, but here are the basics: You just place it on your skin like a bandaid. The most common sites of application are the lower abdomen and upper buttocks. To avoid irritation, it helps to change the site of application each time (i.e., rotate between the sides of the abdomen or buttocks). The patch should be changed every 3 and 4 days (e.g., Monday & Thursday or Tuesday & Friday). If you forget to change your patch, it’s no big deal, but the medication will decrease over time, so you may get some resurgence of symptoms, like hot flashes or night sweats. This will also happen if the patch falls off on accident. The adhesive is durable and it is rare that a patch dislodges by accident. If you are a regular swimmer, you may consider covering the patch with a waterproof bandaid when you swim, but you won’t need to for regular bathing/showering. Pro tip: Set a reminder in your calendar or a recurring alarm on your phone to help you remember to swap your patch!

How to keep the estradiol patch on?

Make sure that the site of application is free of any lotion, oil, and powder.

Position your patch in an area that won’t be irritated by clothing or crease from movement (ideal areas for patch placement are lower abdomen and on the upper buttocks below the panty line)

Press and spread the patch out firmly with the palm of your hand

How long does it take the estradiol patch to start working?

By 2 weeks, most women start to really feel the benefits of the treatment, including a reduction in hot flashes and night sweats, better sleep, and decreased vaginal dryness. This is normal, and will even out over time. Full relief is expected between 1-3 months. We will check in with you a little more often while you are getting started and then monthly, but please reach out to our providers any time if you have questions.

How long does it take for vaginal estradiol cream to work?

Initial improvement in symptoms may be seen as early as 2-4 weeks after initiating treatment. However, full relief is typically experienced after 2-3 months.

What is the vaginal estradiol cream prescribed for?

Vaginal estradiol cream helps with menopause symptoms specifically affecting the genitourinary system (eg, vulva, vagina, urethra and bladder): vulvar irritation, vaginal dryness, painful sex, frequent urination, frequent UTIs.

Can I insert the vaginal estradiol cream without an applicator?

No, do not insert the cream without the applicator. This may cause you to use too little or too much of the medication, both of which can have negative consequences.

How long after placing the estradiol vaginal cream can you engage in vaginal intercourse?

Although there aren’t scientifically-backed guidelines around this specific question, we recommend that you avoid penetrative vaginal activities for 8 hours after the placement of the cream to ensure that it does not get pushed out of the vagina. We recommend that you engage in sexual activity before placing the vaginal estradiol cream in the vagina.

Are estradiol patches safe?

The estradiol patch is typically well tolerated, but there are some common side effects to be aware of. Nausea, headache, abdominal bloating, breast pain, vaginal spotting, and irritation at the placement site can occur. These side effects are typically time-limited and go away in the first few months of use.

Use of estrogen may be associated with an increased risk of heart attack, stroke, blood clots in the legs or lungs, breast cancer, uterine cancer, or dementia. Evernow prescribes the generic equivalent of Vivelle-Dot. Be sure to check out the safety information for Vivelle-Dot, and talk to your Evernow medical provider about possible contraindications, especially if you have a history of estrogen-sensitive cancer, undiagnosed vaginal bleeding, coronary heart disease, blood clots, or stroke.

Do you need a prescription for vaginal estradiol cream?

Yes. Once you complete your health profile, our NAMS-certified medical providers will review your health history and current symptoms and determine, in consultation with you, whether vaginal estradiol cream is appropriate.

Does vaginal estradiol cream carry the same risks as systemic estrogen therapy?

Low-dose vaginal estradiol cream carries less of a risk than systemic estrogen therapy because the level of estrogen in the vaginal cream is significantly lower. As a result, levels of estrogen in the blood with the use of low-dose vaginal estrogen remain within the postmenopausal range.

How do you use the vaginal estradiol cream?

When first getting started, the cream is placed with an applicator in the vagina nightly for 2 weeks. After that, it is used only 2 nights a week.

What are vaginal estradiol tablets prescribed for?

Vaginal estradiol tablets help with menopause symptoms specifically affecting the genitourinary system (eg, vulva, vagina, urethra and bladder): vulvar irritation, vaginal dryness, painful sex, frequent urination, frequent UTIs.

Do vaginal estradiol tablets carry the same risks as systemic estrogen therapy?

Low-dose vaginal estradiol tablets carry less of a risk than systemic estrogen therapy because the level of estrogen in the vaginal tablets are significantly lower. As a result, levels of estrogen in the blood with the use of low-dose vaginal estrogen remains within the postmenopausal range.

How long does it take for vaginal estradiol tablets to work?

Initial improvement in symptoms may be seen as early as 2-4 weeks after initiating treatment. However, full relief is typically experienced after 2-3 months.

How do you use the vaginal estradiol tablet?

When first getting started, the tablet is placed in the vagina nightly for 2 weeks. After that, it is used only 2 nights a week.

How long after placing the estradiol vaginal tablet can you engage in vaginal intercourse?

Although there aren’t scientifically-backed guidelines around this specific question, we recommend that you avoid penetrative vaginal activities for 8 hours after placement of the tablet to ensure that it does not get pushed out of the vagina. We recommend that you engage in sexual activity before placing the vaginal estradiol tablet in the vagina.

Do you need a prescription for vaginal estradiol tablets?

Yes. Once you complete your health profile, our NAMS-certified medical providers will review your health history and current symptoms and determine, in consultation with you, whether vaginal estradiol pills are appropriate.

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?

