Hot flashes.
Night sweats.
Brain fog.
Menopause treatment, all included, no insurance needed.
FSA & HSA accepted
- Bioidentical hormones
- Pill, patch, cream and non-hormonal options
- Provider-led, not chatbot-led
- No insurance required
- Cancel anytime
- 1 in 2Women never get treated for menopause symptoms
- 70%Of women on HRT see hot flashes resolve in 8 weeks
- 30%Lower risk of osteoporosis with timely HRT
Why your body feels different at 45 than at 35
Estradiol — the dominant estrogen during your reproductive years — drops sharply through perimenopause. Most midlife symptoms map directly to this decline.
Curve is illustrative, based on population averages. Individual hormone trajectories vary.
Women on Gala's HRT program, in their own words.
Real patients on what hormone therapy changed for them.
What HRT actually does
Modern bioidentical HRT, started near menopause onset, doesn't just mute symptoms — it changes the long-term trajectory.
Pick the path that fits your body
Every option is reviewed and prescribed by a licensed provider who reads your full assessment — not a one-size-fits-all template.
- Oral or transdermalBioidentical
HRTIn stockEstradiol pill or patch
The foundation of modern HRT — relieves hot flashes, sleep, and mood symptoms.
- Daily oralBioidentical
HRTIn stockProgesterone
Protects your uterine lining, improves sleep, and reduces anxiety.
- Vaginal cream or tabletLow-dose local
HRTIn stockVaginal estradiol
Local relief for dryness, painful intercourse, and recurrent UTIs.
- Hormone-freeFDA-approved options
HRTIn stockNon-hormonal options
Effective relief when hormones aren't right for you.
Real patients. Real words
Excellent4.8 on Trustpilot- Hot flashes, sleep, mood — all back
“I’d been suffering through night sweats for two years. Within three weeks of starting estradiol I was sleeping through the night again.”
Marisa, 49Gala patient - Brain fog gone, energy back
“I felt like I was losing myself. Gala’s provider walked me through the options and I started HRT — within a month I was thinking clearly again.”
Allison, 51Gala patient - Anxiety calmed, sleep restored
“Progesterone at bedtime changed my life. I had no idea sleep could feel this good after 45.”
Rachel, 47Gala patient - 23 lbs lost in 5 months
“In five months with Gala, I’ve lost 23 pounds and feel more energized. The 24/7 support made it easy to stay on track.”
Christina, 43Gala patient - 28 lbs lost in 3 months
“I never thought I could see results this fast. The support team was there for me every step of the way.”
Diana, 34Gala patient - 32 lbs lost in 4 months
“The program fit perfectly into my busy schedule. I feel like a completely new person.”
Kristen, 35Gala patient
We stay with you for as long as you're treated
- Provider messaging, included for as long as you're treated
- Symptom check-ins and dose adjustments as your body changes
- Your prescription ships free
Modern HRT, on your terms
From a tap on your phone to a personalized plan reviewed by a clinician — within days.
- 1Tell us your symptomsWe ask the questions a good menopause clinician would — symptoms, timing, history, goals — in plain language, in 5 minutes.
- 2Provider builds your planA US-licensed clinician reviews your profile and builds a personalized HRT plan: pill or patch, progesterone if needed, vaginal estradiol if symptoms call for it.
- 3Medication + ongoing careYour prescription ships free. Symptom check-ins, dose adjustments and provider messaging are included for as long as you're treated.
Hormones aren't optional infrastructure.
Estradiol and progesterone don't just regulate cycles — they shape brain function, bone density, vascular health, mood and sleep. Replacing what your body has lost isn't a luxury intervention. It's foundational care that women have been told to muscle through for decades.
- Restores brain, bone and vascular signaling
- Resolves hot flashes & night sweats
- Improves sleep, mood and cognition
Frequently asked questions
Restore my hormonesWhat is bioidentical HRT?
Bioidentical hormones are molecularly identical to the estradiol and progesterone your body makes. Gala prescribes FDA-approved bioidentical forms — estradiol pill or patch, oral or vaginal progesterone, vaginal estradiol — selected by a licensed clinician based on your symptoms and history.
How safe is HRT? What are the risks?
Modern HRT, started near menopause onset, has a strong safety profile for most women. Risks vary with personal and family history (breast cancer, blood clots, stroke). A Gala clinician reviews your full medical history before prescribing and revisits the plan as your needs change. We don't prescribe when the risk doesn't make sense.
Do I need blood or saliva hormone testing?
Usually not. Menopause is diagnosed by symptoms, age and cycle pattern — hormone levels fluctuate too much in perimenopause to reliably guide treatment. Your clinician will order labs only when they actually change the plan (thyroid, vitamin D, or a specific differential).
Will Gala work for me in perimenopause?
Yes. Perimenopause is exactly when HRT can do the most for symptoms — hot flashes, sleep, mood, brain fog, irregular bleeding. Gala's plans are built for the years before and after the final period, not only full menopause.
How soon will I see improvements after starting treatment?
Most women feel relief within 4–8 weeks. Hot flashes and sleep usually shift first; mood, energy and cognition follow. Your clinician adjusts the dose at check-ins so the plan keeps working as your body changes.
Will HRT help me manage menopausal weight gain?
HRT isn't a weight-loss medication, but for many women, restoring estradiol helps indirectly — better sleep, lower stress, easier exercise, fewer cravings. If weight is a primary concern, your Gala clinician can also discuss whether GLP-1 is appropriate alongside or instead.
How does Gala compare to an in-person visit?
You see a US-licensed clinician who reads your full assessment, builds a personalized plan, prescribes, and stays available through messaging for adjustments — without scheduling weeks ahead, taking time off, or repeating your story. Most patients are reviewed and shipped within days.
Does Gala accept insurance?
No — Gala is cash-pay, with transparent monthly pricing that includes the medication, provider review and ongoing care. Most bioidentical HRT is inexpensive even without insurance, and many patients find Gala's total cost lower than a copay-plus-pharmacy route.
How do I order?
Take the 5-minute online assessment. A Gala clinician reviews your profile, builds a personalized HRT plan, and prescribes if appropriate. Your medication ships free, and your care team stays with you for as long as you're treated.
Stop muscling through menopause.
Take the assessment and let a clinician build a personalized HRT plan around your symptoms, history and risk profile.