Hormone therapy, monitored properly.
Aethera HRT is hormone replacement care for men and women, delivered online in all 50 states and by concierge visit in every state except Massachusetts and New York. We start with FDA-approved hormone products and use compounded preparations only when an approved product will not work for a specific patient.
What this division is for
We do not implant hormone pellets, and we will help patients already on pellets transition to a monitored regimen. Care is cash-pay, physician-directed, and follows the 2022 Menopause Society hormone therapy position statement, the 2019 Global Consensus Position Statement on testosterone therapy for women, and Endocrine Society guidance for male hypogonadism. Every patient gets a baseline lab panel, a written treatment plan, and a published monitoring schedule.
Once labs are in the system the patient is registered with the Aethera medical team, so the review conversation is already scheduled before results land. We serve women in perimenopause and after menopause, women with premature ovarian insufficiency, men with laboratory-confirmed hypogonadism, and patients who want a second opinion on hormone therapy they are already taking.
What is different here
- FDA-approved products first. We prescribe approved estradiol, progesterone, vaginal estrogen and testosterone before considering anything compounded, and we tell you which category your prescription is in.
- We do not insert hormone pellets. There is no FDA-approved estradiol pellet, pellet doses cannot be adjusted once implanted, and one comparison found roughly six times the adverse events versus FDA-approved hormone therapy. We run a transition program for patients already on them instead.
- Compounding is restricted to the two circumstances the 2020 National Academies report supports: a documented allergy to an ingredient in an approved product, or a dose or dosage form no approved product provides.
- A published monitoring protocol. You can read the exact labs, intervals and stop criteria for your regimen before you pay anything.
- Men and women are treated as separate clinical pathways, not one 'hormone optimization' funnel. Testosterone for women is offered only for the indication the evidence supports.
- Your labs enter our system before your review visit, and you are registered with the medical team at that point. You are not waiting on hold to find out what a number means.
The menu
Every item is marked with where the evidence actually sits and how it is delivered. 16 services.
Menopause and Perimenopause Consultation
A visit with a clinician trained in menopause medicine to review symptoms, medical history, contraindications and goals, and to produce a written treatment plan. Includes decisions about whether hormone therapy is appropriate at all.
Who it is for. Women with vasomotor symptoms, sleep disruption, mood change, genitourinary symptoms, or irregular cycles in the menopause transition.
$225-$350 initial visit, $125-$195 follow-up. Basis: self-pay menopaus
Usually HSA/FSA eligible
Transdermal Estradiol (patch, gel or spray)
FDA-approved estradiol absorbed through the skin to treat hot flashes and night sweats and to prevent postmenopausal bone loss. Dosing starts low and is titrated to symptom control.
Who it is for. Women with moderate to severe vasomotor symptoms, and women with premature or surgical menopause. Preferred over oral estrogen when there is any clotting, triglyceride or migraine concern.
$35-$95/month for the medication depending on patch versus gel and gen
Usually HSA/FSA eligible
Oral Micronized Progesterone for Endometrial Protection
FDA-approved micronized progesterone taken at bedtime alongside systemic estrogen in any woman who still has a uterus, to prevent endometrial hyperplasia and cancer. Often improves sleep as a secondary effect.
Who it is for. Every woman with an intact uterus who is taking systemic estrogen. Also used alone for cycle control in late perimenopause.
$18-$45/month generic. Basis: generic micronized progesterone 100 mg i
Usually HSA/FSA eligible
Low-Dose Vaginal Estrogen for Genitourinary Syndrome of Menopause
FDA-approved estradiol cream, vaginal insert or vaginal ring applied locally for vaginal dryness, pain with sex, urinary urgency and recurrent urinary tract infections. Systemic absorption is minimal at these doses.
Who it is for. Women with genitourinary symptoms, including many who do not need or want systemic hormone therapy, and women whose systemic therapy has not resolved local symptoms.
$25-$180/month depending on form. Basis: generic estradiol vaginal cre
Usually HSA/FSA eligible
Vaginal DHEA (prasterone)
An FDA-approved vaginal insert containing prasterone, which is DHEA, for moderate to severe pain with intercourse due to menopause. An alternative for patients who prefer not to use vaginal estrogen.
Who it is for. Postmenopausal women with dyspareunia, including some who decline or cannot use vaginal estrogen.
