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Balance your hormones reclaim your energy.

Personalized online hormone replacement therapy for women of all ages navigating PCOS, perimenopause, menopause, at any age.
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*All patients treated across the Excel Medical network.
100,000+ Patients treated*
96% Improvement within 6 months*
*All patients treated across the Excel Medical network.

Life-changing healthcare from Fem Excel

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Results you can see, relief you can feel

More energy, better sleep, clearer skin, improved mood, and stronger sex drive.

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Real results, not just lab numbers

We treat based on how you feel, not just what your labs say.
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Treatment tailored to you

Every plan is customized based on your symptoms, labs, and goals.
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Relief without the runaround

No co-pays. No waiting rooms. No “you’re fine” when you’re not.
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Trusted by over 100,000 members*

Personalized care that delivers results that traditional clinics miss.

*Patients treated across Male Excel and Fem Excel

I’m experiencing...

Constantly overheating? Waking up drenched? Menopause symptoms like hot flashes and night sweats are caused by shifting hormone levels.

  • Hormone replacement therapy (HRT) restores hormonal balance to reduce hot flashes, stop night sweats, and regulate body temperature.
  • HRT during menopause helps you stay cool at night and get the restful, uninterrupted sleep your body needs.

Hormone replacement therapy for women helps rebalance estrogen and thyroid levels, restore metabolism, and reduce stubborn belly fat.

  • HRT supports healthy fat distribution and metabolic function, making weight loss during menopause possible again.
  • It also reduces chronic inflammation lowering the risk of heart disease and other age-related conditions.
Exhausted, no matter how much you rest? Fatigue is one of the most common and overlooked symptoms across all stages of menopause.
  • Hormone therapy helps treat menopause fatigue by restoring energy, improving sleep, and supporting thyroid and estrogen balance
  • HRT reduces burnout and low stamina caused by hormonal decline. So you can finally feel rested again.
Hormone therapy for mood swings supports emotional balance by restoring progesterone, estrogen, and thyroid levels that influence anxiety, irritability, and low mood.
  • Fluctuating estrogen and progesterone can affect emotional balance.
  • Hormone therapy supports calm, steady mood regulation.
Low libido can start in perimenopause and continue through menopause and beyond. Proper hormone balance for women can restore desire, sensitivity, and comfort.
  • HRT, including testosterone for women, rebalances sex hormones to improve intimacy and boost low libido.
  • HRT relieves vaginal dryness and discomfort so you can regain confidence and feel desire again
HRT for women can help clear menopause brain fog by supporting memory, focus, and cognitive clarity.
  • Estrogen is essential for mental sharpness and recall.
  • Menopause brain fog improves with hormonal balance.
Hormone therapy for polycystic ovary syndrome (PCOS helps regulate irregular periods and support ovulation.
  • PCOS symptoms include missed or unpredictable cycles.
  • PCOS Treatments help restore menstrual regularity and hormone balance.
PCOS weight gain directly links to insulin resistance, type 2 diabetes, and hormone imbalance. HRT can support metabolic function and reduce belly fat.
  • Belly fat that won’t shift, even when you’re doing everything right, is often a hormone problem, not a willpower one.
  • PCOS causes fat storage around the midsection.
  • Hormone optimization helps correct underlying metabolic issues.
PCOS fatigue can be overwhelming. Hormone therapy offers thyroid support for symptoms of PCOS and improves insulin function to restore daily energy.
  • Hormone imbalances can lead to tiredness in people with PCOS.
  • HRT supports energy levels and reduces burnout.
Hormonal fluctuations from PCOS can cause mood swings and anxiety. HRT helps restore emotional stability and calm.
  • PCOS symptoms often include anxiety, irritability, or mood changes.
  • Balancing hormones can ease emotional highs and lows.
PCOS acne is driven by excess androgens like testosterone. Hormonal acne treatments like targeted hormone therapy address the root cause and help improve skin clarity.
  • High testosterone and DHT contribute to persistent acne.
  • Treatment helps balance hormones and reduce breakouts.
Hirsutism, or excess facial and body hair, affects many women with PCOS and can dent your confidence. HRT rebalances androgen levels to reduce unwanted hair growth, restore clear, smooth skin, and renew your self-assurance.
  • HRT lowers androgen levels to slow excess facial and body hair growth.
  • Customized HRT restores hormonal balance, improves skin clarity, and confidence.
Hair loss from PCOS is caused by elevated DHT. HRT supports healthy hair growth and reduces shedding.
  • PCOS hair loss commonly affects the scalp and hairline.
  • Hormone therapy helps protect follicles and restore volume.
PCOS is a common cause of infertility, often disrupting regular ovulation. Hormone therapy for fertility can help regulate menstrual cycles, support ovulation, and increase your chances of conceiving. Addressing insulin resistance may further improve your likelihood of conception.
  • PCOS can make it difficult to conceive naturally.
  • Treatment that supports ovulation and helps overcome insulin resistance can increase your chances of getting pregnant.
Learn about symptoms

