Clinician-guided hormone replacement therapy for women navigating perimenopause and menopause. Estrogen, progesterone, testosterone, and non-hormonal options — individually evaluated and managed by licensed providers, fully online.
Perimenopause and menopause affect sleep, mood, energy, libido, and long-term health, and every woman's experience is different. SEVEN connects you with licensed providers who evaluate your symptoms and history individually and build a treatment plan around you — including options for women who cannot or prefer not to use hormones.
Hormone replacement therapy addresses the symptoms of menopause and perimenopause by restoring hormones that decline during this transition. SEVEN offers individualized hormonal and non-hormonal pathways determined by clinical evaluation.
During perimenopause and menopause, levels of estrogen and progesterone decline and fluctuate, driving symptoms such as hot flashes, night sweats, sleep disruption, mood changes, and vaginal dryness. For many women, testosterone also declines, affecting libido and energy.
Estrogen and progesterone therapy restores these hormones to relieve symptoms. Estradiol may be delivered as a pill, patch, cream, or vaginal form, with progesterone added where clinically appropriate. The right formulation depends on your symptoms, health history, and preferences.
Testosterone for women may be considered for symptoms such as persistent low libido and energy, delivered by injection, gel, or oral form under clinical supervision.
Non-hormonal options are available for women who are not candidates for, or prefer to avoid, hormone therapy. A licensed clinician determines which pathway fits your situation. HRT at SEVEN is part of a broader hormone and metabolic health platform.
These symptoms are commonly associated with the menopause transition, but they have many possible causes. A licensed clinician evaluates your individual situation before any treatment. Individual results vary and outcomes are not guaranteed.
Sudden waves of heat and overnight sweating are among the most common and disruptive symptoms of the menopause transition.
Difficulty falling or staying asleep, often compounded by night sweats, is frequently reported during perimenopause and menopause.
Irritability, anxiety, and low mood can accompany hormonal fluctuations during this transition and are evaluated as part of the clinical picture.
Declining estrogen and testosterone can affect libido and sexual comfort. Several treatment pathways may be considered at clinician discretion.
Vaginal dryness and discomfort are common and treatable, including with localized estradiol options where clinically appropriate.
Persistent fatigue and difficulty concentrating are frequently reported during the menopause transition and are assessed individually.
These symptoms have many possible causes and are not diagnostic on their own. A licensed clinician evaluates your symptoms and health history before determining whether treatment is appropriate. Individual results vary and are not guaranteed.
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Complete a detailed online intake covering your symptoms, health history, and goals. A licensed clinician reviews it. In some states, a scheduled video visit is required as part of the process.
Your provider determines whether hormonal or non-hormonal treatment is appropriate and designs a plan around your symptoms and history. Labs are ordered as merited based on your medication and symptoms.
If approved, your initial medication is coordinated through SEVEN and shipped to your door. A follow-up review occurs around the first month — or sooner if symptoms or side effects warrant — to adjust your protocol.
After your protocol is established, reviews occur on a quarterly cadence, with the option to request a video visit with your provider at any time. Any medication change triggers a follow-up review.
Eligibility is determined by a licensed clinician following individual health intake review. The following reflects general clinical considerations.
Women experiencing symptoms associated with the menopause transition who are seeking clinical evaluation and, if appropriate, treatment.
Both women seeking hormone therapy and those who prefer or require non-hormonal options may be evaluated for an appropriate pathway.
Treatment decisions are based on your individual symptoms, health history, and goals, assessed by a licensed clinician.
Certain health histories are contraindications for hormone therapy. These are reviewed during the clinical intake process, and non-hormonal options may be considered.
Treatment eligibility is determined exclusively by a licensed clinician following review of your individual health intake. This is not a guarantee of treatment approval. Program and treatment availability may vary by state and is subject to change based on regulatory requirements.