$190-$260/month cash without coverage. Basis: branded single-source pr
Usually HSA/FSA eligible
Non-Hormonal Treatment of Hot Flashes
FDA-approved non-hormonal prescriptions for moderate to severe vasomotor symptoms, including the neurokinin receptor antagonists fezolinetant and elinzanetant, plus evidence-supported off-label options such as SSRIs, SNRIs, gabapentin and oxybutynin.
Who it is for. Women who cannot take estrogen because of breast cancer history, clotting history or other contraindication, and women who simply prefer not to.
$550-$700/month cash for branded neurokinin antagonists; $10-$40/month
Usually HSA/FSA eligible
Male Hypogonadism Workup
The diagnostic step before any testosterone is prescribed: two separate early-morning fasting total testosterone levels, plus LH, FSH, prolactin, SHBG, estradiol, complete blood count, PSA where age-appropriate, ferritin and a metabolic panel, interpreted alongside symptoms.
Who it is for. Men with symptoms suggestive of testosterone deficiency. Required for every man before a prescription is issued.
$225-$395 including the full panel and interpretation visit. Basis: Ho
Usually HSA/FSA eligible
Fertility-Sparing Alternatives to Testosterone for Men
For men with secondary hypogonadism who want to preserve fertility, a discussion of hCG or off-label clomiphene citrate instead of exogenous testosterone, which suppresses sperm production.
Who it is for. Men with low testosterone who intend to father children, and men who want to come off testosterone and restart their own production.
$95-$220/month depending on agent. Basis: generic clomiphene is inexpe
Usually HSA/FSA eligible
Testosterone Therapy for Women (postmenopausal HSDD)
Low-dose testosterone, prescribed off-label from an approved male product at roughly one-tenth the male dose, for postmenopausal women with hypoactive sexual desire disorder that persists after other causes are addressed. Includes baseline and interval total testosterone monitoring.
Who it is for. Postmenopausal women with distressing low sexual desire, after relationship, medication, mood, thyroid and genitourinary causes have been evaluated and addressed.
$65-$140/month including medication and interval levels. Basis: dispen
HSA/FSA with a letter of medical necessity
Thyroid Evaluation and Levothyroxine Management
TSH, free T4, and where indicated free T3 and thyroid antibodies, with treatment of confirmed hypothyroidism using FDA-approved levothyroxine, dose-adjusted to a target TSH.
Who it is for. Patients with fatigue, weight change, cold intolerance, hair loss or menstrual change, and patients already on thyroid medication who want their dose reviewed. Thyroid disease overlaps heavily with menopause symptoms and is a frequent cause of misattributed complaints.
$145-$225 for the evaluation and interpretation; $8-$25/month for gene
Usually HSA/FSA eligible
Desiccated Thyroid Extract Review and Transition
For patients already taking Armour Thyroid, NP Thyroid or another animal-derived desiccated thyroid product, a review of why they are on it, current labs, and a discussion of options including continuing, or converting to an FDA-approved product. We do not initiate desiccated thyroid in new patients.
Who it is for. Established desiccated thyroid patients who want a clinician who understands the regulatory situation and will not simply refuse to refill.
Included in the thyroid evaluation fee. We do not charge a premium for
Usually HSA/FSA eligible
Premature Ovarian Insufficiency and Early Surgical Menopause Program
Hormone therapy for women who reached menopause well before the usual age, whether spontaneously or after oophorectomy, typically continued until around the average age of natural menopause. Includes bone density assessment and cardiovascular risk review.
Who it is for. Women with menopause before roughly age 45, and women after surgical removal of the ovaries.
Priced as the standard women's program. Labs and DXA quoted separately
Usually HSA/FSA eligible
Baseline and Interval Laboratory Monitoring
The lab panel appropriate to your regimen, drawn at Quest or Labcorp or at home by a concierge phlebotomist, with results entered into your chart and a review visit scheduled before they arrive. Published intervals, published stop criteria.
Who it is for. Every patient on hormone therapy. This is not optional and is not an upsell.
$95-$265 per panel at cost plus draw fee; home draw $45-$75 in concier
Usually HSA/FSA eligible
Bone Density (DXA) and Fracture Risk Assessment
A DXA scan ordered at an imaging center near you, anywhere in the United States, with FRAX fracture risk calculation and a decision about whether hormone therapy, a bone-specific drug, or neither is indicated.
Who it is for. Women starting or continuing hormone therapy partly for bone protection, women with early menopause, and anyone with fracture history or risk factors.
