Miso is a telehealth service that treats women with symptoms of menopause. Miso can help you manage hormone replacement therapy (HRT) and other medications designed to target specific symptoms of menopause including changes to mood, weight, and libido. Miso providers support pre and peri-menopausal women as well and can help adjust medications as symptoms and treatment goals change throughout menopause.
Meet your provider via telehealth to review your health history, current symptoms, and treatment goals. Based on your discussion, your provider will recommend a medication best suited for you. Follow up and medication dose changes can be done via chat which is all included with your initial consultation. Miso recommends telehealth appointments every 6 months or sooner for any major health or medication changes. All patients will also gain access to the Miso symptom tracker which can be used to monitor improvement in symptoms.
Visits will be billed through your insurance. Depending on your insurance plan and treatment options you may have a co-pay or additional medication related costs.
Systemic estradiol (starting at $15/month)Systemic hormone therapy can be taken as an oral tablet, patch, or gel applied to the skin. These medications are taken to replace the estrogen that your body stops making during menopause. Estradiol helps manage all of the common symptoms of menopause, including hot flashes, associated sleep disturbances, vaginal dryness and mood changes. Systemic estradiol can have side effects and is not recommended for women with a history of breast cancer or significant heart disease.Micronized Progesterone (starting at $15/month)Progesterone is added to systemic estrogen therapy for women who have not had their uterus removed. This helps balance the hormonal effect and reduce the risk of endometrial cancer.Estradiol/ Norethindrone (starting at $15/month)A combination pill that contains both estrogen (estradiol) and progesterone (norethindrone) can be a more convenient option for women doing well taking both pills separately. Similarly to estrogen only pills, a combination pill helps manage all of the common symptoms of menopause, including hot flashes, associated sleep disturbances, vaginal dryness and mood changes. Systemic estradiol can have side effects and is not recommended for women with a history of breast cancer or significant heart disease.Vaginal Estradiol ($60/month)Vaginal hormone therapy can be taken as a cream applied locally or a tab placed in the vagina. These medications only act locally at the vagina and treat symptoms like vaginal dryness and other genitourinary symptoms associated with menopause.Paroxetine ($15/month)Paroxetine is an SSRI used to treat hot flashes and mood changes during menopause. This is the only non-hormonal medication with FDA approval for treating hot flashes and may be a good option for women with a history of breast cancer or side effects from hormonal therapy. Paroxetine can also be taken in addition to hormone therapy to further improve mood.Weight loss medicationsHormonal changes can significantly impact weight. Several weight loss medications are available including GLP1 agonists like Mounjaro and Ozempic.
