Takes about 5–10 minutes. No office visit required. Prescription treatment is provided only when medically appropriate.
If you've been feeling unlike yourself, hormonal changes during perimenopause or menopause may be part of the picture.
These changes can show up differently for every woman. The point isn't to self-diagnose — it's to be heard and have your symptoms reviewed by a licensed provider.
Alumei is a compounded prescription vaginal cream that combines estradiol and progesterone in one metered-pump formulation. If prescribed, your provider determines the appropriate formulation and daily amount based on your medical intake.
Two hormones together in one prescription cream.
A consistent, measured amount with every use — no guessing.
Designed to fit easily into your evening.
Shipped discreetly on a 90-day cycle.
Prescription treatment is available only when medically appropriate.
Cycles may still be changing. Symptoms can appear before periods stop completely. Tell us what you're experiencing, your health history, and your goals.
After periods have stopped, symptoms can continue or change. Your provider reviews your intake to determine whether hormone therapy may be medically appropriate.
You do not choose your own hormone dose. A licensed provider determines the appropriate formulation and daily amount after clinical review.
A simple online process — from your home to your door.

Complete a short online intake about your symptoms, health history and goals. Takes about 5–10 minutes.

A licensed provider reviews your intake and determines whether hormone therapy is medically appropriate.

If prescribed, your provider determines the formulation and daily amount. Your prescription is sent to the pharmacy.

Your medication is prepared and shipped discreetly. Current fulfillment is every 90 days.
— available through the clinical care team and secure chat.
In a 6-month outcomes review of women using Alumei. These changes reflect restored hormone levels — not temporary symptom masking.
improved vaginal dryness
improved sleep quality
improved mood
sharper focus & vitality
improved energy levels
Alumei is a compounded prescription cream that combines estradiol and progesterone in an Ellage® anhydrous vaginal base.
Hormone therapy can involve different formulations and delivery methods. Different options have different benefits, limitations and patient considerations — your licensed provider can help determine what is appropriate for you.
One of the active hormones in Alumei.
One of the active hormones in Alumei.
The anhydrous base used to compound the cream.
Your prescribed formulation and daily amount are determined after clinical review.
E26 mg/gm
P4200 mg/gm
"Micronized" means the particles are ultra-fine for better absorption. The higher dose vs. estradiol is intentional — it mirrors the body's natural ratio.
BaseEllage®
Formulated without wheat, gluten, milk, egg, soy, fish/crustacean, peanut, or tree nuts.
Prescription required. Your strength is determined by a licensed physician after clinical review. If treatment isn't prescribed, you won't be charged for medication.
Tell us what you're experiencing. A licensed provider will review your health history and determine whether prescription treatment is medically appropriate.
Start your online visit →Takes about 5–10 minutes. No office visit required.
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.
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.
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.
If prescribed, Alumei is currently dispensed on a 90-day delivery cycle.
Patients have access to the clinical care team and secure chat for questions and ongoing support.
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.