We treat
so you can feel like you again.

Doctor-prescribed treatments for menopause symptoms. Bioidentical hormone replacement therapy, backed by science and shipped directly to your door.

U.S licensed doctors

Personalized treatment

Free, discreet shipping

“With a passionate team and a commitment to making a real difference, Winona is on its way to becoming the go-to destination for women seeking menopause care and support.”

Los Angeles Times

Care Made

At Winona, it’s our goal to take the confusion out of menopause and help women get the solutions they need. We offer physician-prescribed, bioidentical hormone replacement therapy that is backed by science and shipped directly to your door. We believe the second half of life should be even better than the first.

First, we’ll gather some basic medical information, and you’ll tell us the results you’re looking for. We’ll then connect you with a Winona physician who will carefully assess your intake form and make personalized recommendations for treatment.

We take privacy and security very seriously - any information you submit is encrypted within our secure platform.


Your easiest
visit ever.

Once you review the options with your physician, you’ll decide on a treatment plan that meets your needs and fits your lifestyle. We’ll then ship your prescriptions directly to your door for free.


Tailored treatments.

From there, we’ll check in regularly to make sure you’re feeling great. You can also message your doctor at any time to ask questions or make adjustments to your treatment plan as needed. We’re here to support you at every stage.


Relief, delivered.

Asked Questions

Click on the questions to view:


What is bioidentical HRT?

Hormone replacement therapy (HRT) replenishes the levels of estrogen, progesterone, and testosterone that decline and fluctuate with age. Supplementing these hormones helps combat the symptoms of menopause and prevent the development of long-term diseases that can result from hormone deficiencies. The goal of HRT is to help your body maintain healthy, balanced hormone levels for holistic wellness. All of the hormones in Winona treatments are plant-based and bioidentical, meaning they are functionally identical to those produced naturally in your body.


How safe is HRT? What are the risks?

At Winona, patient safety comes first. “Do no harm” has been one of the guiding principles of medicine for millennia, and Winona takes that seriously. For this reason, there are certain conditions that have too high a risk to justify the benefits of HRT. As long as you fill out our questionnaire accurately, our Winona physicians will be able to determine whether or not HRT is a safe option for you.

That being said, Winona’s medical professionals believe, based on scientific evidence, that HRT is the most effective treatment for menopause symptoms and is worth taking for patients who have been appropriately screened and deemed good candidates. For those patients, the risks are minimal. Your Winona physician can outline the risks and benefits based on your personal medical history and symptoms.


Do I need blood or saliva hormone testing?

Hormone levels vary greatly, not just day-to-day, but even throughout a single day. As a result, tests for hormone levels are inaccurate and therefore not helpful for prescribing treatment. 

HRT is best prescribed and adjusted based on symptoms. We’ll check in with you periodically to see how your symptoms are responding, and we'll recommend dose adjustments based on your experience.

The body is more sensitive than any laboratory test. The actual lab value isn't really important; what is important is how the body responds. We're not interested in making the labs look good, we're interested in relieving symptoms. Everyone is different in what level of hormones they tolerate without symptoms. The body tells us there's a problem by creating symptoms, which is what we're trying to fix.

Your Winona physician will determine the proper treatment and dosage after you complete the medical intake process.


How soon will I see improvements after starting my treatment?

Your doctor can answer more specifically for you, as symptoms and intensity vary for each person; but many women start to notice relief from some symptoms within the first couple of weeks. Hot flashes, night sweats, and sleep issues tend to ease early on and continue to improve with time.

However, for other symptoms like weight loss and muscle gain, it can take up to 3-months to see results. Studies show that this is also the point at which 80% of women experience full relief. These are general patterns, and everyone’s body responds uniquely to any given treatment.


Will HRT help me manage menopausal weight gain?

HRT cream and DHEA work well in tandem to address weight loss - and even more important, fat loss with muscle gain.

You will see a redistribution of weight to lower your BMI and increase your lean muscle mass. There may be a temporary gain of water weight over the first week or two, but that should go away quickly, and you should then start to see the desired weight loss.

It's still important to eat well and exercise. In addition to the direct metabolic effects, you should also sleep better with these medications. This in turn helps with weight loss by affecting cortisol and decreasing the food cravings we get when we are tired.

Don't expect to lose a lot of weight in the first month; slow, steady progress is what to expect, which adds up over time. The medications reverse metabolic effects of declining hormone levels. Like reversing a moving train, first, the weight gain needs to stop before weight loss can occur.


How does Winona compare to an in-person visit?

Once you complete your onboarding with Winona, you’ll have access to a patient portal, where you can connect with your doctor at any time. Rather than having to wait for an in-person visit, you can be prescribed, receive your medication, and communicate with your doctor all from the comfort of your home.


Does Winona accept insurance?

Some private or employer-designated insurance providers may pay for Winona, but this depends on your specific insurance plan and deductible. You can also opt to pay for your prescription out-of-pocket and submit your receipts to your insurance provider for possible reimbursement.

You can use your HSA (Health Saving Account) and FSA (Flexible Spending Account) to pay for Winona prescriptions at checkout.


How do I order?

Once you complete your medical questionnaire, you’ll receive a treatment recommendation and be prompted to add your payment method to your patient portal. Once your payment method has been added, a doctor will review the prescription and answer any questions you noted during the onboarding process.

You can watch our onboarding video to learn more.

Our Treatment Options

Estrogen Therapy

A powerful, base replacement therapy to assist in your overall wellness, with a focus on body, mood, mind and sex.

Progesterone Therapy

An assistive replacement therapy that may be recommended by your doctor alongside your estrogen treatment.


An effective, combination therapy that gently boosts testosterone to help maintain healthy body weight, increase lean muscle, and improve libido.


Follow us!

Check out our Instagram @bywinona for educational content, giveaways, and more.

You deserve to live life to the fullest! 🌟 Thank you, Christine, for sharing your amazing experience with us. We're so thrilled to hear about how your life has changed since beginning Winona's HRT! Read her full account below. ⬇️

"I just want to say. Had it not been for treatment, I would not have been able to complete a 33-mile hike in 3 days. 2 days were super challenging with the last day almost 14 miles of up and downs and cold rain. 

I did have a period that lasted 6 days. I’m totally ok with having a period if it means I get my life back.

I am also running again now.

So just here to say this stuff is life-changing."

#Menopause #HRT #MenopauseRelief #MenopauseAwareness #MidlifeWomen #MenopauseHealth #MenopauseSymptoms #MenopauseMatters #Perimenopause #WomensWellness
Hormonal weight gain is one of the most common symptoms women face and work hard to manage. Here is some insight into hormonal weight gain and why it occurs. 

#Menopause #HRT #MenopauseRelief #MenopauseAwareness #MidlifeWomen #MenopauseHealth #MenopauseSymptoms #MenopauseMatters #Perimenopause #WomensWellness

Want to keep researching?

Check out the Winona Medical Journal to get all of the facts about HRT, menopause, and more.

Trusted by thousands of happy patients.