Personalized hormone replacement therapy that puts you back in the driver’s seat—energy, clarity, confidence.
A fast-absorbing topical gel that provides steady, effective estrogen support to reduce:
Oral estrogen therapy that fits easily into your routine.Perfect for women looking for consistent, full-body symptom relief.
Taken alongside estrogen to balance your hormone levels and protect your health.
Taken alongside estrogen to balance your hormone levels and protect your health.
Hormone Replacement Therapy (HRT) is a safe and effective way to restore declining hormone levels, especially estrogen and progesterone, to relieve symptoms of perimenopause and menopause.
We use bioidentical hormones—compounds that mimic the hormones your body naturally produces—to provide targeted, personalized relief.
"I felt like my body was falling apart. Piper made it make sense — and made it easy. My doctor helped me start estradiol gel and had it shipped straight to me. Within weeks, I felt like me again."
"I was terrified to start HRT, but Piper actually listened. My doctor got what I was going through and tailored my treatment with care. The Passion Cream and progesterone helped calm the rage, lift my mood, and I finally started sleeping again."
"Everything felt personal with Piper — no waiting rooms, no generic plans. My care was truly mine. The regular check-ins ease my mind, and I feel seen. Plus, the meds? Gorgeous. I look forward to using them."
"I didn’t realize how much I had normalized feeling awful until Piper stepped in. My hot flashes, night sweats, and constant anxiety were out of control. The estradiol gel made a difference fast — and the whole process felt so easy and respectful."
"Starting HRT felt like a big decision, but Piper made it feel empowering. I finally got answers, a plan that made sense, and support every step of the way. The combination of progesterone and estradiol helped balance my mood and bring me back to center."
"From the first quiz to receiving my treatment, I felt supported and understood. Piper helped me feel like my symptoms weren’t ‘just in my head.’ My skin, sleep, and mood have all improved — I only wish I’d started sooner."
Yes, HRT is safe for most healthy women when prescribed by a licensed doctor. Piper’s physicians evaluate each patient individually to ensure treatments are appropriate and tailored to your unique needs.
No — Piper doctors treat based on symptoms, not lab results. Hormone levels can fluctuate daily, so symptom-based care is often more accurate and effective for menopause treatment.
Many women notice symptom relief within the first few weeks, especially with hot flashes, sleep disturbances, or mood shifts. Full benefits often become more noticeable within about three months.
Absolutely. Piper gives you full control — you can pause your subscription for up to 90 days or cancel anytime without pressure or penalties.
Piper offers FDA-approved treatments including oral estradiol and progesterone tablets, topical estradiol gel, and Passion Cream for vaginal or libido support — all designed to meet different needs and preferences.
Yes. Piper supports women in both menopause and perimenopause. If you’re starting to notice symptoms like irregular periods, hot flashes, or mood changes, our doctors can help you find the right treatment to feel better sooner.
Piper offers care that’s built around you — with real doctors who listen, FDA-approved treatments tailored to your body, and the comfort of receiving care and medication right from home. There’s no guesswork, no waiting rooms, and no hidden fees.
You’ll have ongoing access to your Piper doctor and care team. You can message your provider anytime through your patient portal — whether you need adjustments or just reassurance.
Yes. All Piper medications are shipped in discreet packaging, so your privacy is always protected.