Why do I feel like this?

Premenopause

Premenopause is the stage of life before perimenopause begins. During premenopause, estrogen levels generally remain stable, but crucial hormones like progesterone, thyroid, and testosterone begin to decline.

This early hormone shift can lead to changes in energy, mood, sleep, libido, and weight, even while periods continue and pregnancy is still possible. Hormone therapy can help restore balance and support how you feel during this stage.
Premenopause is the stage of life before perimenopause begins. During premenopause, estrogen levels generally remain stable, but crucial hormones like progesterone, thyroid, and testosterone begin to decline.

This early hormone shift can lead to changes in energy, mood, sleep, libido, and weight, even while periods continue and pregnancy is still possible. Hormone therapy can help restore balance and support how you feel during this stage.

Perimenopause

Perimenopause marks the hormonal shift toward menopause and often begins in your 40s, though it can start earlier. During this phase, estrogen levels begin to fluctuate unpredictably, triggering symptoms like hot flashes, anxiety, irregular periods, weight gain, and poor sleep.

At the same time, progesterone, thyroid, and testosterone are often already low, which can intensify symptoms and make this phase feel especially disruptive. These hormonal shifts can leave you feeling out of sync and exhausted, but the right medical support can help optimize hormone levels and reduce symptoms.
Perimenopause marks the hormonal shift toward menopause and often begins in your 40s, though it can start earlier. During this phase, estrogen levels begin to fluctuate unpredictably, triggering symptoms like hot flashes, anxiety, irregular periods, weight gain, and poor sleep.

At the same time, progesterone, thyroid, and testosterone are often already low, which can intensify symptoms and make this phase feel especially disruptive. These hormonal shifts can leave you feeling out of sync and exhausted, but the right medical support can help optimize hormone levels and reduce symptoms.

Menopause

Menopause is clinically defined as having no menstrual period for 12 consecutive months and occurs as estrogen levels fall and ovarian hormone production declines. During this stage, estrogen, progesterone, and other key hormones continue to drop.

As hormone levels fall, symptoms such as disrupted sleep, fatigue, low mood, brain fog, and metabolic changes can persist or worsen. Sleep quality in particular often declines further, affecting energy, focus, and overall well-being.

Hormone therapy can support hormone stability, improve sleep, and help protect long-term health, including bone, heart, and cognitive health.
Menopause is clinically defined as having no menstrual period for 12 consecutive months and occurs as estrogen levels fall and ovarian hormone production declines. During this stage, estrogen, progesterone, and other key hormones continue to drop.

As hormone levels fall, symptoms such as disrupted sleep, fatigue, low mood, brain fog, and metabolic changes can persist or worsen. Sleep quality in particular often declines further, affecting energy, focus, and overall well-being.

Hormone therapy can support hormone stability, improve sleep, and help protect long-term health, including bone, heart, and cognitive health.

PCOS

PCOS affects around one in ten women of childbearing age, and many women do not realize they have it. Irregular periods, difficulty getting pregnant, weight gain, fatigue, acne, and excessive facial hair are some of the most common signs.

