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Frequently Asked Questions

• What is the LifeMD Women's Health Program?

  The LifeMD Women’s Health Program is a personalized, evidence-based approach to hormone replacement therapy (HRT) and lifestyle support for women navigating perimenopause or menopause. The program is designed to help relieve symptoms such as hot flashes, night sweats, brain fog, mood changes, reduced libido, and more — while supporting long-term health and well-being.

  A licensed healthcare provider will create a treatment plan tailored to your needs and goals. Your care will include prescription HRT (when appropriate), secure messaging with your LifeMD care team, regular check-ins to assess your progress, and access to tools that support healthy aging — all from the convenience of your phone or computer. Medications included, if clinically appropriate, are one form of estradiol medication (patch, insert, or gel) and micronized progesterone if needed. The cost of an estradiol vaginal ring may vary and is not included with the program fee.

  Whether you're noticing early changes or have already transitioned through menopause, the LifeMD Women’s Health Program offers flexible, expert-led care built around you.

• What conditions does the program treat?

  The LifeMD Women's Health Program offers specialized treatment to address common symptoms associated with perimenopause and menopause — including hot flashes, night sweats, brain fog, mood changes, weight shifts, sleep disturbances, and decreased libido.

• What is HRT?

  Hormone replacement therapy (HRT) is a treatment that replaces the hormones — primarily estrogen and progesterone — that decline in a woman's body during perimenopause and menopause. HRT may help relieve common symptoms such as hot flashes, night sweats, mood changes, and/or vaginal dryness.

• How do I know if HRT is right for me?

  To determine whether hormone therapy (HRT) is appropriate for you, you'll meet with a licensed healthcare provider who will review your symptoms, your overall health profile, and your preferences regarding treatment. If you're experiencing bothersome symptoms such as hot flashes, night sweats, or mood changes — and your provider determines that HRT is clinically appropriate — it may be recommended as part of your treatment plan.

• What's included in the LifeMD Women's Health Program?

  The program includes provider consultations, a personalized treatment plan, secure messaging, prescription management, and the cost of medication if prescribed.

  Medications included, if clinically appropriate, are one form of estradiol medication (patch, insert, or gel) and micronized progesterone if needed. The cost of an estradiol vaginal ring may vary and is not included with the program fee.

  It also comes with a LifeMD+ membership, which offers 24/7 access to urgent and primary care, prescription renewals, and a marketplace for clinically validated health and wellness products. You'll also gain access to the 6S Lifestyle Program — designed to support graceful, empowered aging.

• How is my treatment plan personalized?

  Your treatment plan is tailored to you — your symptoms, medical history, goals, and personal preferences. Your LifeMD-affiliated provider takes all of this into account to make sure your care feels both safe and supportive. We don’t believe in one-size-fits-all solutions; your plan is designed with your unique needs in mind.

• What medications may be prescribed?

  Medications that may be considered are estradiol, micronized progesterone, and thyroid replacement if necessary. The hormones prescribed through LifeMD are bioidentical, meaning they have the same chemical and molecular structure as the hormones naturally produced by your body. Customized programs may include different strengths, routes and dosing schedules for medications. Your provider will work with you to determine the most appropriate option(s) based on your symptoms, preferences, and medical history.

• Do I need a video visit to receive treatment?

  Yes. All patients begin with a video consultation to establish care and determine whether treatment with HRT is appropriate. This visit is an important first step — it helps your provider understand your needs and ensures your care starts off on the right foot. After treatment begins, check-ins may happen through video or secure messaging, depending on your progress and your clinical needs.

• What should I expect during my first appointment?

  During your first video appointment, your LifeMD-affiliated provider will take time to understand your symptoms, medical history, and personal health goals. This initial visit helps build a complete picture of your health and lays the foundation for a treatment plan that’s tailored to you.

• What happens after I start treatment?

  After you begin treatment, you’ll stay connected with your provider through regular check-ins in the LifeMD patient portal. These updates will help your provider track your progress, address any concerns, and make adjustments to your treatment plan as needed.

• Who will manage my care at LifeMD?

  You’ll work with a licensed healthcare provider who will design your treatment plan and adjust it as needed based on your symptoms, progress, and goals.

• How often will my plan be reviewed?

