Recommended
Estradiol pill or patch
The foundation of modern HRT — relieves hot flashes, sleep, and mood symptoms.
What's going on
Night sweats are hot flashes during sleep. They wreck sleep quality, drive next-day fatigue, and amplify every other symptom — but they respond fast to the right treatment.
DRIVER 01
Estrogen-driven temperature instability at night
DRIVER 02
Cortisol pattern shifts in perimenopause
DRIVER 03
Triggered or worsened by alcohol and warm bedrooms
Why now
Your symptoms map to a steep hormonal drop.
Estradiol — the dominant estrogen during your reproductive years — drops sharply through perimenopause and menopause. Most of the symptoms we treat trace directly to this curve.
What helps
Recommended approach
Estradiol is the most reliable fix. Adding progesterone helps with the sleep side. If hormones are off the table, non-hormonal options target the same brain pathway.
How Gala works
From symptoms to a plan in a week.
No clinic visits. No insurance hoops. A licensed clinician reads your full picture before they prescribe anything.
Tell us your symptoms
5 minutes, in plain language. Symptoms, history, goals — everything a thoughtful provider would ask.
Provider review
A US-licensed clinician reads the whole assessment and builds a plan around the symptoms you actually have.
Treatment + ongoing care
Medication ships free. Adjustments, messaging and provider support are part of the plan.