An Evernow membership price varies by plan, but all plans include unlimited messages with a board certified menopause specialist, access to our app with our symptom tracker, and premium member's only content. Our current membership options include:

  • Month-to-month plan: $49 a month
  • 3-month plan: $129 for 3 months of Evernow ($43 a month)
  • 12-month plan: $348 for 12 months of Evernow ($29 a month)

If prescribed, medication is an additional cost.

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?

An Evernow membership price varies by plan, but all plans include unlimited messages with a board certified menopause specialist, access to our app with our symptom tracker, and premium member's only content. Our current membership options include:

  • Month-to-month plan: $49 a month
  • 3-month plan: $129 for 3 months of Evernow ($43 a month)
  • 12-month plan: $348 for 12 months of Evernow ($29 a month)

If prescribed, medication is an additional cost.

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

Will it make me gain weight?

Several studies over the past several years have shown that hormone replacement therapy can slow the creep of menopausal weight gain and abdominal fat redistribution in many women.

Where to apply the estradiol patch?

The patch is very easy to use. The packaging insert has a guide for you to reference, but here are the basics: You just place it on your skin like a bandaid. The most common sites of application are the lower abdomen and upper buttocks. To avoid irritation, it helps to change the site of application each time (i.e., rotate between the sides of the abdomen or buttocks). The patch should be changed every 3 and 4 days (e.g., Monday & Thursday or Tuesday & Friday). If you forget to change your patch, it’s no big deal, but the medication will decrease over time, so you may get some resurgence of symptoms, like hot flashes or night sweats. This will also happen if the patch falls off on accident. The adhesive is durable and it is rare that a patch dislodges by accident. If you are a regular swimmer, you may consider covering the patch with a waterproof bandaid when you swim, but you won’t need to for regular bathing/showering. Pro tip: Set a reminder in your calendar or a recurring alarm on your phone to help you remember to swap your patch!

How to keep the estradiol patch on?

Make sure that the site of application is free of any lotion, oil, and powder.

Position your patch in an area that won’t be irritated by clothing or crease from movement (ideal areas for patch placement are lower abdomen and on the upper buttocks below the panty line)

Press and spread the patch out firmly with the palm of your hand

How long does it take the estradiol patch to start working?

By 2 weeks, most women start to really feel the benefits of the treatment, including a reduction in hot flashes and night sweats, better sleep, and decreased vaginal dryness. This is normal, and will even out over time. Full relief is expected between 1-3 months. We will check in with you a little more often while you are getting started and then monthly, but please reach out to our providers any time if you have questions.

How long does it take for vaginal estradiol cream to work?

Initial improvement in symptoms may be seen as early as 2-4 weeks after initiating treatment. However, full relief is typically experienced after 2-3 months.

Can I insert the vaginal estradiol cream without an applicator?

No, do not insert the cream without the applicator. This may cause you to use too little or too much of the medication, both of which can have negative consequences.

How long after placing the estradiol vaginal cream can you engage in vaginal intercourse?

Although there aren’t scientifically-backed guidelines around this specific question, we recommend that you avoid penetrative vaginal activities for 8 hours after the placement of the cream to ensure that it does not get pushed out of the vagina. We recommend that you engage in sexual activity before placing the vaginal estradiol cream in the vagina.

Are estradiol patches safe?

The estradiol patch is typically well tolerated, but there are some common side effects to be aware of. Nausea, headache, abdominal bloating, breast pain, vaginal spotting, and irritation at the placement site can occur. These side effects are typically time-limited and go away in the first few months of use.

Use of estrogen may be associated with an increased risk of heart attack, stroke, blood clots in the legs or lungs, breast cancer, uterine cancer, or dementia. Evernow prescribes the generic equivalent of Vivelle-Dot. Be sure to check out the safety information for Vivelle-Dot, and talk to your Evernow medical provider about possible contraindications, especially if you have a history of estrogen-sensitive cancer, undiagnosed vaginal bleeding, coronary heart disease, blood clots, or stroke.

What are vaginal estradiol tablets prescribed for?

Vaginal estradiol tablets help with menopause symptoms specifically affecting the genitourinary system (eg, vulva, vagina, urethra and bladder): vulvar irritation, vaginal dryness, painful sex, frequent urination, frequent UTIs.

Do vaginal estradiol tablets carry the same risks as systemic estrogen therapy?

Low-dose vaginal estradiol tablets carry less of a risk than systemic estrogen therapy because the level of estrogen in the vaginal tablets are significantly lower. As a result, levels of estrogen in the blood with the use of low-dose vaginal estrogen remains within the postmenopausal range.

How long does it take for vaginal estradiol tablets to work?

Initial improvement in symptoms may be seen as early as 2-4 weeks after initiating treatment. However, full relief is typically experienced after 2-3 months.

How long after placing the estradiol vaginal tablet can you engage in vaginal intercourse?

Although there aren’t scientifically-backed guidelines around this specific question, we recommend that you avoid penetrative vaginal activities for 8 hours after placement of the tablet to ensure that it does not get pushed out of the vagina. We recommend that you engage in sexual activity before placing the vaginal estradiol tablet in the vagina.

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?

An Evernow membership price varies by plan, but all plans include unlimited messages with a board certified menopause specialist, access to our app with our symptom tracker, and premium member's only content. Our current membership options include:

  • Month-to-month plan: $49 a month
  • 3-month plan: $129 for 3 months of Evernow ($43 a month)
  • 12-month plan: $348 for 12 months of Evernow ($29 a month)

If prescribed, medication is an additional cost.

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.

Start your health profile

Get Started