Consumer telehealth · Online menopause care
Winona
Winona is an online menopause clinic where board-certified physicians prescribe bioidentical hormone therapy, much of it compounded in Winona's own pharmacies and shipped to the patient.
Strong fit
- Women who want to start hormone therapy without a lab test or video visit
- Cash-pay patients who want a monthly price posted for each treatment
- Women who prefer a body cream that combines estrogen and progesterone
Weak fit
- Patients who want insurance to pay for care
- Women who want testosterone, which Winona does not prescribe
- Patients who prefer FDA-approved finished products to compounded creams
Bottom line
Winona is an online menopause clinic that prescribes bioidentical hormone therapy, mostly as compounded creams made in its own pharmacies. It suits cash-pay women who want to start treatment quickly with a free first visit and no lab work. Women who want insurance billing or testosterone should look elsewhere.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
Winona is used by women in perimenopause and menopause who want hormone therapy without waiting for a gynecologist. A patient completes a free online visit, and a Winona physician reviews it and writes a plan. Winona does not require bloodwork or hormone testing before prescribing, which it says follows guidance from The Menopause Society and the American College of Obstetricians and Gynecologists. Treatments ship to the door, and follow-up messages with a physician are free.
Winona is cash-pay only, like Alloy. It does not bill insurance, though it provides HSA and FSA receipts. Its estrogen body cream starts at $89 a month and estrogen tablets at $54 a month, both above Alloy's estradiol pill at $39.99 a month, while Midi Health and Evernow bill insurance for visits.
The closest competitors are Alloy, Evernow, Midi Health, and Allara Health.
Winona owns and operates two 503A compounding pharmacies, which state pharmacy boards regulate, according to its FAQ. Its compounded creams are made for each patient and are not FDA approved, though Winona says they use FDA-approved ingredients. It also prescribes estrogen patches, estrogen tablets, progesterone capsules, vaginal estrogen cream, and DHEA, plus an estriol face cream, a sildenafil arousal cream, and a minoxidil hair serum. It does not prescribe testosterone.
Winona says 80% of women feel significant or complete symptom relief within three months, and a physician checks in after 10 weeks to adjust the plan. Its State of Menopause 2026 report, built from more than 100,000 patient intake assessments, found that women seeking care report an average of nine symptoms at once. Winona is based in Austin, Texas.
The complaints on review sites center on follow-up. Some patients say messages to their physician get generic replies when a treatment is not working, and others report shipping delays and confusion over items priced separately.
What patients say
Patients on Trustpilot rate Winona 4.6 from 8,930 reviews. Here is what they like and dislike.
"My HRT needs were addressed quickly by an actual doctor, I actually started sleeping through the night again for the first time in a long time." Trustpilot
"Easy to follow up and leave messages. Good communication. Product shows up on time. NO hassle." Trustpilot
"Due to severe fulfillment and shipping delays, I was left without my prescribed hormone medication for an extended period of time" Trustpilot
"I don't think prescribing hrt medication just based on symptoms works. Blood tests would be helpful." Trustpilot
Competitor landscape
| Vendor | Overall | Ease of implementation |
|---|---|---|
| Allara Health | 7.7 | 7.8 |
| Midi Health | 7.6 | 7.0 |
| Evernow | 7.6 | 7.9 |
| Alloy | 7.4 | 8.0 |
| Winona | 7.3 | 8.1 |
Pricing
| Item | Detail |
|---|---|
| Model | Winona charges a monthly cash price for each prescription, after a free first visit. |
| What usually drives cost | For Winona, cost depends on which treatments you are prescribed, how many you combine, and the shipping speed you choose. |
| What to ask before you buy | Ask Winona for the total monthly cost of your full plan, including progesterone and any add-ons, and how refills are billed. |
| Note | Winona does not bill insurance; it provides HSA and FSA receipts. |
| Published pricing | Winona lists its estrogen body cream (with or without progesterone) from $89 a month, the estrogen patch at $149 a month, estrogen tablets at $54 a month, progesterone capsules at $39 a month, and DHEA at $27 for three months. |
Leadership
- Michael Green, MDChief Medical Officer
- Cathleen M. Brown, DOMedical Director
Methodology
| Weight | Factor | What it measures |
|---|---|---|
| 35% | Customer outcomes | Whether buyers get measurable operational or clinical-workflow results after go-live |
| 30% | Product | Capability depth, reliability, and fit for the job the category buys |
| 20% | Implementation | How hard it is to stand up, integrate, train, and stabilize |
| 15% | Pricing clarity | Whether a buyer can model total cost without a mystery quote |
| Label | Meaning |
|---|---|
| Highly recommend | Strong outcomes and product with manageable caveats |
| Recommend | Solid fit for the right buyer; know the tradeoffs |
| Conditional | Only with a specific use case or heavy caveats |
| Not recommended | Avoid for most buyers in this category |
Read our full methodology for how we weight scores and assign recommend labels.