Vaginal · Applied locally
Estradiol vaginal cream 0.1 mg/g
Best for: menopause symptoms like dryness, burning, pain during sex, urinary urgency and UTIs that keep coming back. May also ease hot flashes.
Perimenopause · Menopause · Postmenopause
Menopause treatment for $39.99/mo. No insurance needed.
Vaginal dryness, burning and pain during sex are some of the most common symptoms of perimenopause and menopause. Our menopause treatment helps with them, and it may also ease hot flashes and night sweats. A licensed clinician reviews your answers online, and if treatment is right for you, it ships in discreet packaging.
Reviewed by a licensed clinicianUsually within 24 hours. Shipped in plain packaging.
How it works
No waiting room. No awkward small talk.
Answer privately
Tell us about your symptoms and health history online. About 5 minutes.
A licensed clinician reviews it
Usually within 24 hours. Labs are requested only if clinically needed.
Get a clear answer
If treatment is right for you, it's prescribed. If it isn't, your clinician tells you why.
Delivered discreetly
Your treatment ships every 3 months, in plain packaging with nothing on the outside that says what's inside.
Your menopause treatment
Two prescriptions. One simple price.
Today you only pay the $49 consultation, even if nothing is prescribed. If your clinician prescribes treatment, you get both for $39.99/mo, billed together every 3 months ($119.97).
Why Tuyo
Built around you, not a waiting list.
The usual route
Getting seen
Online, reviewed within 24 hours
Long waits for a specialist appointment
Insurance
Not needed
Often required, sometimes with a referral
Cost
$49 visit. $39.99/mo if prescribed.
Visit fees, copays and pharmacy prices that vary
Privacy
Plain packaging to your door
Waiting rooms and pharmacy counters
Bringing it up
A private form, at your own pace
Face to face, if it comes up at all
Safety
Facts, not fear.
Hormone therapy got a bad reputation from older research on whole-body hormones. Low-dose vaginal estrogen is different: it works mainly in the tissue where it's applied, and current urology and gynecology guidelines recommend it for these symptoms.
Source: U.S. urology and gynecology society guideline on genitourinary syndrome of menopause (AUA/SUFU/AUGS), 2025. Treatment isn't right for everyone. Important safety information
Reviewed before prescribing
A licensed clinician checks your history, medications and risk factors first.
Labs only when needed
If your clinician needs more information, they'll order labs, billed separately.
Options beyond hormones
If hormones aren't right for you, your clinician can suggest non-hormonal options or refer you for in-person care.
Menopause care, designed around women.
Dr. Jennifer Peña, MD
Medical Advisor · Tuyo Health
As a Tuyo medical advisor, Dr. Peña helps make sure every plan starts with how menopause actually affects your body and your life.
Meet our founder
Dr. Germán Echeverry, MD
Founder and CEO, Tuyo Health
Dr. Echeverry trained at UCSF, Mount Sinai and Cornell. He founded Tuyo so Latino families could get real medical care in their own language, without insurance standing in the way.
English · Español
FAQ
Questions, answered plainly
What do I pay, and when?
Today you only pay the $49 consultation, which covers your clinician's review and is charged even if nothing is prescribed. If you're prescribed treatment, both medications are $39.99/mo, billed together every 3 months ($119.97). Labs are a separate cost, only if your clinician says they're needed.
Can I cancel?
Yes, anytime. Canceling stops your next shipment and your next charge.
Do I need insurance?
No. The price is the same with or without insurance.
Is vaginal estrogen safe?
Low-dose vaginal estrogen works mainly where it's applied, and current guidelines recommend it for these symptoms. It isn't right for everyone, which is why your clinician reviews your history before prescribing.
What if I've had breast cancer or a hysterectomy?
Tell us in your questionnaire. If you've had a hysterectomy, you may not need progesterone, and your clinician will tell you. With some conditions, including a history of breast cancer, treatment may not be right for you or may need your oncologist's input.
Why is progesterone included?
Estrogen can thicken the lining of the uterus. Progesterone helps keep that lining protected, which is why it's usually paired with estrogen if you still have your uterus. Your clinician decides if you need it and explains how to take it.
Where do you ship, and how does it arrive?
We're available in most U.S. states and Puerto Rico. You'll confirm your state at the start of the questionnaire, before you pay anything. Your treatment arrives in plain packaging, with nothing on the outside that says what's inside.