Menopause care for hot flashes, night sweats, brain fog, broken sleep, mood changes, vaginal dryness, low libido and achy joints.Menopause care for hot flashes.night sweats.brain fog.broken sleep.mood changes.vaginal dryness.low libido.achy joints.

Perimenopause is the stretch before your periods stop, when they can become irregular and symptoms like hot flashes or poor sleep often begin. It can last several years. Menopause is when you’ve gone a full year without a period. You can still get pregnant during perimenopause, and none of the medicines offered through Jevra is birth control.

You must be 18 or older. Services are available in all 50 states and Washington D.C., though not all therapies are available in all states. Care is for women in perimenopause or menopause. A licensed clinician weighs your symptoms, your health history and when your periods changed or stopped to decide whether treatment is appropriate for you.

Estradiol as a daily cream, a patch changed twice a week or a daily tablet, each prescribed with progesterone if you have a uterus. There is also a non-hormone option, paroxetine or desvenlafaxine, taken daily. Both are approved by the FDA to treat depression, so for hot flashes they’re prescribed off-label. If you’re still having periods, your clinician explains how the options apply to you. Some medications may be compounded by a state-licensed partner pharmacy for an individual patient, and compounded medications are not reviewed by the FDA for safety, effectiveness or quality. Which options are available to you depends on your individual eligibility, clinical judgment and program availability.

If you have a uterus, taking estrogen on its own raises the risk of cancer of the uterine lining. Progesterone is prescribed with estrogen to lower that risk. It isn’t prescribed on its own for hot flashes. If you’ve had a hysterectomy, your clinician decides whether you need it.

No. Paroxetine and desvenlafaxine are antidepressant medicines that clinicians also prescribe for hot flashes and night sweats, and neither contains estrogen or progesterone. Both are approved by the FDA to treat depression, so for hot flashes they’re prescribed off-label. You can ask about them from the start. Your clinician looks at your health history and the other medicines you take, and decides whether either is appropriate.

No. Completing an intake does not mean you will be prescribed anything. A licensed clinician reviews your health history and prescribes only when treatment is clinically appropriate. Your clinician may suggest in-person care instead.

Usually not. Perimenopause and menopause are generally recognized from your symptoms and your period history rather than a hormone test. Your clinician may order labs or ask for a recent blood pressure reading if they think it’s needed.

The full cost of your recommended treatment, including how often you are billed, is shown in the intake after review and before you pay. Jevra is cash-pay and doesn’t bill insurance. Treatment is billed on a repeating plan until you cancel, and the intake shows how often before you pay. Our Cancellation & Refund Policy explains how cancelling and refunds work.

Yes. For estradiol and progesterone: estrogen may raise the risk of stroke, blood clots, heart attack and breast cancer, and without progesterone it raises the risk of cancer of the uterine lining. Common side effects include breast tenderness, headache, bloating and spotting.

For paroxetine and desvenlafaxine (both prescribed off-label for hot flashes): both carry a boxed warning about suicidal thoughts and behaviors in young people, and can cause serotonin syndrome and bleeding. Paroxetine can make tamoxifen work less well.

Your clinician considers these risks against your health history before prescribing, and you can ask about them at any point. If you have thoughts of suicide, call or text 988, or call 911. Read the Important Risk Information.

Your clinician can change the form or the dose, or stop treatment, and the care and support team gives you 24/7 unlimited support with questions. Jevra is not for emergencies: if you think you may have one, call 911.