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Evidence-checked · sources listedSources

Information for better conversations, not a diagnosis. This is research with sources, not medical advice. Talk to your clinician about your situation.

How this page works. We list a few places to start, in the order we'd check them. We don't endorse any clinician or company, we don't take money from any of them, and none of these links are affiliate links. Details change, so confirm everything with the service before you book. We last checked every detail below on October 15, 2026.

Search The Menopause Society directory →

Start here: The Menopause Society's practitioner search

Find a Menopause Practitioner · The Menopause Society
https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx

  • What it is. A free search run by The Menopause Society, the nonprofit formerly called NAMS (the North American Menopause Society). It lists Society members and MSCPs who have asked to be included 1.
  • How to search. By country, by US ZIP code, or by telehealth in a US state 1.
  • What "MSCP" means. Menopause Society Certified Practitioner. It's a credential for licensed healthcare professionals who pass the Society's menopause competency exam. It's valid for 3 years and is kept up by retesting or continuing education 2. It used to be called NCMP (NAMS Certified Menopause Practitioner), so you may still see either set of letters 3.
  • Read the listing closely. The directory includes Society members as well as MSCPs, and it shows which ones have earned the credential 2. If certification matters to you, look for "MSCP" (or the older "NCMP") next to the name.
  • What it isn't. The Society says the directory is "not a complete compilation". Practitioners who aren't taking new patients aren't listed 1. The Society also says it "does not endorse or recommend the practitioners included in the directory" 1. A good clinician may not appear here, so ask your own ob-gyn or primary care clinician too.

Before you book, The Menopause Society suggests checking where the clinician is located, whether they accept commercial insurance or Medicare, whether they offer telemedicine, and their areas of specialty 2.

Women's telehealth services

Listed alphabetically. Not endorsed by Meet Midlife. No affiliate links. Everything below comes from each company's own website, checked October 15, 2026.

Alloy (myalloy.com) · Not endorsed by Meet Midlife

https://www.myalloy.com

  • Where: "all 50 states plus the District of Columbia", per its own FAQ 4.
  • Insurance: Alloy says it "does not bill or accept insurance directly for any services or prescriptions". It's cash-pay; some patients claim reimbursement from PPO plans afterward, and HSA/FSA funds can be used 5.
  • How it works: An online intake reviewed by a doctor. Alloy says you'll get a treatment plan in under 12 hours, with free delivery 419.
  • What it prescribes, per its site 67:
    • FDA-approved estradiol (pill, patch, gel, spray, vaginal cream)
    • progesterone
    • its own prescription skin products, which are compounded: "M4" estriol skin creams
  • Testosterone: Alloy says its physicians do not prescribe testosterone 8.
  • What to know about compounded products:
    • Alloy says its doctors "prescribe only FDA-approved medications for the treatment of menopausal symptoms", and that it uses compounding for some other products 6.
    • The FDA says there are no FDA-approved drugs containing estriol and that it "does not have evidence that drugs containing estriol are safe and effective" 9.
    • Compounded drugs are not FDA-approved 9.

Midi Health (joinmidi.com) · Not endorsed by Meet Midlife

https://www.joinmidi.com

  • Where: Virtual visits, "available in all 50 states", per its site 10.
  • Insurance:
    • Midi says it is in-network with most PPO plans and most major insurers, but coverage varies by plan 11.
    • Self-pay is $250 for a first visit and $150 for a returning visit. HSA/FSA can be used 11.
    • Medicare is out of network. Medicare patients can pay themselves but can't submit claims. Medicaid and Medi-Cal aren't accepted 11.
  • What it prescribes, per its site:
    • "FDA-approved bioidentical hormones": estrogen plus progesterone or a progestin if you have a uterus, as a pill, patch, vaginal ring, or cream or gel 12
    • vaginal estrogen 10
    • hormone and non-hormone treatments for menopause symptoms 10
    • Midi also sells its own products, including supplements (for example "Daily Brain Boost" and "Creatine+") and an "Estriol+ Face Cream" 10. We couldn't confirm from its site whether that cream is compounded or a cosmetic.
  • Testosterone: offered in 25 states, from $100 for a 90-day supply 13. Midi says it is compounded, and that "compounded testosterone is not FDA-approved" 13. It does not prescribe pellets, and it monitors with blood tests 13.
  • What to know about testosterone:
    • Midi's page says you don't need to be in menopause to use it. It says testosterone "may help" mood, energy and cognition, "although the evidence for these benefits is still emerging" 13.
    • The Global Consensus Position Statement, endorsed by The Menopause Society, takes a different position. Its only evidence-based use for testosterone is HSDD (distressing low desire) after menopause. It finds insufficient data in premenopausal women, and it says data "do not show an effect of testosterone on depressed mood" 14.

Questions to ask any clinic or service

Ask these before you pay. A good clinic will answer them plainly.

