Written by Best HRT Providers Editorial Team
Updated October 2026. Reviewed against our published methodology.
Company profile
Fem Excel is an online hormone health service for women. Rather than starting with a prescription, it starts with data: you complete an online hormone therapy assessment, take an at-home hormone test, and a provider designs a treatment plan around your results.
Care is delivered entirely online, with video visits and messaging with your care team. Fem Excel covers menopause and perimenopause, and also lists fertility and hormone-testing support, which makes it broader than a menopause-only service.
Its marketing names Dr. Lorna Brudie as Medical Director and describes her as double board certified. As with any provider, check the credentials of the clinician who actually treats you.
At a glance
| Starting cost | $49 through our link (normally $99) for the consultation, at-home test kit and treatment plan |
|---|---|
| Membership | $99/month, first month free. Covers provider visits, messaging, follow-ups and regular testing |
| Medication | Billed separately: estradiol $50/month, progesterone $50/month |
| Testing | At-home hormone test kit |
| Support | Unlimited follow-ups and provider access |
| Insurance | Not accepted. Cash-pay |
| Availability | Not available in AK, AR, CT, HI, ID, LA, MS, NH or RI |
| Best for | Women who want personalised HRT guided by at-home testing and responsive support at a friendly price |
Pros and cons
Pros
- ✓Low entry cost: $49 to start through our link, with the first membership month free
- ✓At-home hormone testing is part of the plan, so treatment is built on your own numbers
- ✓Unlimited follow-ups and provider support, with no per-visit fees
- ✓Estradiol and progesterone are $50/month each, which is easy to budget
- ✓Fully virtual, with medication delivered to you
- ✓Covers more than menopause, including testing and fertility support
Cons
- ✗Medication is billed on top of the $99/month membership, so the real monthly cost is higher than the headline price
- ✗Medication is billed every two months, so each charge is larger than a monthly bill
- ✗Not available in nine states, and insurance is not accepted
- ✗Treatment eligibility is decided by the provider after your intake, so a prescription is not guaranteed
How it works
- 1.Online assessment
Answer questions about your symptoms, health history and goals.
- 2.At-home hormone test
A test kit is sent to you. Collect your sample at home and return it for analysis.
- 3.Provider review and plan
A provider reviews your assessment and results, then designs a treatment plan if you are eligible.
- 4.Medication delivered
If a prescription is appropriate, medication is shipped to your door.
- 5.Ongoing follow-up
Message your care team and have follow-ups as often as you need to adjust the plan, with regular testing under the membership.
At-home testing
Testing is what sets Fem Excel apart from providers that prescribe from symptoms alone. The kit is included in your $49 starter price and the membership covers regular testing afterwards, so your plan can be checked against your levels rather than guessed at.
Menopause is largely a clinical diagnosis, so labs are not always essential, but they are useful for tailoring doses and for spotting other issues that mimic menopause. See our at-home hormone testing guide for what a good panel covers.
Treatments
Fem Excel prices estradiol and progesterone at $50/month each, which covers the standard combination for women who still have a uterus. Its materials also show other hormone products such as testosterone cream, so ask your provider which options apply to you after your results are in.
Treatment decisions are made by the provider, not the website. Estrogen products carry boxed warnings about cardiovascular risk, blood clots, stroke and certain cancers, so be complete and honest in your intake.
Telehealth care
Everything after the kit arrives happens online. You can have video visits and message your care team, and the membership includes unlimited follow-ups, which matters because HRT doses often need adjusting in the first few months.
Pricing
| Starter | $49 through our link (normally $99): consultation, test kit and treatment plan |
|---|---|
| Membership | $99/month, first month free |
| Estradiol | $50/month |
| Progesterone | $50/month |
| Estimated total | About $149/month with estradiol only or $199/month with estradiol and progesterone, after the free first month |
| Billing | Medication is billed every two months |
| Insurance | Not accepted |
Prices are from Fem Excel's published pricing and may change, so confirm the current terms and your final total before you pay. The first-year cost is lower than the run rate because the first membership month is free.
Who it suits
Fem Excel suits women who want data behind their treatment and are happy to manage everything online. It is a good fit if you value being able to message a provider freely and want testing built into the plan.
If you want insurance to pay, look at Allara Health. If you want a menopause-only specialist, see Winona. For a lab-first alternative, read our Hone Health review, or compare everything on the comparison page.
Frequently asked questions
Our verdict
Fem Excel is a strong value pick for women who want treatment guided by testing and a care team they can message as often as they need. The $49 start, the free first membership month and $50 medications keep the entry cost low, while at-home testing and unlimited follow-ups are included. The trade-offs are that medication is billed on top of the membership, insurance is not accepted and the service is closed in nine states. If those suit you, it is one of the more complete packages for the price.
Still comparing? See our full HRT provider comparison.