We value your privacy

We use cookies to analyze site usage and improve your experience. You can accept all, reject non-essential, or customize. See our Privacy Policy.

Kindr Health Medication Center

Midlife medications, explained with real evidence.

Hormone therapy, nonhormonal hot-flash options, vaginal and sexual health treatments, GLP-1 medicines, and healthy-aging research. Each guide separates FDA-approved uses from off-label use and unproven claims. An educational page is not an offer to prescribe.

Search by brand, generic or RxNorm code →

Start your visit →

Menopause & hormone therapy14

Estradiol in every form, progesterone, combined products, and testosterone education.

Hormone therapy

Estradiol

Patches, gels, creams (e.g. Climara, Divigel, Estrogel)

Bioidentical estrogen — first-line treatment for hot flashes, night sweats, vaginal dryness, and bone protection.

Status: FDA-approved

Read about Estradiol →

Hormone therapy

Micronized Progesterone

Prometrium, generic micronized progesterone

Bioidentical progesterone — required for endometrial protection in women with a uterus on estrogen, and a meaningful sleep aid.

Status: FDA-approved

Read about Micronized Progesterone →

Hormone therapy

Testosterone (low-dose, female-physiologic)

Compounded transdermal cream

Low-dose testosterone for selected women with low libido, low energy, or persistent post-menopausal "flatness" despite estrogen.

Status: Off-label for women in the U.S.

Read about Testosterone (low-dose, female-physiologic) →

Progestin-only contraceptive (perimenopause)

Slynd

Drospirenone 4 mg — progestin-only pill

A 24/4 progestin-only pill with antiandrogenic and anti-mineralocorticoid activity — estrogen-free contraception for perimenopausal women, with a more forgiving missed-pill window than older POPs.

Status: FDA-approved for contraception

Read about Slynd →

Hormone therapy

Compounded HRT

Custom-formulated by FDA-registered 503A compounding pharmacies

Custom-formulated bioidentical hormone therapy prepared to your exact dose by an FDA-registered compounding pharmacy.

Status: Compounded; not FDA-approved

Read about Compounded HRT →

Hormone therapy — brand

Climara

Estradiol transdermal patch (once-weekly)

The Climara estradiol patch is a once-weekly transdermal estrogen — the longest-wear FDA-approved estrogen patch for menopause hot flashes, night sweats, vaginal dryness, and osteoporosis prevention.

Status: FDA-approved

Read about Climara →

Hormone therapy — brand

Minivelle

Estradiol transdermal patch (twice-weekly, smallest)

The smallest FDA-approved estradiol patch — twice-weekly delivery in a fingertip-sized patch.

Status: FDA-approved

Read about Minivelle →

Hormone therapy — brand

Premarin

Conjugated equine estrogens — oral tablet

The original conjugated estrogen tablet — a mix of estrogens derived from pregnant mare urine. Largely supplanted by bioidentical transdermal estradiol.

Status: FDA-approved

Read about Premarin →

Hormone therapy — brand (combined)

CombiPatch

Estradiol + norethindrone acetate transdermal patch

CombiPatch is a twice-weekly combined HRT patch delivering bioidentical estradiol plus norethindrone acetate — estrogen and progestin in a single patch for women with a uterus.

Status: FDA-approved

Read about CombiPatch →

Hormone therapy — brand (combined)

Activella

Estradiol + norethindrone acetate oral tablet

Activella is a once-daily combined oral HRT tablet — bioidentical estradiol plus norethindrone acetate — for postmenopausal women with a uterus.

Status: FDA-approved

Read about Activella →

Hormone therapy — brand (combined)

Climara Pro

Estradiol + levonorgestrel weekly patch

Once-weekly combined estradiol-levonorgestrel patch — estrogen plus progestin in one patch.

Status: FDA-approved (estrogen plus progestin, for people with a uterus)

Read about Climara Pro →

Hormone therapy · Transdermal

Estrogen Patch

Transdermal estradiol — Climara, Vivelle-Dot, Minivelle, Alora, Estraderm, Menostar, Dotti

The estrogen patch delivers bioidentical estradiol through the skin — the form of HRT most major guidelines (NAMS, Endocrine Society) consider first-line because it bypasses the liver and carries a lower clot risk than oral estrogen.

Status: FDA-approved products (form guide)

Read about Estrogen Patch →

Hormone therapy

Combined hormone therapy

Activella, CombiPatch, Climara Pro, Prempro, Bijuva, Prefest

Estrogen plus progestogen products for people with a uterus, compared by ingredient, form, and current label.

Status: FDA-approved products (comparison guide)

Read about Combined hormone therapy →

Hormone therapy

Conjugated estrogens/bazedoxifene

Duavee

Estrogen paired with a SERM instead of a progestin for people with a uterus.

Status: FDA-approved for hot flashes and osteoporosis prevention

Read about Conjugated estrogens/bazedoxifene →

Nonhormonal menopause options4

FDA-approved and off-label options for hot flashes, clearly labeled by evidence.

