Winona (bywinona.com) is a menopause-first telehealth company built specifically for women. Unlike men's-TRT clinics that added a women's tier as an afterthought, Winona was founded to treat perimenopause, menopause, and postmenopausal hormone imbalance — that specialization shows in their protocols, delivery options, and physician training.
The core offering is bioidentical hormone replacement therapy: estradiol available as patch, oral tablet, or topical cream; progesterone as oral capsule; and low-dose testosterone cream for libido, mood, and lean-mass support. All prescriptions are compounded bioidentical formulations, not synthetic conjugated estrogens. The clinic handles the full workflow — intake questionnaire, asynchronous physician review, prescription, pharmacy fulfillment, and quarterly follow-up consultations.
Pricing is subscription-based with medication cost layered in. Base consultation + physician access runs a flat monthly rate, and medications are billed separately based on which formulations you choose. The estradiol patch and progesterone capsule combination typically lands in the $25–60/month range; adding testosterone cream adds another $15–25/month. There's no extra fee for follow-ups, adjustments, or messaging the clinical team — unlimited physician access is included.
Winona is licensed in all 50 US states. Shipping is free. Their patient base skews 40–60, and they've built a reputation around responsive clinical care, bioidentical-first protocols, and transparent pricing — three things women cite as missing from male-TRT clinics that try to serve them. This is now the site's lead recommendation for women's HRT.
What We Like
- Menopause-first clinic — built for women, not an add-on to a men's TRT service
- Bioidentical estradiol, progesterone, and testosterone (patch, oral, cream options)
- Unlimited physician access and follow-up consultations at no extra cost
- Licensed in all 50 US states with free shipping
- Transparent monthly pricing with no long-term contracts
- Physician team trained specifically in menopausal hormone therapy
Areas for Improvement
- Lab work not included — you provide your own or they coordinate a local draw
- Medication cost is separate from base subscription (additive monthly)
- Women-only — no equivalent for men (by design)
- Limited to hormone therapy — no GLP-1 weight loss or adjacent services
Bottom Line
Winona is the strongest women's HRT telehealth option on the site. Menopause specialization, bioidentical formulations, multiple delivery routes, and 50-state coverage — the combination is rare. Pricing is transparent and the base subscription includes unlimited follow-ups. For women navigating perimenopause or menopause, this is the lead recommendation.