  1. "Is the clinician I'll see a Menopause Society Certified Practitioner (MSCP)?" You can check in the Society's directory 12.
  2. "Do you prescribe FDA-approved hormone therapy? If you'd ever suggest a compounded product, why that instead of an approved one?" The Menopause Society says compounding should be reserved for cases where an approved product can't be used 16.
  3. "Do you use blood, saliva or urine hormone tests to diagnose me or to set my dose?" The Menopause Society calls testing to guide dosing unreliable 16. ACOG says most women probably don't need hormone testing to diagnose perimenopause 18.
  4. "Which non-hormone options do you offer if hormones aren't right for me?" The Menopause Society grades cognitive behavioral therapy (CBT) at Level I for hot flashes 20.
  5. "If testosterone comes up: for what diagnosis, which product, is it FDA-approved for women, and how will you monitor it?" The only evidence-based use is HSDD after menopause, and there's no FDA-approved testosterone product for menopausal symptoms in the US 1417.
  6. "What does a visit cost, and what's extra?" Ask about labs, medicines, memberships, and whether you can use insurance, Medicare or Medicaid.
  7. "Do you sell supplements or products yourselves?" If so, ask how they decide what to recommend.
  8. "Is the clinician licensed in the state where I'll be during my visits?"
  9. "If I need a pelvic exam, an ultrasound, or a check for bleeding, how does that work? Who do I contact after hours?"
  10. "Will you share notes with my primary care clinician or ob-gyn?"

Red flags worth pausing on

These aren't verdicts. They're points where a service's approach differs from what the authorities above say:

  • Promises that compounded or "bioidentical" hormones are safer than FDA-approved ones 915.
  • Hormone testing (blood, saliva or urine) used to set your dose 16.
  • Testosterone or pellets offered for mood, energy or memory 14.
  • Pressure to buy packages, memberships or supplements before you've had a full assessment.

Information for better conversations, not a diagnosis.

This is research with sources, not medical advice. Talk to your clinician about your situation.

Evidence-checked · sources listed

Not endorsed. No affiliate links. Meet Midlife doesn't receive payment from any service on this page. Listings are examples, not a complete list or a ranking.

Sources (all checked 2026-10-15)

  1. The Menopause Society. Find a Menopause Practitioner (directory and terms). https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx
  2. The Menopause Society. Choosing a Healthcare Practitioner. https://menopause.org/patient-education/choosing-a-healthcare-practitioner
  3. The Menopause Society. Name-change announcement, 2023 ("Menopause Society Certified Practitioner (MSCP), formerly a NAMS Certified Menopause Practitioner (NCMP)"). July 11, 2023. https://menopause.org/wp-content/uploads/press-release/name-change-announcement.pdf
  4. Alloy. How it works / FAQ ("Where is Alloy available?"). https://relief.myalloy.com/Yute/howitworks
  5. Alloy Help Center. Does Alloy accept insurance? (updated Nov 18, 2025). https://myalloy.zendesk.com/hc/en-us/articles/23575535778963-Does-Alloy-accept-insurance ; home page ("Easy cash-pay… FSA/HSA cards accepted"): https://www.myalloy.com/
  6. Alloy. Compounded products. https://www.myalloy.com/compounded-products ; product menu on home page (estradiol pill, patch, gel, Evamist, vaginal cream; progesterone; M4): https://www.myalloy.com/
  7. Alloy. M4 product post. https://www.myalloy.com/blog/everything-you-need-to-know-about-estriol-cream
  8. Alloy. "Testosterone cream for women: does it help in menopause?" ("Alloy physicians do not prescribe testosterone"). https://www.myalloy.com/blog/testosterone-cream-for-women-does-it-help-in-menopause
  9. US FDA Office of Women's Health. Menopause (compounded "bioidentical" hormones; estriol). https://www.fda.gov/consumers/womens-health-topics/menopause
  10. Midi Health. Home page. https://www.joinmidi.com
  11. Midi Health. Pricing & insurance. https://www.joinmidi.com/pricing-insurance
  12. Midi Health. Bioidentical hormone therapy. https://www.joinmidi.com/bioidentical-hormone-therapy
  13. Midi Health. Testosterone for women. https://www.joinmidi.com/testosterone
  14. Davis SR, et al. Global Consensus Position Statement on the Use of Testosterone Therapy for Women. J Clin Endocrinol Metab. 2019. PMID 31498871. https://pubmed.ncbi.nlm.nih.gov/31498871/
  15. The Menopause Society. Hormone Therapy (patient education). https://menopause.org/patient-education/menopause-topics/hormone-therapy
  16. The 2022 hormone therapy position statement of The North American Menopause Society. Menopause. 2022. PMID 35797481. https://pubmed.ncbi.nlm.nih.gov/35797481/
  17. ACOG. Compounded Bioidentical Menopausal Hormone Therapy: Clinical Consensus No. 6. Obstet Gynecol. 2023. PMID 37856860. https://pubmed.ncbi.nlm.nih.gov/37856860/
  18. ACOG. Do I need to have testing of my hormone levels during perimenopause? (Sept 2025). https://www.acog.org/womens-health/experts-and-stories/ask-acog/do-i-need-to-have-testing-of-my-hormone-levels-during-perimenopause
  19. Alloy. Treatment landing page ("Get a Treatment Plan (less than 12 hours)", "Free Delivery"). https://www.myalloy.com/landing/treatment
  20. The 2023 nonhormone therapy position statement of The North American Menopause Society. Menopause. 2023. PMID 37252752. https://pubmed.ncbi.nlm.nih.gov/37252752/