Fem Excel offers advanced testing and symptom based treatment to help uncover the root hormonal and metabolic drivers of PCOS and support both fertility and long-term health.
PCOS affects around one in ten women of childbearing age, and many women do not realize they have it. Irregular periods, difficulty getting pregnant, weight gain, fatigue, acne, and excessive facial hair are some of the most common signs.

Fem Excel offers advanced testing and symptom based treatment to help uncover the root hormonal and metabolic drivers of PCOS and support both fertility and long-term health.

Why choose Fem Excel?

Feeling good starts here

Struggling with low energy, brain fog, or weight gain? We treat hormonal imbalance in women. At Fem Excel, we focus on bioidentical hormone replacement therapy (BHRT) for menopause treatment. Our treatments help with issues like poor sleep, mood swings, low libido, and fatigue. Our custom hormone therapy helps rebalance your system so you can regain energy, clarity, and confidence.
Struggling with low energy, brain fog, or weight gain? We treat hormonal imbalance in women. At Fem Excel, we focus on bioidentical hormone replacement therapy (BHRT) for menopause treatment. Our treatments help with issues like poor sleep, mood swings, low libido, and fatigue. Our custom hormone therapy helps rebalance your system so you can regain energy, clarity, and confidence.
Struggling with low energy, brain fog, or weight gain? We treat hormonal imbalance in women. At Fem Excel, we focus on bioidentical hormone replacement therapy (BHRT) for menopause treatment. Our treatments help with issues like poor sleep, mood swings, low libido, and fatigue. Our custom hormone therapy helps rebalance your system so you can regain energy, clarity, and confidence.
Start your free hormone assessment
2 large generic pills
2 large generic pills

Expert-led women’s hormone therapy

Fem Excel is led by Lorna A. Brudie, DO, FACOG, FACOOG, a dual board-certified OB-GYN and gynecologic oncologist with nearly 30 years of experience in women’s health. Dr. Brudie is a leading expert in bioidentical hormone replacement therapy, menopause, PCOS, and complex gynecologic care.
Fem Excel is led by Lorna Brudie, DO, a dual board-certified OB-GYN and gynecologic oncologist with nearly 30 years of experience in women’s health. Dr. Brudie is a leading expert in bioidentical hormone replacement therapy, menopause, PCOS, and complex gynecologic care.
Fem Excel is led by Lorna Brudie, DO, a dual board-certified OB-GYN and gynecologic oncologist with nearly 30 years of experience in women’s health. Dr. Brudie is a leading expert in bioidentical hormone replacement therapy, menopause, PCOS, and complex gynecologic care.
Meet our hormone specialists
Fem Excel’s Medical Director Portrait
Fem Excel’s Medical Director Portrait

Symptom-based hormone treatment for women

Tired of being told your labs are normal, even when you know something isn’t right? Your body is often the first to sound the alarm when something is off, even before any blood tests. The signs are there, if you know how to read them.

Tired of being told your labs are normal, even when you know something isn’t right? Your body is often the first to sound the alarm when something is off, even before any blood tests. The signs are there, if you know how to read them.
Tired of being told your labs are normal, even when you know something isn’t right? Your body is often the first to sound the alarm when something is off, even before any blood tests. The signs are there, if you know how to read them.
Start Symptoms Assessment
Portrait of happy Female Provider
Portrait of happy Female Provider

Bioidentical hormone replacement therapy, tailored to you

Every prescription is tailored to your body and your symptoms, using bioidentical hormones that match what your body naturally produces. That means faster relief, better tolerance, and results that last. Made in trusted U.S. pharmacies. Designed to work with your body.
Every prescription is tailored to your body and your symptoms, using bioidentical hormones that match what your body naturally produces. That means faster relief, better tolerance, and results that last. Made in trusted U.S. pharmacies. Designed to work with your body.
Every prescription is tailored to your body and your symptoms, using bioidentical hormones that match what your body naturally produces. That means faster relief, better tolerance, and results that last. Made in trusted U.S. pharmacies. Designed to work with your body.
Discover treatment options
Grouping of variety of Fem Excel medication Options
Grouping of variety of Fem Excel medication Options

How it works

Our in-house team specializes in hormone optimization and takes the time to understand your symptoms, goals, and history. Doctor-led hormone therapy is the key to real symptom relief, healthy aging, and results that last.

