--- title: "Menopause Treatment Options | Parée Care" description: "The menopause and perimenopause treatment categories offered through Parée Care, reviewed by licensed clinicians. Prescription treatment is not guaranteed." canonical: "https://paree.care/treatments" --- # Menopause Treatment Options **Menopause treatment should be individualized.** Menopause care can include education, lifestyle support, non-hormonal options, vaginal therapies, systemic hormone therapy, and follow-up adjustments. The right path depends on your symptoms, medical history, goals, risk factors, and clinician judgment. Parée Care does not guarantee prescriptions. Treatment is offered only when a licensed clinician determines it is appropriate. ## Treatment categories we offer Every medication is dispensed by a licensed US pharmacy and selected by your clinician from a defined clinical formulary. The specific medication, form, and dose are decided based on your individual evaluation — not chosen from a menu. ### Systemic estrogen - **Estradiol patch.** A transdermal patch applied twice weekly to the lower abdomen or upper buttock. Delivers estrogen steadily through the skin, bypassing the digestive system. Often considered for women who prefer not to take a daily pill. - **Estradiol tablets.** A daily oral tablet. Simple, familiar, and well-studied. Your clinician reviews your history to determine whether an oral route is appropriate for you. - **Estradiol gel.** A gel applied daily to the thigh and allowed to dry. Another transdermal option, with strength adjusted to symptom severity. Anyone with a uterus who takes systemic estrogen also needs progesterone to protect the uterine lining. Your clinician will address this as part of your plan. ### Progesterone - **Micronized progesterone.** Taken orally in the evening. Prescribed alongside systemic estrogen for endometrial protection, and sometimes considered on its own where sleep or anxiety are part of the picture. Your clinician decides whether continuous or cyclical dosing fits where you are in the transition. ### Vaginal estrogen (local) - **Estradiol vaginal cream.** A low-dose cream applied vaginally, nightly at first and then a few times a week. Acts locally on vaginal tissue with minimal absorption into the bloodstream. - **Estradiol vaginal inserts.** A low-dose vaginal tablet or suppository, used on the same schedule as the cream. Some women prefer inserts to a cream for comfort and convenience. Local vaginal therapy is sometimes appropriate for women who cannot or prefer not to use systemic hormone therapy. Your clinician will discuss what fits your history. ### Non-hormonal options Non-hormonal options are considered when hormone therapy isn’t appropriate for you or isn’t what you want. Your clinician decides whether one fits your history. _Educational only. This page is not medical advice and does not replace evaluation by a licensed clinician. Treatment availability varies by state and is subject to change. Completing an intake does not guarantee a prescription._ ## Our approach to treatment Parée offers HRT and, when hormones aren’t appropriate or wanted, non-hormonal options. Every option is part of the same membership. If none is appropriate, your clinician can advise you about next steps. Some treatments in our formulary are commercially manufactured products. Others are prepared by licensed compounding pharmacies when a commercial product isn’t available at the form or strength your clinician determines is appropriate — standard practice in menopause care, particularly for local vaginal therapy. What we don’t do is let you choose. Every product, form, and dose is selected by a licensed clinician from a defined clinical formulary, following a documented protocol. No custom blends on request. No hormone pellets. No "personalized" formulations invented at checkout. We also don’t require routine hormone blood testing to begin. Levels swing day to day in perimenopause, and clinical guidelines generally support assessment from symptoms, age, and cycle history. If your clinician determines a test would change your care, they’ll order it. ## No catalog. A clinical decision. You don’t pick a medication from a menu. Your structured intake covers symptoms, cycle history, health background, medications, and goals. A licensed US clinician reads it and decides against your individual history and risk factors. Sometimes the right answer is a different plan than you expected, or in-person care. If so, the clinician says that plainly. Compare services: [Parée vs. Winona](https://paree.care/compare/winona), [Parée vs. Midi Health](https://paree.care/compare/midi), [Parée vs. Alloy](https://paree.care/compare/alloy), [Parée vs. Evernow](https://paree.care/compare/evernow), [Parée vs. Hers](https://paree.care/compare/hers), [Parée vs. Gennev](https://paree.care/compare/gennev). ## About Parée Care Parée Care is a US telehealth service for perimenopause and menopause, offering licensed-clinician review and discreet medication delivery. Membership is $79 / 4 weeks, billed as $237 every 12 weeks. Currently offering services in all 50 states plus Washington D.C. Some services may not be available in all 50 states or Washington D.C. Subject to change. - [How Parée works](https://paree.care/how-it-works) - [Treatment options](https://paree.care/treatments) - [HRT, explained](https://paree.care/hrt) - [Pricing](https://paree.care/pricing) - [Free 2-minute symptom quiz](https://paree.care/quiz) - [Start the free 5-minute intake](https://paree.care/intake) _Educational content only, not medical advice. Completing an intake does not guarantee a prescription. Telehealth is not emergency care; in an emergency, call 911._