What menopause medications does Pandia ship?
Pandia Health provides FDA-approved menopause hormone therapy, in generic and brand-name versions, prescribed by our menopause-trained doctors and delivered by Pandia Pharmacy. Here are the brands Pandia Pharmacy carries:
- Estradiol tablets: estradiol, Estrace
- Estradiol patches: estradiol, Dotti, Lyllana, Vivelle-Dot, Minivelle, Climara
- Vaginal creams: estradiol, Estrace, Premarin
- Vaginal inserts (tablets): estradiol, Yuvafem, Vagifem
- Vaginal rings: Estring, Femring
- Progesterone capsules: bioidentical micronized progesterone, Prometrium
- Combination products (estrogen + progestogen): Climara Pro patch; norethindrone acetate and ethinyl estradiol, Fyavolv, Prempro, Premphase and Bijuva pills
See the full list on our menopause medications page.
What does each medication treat?
Every medication our doctors prescribe is FDA-approved for specific menopause uses. Here’s what each one is FDA-approved to treat, taken from its FDA label:
- Vasomotor symptoms are hot flashes and night sweats.
- Vulvar and vaginal atrophy covers dryness, irritation and pain with sex. It’s part of what doctors call genitourinary syndrome of menopause (GSM).
- Osteoporosis prevention means helping prevent bone loss after menopause.
| Medication | Hot flashes and night sweats | Vulvar and vaginal atrophy | Prevents postmenopausal osteoporosis |
|---|---|---|---|
| Estradiol tablets (estradiol, Estrace) | Yes | Yes | Yes |
| Estradiol patches (estradiol, Dotti, Lyllana, Vivelle-Dot, Climara) | Yes | Yes | Yes |
| Minivelle patch | Yes | — | Yes |
| Estradiol vaginal cream (estradiol, Estrace) | — | Yes | — |
| Premarin vaginal cream | — | Yes, including pain with sex from vaginal atrophy | — |
| Vaginal inserts (estradiol, Yuvafem, Vagifem) | — | Yes (atrophic vaginitis) | — |
| Estring vaginal ring | — | Yes | — |
| Femring vaginal ring | Yes | Yes | — |
| Climara Pro patch | Yes | — | Yes |
| Norethindrone acetate and ethinyl estradiol, Fyavolv | Yes | — | Yes |
| Prempro, Premphase | Yes | Yes | Yes |
| Bijuva | Yes | — | — |
In addition, our doctors treat GSM (genitourinary syndrome of menopause) with vaginal estrogen per The Menopause Society, which includes symptoms such as urinary urgency, dysuria (painful urination), and recurrent urinary tract infections (UTIs).
Where progesterone fits. Progesterone capsules (progesterone, Prometrium) don’t treat the above symptoms. If you still have a uterus and take estrogen, progesterone is FDA-approved to help prevent thickening of the uterine lining (endometrial hyperplasia). That’s also why the combination products above pair estrogen with a progestogen (to prevent thickening of your uterine lining, which puts you at risk for endometrial cancer). For more, see What Is the Lowest Dose of Progesterone for HRT?
Local vs. systemic (whole-body). Vaginal creams, inserts, and Estring work where they’re applied, so they’re used for vaginal and urinary symptoms. Pills, patches, and Femring deliver estrogen through your whole body. For osteoporosis prevention, the FDA labels say to consider non-estrogen medications first and use estrogen only for women at significant risk. However, The Menopause Society, in its 2022 Hormone Therapy Position Statement, calls the benefit-to-risk ratio favorable for prevention of bone loss if a woman is under 60 years old or within 10 years of menopause and has no contraindications.
Read more about vaginal dryness here: Treatment for Vaginal Dryness During Perimenopause.
What Pandia’s doctors don’t prescribe
Pandia Health’s doctors only prescribe FDA-approved and tested medications. That means we don’t prescribe:
- Compounded hormones. Compounded products are custom-mixed by a pharmacy and aren’t FDA-approved or FDA-tested, so they have not gone through a review for safety, effectiveness, and consistent dosing.
- Hormone pellets. Pellets are implanted under the skin and cannot be removed or adjusted once placed. So if the dose is too high or you have side effects, you are stuck with them for 3 months. And some of the side effects from too much testosterone do not go away after you stop testosterone. Pellets are not FDA-approved or FDA-tested. Learn why in Why Experts Don’t Recommend Pellets for Menopause.
- Testosterone. There’s no FDA-approved testosterone product for women in the US, so using it for low libido or other purposes is off-label.
If you’re already using one of these, let Pandia Health’s doctors know. They can suggest FDA-approved options to safely treat your symptoms.
How to get menopause medication from Pandia Health
Getting started takes three steps, all online (no appointment needed):
- Fill out a health questionnaire. Answer questions about your symptoms, health history, and any medications you take. It takes a few minutes and you can do it from your phone, tablet or computer.
- A doctor reviews it. One of our menopause-trained doctors reviews your answers. If hormone therapy is a safe fit, they prescribe the FDA-approved options that best treat your symptoms.
- Free delivery from Pandia Pharmacy. As part of Pandia Health’s service, we can provide free delivery by standard USPS mail, and we provide easy refills.
Already have a prescription? You can have your prescriber send it directly to Pandia Pharmacy or you can transfer it to Pandia Pharmacy and enjoy free delivery and automatic refills. For plans and pricing, see our menopause care page.
Start your menopause assessment
Who shouldn’t take hormone therapy
Hormone therapy isn’t safe for everyone, which is why a Pandia Health doctor reviews your health history before prescribing. The FDA lists conditions where estrogen shouldn’t be used, including:
- Vaginal bleeding that hasn’t been checked by a doctor
- Breast cancer now or in the past, or another estrogen-dependent cancer
- Blood clots in the legs or lungs, now or in the past
- A past stroke or heart attack
- Liver disease
- Known blood-clotting disorders
- A serious allergic reaction to the medication
Tell your doctor about every health condition, medication, and supplement or herb you take on your health questionnaire. If hormone therapy isn’t right for you, our doctors will tell you why and suggest other options. To weigh the benefits and risks, read Is HRT Right for Me? Who It Helps and Who Should Skip It.
This article is for general information and is not a substitute for medical advice. Medication list current as of November 2026; see pandiahealth.com/menopause/medications for the latest.