MyAlloy Review: Can You Really Manage Menopause Symptoms From Home?

MyAlloy claims to provide menopause care, skin, and gut health support through its wide range of products, including estrogen creams, patches, or pills, depending on what the body requires.

The brand also provides a fully online service that includes consultation and prescription, making it easy to start and continue your care from home. However, are the brand MyAlloy’s services and products reliable?

This review discusses MyAlloy and how it functions as a hormone health platform. It covers the brand’s mission, how its online service works, and the types of products and services it offers. You’ll also learn about MyAlloy’s potential advantages and drawbacks, and user experiences.

About MyAlloy

The MyAlloy company was founded by Anne Fulenwider and Monica Molenaar and includes experts such as Dr. Sharon Malone, who serves as the chief medical advisor.

MyAlloy is a U.S.-based telehealth platform that focuses on healthcare for women over 40, particularly those navigating perimenopause and menopause.

The brand claims to provide evidence-based options that address a range of symptoms linked to hormonal changes during midlife.

Alloy’s care model is centered around virtual consultations, prescription care, and ongoing medical support, all handled online and delivered directly to your home.

The company offers FDA-approved options like estradiol pills, patches, sprays, and gels, as well as progesterone. If you are looking for non-hormonal alternatives, Alloy also includes options such as paroxetine.

Sexual health products by MyAlloy include estradiol vaginal cream and a topical sildenafil-based “O-mazing Cream” designed to support arousal and intimacy.

For skin and hair concerns, Alloy provides a proprietary M4 Estriol Face Cream and low-dose oral minoxidil.

The brand focuses on addressing your Gut health with Alloy Synbiotic, a combination of prebiotics and probiotics aimed at supporting digestion, immunity, and hormonal balance.

The brand’s online process starts with MyAlloy asking you to complete an online intake form. A board-certified physician trained in menopause care then reviews your responses and prescribes options according to guidelines from the American College of Obstetricians and Gynecologists.

While Alloy doesn’t bill insurance directly, you can apply for reimbursement through HSA/FSA accounts or insurance claims.

MyAlloy Products

1. Estradiol Vaginal Cream

   MyAlloy uses an estradiol vaginal cream that is FDA-approved to address genitourinary syndrome of menopause (GSM), which includes symptoms such as vaginal dryness, itching, burning, painful sex, incontinence, and frequent urinary tract infections (UTIs).

   The makers state that the estradiol cream works at the root cause by restoring estrogen in vaginal tissues. It may also help reverse tissue thinning, rebalance pH, and restore natural moisture and elasticity.

   The Estradiol Vaginal Cream (0.01%) is a non-systemic option available through the MyAlloy website that delivers relief directly to affected tissues without significantly raising blood estrogen levels.

   The makers state that Estradiol Vaginal Cream needs to be applied internally using the included applicator or externally around the vulva with your finger, depending on your symptoms.

2. M4 Estriol Face Cream

   M4 Estriol Face Cream could help combat signs of aging caused by estrogen deficiency. It is a prescription-strength, fragrance-free, hormone-based product.

   As estrogen levels drop with age, your skin may lose elasticity, hydration, and firmness. MyAlloy claims that its M4 Estriol face cream works by stimulating collagen production, improving skin moisture retention, and enhancing skin texture and elasticity, all without systemic absorption.

   The makers advise using a single pump of M4 Estriol Face Cream to the face and neck after serums (followed by moisturizer and SPF if used in the morning). The cream contains estriol, glycerin, and vitamin E, blended to support skin structure while being gentle enough for regular use. Glycerin acts as a humectant, supplying water into the skin to maintain hydration and improve barrier function. This can help prevent dryness and enhance the skin’s smoothness and suppleness over time. Vitamin E in this cream provides antioxidant protection, helping to neutralize environmental stressors like UV exposure and pollution while also supporting skin repair and calming inflammation.

3. Alloy Daily Synbiotic

   As per the official website, the Alloy Daily Synbiotic could support you through perimenopause and menopause by supporting a healthy gut microbiome. It might help promote digestive regularity, immune system resilience, and hormone balance, all of which can be influenced by changes in the gut as estrogen levels decline.

   Alloy Daily Synbiotic includes three probiotic spore strains, such as Bacillus subtilis, Bacillus coagulans, and Bacillus clausii, which are known for their ability to survive in the harsh environment of your digestive tract and colonize the gut effectively.

   The prebiotic portion features Livaux®, which may help enhance the growth of good bacteria like Faecalibacterium prausnitzii. This could help protect against gut disorders like IBS and IBD. MicrobiomeX®, a citrus-derived flavonoid complex in Alloy Daily Synbiotic, may help modulate gut bacteria while offering anti-inflammatory and antioxidant effects.

