US-Licensed ProvidersBioidentical HormonesTelehealth Visit IncludedPersonalized DosingDiscreet 1–2 Day ShippingUS-Licensed ProvidersBioidentical HormonesTelehealth Visit IncludedPersonalized DosingDiscreet 1–2 Day ShippingUS-Licensed ProvidersBioidentical HormonesTelehealth Visit IncludedPersonalized DosingDiscreet 1–2 Day Shipping
★★★★★ Read our reviews on Trustpilot

Ready to feel like yourself again?Doctor-prescribed hormone therapy, personalized to your symptoms

Hormone Therapy at $69/month — flat, foreverONE PRICE. FOREVER. NO SURPRISES OR CHANGES.

The same $69 every month for as long as you stay. No membership fee, no insurance to deal with, and no price rise when your dose changes. Your exact plan and price are always shown before you pay.

  • 100% online — telehealth visit, prescription & shipping.
  • Bioidentical hormones — identical to what your body makes.
  • Same flat price every cycle. No insurance, no hidden fees.
  • Free, discreet shipping in 1–2 days.
No Hidden FeesNo Monthly MembershipCancel Anytime
Woman in her forties smiling
Estradiol tablet and transdermal patchProgesterone capsule
WE'VE BEEN FEATURED ALL OVER
BUSINESS INSIDERForbesyahoo!

What your plan is made of

A clinician reads your assessment and picks the form that fits your symptoms and history — not every option is right, or available, for everyone.

Pill or patch

Estradiol

The estrogen your body stops making. It's what moves hot flashes, sleep and mood.

Oral capsule

Progesterone

Protects the uterine lining. Skipped if you've had a hysterectomy, or if an IUD already covers it.

Local treatment

Vaginal estradiol

Targets vaginal dryness specifically, rather than whole-body symptoms.

Non-hormonal

Non-hormonal options

For when hormones aren't the right fit, or your history rules them out.

Hormone care built around your symptoms

US-Licensed Pharmacies
Bioidentical Hormones
Personalized Dosing Plans
1:1 Medical Support
US-Licensed Pharmacies
Bioidentical Hormones
Personalized Dosing Plans
1:1 Medical Support
US-Licensed Pharmacies
Bioidentical Hormones
Personalized Dosing Plans
1:1 Medical Support
No Hidden FeesNo Monthly MembershipCancel Anytime
ExcellentTrustScore 4.8Trustpilot3,900+ reviews

Real patients. No judgment.
Real Relief.

It was never in your head — it was your hormones. Estradiol drops sharply through perimenopause, and most midlife symptoms map directly to that decline. Gala pairs bioidentical hormone therapy with a provider who keeps adjusting your dose until you feel like yourself again.

Hear real Gala patients tell their own stories:

Ready to feel like yourself again?

No Hidden FeesNo Monthly MembershipCancel Anytime
ExcellentTrustScore 4.8Trustpilot3,900+ reviews

Hormone care that actually moves fast

From assessment to treatment at your door in days — with a real provider behind every step.

Today
Take the 5-minute symptom assessment
In 1 day
A US-licensed provider reviews you — a short video visit in some states — and writes your Rx
Within 1 day
A US-licensed pharmacy prepares your treatment
Free 1–2 day delivery
Your treatment arrives, discreetly packaged
From day one
1:1 care with symptom-guided dose adjustments
PROVIDER REVIEW — USUALLY WITHIN 1 DAY
Your hormone therapy plan approval!
VISIT100% online
PLANPersonalized
SUPPORT1:1 care

A plan built around your symptoms: prescribed hormone therapy, a dedicated provider, and a care team that answers any day of the week.

One flat price, every cycle.

Today4 Weeks12 Weeks

Illustrative relief curve. Individual results vary.

Real relief, in their words

Reviews on Trustpilot.

Trustpilot

Why do so many women choose Gala? Because it works

What women on hormone therapy report.

0%
Report hot flashes resolved by 8 weeks
0%
Report improved sleep
0%
Report mood and anxiety relief

Share of women on HRT who report relief in each area. Individual results vary; not a guarantee of outcome.

What relief actually looks like

The order most women feel it — week by week.

Week 1–2
Vasomotor relief begins

Hot flashes and night sweats start to ease as estrogen levels stabilize.

Week 2–4
Sleep returns to normal

Restorative sleep — most patients wake less and feel rested in the morning.

Week 4–6
Mood lifts, fog clears

Cognitive sharpness returns. Mood stabilizes. Reactivity decreases.

Week 6–12
Libido + intimate comfort

Vaginal tissues regenerate, dryness resolves, and sexual desire returns.

Typical relief timelines shown in Gala’s HRT assessment. Individual results vary; not a guarantee of outcome.

Your questions. Honest answers.

Everything you want to know before you start.

You complete a short online health and symptom assessment, a US-licensed provider reviews it and — if it's appropriate for you — prescribes your hormone therapy, and your treatment ships free to your door. It's all online: in some states your provider is required to see you on a short video visit first, which you schedule from your account. Ongoing 1:1 support is included.
Bioidentical hormone therapy tailored to you — your provider determines the right formulation and dose for your symptoms and goals.
Bioidentical hormones are molecularly identical to the estradiol and progesterone your body makes. Gala prescribes FDA-approved bioidentical forms — estradiol pill or patch, oral or vaginal progesterone, vaginal estradiol — and your provider selects the form based on your symptoms and history.
Modern HRT, started near menopause onset, has a strong safety profile for most women. Risks vary with personal and family history (breast cancer, blood clots, stroke). A Gala clinician reviews your full medical history before prescribing and revisits the plan as your needs change. We don't prescribe when the risk doesn't make sense.
Usually not. Menopause is diagnosed by symptoms, age and cycle pattern — hormone levels fluctuate too much in perimenopause to reliably guide treatment. Your clinician will order labs only when they actually change the plan.
Yes. Perimenopause is exactly when HRT can do the most for symptoms — hot flashes, sleep, mood, brain fog, irregular bleeding. Gala's plans are built for the years before and after the final period, not only full menopause.
Most women feel relief within 4–8 weeks. Hot flashes and sleep usually shift first; mood, energy and cognition follow. Your clinician adjusts the dose at check-ins so the plan keeps working as your body changes.
Answer a few questions about your health (about 5 minutes), provide your details, and a provider reviews your case — usually within a day. No waiting rooms: some states require a short video visit with your provider before she can prescribe, and you book it online at a time that suits you. If you're approved, your treatment ships.
$69 a month, flat — the same price for as long as you stay. No surprises: no membership fee, no insurance to deal with, and no price rise when your dose changes. Your exact plan and price are always shown before you pay, and you can cancel anytime.
Gala is available across most US states. Your eligibility is confirmed during the assessment based on where you live — if we can't serve your state yet, you won't be charged.
Likely yes — your provider starts you at an appropriate dose and adjusts it over time based on your symptoms and labs, with support through every change.
There's no contract or membership. You can pause or cancel anytime from your account.
Your care team is reachable 7 days a week through your account — message us anytime and we'll help.

What’s Bothering You Most?