Non-hormonal

Paroxetine

Brisdelle (low-dose, FDA-approved for hot flashes)

The only SSRI with FDA approval specifically for moderate-to-severe vasomotor symptoms — useful when HRT is not an option.

Status: FDA-approved at 7.5 mg for hot flashes (Brisdelle)

Read about Paroxetine →

Non-hormonal

Fezolinetant

Veozah

Non-hormonal NK3 receptor antagonist — the newest mechanism for hot flashes, FDA-approved in 2023.

Status: FDA-approved for menopause vasomotor symptoms

Read about Fezolinetant →

Nonhormonal

Elinzanetant

Lynkuet

Dual NK1/NK3 receptor antagonist taken at bedtime for moderate-to-severe menopause hot flashes.

Status: FDA-approved for menopause vasomotor symptoms

Read about Elinzanetant →

Off-label nonhormonal

Gabapentin, oxybutynin & clonidine

Neurontin

Older medicines sometimes used off-label for hot flashes, rated by evidence strength.

Status: Off-label for hot flashes

Read about Gabapentin, oxybutynin & clonidine →

Sexual & intimate health5

Treatments for genitourinary syndrome of menopause, dryness, and painful sex.

Hormone therapy (local)

Vaginal Estrogen

Estring, Vagifem, Imvexxy, Estrace cream

Low-dose estrogen applied locally to vaginal tissue — minimal systemic absorption, highly effective for genitourinary symptoms.

Status: FDA-approved

Read about Vaginal Estrogen →

Vaginal estrogen — brand

Estring

Estradiol vaginal ring (low-dose, 90 days)

Estring is a low-dose estradiol vaginal ring — one ring releases 7.5 mcg/day for 90 days for genitourinary syndrome of menopause (vaginal dryness, painful sex, recurrent UTIs).

Status: FDA-approved

Read about Estring →

Local (vaginal) estrogen

Estradiol Vaginal Cream

Estrace Cream, Premarin Cream (CEE), generic estradiol vaginal cream 0.01%

Low-dose vaginal estrogen cream — the first-line, FDA-approved treatment for painful sex, vaginal dryness, and recurrent UTIs from genitourinary syndrome of menopause (GSM).

Status: FDA-approved

Read about Estradiol Vaginal Cream →

Sexual & intimate health

Ospemifene

Osphena

Daily oral SERM for menopause-related painful sex and vaginal dryness.

Status: FDA-approved for dyspareunia and vaginal dryness

Read about Ospemifene →

Sexual & intimate health

Prasterone

Intrarosa

Nightly vaginal DHEA insert for menopause-related painful sex.

Status: FDA-approved for dyspareunia

Read about Prasterone →

Metabolic & weight management6

GLP-1 and related medicines. These are not menopause treatments.

GLP-1 weight care

Semaglutide

Wegovy, Ozempic

Weekly GLP-1 injection for chronic weight management, used adjunctively in menopausal weight changes when appropriate.

Status: FDA-approved (indication varies by product)

Read about Semaglutide →

GLP-1 weight care

Tirzepatide

Zepbound, Mounjaro

Dual GIP/GLP-1 receptor agonist — currently the most effective FDA-approved weight medication available.

Status: FDA-approved (indication varies by product)

Read about Tirzepatide →

GLP-1 & metabolic

Orforglipron

Foundayo

FDA-approved oral small-molecule GLP-1 receptor agonist for chronic weight management in a defined adult population.

Status: FDA-approved for chronic weight management

Read about Orforglipron →

GLP-1 & metabolic

Liraglutide

Saxenda, Victoza

Daily GLP-1 injection; Saxenda and Victoza carry different indications.

Status: FDA-approved (indication varies by product)

Read about Liraglutide →

Comparison

Ozempic vs Wegovy vs Rybelsus

Semaglutide products

Same ingredient, different FDA-approved products and indications.

Status: Comparison guide

Read about Ozempic vs Wegovy vs Rybelsus →

Comparison

Zepbound vs Mounjaro

Tirzepatide products

How the two tirzepatide products differ in approved use.

Status: Comparison guide

Read about Zepbound vs Mounjaro →

Healthy aging & emerging research2

Medicines studied for aging, with approved uses separated from unproven claims.

Aging research

Metformin

Glucophage

Type 2 diabetes medicine studied in aging research; longevity benefit unproven.

Status: FDA-approved for type 2 diabetes; longevity use unproven

Read about Metformin →

Aging research

Rapamycin (sirolimus)

Rapamune

mTOR inhibitor with transplant and rare-disease approvals; longevity evidence is preclinical and early human.

Status: Not FDA-approved for longevity

Read about Rapamycin (sirolimus) →

Not sure which medication is right for you?

A licensed healthcare professional can review your history, current medicines, symptoms, and goals to discuss appropriate options. A prescription is not guaranteed.

Start your visit →