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Start with your story.
Share your symptoms and health history through our online assessment.
Start free assessment
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Meet your hormone expert.
Connect online with a licensed provider to discuss your symptoms and goals. If prescribed, treatment can start right away.
Start free assessment
Fem Excel At-Home Hormone Test Kit
Get deeper insights.
After your consult, we’ll send you a simple at-home hormone test kit to measure key biomarkers and fine-tune your care.
Start free assessment
Fem Excel Estradiol Medications
Personalized, ongoing support.

Once your lab results are in, your provider will review your progress and adjust your treatment as needed. We check in every 60 days, and you’ll receive comprehensive blood tests every six months to keep your care truly personalized.


Thousands of women are already experiencing the benefits.
Start your free assessment today.
Start free assessment
Start free assessment
85%
report improvement within 2 months*
96%
report improvement within 6 months*
100,000+ patients treated*

Among America’s fastest-growing companies. Voted Top Hormone Provider of 2024 and Hormone Provider of the Year 2025.

*Data taken from 32,795 members responding to symptoms reviews with their Excel Medical providers

The Excel Advantage™

Created for women who refused to be dismissed because no one else was listening.
We’ve spent the last two decades building something better because standard hormone care wasn’t good enough.

Symptoms-first

Hormones often cause issues long before they show up on a lab report. We start with how you feel and adjust as your needs evolve.

Daily progesterone that works with you

We use daily progesterone instead of outdated cycle-based prescriptions. It helps you feel more balanced and steady each day while supporting long-term protection and health.

Thyroid support for energy and metabolism

We support your thyroid even when labs look normal because it plays a crucial role in your energy, weight, mood, brain function, and much more.

Estrogen introduced at the right time

We add estrogen after menopause, once your levels have naturally dropped. Restoring vitality and protecting against age-related diseases, without triggering unwanted side effects.

Bioidentical. Compounded. Custom.

Our hormones are bioidentical, meaning they mirror what your body naturally produces. Each prescription is compounded for you. That means better tolerance, and treatments that work for you.

Expert-led, ongoing care

You’ll hear from our medical team every 60 days and complete a symptom check-in so your plan evolves with you. We track what’s working, fine-tune your treatment, and make sure you keep feeling your best.

In-house hormone specialists

At Fem Excel, your care is never outsourced. You’ll work with your dedicated in-house hormone expert trained in our proven protocol.

Transparent membership, no hidden costs

Your membership includes everything you need for ongoing care, including online visits, follow-ups, regular lab monitoring, and unlimited messaging. No co-pays. No guesswork. Just expert care that moves with you.

The Excel Advantage Guarantee

See real results in 90 days, or we refund your membership fees.

What our patients say

When your hormones are off, everything feels harder. But with the right care and optimized hormones, everything changes.

Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.

These are their stories, not just of better health, but of lives transformed.
When your hormones are off, everything feels harder. But with the right care and optimized hormones, everything changes.

Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.

These are their stories, not just of better health, but of lives transformed.
When your hormones are off, everything feels harder. But with the right care and optimized hormones, everything changes.

Women come to Fem Excel feeling tired, foggy, frustrated, and unheard. They stay because they feel energized, clear-minded, unburdened, and back in control.

These are their stories, not just of better health, but of lives transformed.

Very knowledgeable & professional

“Very knowledgeable & professional. Details about the whole process and the medications that I may be taking. I was very happy to have a caring one on one with the NP. It is the help I was waiting for in the convenience of my own quiet setting.”

Araka

Possibly the best healthcare experience I’ve ever had

“I walked away from this appointment actually feeling satisfied with the results I received. For once I left an appointment with all my questions answered instead of having more questions than answers. The provider was very thorough, informative, and helpful. This was one of the better healthcare appointments I have ever had. Thank you Ms. Tara for the wonderful experience.”

