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Now in Beta

Care for the chapter no one prepares you for

One-time payment

$150

Hormone Care Essentials
+ medication costs, if prescribed

2 virtual visits with a hormone health specialist

Personalized hormone care plan

Prescriptions, if necessary

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What you're feeling? It's all connected.

There's more going on than any single symptom. Select what you've been experiencing to see the full picture.

Irregular periods

Often the first sign that perimenopause has begun—sometimes years before any other symptom appears. As estrogen and progesterone start to fluctuate, the carefully timed hormonal sequence that governs your cycle becomes less predictable. Periods may shorten, lengthen, become heavier, lighter, or skip months entirely. Irregular periods are rarely just one of those things—they're usually your body's earliest signal that something hormonal is shifting.

Hot flashes & night sweats

The symptom most associated with menopause—and for good reason. As estrogen fluctuates, it destabilizes the hypothalamus, the part of your brain that controls body temperature, making it hypersensitive to even small changes. The result: sudden waves of heat, flushing, and night sweats that can disrupt sleep and daily life for years. They're one of the most well-understood hormonal symptoms—and one of the most treatable.

PMOS/PCOS

PMOS (Polyendocrine Metabolic Ovarian Syndrome), formerly known as PCOS or Polycystic Ovary Syndrome, is often framed as a reproductive condition—something that affects your periods and your fertility. But at its core, it's a hormonal disorder. Elevated androgens disrupt ovulation and drive many of the symptoms that tend to get treated in isolation: weight changes, acne, hair thinning, blood sugar irregularities, difficulty conceiving. It doesn't resolve at menopause, it affects how your body responds to other treatments, and it requires care that accounts for the full hormonal picture — not just the reproductive one.

Menopause

Clinically, menopause is defined as 12 consecutive months without a period. Practically, it marks the point at which estrogen and progesterone have declined substantially—affecting sleep, mood, metabolism, bone density, and cardiovascular health, among other things. It's not just a reproductive milestone. It's a whole-body transition, and it deserves care that treats it that way.

Perimenopause

The transition before menopause, and the phase most women don't see coming. Perimenopause can begin in your late 30s or early 40s and last anywhere from a few years to over a decade. During this time, estrogen and progesterone fluctuate unpredictably rather than declining steadily—which is why symptoms can feel so inconsistent and hard to pin down. You're not in menopause yet, but your hormones are already changing in ways that matter for your care.

Sleep changes

If your sleep has fallen apart and you can't figure out why, progesterone may be the missing piece. Most people don't know that progesterone has a direct calming, sleep-promoting effect on the brain—so as levels drop during perimenopause and menopause, the ability to fall and stay asleep drops with it. This is separate from night sweats waking you up; it's a hormonal shift affecting your neurochemistry. Treating the hormone often treats the sleep.

Vaginal dryness & discomfort

Underreported, undertreated, and more common than most women realize. Estrogen keeps vaginal tissue healthy, elastic, and lubricated—and as levels decline, that tissue thins and dries. This can make sex uncomfortable or painful, cause everyday irritation, and increase susceptibility to infections. It's a direct consequence of estrogen loss, and it's very responsive to treatment when it's actually addressed.

Mood shifts

Anxiety, irritability, low mood, or a persistent sense of not feeling like yourself—these are frequently attributed to stress or life circumstances, and rarely recognized as hormonal. Estrogen plays a direct role in regulating serotonin and dopamine, the neurotransmitters most responsible for emotional stability. When estrogen fluctuates, your mood baseline can fluctuate with it. It's not a personality change, it's a hormonal one.

Early menopause

Menopause before age 45 affects 5% of women—and most don’t expect it. It can be triggered by surgery, chemotherapy, autoimmune conditions, or genetic factors, or it can occur with no cause at all. Because estrogen loss happens earlier than the body anticipates, the long-term health implications—for bones, heart, and brain—are more pronounced. Early menopause is often an isolating diagnosis, and it deserves the same comprehensive, whole-body care as any other hormonal transition.

Postmenopause

Most people think of menopause as the finish line. Postmenopause is actually where some of the most important hormonal health conversations begin. Once estrogen levels stabilize at a consistently low level, the long-term effects—on bone density, heart health, cognitive function, and vaginal tissue—become more clinically significant over time. Hot flashes may ease, but the hormonal story doesn't end. It changes.

how it works

A more personal path to feeling better

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Complete your health assessment

This isn't a standard intake form. You'll share your symptoms, health history, and goals—including things you might not have thought to mention to a doctor before, because the hormonal connections are often more surprising than people expect.

Meet with a metabolic and hormone health specialist

Your clinician reviews your full assessment before your first visit, so you're not starting from scratch. Two dedicated appointments give them the time to understand how your symptoms connect and build a plan that's matched to where you are.

Get a plan that fits your whole picture

If treatment is right for you, prescriptions can be sent directly to your pharmacy. You'll also get guidance on lifestyle, nutrition, and the parts of midlife health that don't come with a prescription.

