What is Winona?
Winona is a telehealth clinic focused entirely on menopause and perimenopause. It prescribes bioidentical hormone replacement therapy, estrogen, progesterone and supporting therapies chemically identical to what the body produces, in the format that suits you: creams, patches or oral options.
The differentiation is specialization. Prescriptions come from physicians who treat menopause all day, plans target the long tail of symptoms (Winona cites over 100, from hot flashes to joint pain and brain fog), and unlimited messaging means dose adjustments don't wait for an annual appointment.
How Winona works
- Complete the health assessment, detailed symptom and history intake, online.
- Physician designs your protocol, a menopause-specialized doctor selects hormones, doses and formats.
- Treatment ships monthly, compounded in US pharmacies, delivered to your door.
- Adjust continuously, unlimited messaging with your care team; most feel meaningful relief within 90 days.
Winona pricing
Winona bills a monthly price that includes physician care, unlimited messaging and your medications, varying with the protocol prescribed. New-patient promotions are common. There are no separate consultation fees, and HSA/FSA funds can typically be used.
Who Winona is best for
- Women in perimenopause or menopause who want specialist-level care online
- Anyone whose symptoms were dismissed with "your labs are normal"
- Patients who value ongoing dose adjustment over set-and-forget prescribing
Our verdict on Winona
Winona sets the standard for online menopause care in 2026: real specialists, bioidentical options in every major format, and a care model built for adjustment rather than one-off prescribing. For women navigating perimenopause or menopause, it's the strongest single recommendation in our HRT rankings.



