Hot flashes
are not a
personality
Licensed U.S. clinicians who take your symptoms seriously, with hormone and non-hormonal options delivered to your door.
$79/mo · billed every 12 weeks
Every symptom counts
Night sweats, 3 a.m. wake-ups, brain fog, mood swings, vaginal dryness, irregular periods. You’ve heard “it’s normal.” Normal doesn’t mean you have to live with it.
Tell us your symptoms
A secure online intake about your symptoms, cycle, history and goals.
Get a clinician’s plan
A licensed clinician reviews it, follows up by message or video, and prescribes if appropriate.
Check in every 12 weeks
Your clinician reviews how you’re feeling and adjusts your treatment.
What your clinician may prescribe
Estradiol
Pill, patch or gel. The most common hormone used for hot flashes and night sweats.
Vaginal estradiol cream
Low-dose local estrogen for vaginal dryness and discomfort.
Progesterone
Prescribed with estrogen if you have a uterus, to protect the uterine lining.
Non-hormonal options
Paroxetine or desvenlafaxine, if hormones aren’t right for you.
One simple price
Menopause care
Hormone or non-hormonal treatmentBilled $237 every 12 weeks. Labs, if ordered, are billed separately.
Start your visitIncluded
- Online intake and clinician review
- Video visit when your state requires one, or when you want one
- Check-ins and dose adjustments every 12 weeks
- Your prescription, shipped discreetly
- Message your care team on the care platform
Menopause questions
What is included for $79/mo?
Your clinician review, check-ins every 12 weeks, your prescription and discreet shipping. You’re billed $237 every 12 weeks.
What medications might I be prescribed?
Depending on your symptoms, history and preferences: estradiol as a pill, patch or gel; vaginal estradiol cream; progesterone if you have a uterus and take estrogen; or a non-hormonal option such as paroxetine or desvenlafaxine.
Do I need labs?
Not always. Menopause is usually diagnosed from your age, symptoms and cycle history. If your clinician orders labs, they are billed separately by the lab.
Am I too young for perimenopause?
Perimenopause often starts in your 40s and sometimes in your late 30s. Symptoms like irregular periods, night sweats, broken sleep and mood changes are worth discussing at any age.
Is hormone therapy safe?
For many healthy women under 60 or within 10 years of menopause, benefits can outweigh risks, but it depends on your personal and family history. Your clinician will talk you through benefits, risks and alternatives. See Important Safety Information below.
Do you take insurance?
No. NŌVAP is self-pay with clear pricing shown before you pay.
Important Safety Information
Hormone therapy is not right for everyone. Do not use estrogen if you have unusual vaginal bleeding that hasn’t been checked, have or have had breast cancer or another estrogen-sensitive cancer, have had a stroke, heart attack or blood clots, have liver disease, a bleeding disorder, or are or may be pregnant.
Estrogen and progesterone. If you have a uterus, using estrogen without a progestogen increases your risk of endometrial (uterine) cancer. Your clinician will usually prescribe progesterone alongside estrogen. Report any unusual vaginal bleeding right away.
Possible serious risks of hormone therapy can include blood clots, stroke, heart attack, breast cancer, gallbladder disease and, in women who start after age 65, probable dementia. Risks depend on your age, how long since menopause, your health history and the type, dose and route of therapy. Use the lowest effective dose for your goals, and review your plan with your clinician regularly.
Common side effects include breast tenderness, headache, bloating, nausea, spotting and mood changes.
Non-hormonal options. Paroxetine and desvenlafaxine are antidepressants that may be prescribed for hot flashes. Antidepressants carry a warning about increased suicidal thoughts and behaviors in young people; tell your clinician about changes in mood. Paroxetine can interact with tamoxifen and other medications.
This is not a complete list of risks. Tell your clinician about all your health conditions and medications. To report side effects, contact your clinician or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. In an emergency, call 911.