We understand that each stage of a woman's life presents distinct challenges, often unaddressed by standard medications. Our dedicated team collaborates closely with healthcare providers and patients to tailor solutions that meet these unique needs, leveraging our expertise to enhance future formulations.
Our approach addresses a spectrum of hormonal changes and associated health issues women face as they age—from weight gain and sleep issues to more complex conditions like menopausal symptoms and pelvic floor dysfunction. We specialize in Hormone Replacement Therapy (HRT) and other compounded medications, designed to restore hormonal balance and improve overall quality of life, ensuring each woman receives personalized care at every life stage.
Women’s Health
Common dosage forms include: creams, gels, ointments, capsules, troches, suppositories, nasal sprays, and injectables.
Medicine, Reinvented — Browse Our Top Women’s Health Products
Compounded BiEst cream is a bioidentical estrogen therapy for menopause and perimenopause, combining two estrogens your body makes: estriol and estradiol. As estrogen declines, symptoms like hot flashes, night sweats, vaginal dryness, sleep disruption, and mood changes can follow. BiEst replaces estrogen in a transdermal cream, so it is absorbed through the skin and bypasses first-pass processing in the liver, which many prescribers prefer.
The blend is typically weighted toward estriol, a gentler estrogen, with a smaller amount of the more potent estradiol, and your prescriber sets the exact ratio and strength for your symptoms and goals. It is applied to the skin daily as directed, and for women with a uterus it is used together with progesterone to protect the uterine lining. Because it is compounded, we can tailor the formula in a way commercial products cannot.
Estradiol is FDA-approved and estriol is prepared as a compounded medication, so BiEst is dispensed to your prescription and used under a prescriber who tailors your hormone plan and monitoring. It is generally well tolerated; possible effects include breast tenderness, spotting, or skin irritation at the application site. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
What is BiEst cream used for?
Relieving menopause and perimenopause symptoms like hot flashes, night sweats, vaginal dryness, sleep issues, and mood changes, as part of bioidentical hormone therapy.
What is in BiEst?
A bioidentical blend of two estrogens, estriol and estradiol, usually weighted toward estriol with a smaller amount of estradiol. Your prescriber sets the ratio and strength.
Why a cream instead of a pill?
A transdermal cream is absorbed through the skin and bypasses first-pass liver processing, which many prescribers prefer. Because it is compounded, the strength and ratio are tailored to you.
Do I need progesterone with it?
If you have a uterus, estrogen is used together with progesterone to protect the uterine lining. Your prescriber will guide this.
Are there side effects?
It is generally well tolerated. Possible effects include breast tenderness, spotting, or mild skin irritation at the application site. Use under a prescriber's guidance.
New to hormone therapy? Read our full guide: our guide to bioidentical hormone therapy for menopause.
Patients? Request More Information Prescribers? Request Prescribing Access
Compounded Progesterone troches deliver bioidentical progesterone in a lozenge that dissolves in the mouth, absorbed through the oral tissues for balanced hormone support. Progesterone declines with age, and restoring it can ease sleep trouble, mood swings, anxiety, and irregular cycles during perimenopause and menopause, while balancing estrogen in a complete hormone plan. Many women find a troche a convenient, effective alternative to capsules or creams.
Prescribers choose progesterone troches to personalize the dose and offer a route some women prefer. We compound each troche to the exact strength your prescriber specifies, made to order in our pharmacy.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will set the dose and monitor your response and hormone levels. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
What does progesterone help with?
Perimenopause and menopause symptoms like sleep trouble, mood swings, anxiety, and irregular cycles, and it balances estrogen in a hormone plan.
How do I use a troche?
You let it dissolve in your mouth for absorption through the oral tissues. Your prescriber sets the dose and schedule.
What is "bioidentical"?
Bioidentical progesterone is molecularly identical to what your body makes, which many women and prescribers prefer.
Why choose a compounded troche?
Compounding sets the exact strength for your symptoms in a convenient oral format, prepared fresh for each prescription.
Do I need a prescription?
Yes. Progesterone troches are compounded to your prescriber's order and require a valid prescription. Our pharmacists prepare and verify every batch.
New to bioidentical hormone therapy? Read our full guide: Bioidentical Hormone Therapy for Menopause.
Patients? Request More Information Prescribers? Request Prescribing Access
Compounded Testosterone vaginal cream supports sensation, arousal, and comfort for women whose sexual wellness has changed with menopause or declining hormone levels. Testosterone plays an underappreciated role in female sexual response, and applied locally to the vaginal and vulvar tissue it can enhance sensitivity, blood flow, and comfort during intimacy. It's often used on its own or alongside vaginal estrogen for more complete relief.
Prescribers choose compounded testosterone vaginal cream to address the sensation and arousal side of genitourinary and sexual-wellness concerns, tailored to each woman. We compound each cream to the exact strength your prescriber specifies, prepared individually for each prescription.
This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will set the dose and application schedule and monitor your response. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.
Frequently asked questions
What does testosterone vaginal cream do?
Applied locally, it can enhance sensitivity, blood flow, and comfort, supporting arousal and intimacy in women.
Can it be used with vaginal estrogen?
Yes — it's often paired with vaginal estrogen for more complete relief, or used on its own. Your prescriber will advise.
How is it used?
A small amount is applied to the vaginal or vulvar tissue on the schedule your prescriber sets.
Why choose a compounded cream?
Compounding sets the exact strength for your needs, prepared fresh for each prescription.
Do I need a prescription?
Yes. This cream is compounded to your prescriber's order and requires a valid prescription. Our pharmacists prepare and verify every batch.
Learn more about vaginal estrogen and GSM: Vaginal Estrogen & DHEA for Genitourinary Syndrome of Menopause.
Patients? Request More Information Prescribers? Request Prescribing Access
Other Compounding Services