  Your treatment plan will be reviewed through regular check-ins and periodic 20-minute video consultations. These touchpoints give your provider the opportunity to track how you're feeling, understand how well your treatment is working, and make adjustments if needed. You'll share updates on your symptoms, any side effects, and overall progress — helping ensure your care stays aligned with your needs and that you feel supported along the way.

• Will I be able to message my provider?

  Yes. You'll have secure messaging access through your LifeMD patient portal, so you can stay connected with your provider between visits. Whether you have a quick question or need to share an update, your care team is just a message away.

• What if I have questions between appointments?

  You can securely message your provider anytime through the LifeMD patient portal with questions or concerns.

• How do refills work?

  Your LifeMD-affiliated provider will send refill reminders and request check-ins to assess your progress before renewing medications. Most medications are provided in 90-day supplies and are typically renewed based on your provider’s review of your symptoms, side effects, and overall response to treatment.

• Will my dosage change over time?

  It might. Your provider will monitor your symptoms, response to treatment, and any available lab results as required. If adjustments are needed to maintain effectiveness or minimize side effects, your dosage may be adjusted accordingly.

• Is everything handled online?

  Yes. With LifeMD, your entire experience — from video visits and secure messaging to prescription management and ongoing care — happens through our easy-to-use online platform. It’s designed to give you convenient, private, and flexible access to expert care.

• How much does the program cost?

  Plans start at $199 per month when three months are paid upfront. The program includes provider consultations, a personalized treatment plan, secure messaging, prescription management, and the cost of medication if prescribed.

  Medications included, if clinically appropriate, are one form of estradiol medication (patch, insert, or gel) and micronized progesterone if needed. The cost of an estradiol vaginal ring may vary and is not included with the program fee.

  It also comes with a LifeMD+ membership, which offers 24/7 access to urgent and primary care, prescription renewals, and a marketplace for clinically validated health and wellness products. You'll also gain access to the 6S Lifestyle Program — designed to support graceful, empowered aging.

• Does LifeMD offer both hormonal and non-hormonal treatments?

  Yes. LifeMD believes in individualized care, so certain plans may include more tools and others fewer, depending on your needs. The hormones prescribed through LifeMD are bioidentical, meaning they have the same chemical and molecular structure as the hormones naturally produced by your body. We also believe in holistic care driven by lifestyle — recommendations to optimize sleep, nutrition, exercise, and more.

• Does LifeMD offer bioidentical hormones?

  Yes. The hormones prescribed through LifeMD are bioidentical, meaning they have the same chemical and molecular structure as the hormones naturally produced by your body. We offer a variety of options including FDA-approved bioidentical hormone preparations. Your provider will work with you to determine the most appropriate option based on your symptoms, preferences, and medical history.

• Am I too old to start HRT?

  There’s no specific age requirement for starting HRT. In general, the risks are lower when therapy is started within 10 years of menopause or before age 60. However, HRT can still be appropriate after this window when individual risk factors and overall health are taken into account.

• Is HRT appropriate prior to menopause or during perimenopause?

  For some women, HRT can be started during perimenopause to help ease symptoms of hormone changes. Your LifeMD-affiliated provider will guide you on whether it’s the right fit for you.

• Will HRT affect my weight?

  HRT is not typically associated with weight gain. In some cases, it may even help reduce fat mass and preserve lean muscle. While hormonal balance can influence where fat is stored, it’s rarely the primary driver of weight changes. Occasionally, patients may experience shifts in water balance when starting HRT, which can briefly affect the scale — but this usually stabilizes over time.

• How long can I stay on HRT?

  There’s no fixed time limit. Many women can safely stay on HRT for decades when it’s personalized, properly monitored, and adjusted as needed. The key is using the appropriate type, dose, and delivery method for your needs — with periodic reevaluation of benefits and risks.

• What are common side effects, and when should I worry?

  Common side effects of HRT can include breast tenderness, bloating, or mild mood changes — especially when starting treatment or upon adjusting your dose. These usually improve with time. If any symptoms persist, worsen, or don't feel typical for you, reach out to your care team through the LifeMD patient portal.

• How often do I need to have labs done?

  Most patients don’t require labs to begin HRT. However, your provider may recommend — or you can request — lab testing every 2 to 3 months early on, and then twice a year once your levels are stable. Frequency of labs may vary depending on your symptoms, goals, and type of HRT you've been prescribed.