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 by an online consultation with an Institute of Bioidentical Medicine-certified practitioner licensed in your state, who can provide personalized hormone therapy if you are a candidate. Your provider may prescribe hormone treatment during your HIPAA-compliant consultation. Your prescription will be shipped directly to your door by a pharmacy licensed in your state.

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. 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 for questions and two annual visits with a functional nutritionist, and ongoing clinical management. Where clinically appropriate, your physician may prescribe hormone therapy, which is filled and shipped by a licensed compounding pharmacy in your state.

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 continue your own ongoing screenings and support with your PCP.

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 hormone replacement therapy in their 60s and beyond can potentially improve quality of life and support bone health. 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 in most states. In the United States, testosterone is a controlled substance requiring state-specific medical oversight. Our approach is tailored to each state's specific regulations. Testosterone is one of the key hormones we replenish as part of the Menrva hormone therapy, supporting strength, energy, libido, and long-term vitality. Unlike estrogen and progesterone therapy, testosterone is a controlled substance, and the availability is set by each individual state's laws, not by Menrva. It's not yet available to patients in AL, AR, CT, DE, DC, HI, ID, IL, IN, LA, MD, MI, MO, NV, NM, NC, OK, RI, SC, SD, VA, WA, or WY - all Menrva other sex hormone replacement and thyroid services are fully available, and we are working with these states to enable testosterone therapy in the future.

Bioidentical hormones are molecularly identical to the hormones your body produces. Some FDA-approved bioidentical hormone options are available, and, where clinically appropriate, compounded preparations may also be considered. Compounded medications are not FDA-approved and have not been reviewed for safety or efficacy. Safety and effectiveness depend on proper medical supervision, your individual health profile, precise dosing, and ongoing monitoring. Your physician will evaluate which approach is right for you

Hormone therapy, when properly prescribed and monitored, may support metabolic balance, help reduce insulin resistance, and assist with muscle mass maintenance and weight management during midlife. Individual results vary.

Many women notice changes in certain symptoms over time, though response varies significantly based on individual factors. Your physician will monitor your progress and adjust your care plan accordingly. Individual results vary

When 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.

Cancer risk assessment with hormone therapy is highly individual. Your physician will review your personal health history, family history, and current clinical evidence to evaluate whether hormone therapy is appropriate for you and which approach carries the lowest risk for your specific situation.