Licensed U.S. providersOnline care

Clinician‑guided hormone replacement therapy

Personalized care for perimenopause and menopause, with nutrition and lifestyle guidance included.

Treatment and prescriptions depend on your provider’s evaluation.

Hormone replacement therapy with Riovie — smiling woman on a desert hike

You know when you don’t feel like yourself.

Restless nights. Sudden heat. Changes in comfort or mood. You deserve a conversation that takes what you’re feeling seriously.

  • Hot flashes & night sweats
  • Disrupted sleep
  • Vaginal dryness & discomfort
  • Changes in mood

Your provider considers your symptoms and health history, including other possible causes.


Why Riovie?

Hormone support, tailored to you.

Licensed clinician in a white coat and stethoscope in an exam room

Licensed clinicians

An independent provider reviews your history and determines whether treatment is appropriate.

Nicola — Riovie support: Hello! How can I help you today?
Example support conversation

Ongoing support

Secure portal messaging with Riovie Support.

Care that makes room for real life.

A private online visit. Space to explain what has changed. Support for the next step.

Woman in a cream cardigan holding a coffee mug at home
Woman in a denim shirt smiling on a sunny restaurant patio

Models shown. Individual experiences vary.


Your care goes beyond a prescription.

Riovie Hormone Health Guide open on a laptop beside a bowl of berries

Your included Riovie Hormone Health Guide offers practical education on food, movement, sleep, and everyday habits to support your care.

Educational guidance complements your medical care.


How it works

  1. Free assessment, 100% online

    Complete your hormone health assessment.

  2. Provider review

    A licensed provider determines whether treatment is appropriate.

  3. Delivery included

    If prescribed, your medication is shipped to your door.

  4. Riovie Hormone Health Guide

    Nutrition and lifestyle education included when you begin care.


Frequently asked questions

What signs and symptoms suggest HRT might benefit me?
Women often explore hormone therapy when they notice hot flashes or night sweats, trouble falling or staying asleep, vaginal dryness or discomfort during sex, mood changes or irritability, brain fog, or irregular periods during perimenopause. These symptoms can also have other causes, so your provider reviews your full health history before recommending any treatment.
Is hormone therapy right for everyone?
No. Hormone therapy isn’t appropriate for everyone. A licensed provider reviews your symptoms, health history, and risk factors — such as a history of certain cancers, blood clots, stroke, or liver disease — to decide whether it’s an option for you.
Can I start during perimenopause?
Many women notice changes during perimenopause, often years before periods stop. You can complete an assessment at any stage; your provider will determine whether treatment is appropriate for your symptoms and health history.
What does the Riovie Hormone Health Guide include?
Practical, educational guidance on food, movement, sleep, and everyday habits that support you through perimenopause and menopause. It’s included when you begin care with a Riovie provider.
Is this medical advice?
No. This page and the guide are educational, not medical advice. Hormone therapy is a prescription treatment — always follow the recommendations of your licensed healthcare provider.

Let’s talk about what’s changed.

Hormone therapy is not appropriate for everyone. Prescription required; eligibility, treatment, and any prescription are determined by your licensed provider after evaluation. Availability varies by state.

If prescribed, compounded medications are prepared by licensed U.S. pharmacies and are not approved or evaluated for safety, efficacy, or quality by the FDA. See Important Safety Information.

Consult a licensed provider. Prescription required. Not for everyone.