Stay supported as things evolve

Message your clinician anytime, or get quick guidance from Maven Assistant between visits. When something new comes up, Maven's full network of 30+ specialties is here.

There’s more than one way to treat this. Let’s find yours.

Most hormone care defaults to HRT. We start with your assessment, so your treatment is built around what you actually need—not what's easiest to prescribe. Brand-name medications, covered by insurance. Copays may apply.

Birth control (pill, patch or vaginal ring)

Can reduce irregular bleeding, mood shifts, and hot flashes by stabilizing hormone levels. Your clinician can also refer you for in-person care for injections or an IUD.

Vaginal estrogen (cream or tablet)

Low-dose estrogen applied locally to relieve vaginal dryness, irritation, and pain or discomfort during sex with minimal absorption into the rest of the body.

Estrogen + Progesterone (patch, gel, spray, pills)

Estrogen and progesterone combined to relieve hot flashes, sleep disruption, and mood changes—while protecting the uterine lining. Prescribed separately so your clinician can tailor each dose to your body.

Estrogen only (patch, gel, pill)

Estrogen on its own to relieve hot flashes, sleep disruption, and mood changes. Typically delivered as a patch or gel for consistent absorption.

Access the whole practice

Get support for the whole picture, not just what brought you here.

Adoption Coach

Behavioral Analyst

Birth Planning Specialist

Care Advocate

Career Coach

Childcare Consultant

Developmental Psychologist

Lactation Consultant

Diabetes Coach

Doula and Childbirth Educator

Egg Donor Consultant

Family Physician

Fertility Awareness Educator

Genetic Counselor

Mental Health Provider

OB-GYN

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From the women in the middle of it

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“The holistic view and approach for managing perimenopause and menopause has been life changing! Nearing 50, I am in the best physical shape with support from the physical support and nutrition coaches.”—Dara

“Navigating perimenopause has been difficult. I was having symptoms, but my physical and labs came back normal. After speaking with a Maven provider, I felt like someone understood what I was going through and that I wasn’t crazy!”—Alison

“My in-person doctors are great, but they can't compete with the entire team I can meet with on Maven. I’ve met with a Wellness Coach, Physical Support coach, OB-GYN, Career Coach, Naturopath and many more. My daughter calls them my ‘entourage’ during my Taylor Swift Menopause era.”—Denise, Maven Ambassador

“I started using Maven because I was looking for answers and support during perimenopause. What stood out immediately was how understood I felt. The providers didn’t dismiss my symptoms, they helped me make sense of the changes happening in my body and gave me practical, personalized support.”—Debbie

Most hormone care treats the symptom. We treat the chapter.

Maven helps you connect what you're feeling right now to what's happening underneath: your cardiovascular health, your bone density, your metabolism. Because treating this chapter means treating all of it.

11 years

specializing in women’s and family health

1.3M+

appointments booked and counting

4.95/5

average appointment rating

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pricing

Everything in one place. No subscription.

Hormone Care Essentials

$150

one-time payment

Two 20-minute video consultations with a hormone health specialist
Secure clinician messaging (up to 20 messages)
Personalized hormone care plan
Prescriptions for HRT, birth control, and other medications (if appropriate and subject to additional costs)

Medication costs

Billed separately

Varies by prescription and coverage

Covered by insurance—copays may apply
Prescribed by Maven, filled and billed by your pharmacy

faqs

Your questions,

answered

Perimenopause typically begins in your 40s (though it can start earlier) and may include irregular cycles, sleep disruption, mood changes, brain fog, hot flashes, and joint pain. Many symptoms overlap with other conditions, which is why a provider review is helpful. We'll review your history and symptoms to help you understand what's happening.

For most women, HRT can be safe and effective when prescribed appropriately but is not suitable for everyone. While outdated studies raised concerns, current research shows HRT can reduce symptoms and help protect heart, bone, and brain health—especially when started during perimenopause or early menopause. Your provider will review your personal health history, discuss risks and benefits, and help determine if it's right for you.

No. Maven’s Hormone Care is personalized. If HRT isn’t appropriate or preferred, your provider will discuss alternative treatment options and lifestyle recommendations.

Your $150 one-time fee includes two 20-minute 1:1 consultations and up to 20 secure chat messages with a menopause-trained clinician, a strength training program, and a tailored care plan that addresses both immediate symptoms and long-term health.

If prescribed, medications like HRT or birth control are billed separately through your pharmacy and may be covered by insurance, depending on your plan.

We can help you understand potential coverage, which is determined by your plan. Your prescriptions are sent to your preferred pharmacy, where coverage is processed accordingly.

Yes. Treatment options differ slightly depending on whether you have a uterus, but HRT may still be an option. Your provider can recommend the right formulation for you.

Your provider can review your current treatment, adjust your dosing or formulation, and optimize your plan. Many women aren't on the right dose or delivery method for their needs.

Virtual visits are designed for consultation and follow-up guidance. If in-person care or additional testing is needed, your provider will help direct you appropriately.

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