$95-$250 cash for DXA depending on facility, quoted before you book.
Usually HSA/FSA eligible
Hormone Therapy Second Opinion and Deprescribing Review
A single paid visit to review a hormone regimen someone else prescribed. We tell you what each item is, whether it is FDA-approved or compounded, whether the evidence supports it, what monitoring is missing, and what we would stop. No obligation to transfer care.
Who it is for. Patients on a long supplement-and-pellet stack who want an independent read, patients whose primary care physician refuses to discuss hormone therapy, and patients who want to taper off.
$195-$295 flat, one visit, written summary included.
Usually HSA/FSA eligible
Oral DHEA Supplementation
Oral DHEA, a dietary supplement. We will discuss it, and we will tell you the evidence is weak outside of specific adrenal insufficiency contexts. We do not sell it and we do not build it into programs.
Who it is for. Patients who ask about it, and patients already taking it who want an honest answer.
Not sold. Discussed within an existing visit at no additional charge.
Not HSA/FSA eligible
Programmes
Aethera HRT for Women — Online
$295 initial, then $89/month membership; medications and lab
- Initial 45-minute visit with a menopause-trained clinician
- Baseline labs including TSH, free T4, CBC, metabolic and lipid panel, with ferritin and vitamin D where indicated
- Written treatment plan naming each prescription and whether it is FDA-approved or compounded
- Prescriptions sent to your pharmacy or shipped, your choice
- Registration with the Aethera medical team as soon as labs post, with the review visit already booked
- Two follow-up visits in the first six months, then every six months
Initial visit, then follow-up at 6-8 weeks, 6 months, and every 6 months
Aethera HRT for Men — Online
$345 workup, then $129/month including medication and monito
- Full hypogonadism workup: two early-morning total testosterone levels plus LH, FSH, prolactin, SHBG, estradiol, CBC, PSA where age-appropriate, ferritin, metabolic panel
- Physician visit to confirm or rule out the diagnosis, including evaluation for secondary causes
- Fertility intentions discussed before any prescription is written
- FDA-approved testosterone cypionate or an approved transdermal, with injection training
- Monitoring at 3, 6 and 12 months then annually: trough testosterone, hematocrit, blood pressure, PSA
- Written stop criteria, given to you at the start
Workup, start visit, then labs and review at 3, 6, 12 months, annually thereafter
Aethera HRT Concierge
$695 initial in-person visit, then $249/month. Available in
- Everything in the online program for your sex
- In-person initial exam at your home or office, including blood pressure, weight and a focused physical
- At-home phlebotomy for every lab draw
- In-person follow-up twice yearly
- Direct phone line to your clinician
- Coordination with your existing primary care physician, gynecologist or urologist
In-person at start and every 6 months; labs drawn at home at each interval
Pellet Transition Program
$395 flat for the transition, including the six months of fo
- Review of your current pellet protocol, insertion history and side effects
- Current hormone levels, CBC and, for women with a uterus, evaluation of any abnormal bleeding
- A written taper-and-replace plan timed to your implanted pellet's decline
- Conversion to a titratable FDA-approved regimen with a dose you and your clinician can actually change
- Six months of follow-up included
- A plain-language summary of what the pellet was doing to your levels, with your own numbers
Initial review, then follow-up at 6 weeks, 3 months and 6 months
How you are seen
Residents of every U.S. state and the District of Columbia can join the online clinic. A specific test or treatment can still have its own state limits, and we show any limit that applies in your state before you pay for it.
Concierge visits are available in 48 states. We do not offer concierge care in Massachusetts or New York. The online clinic is open in both.
No Aethera clinic is open yet. Three are in development in Nashville, Miami and Madison, Wisconsin, and a fourth is planned for Bogotá in early 2027. We will say so plainly here the day one opens, and not before.
We are cash-pay. We do not bill insurance, and no federal healthcare program money is involved in anything we do. Many of our services can be paid for with an HSA or FSA card, and some cannot. Eligibility is set by IRS rules and decided by your plan administrator, not by us. Cosmetic treatments are specifically excluded. We mark each service with what we understand its status to be, we give you an itemised receipt with the codes your administrator needs, and we will write a Letter of Medical Necessity where one genuinely applies.
Nothing on this site is medical advice, a diagnosis, or a promise of a result. Talk to a licensed clinician about your own situation before starting anything.