Alicia

Caring and thorough

“I really liked ease and convenience having a virtual appointment. Kel made me feel comfortable immediately and explained everything thoroughly. She is a good listener and has an empathetic spirit about her. I feel encouraged that together we will resolve any challenges I am having.”

Renée

I had been struggling since I hit menopause…

“I had been struggling since I hit menopause a year ago. My doctors couldn’t help. It was terrible, I was struggling with no hope for any help. Then I tried Fem Excel. They HAVE CHANGED MY LIFE! I have energy, I sleep well I feel so good, it’s unbelievable and the doctors were so efficient and I just felt understood. I am so glad I got a hold of this company. Thank you so much!”

Lisa

Real Reviews, Actor Portrayal shown

Affordable & transparent pricing

$99 * full retail value $249
 

Full consultation & test kit package

  • Online consultation to discuss symptoms and treatment
  • At-home hormone test kit
  • Customized treatment plan
  • Online consultation to review your results
$99/month
billed monthly

Medical membership

  • Easy online video access to your provider
  • Ongoing care from your dedicated Fem Excel team
  • Regular check-ins
  • Unlimited messaging with your care provider
  • No contracts, pause, or cancel anytime
  • First month free
  • Regular hormone testing
from
$50/month
billed every 2 months

Core Medications

  • Progesterone – $50/month
  • Thyroid – $50/month
  • Estradiol – $50/month

Add-ons (billed every 2 months)

  • Testosterone cream – from $15/month
  • Metformin – from $24/month
  • Spironolactone – from $9/month
Start free assessment

Your hormone health blog: insights and answers

Woman standing and unbuttoning her jeans, highlighting bloating and abdominal weight gain related to cortisol and hormonal imbalance.
Woman standing and unbuttoning her jeans, highlighting bloating and abdominal weight gain related to cortisol and hormonal imbalance.

The role of cortisol in weight gain and hormonal imbalances

Feeling stressed and struggling to lose weight? Your hormones could be the reason. Discover how cortisol triggers cravings, increases belly fat, and what you can do about it.

Fem Excel blog
Focused woman performing push-ups in a gym, representing strength, confidence, and muscle preservation supported by hormone therapy.
Focused woman performing push-ups in a gym, representing strength, confidence, and muscle preservation supported by hormone therapy.

How hormone therapy can help women maintain muscle mass

Muscle loss with aging is real, but it’s also reversible. Learn how the right hormone balance can restore energy, strength, and confidence.

Fem Excel blog
Woman touching her neck near the thyroid area, eyes closed in calm reflection, representing thyroid awareness and the connection between thyroid function and hormonal balance.
Woman touching her neck near the thyroid area, eyes closed in calm reflection, representing thyroid awareness and the connection between thyroid function and hormonal balance.

How thyroid function affects your period

Your thyroid is a tiny gland with massive influence, controlling the hormones that keep your cycle, energy, and body in balance. When it falters, everything shifts.

Fem Excel blog
Smiling mother lying on a bed, holding and laughing with her baby, representing restored fertility and hormone balance after PCOS treatment.

PCOS and fertility: how hormone therapy can help

PCOS doesn’t have to stand between you and motherhood. Discover how the right hormone therapy can restore balance, regulate cycles, and help your body conceive naturally.

Fem Excel blog
Happy woman carrying her young daughter outdoors in sunlight, symbolizing energy, vitality, and awareness of early signs of premenopause.

Signs of premenopause: what you need to know

The signs of premenopause are easy to miss, but understanding them early can help you take control of your hormones, energy, and long-term health.

Fem Excel blog

What about insurance?

