MENRVA is a pioneering FEMTECH platform transforming women’s healthcare through advanced digital intelligence and functional medicine. We deliver comprehensive, personalized, data-driven care for perimenopause, menopause, and post-menopause—addressing the root causes of hormonal and metabolic shifts.

Your custom treatment plan with MENRVA starts with a secure intake questionnaire, followed with an online consultation with a Menopause Method certified practitioner licensed in your state to provide bioidentical hormone treatment. Your provider may prescribe hormone treatment during your HIPAA-compliant consultation. Your prescription will be shipped directly to your door.

Once you begin treatment, you'll have regularly scheduled consultations with your MENRVA provider to ensure your hormones are working for you and to make adjustments if necessary. Our staff is available to answer questions via our secure message platform.

We are currently available in all states in the continental US with limited availability in IA and AL. Please use your personal address when signing up, as we cannot ship prescriptions or tests to alternate addresses in qualifying states.

Your subscription includes medical consultations, access to a health coach and functional nutritionist, bioidentical hormone therapy, customized treatment, and delivery of hormones to your door.

Most women start to see improvements in sleep, hot flashes, and night sweats within 2 to 4 weeks and many see significant changes in mood and other symptoms within 8 to 12 weeks.

In order to establish care, we provide consultations via secure telemedicine video platform. Ensure you have good internet access and that your audio and video are working before your appointment. Occasionally, technology issues may imped video conferencing. In those cases, appointments can be handled by phone and future appointments can be conducted via video.

Your privacy is our highest priority. We protect your information through:

• Bank-grade encryption for all personal and medical data

• HIPAA and SOC-2 compliant secure systems

• Strict confidentiality protocols preventing data selling

• Secure, tokenized payment processing 

• Continuous security monitoring and advanced digital protection

We've designed our platform with the same care we'd want for our own families—ensuring your health information remains completely private and protected.

Because we are a telehealth service, we cannot handle medical emergencies. If you're experiencing a medical emergency, immediately call 911, contact your in-person provider, or go to a hospital for urgent care. Once you've received the appropriate medical attention, update your MENRVA provider to reflect any changes in your health.

No, we do not provide primary care and cannot be your primary care physician. You must maintain a relationship with your primary care physician and undergo annual physical examinations with them as a requirement for participation in MENRVA.

The Menrva program is a cash-based service not covered by insurance, allowing us to spend more time with you and provide truly personalized care without insurance restrictions.

You may be able to use your FSA for telemedicine and hormone replacement therapy because they are considered qualified medical expenses for FSA/HSA use but always check with your plan administrator first. 

No! The Menrva program is designed for women experiencing perimenopause (the transition years before menopause) as well as those who have completed menopause. We help women typically aged 35-75.

Age is not a barrier to hormone replacement therapy. Groundbreaking recent research shows that women starting bioidentical hormone replacement therapy in their 60s and beyond can potentially reduce all-cause mortality risk and improve quality of life, with topical estrogen treatments demonstrating no increased cardiovascular risks. We've successfully supported women into their 70s and 80s, proving that personalized hormonal health has no age limit—every woman deserves the opportunity to explore how hormones can optimize her wellness journey.

Yes, testosterone therapy is available through our telehealth platform. While testosterone is a controlled substance requiring medical oversight, our approach is tailored to each state's specific regulations. Our clinical team will guide you through the necessary medical requirements, which may include an annual physical examination depending on your state's guidelines. We work directly with our network of licensed practitioners to ensure a seamless, compliant process for accessing testosterone therapy that prioritizes your health and meets all regulatory standards.

Bioidentical hormones are plant-derived hormones designed to be molecularly identical to human hormones, offering a more personalized approach to hormone therapy. While not all are FDA-approved, some FDA-approved bioidentical hormone options exist. Research suggests they may have fewer side effects compared to traditional synthetic hormones, but individual responses vary. The safety and effectiveness depend on proper medical supervision, individual health profile, precise dosing, and on-going monitoring.

• Can actually help metabolic balance

• May reduce insulin resistance

• Supports muscle mass maintenance

• Helps manage midlife weight challenges

• Some symptoms improve within weeks

• Full optimization: 3-6 months

• Individual response varies

• Gradual, consistent improvements

When bioidentical hormones are carefully prescribed and monitored by a qualified healthcare professional, side effects are typically minimal and manageable. Most women experience mild, temporary symptoms like slight breast tenderness or occasional spotting during initial treatment. Rare side effects can include mild headaches or mood fluctuations, which are usually quickly addressed through precise dosage adjustments. Our comprehensive approach involves regular follow-ups, comprehensive testing, and personalized treatment modifications to ensure your hormone therapy remains safe, effective, and tailored to your unique physiological needs. Any unusual symptoms are promptly evaluated to maintain your overall health and treatment effectiveness.

Hormone replacement therapy can significantly improve sexual health by addressing underlying hormonal imbalances, effectively reducing vaginal dryness and enhancing overall sexual desire and function. By restoring hormonal balance, HRT helps women reclaim their intimate wellness and confidence, offering a personalized approach to addressing sexual health challenges associated with hormonal transitions.

If you're experiencing persistent hormonal symptoms like mood changes, weight fluctuations, or sleep disruptions OR you want to increase your longevity, you may be an ideal candidate for hormone replacement therapy. Our comprehensive health screening process carefully evaluates your medical history, current health status, and specific symptoms and goals to determine whether personalized hormone optimization can safely improve your overall wellness and quality of life.

Recent advancements in hormone replacement therapy, particularly with bioidentical hormones, have significantly reduced cancer risks when carefully prescribed and monitored by specialized clinicians. Our approach involves comprehensive, personalized risk assessments that consider your individual health profile, genetic factors, and the latest clinical research to minimize potential risks while maximizing the potential benefits of hormone optimization.