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Can I Start HRT in Perimenopause?

September 2026·3 min read

Yes, it can be an option. Many women start hormone therapy during perimenopause, while periods are irregular but have not stopped. A licensed clinician reviews your symptoms and history and decides whether it is right for you.

What is perimenopause?

It is the transition before menopause, often starting in your 40s. Hormone levels rise and fall unevenly, which can cause hot flashes, sleep problems, mood changes and irregular periods.

What the clinician looks at

  • Your symptoms and how much they affect daily life
  • Your bleeding pattern
  • Personal or family history of blood clots, stroke, heart disease or breast cancer
  • Whether you still need contraception, since hormone therapy is not birth control

Options may include estradiol (pill, patch, cream or vaginal), Bi-Est, progesterone, testosterone cream. Your clinician decides what, if anything, fits.

Menopause HRT through VevaMD: Available in all 50 states (testosterone cream for women: 30 states plus DC). Pricing will be announced at launch, and we contact you before anything is charged.

VevaMD is a technology company, not a medical provider. Licensed clinicians in the Beluga Health network review every intake and decide whether a prescription is right for you.

Learn more on the menopause HRT page, or get started with a private intake.

VevaMD is a technology company, not a medical provider. Educational content only, not medical advice. A licensed clinician decides whether any treatment is right for you.

Quick answers

Do I need to stop having periods before starting HRT?
No. Hormone therapy can be considered during perimenopause, while periods are still happening. A clinician reviews your symptoms and history to decide.

Care near you

Online care in all 50 states

There is no office to visit. A clinician licensed in your state reviews your health answers and decides if treatment is right for you.

Do I need a clinic near me?
No. The visit is online. You answer a short health assessment, and a clinician licensed in your state reviews it. They may follow up by message or video.
Who prescribes?
A licensed clinician in the Beluga Health network decides if treatment is right for you. VevaMD is a technology and marketing company, not a medical provider.
How does medication get to me?
If a clinician prescribes it, it is prepared by a licensed pharmacy and shipped to your home.

Questions about Menopause Hormone Therapy (HRT)?

Get started →

A private online intake. A licensed clinician reviews it and decides.

VevaMD is a technology platform, not a medical provider. The information in this article is educational and does not constitute medical advice. Licensed clinicians in the Beluga Health network review every intake and write any prescription. Individual results vary.