Most insurance plans only cover the basics, not the kind of care that actually helps women feel better. That often means:
  • Synthetic hormones instead of bioidentical
  • Rushed appointments and one-size-fits-all protocols
  • Treatment decisions based only on labs, not your symptoms
  • No thyroid support unless your numbers are extremely off
At Fem Excel, we go beyond the limits of traditional care with clear pricing, HSA/FSA options, and support to help you get started right away.
Most insurance plans only cover the basics, not the kind of care that actually helps women feel better. That often means:
  • Synthetic hormones instead of bioidentical
  • Rushed appointments and one-size-fits-all protocols
  • Treatment decisions based only on labs, not your symptoms
  • No thyroid support unless your numbers are extremely off
At Fem Excel, we go beyond the limits of traditional care with clear pricing, HSA/FSA options, and support to help you get started right away.
Most insurance plans only cover the basics, not the kind of care that actually helps women feel better. That often means:
  • Synthetic hormones instead of bioidentical
  • Rushed appointments and one-size-fits-all protocols
  • Treatment decisions based only on labs, not your symptoms
  • No thyroid support unless your numbers are extremely off
At Fem Excel, we go beyond the limits of traditional care with clear pricing, HSA/FSA options, and support to help you get started right away.

Frequently asked questions

More FAQ
We do not accept insurance because most plans don’t cover the kind of proactive, personalized hormone care we provide. Traditional insurance is built around quick, reactive, one-size-fits-all treatments and not comprehensive hormone optimization that prevents issues before they start. However, you may be able to use your FSA, HSA, or HRA for reimbursement. Need more details? Call Member Support at (833) 625-3392 Monday–Sunday, 8 AM – 8 PM EST. Read more here.
You’re welcome to share your plan, but most PCPs aren’t trained in hormone optimization or the use of bioidentical hormones, which means they may not feel comfortable continuing or managing your treatment. Many rely strictly on lab ranges, prescribe only synthetic hormones, or are limited by insurance restrictions that prevent personalized care. At Fem Excel, our providers are hormone specialists who focus on treating the root cause using protocols designed specifically for women. For the safest and most effective results, we recommend continuing your care within the Fem Excel program.
Monthly memberships, which include unlimited provider access and personalized guidance, are $99 per month. Medications are billed separately, with costs varying based on your specific treatment plan.
Yes. Every member starts with a one-on-one online consultation with a licensed provider. This ensures your treatment is personalized, effective, and designed for your health needs.
  • Take the Free Assessment – Share your symptoms and health history.
  • Have a Virtual Consult – Meet with a hormone expert online. If prescribed, treatment can start right away.
  • Get Your At-Home Lab Kit – Sent after your consultation to give deeper insight into your hormones.
  • Refine Your Plan – Once results are in, your provider will adjust your treatment if needed.
Most women begin to notice improvements in energy, sleep, and mood within the first 4 to 6 weeks. Full hormone optimization, along with changes in weight, muscle tone, strength, and body composition, may take up to 4 to 6 months.
We’ll remind you when it’s time for a refill. Log in to your member portal, complete the brief assessment, and your provider will review your treatment to ensure it remains optimized.
No problem! Reach out to our Member Support team, and we’ll guide you through the process. You can resume treatment anytime.
Yes, we can seamlessly transition you to Fem Excel! You’ll need to complete our enrollment process, which includes an at-home hormone test and an online consultation. For more information, contact us at 833-625-3392 or text 833-394-7744.
Our medical providers prescribe testosterone treatment in all states except Arkansas, Connecticut, Hawaii, Idaho, Louisiana, New Hampshire, and Rhode Island.
Log in to your member portal and navigate to the “Account” section. From there, you can update your email, phone number, delivery address, payment details, and more.
More FAQ
Two prescription bottles labeled Progesterone Tablets and Thyroid Capsules with tablets scattered beside them on a light background.

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Find relief from symptoms of PCOS, menopause, and weight challenges with treatments designed just for you.

Ready to take the first step? Discover what your hormones are telling you with our free assessment.
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Two prescription bottles labeled Progesterone Tablets and Thyroid Capsules with tablets scattered beside them on a light background.
Two prescription bottles labeled Progesterone Tablets and Thyroid Capsules with tablets scattered beside them on a light background.