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Formula How It Works Why Alumei FAQ
A bottle of Alumei HRT Cream on a stone surface in soft light

Meet Alumei™.
Two Hormones. One Cream.

Simplify your perimenopause and menopause care with a physician-prescribed HRT cream designed for one easy nightly routine.

  • Bioidentical estradiol + progesterone
  • One simple nightly application
  • Personalized, physician-reviewed care

$179/mo

3-month supplyBilled monthly

See if I qualify for Alumei
  • Private health intake
  • Licensed-provider review
  • Discreet delivery

You know your body. You know when something feels different.

Hormonal changes during perimenopause and menopause can affect how you sleep, feel, and move through your day. If things have felt a little different lately, you're not alone.

  • Restless nights

    Sleep disruptions + night sweats

  • Temperature changes

    Hot flashes + sudden warmth

  • Mood and focus

    Irritability + brain fog

  • Intimate comfort

    Vaginal dryness + discomfort

A woman with long silver hair and closed eyes, wearing a sage satin top

Two hormones. One thoughtful formula.

Alumei combines bioidentical estradiol and progesterone in a compounded prescription cream, bringing two hormones together in one daily application.

E2 6 mg/gm

Bioidentical estradiol

An estrogen hormone used in menopausal hormone therapy to address symptoms such as hot flashes and vaginal dryness.


Restoring estradiol supports:

  • Hot flashes & night sweats — the classic vasomotor symptoms
  • Vaginal & urinary health — elasticity, lubrication, comfort during intimacy
  • Bone density — estrogen is central to bone strength
  • Mood & cognition — many women report clearer thinking
  • Skin & sleep — collagen support, fewer 3 a.m. wake-ups

P2 200mg/gm

Micronized progesterone

A hormone used alongside estrogen in certain HRT regimens, including for protection of the uterine lining when clinically appropriate.

"Micronized" means the particles are ultra-fine for better absorption. The higher dose vs. estradiol is intentional — it mirrors the body's natural ratio.


  • Endometrial protection — balances estrogen's effect on the uterine lining
  • Sleep support — its metabolites act on GABA, the brain's calming pathway
  • Calm & mood — often called the "quieting" hormone
  • Symptom stability — smooths perimenopause's hormonal turbulence

One cream. One nightly routine.

Alumei comes in a metered-pump bottle for measured, vaginal application at bedtime, as prescribed by your clinician.

  1. Dispense

    Use the prescribed amount from the metered-pump bottle.

  2. Apply

    Apply vaginally as directed by your clinician, typically at bedtime.

  3. Make it a routine

    Continue your prescribed daily application and check in with your care team as needed.

Close-up of a clear, glossy cream base

Made with Ellage®

A specialized, water-free vaginal cream base designed to adhere to tissue and support medication delivery.

A simpler approach to HRT.

Some hormone therapy routines involve multiple medications. Alumei combines estradiol and progesterone in one compounded cream, designed to simplify your daily routine.

Alumei compared with traditional HRT
AlumeiA bottle of Alumei HRT Cream TRADITIONAL HRT*An estrogen patch, two pills and a cream swatch
FORMULATwo hormones in one creamSeparate estrogen + progesterone products
APPLICATIONOne vaginal creamPatch + pill or other combinations
ROUTINEOne nightly applicationMay involve multiple steps
PERSONALIZATIONPhysician-reviewed prescriptionVaries by provider and treatment

*Traditional HRT includes multiple formats, including single-product regimens. Comparison illustrates a common estrogen patch plus oral progesterone routine, not all HRT options.

A woman completing an online health intake on her laptop at home

Your care starts with a conversation.

Getting started with Alumei begins with a private online health intake. A licensed clinician reviews your medical history to determine whether hormone therapy is appropriate for you.

  1. Complete a private online intake about your symptoms, medications, and health history.

The answers women usually want first.

Straightforward information about what's in Alumei, how to use it, and what to expect from your care.

Still have questions?

Your clinician can answer them during your review, or contact our team.

See if Alumei is right for you
What is Alumei™?

Alumei is a compounded prescription vaginal cream that combines estradiol and progesterone. It is available only when prescribed by a licensed healthcare provider after clinical evaluation.

Do I choose my strength or dose?

No. You'll tell us about your symptoms, medical history and goals. A licensed provider determines whether treatment is appropriate and, if so, the formulation and daily amount.

How often is Alumei delivered?

If prescribed, Alumei is currently dispensed on a 90-day delivery cycle.

How does the online visit work?

Complete a short online intake about your symptoms and health history. A licensed provider reviews it and may contact you through the secure portal if more information is needed. If treatment is medically appropriate and prescribed, the prescription is sent to the pharmacy.

What support is available after I start?

Patients have access to the clinical care team and secure chat for questions and ongoing support.

Is Alumei FDA-approved?

Alumei is a compounded prescription medication and is not FDA-approved. Compounded medications are prepared by licensed pharmacies based on a prescriber's order. The FDA does not verify the safety, effectiveness or quality of compounded drugs.

Trusted by 20,000+ active BetterMe Rx patients

Your body is changing. Your care can, too.

You deserve to understand your options. Start with a private online intake to explore whether Alumei may be right for you.

As low as $179/mo

3-month supply · Billed monthly

See if Alumei is right for me
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