4. Tretinoin Face Cream

   Tretinoin Face Cream contains tretinoin, niacinamide, and aloe vera, which may help address a variety of skin concerns, including acne, fine lines, hyperpigmentation, and discoloration. Tretinoin, a synthetic form of vitamin A, can help accelerate skin cell turnover, revealing fresher, healthier skin and promoting a more youthful appearance.

   Tretinoin Face Cream, available through MyAlloy, can work by speeding up the natural skin cell lifecycle. Encouraging skin cells to divide and shed more rapidly helps diminish fine lines, smooth uneven texture, fade dark spots, and reduce acne lesions.

   Tretinoin Face Cream combines tretinoin with niacinamide, which may support skin barrier health, reduce inflammation, and evens skin tone, and aloe vera could help soothe irritation and provide hydration. Other ingredients such as caprylyl methicone, cyclopentasiloxane, moringa oil, passiflora seed oil, and vitamin E in Tretinoin Face Cream work together to enhance skin feel and absorption.

5. Estradiol Pill

   The Estradiol Pill available through MyAlloy is an FDA-approved option that may provide fast and effective relief from menopause symptoms such as hot flashes and mood swings.

   Estradiol is known as the primary and most potent estrogen form that is naturally produced by the body, essential for the healthy functioning of the brain, bones, and cardiovascular system. The FDA specifically approves this oral bioidentical estradiol for the management of vasomotor symptoms (like hot flashes and night sweats), prevention of osteoporosis, management of the Genitourinary Syndrome of Menopause, and procedure of premature menopause.

6. O-mazing

   O-mazing by MyAlloy may help enhance your sexual arousal and satisfaction, which could potentially boost your libido and sexual response. The brand claims that its O-mazing address sexual concerns such as decreased desire, vaginal dryness, painful intercourse, and bladder discomfort.

   O-mazing contains sildenafil, which could help increase blood flow to genital tissues, stimulate natural lubrication, and heighten physical sensations, often leading to stronger and more fulfilling orgasms. This cream also features pentoxifylline, which may also promote increased blood flow, potentially enhancing libido and sexual response.

   As per the official website, ergoloid mesylate in O-mazing works by stimulating neurotransmitters linked to sexual pleasure while further improving circulation. To naturally boost sensation, peppermint oil is also added to this cream as a gentle stimulant, though you can opt out of this ingredient if preferred by informing your doctor.

MyAlloy Advantages

1. Offers Guided Hormone Support

   MyAlloy provides FDA-approved, doctor-prescribed options like estradiol pills, patches, gels, and vaginal creams. These options are tailored to address a wide range of menopause symptoms, including hot flashes, vaginal dryness, and reduced energy. The brand’s use of estradiol is backed by research published in Menopause and The Journal of Clinical Endocrinology & Metabolism, which suggests this form of support may effectively reduce vasomotor symptoms, improve vaginal tissue health, and support quality of life during menopause. MyAlloy’s approach emphasizes personalized plans grounded in clinical evidence delivered through a virtual care model.

2. Online Assessment And Support

   MyAlloy asks you to complete a comprehensive online assessment that collects detailed information about your menopausal symptoms, medical history, and personal preferences. This digital intake process replaces traditional in-person consultations. The assessment is reviewed by menopause-trained, board-certified physicians who use this data to recommend personalized, evidence-based plans, including estradiol pills, patches, gels, and vaginal creams, all prominently featured as available options on the platform. This asynchronous, digital communication model allows you to ask questions, report symptom changes, or seek clarification about your plans at any time without the delays or inconvenience typically associated with in-person follow-ups.

MyAlloy Limitations

1. Upfront Consultation Fee

   MyAlloy requires you to pay an upfront, non-refundable consultation fee of around $49 before accessing medical advice or plans. This fee is charged during the initial online intake and applies regardless of whether the user proceeds with the plans or is found eligible for care. While this model ensures clinicians are compensated for their time and streamlines the process, it places the financial risk entirely on you. This non-refundable policy can be a barrier for cost-sensitive people.

2. No Video Consultations

   MyAlloy’s care model is built around asynchronous online messaging, where you communicate with menopause-trained, board-certified physicians through a secure portal. According to MyAlloy’s telemedicine consent documentation, medical consultations and messages are reviewed within 24 hours, but there is no mention of live or scheduled video calls as a method of interaction. This means that all medical advice, follow-ups, and plan adjustments are handled via text-based communication rather than through real-time, face-to-face video conversations.

   The lack of video consultations can be a drawback for you if you prefer more direct, personal interaction with your healthcare provider or you feel comfortable discussing sensitive health issues in a visual, real-time setting.

MyAlloy Alternatives

1. Evernow

   MyAlloy and Evernow are two leading telehealth platforms that help you navigate through perimenopause and menopause, but they approach care from different angles.

   Evernow focuses on flexibility and accessibility, offering care through both one-time, insurance-eligible virtual visits and ongoing memberships starting at $35/month. This model allows you to choose the level of support that fits your lifestyle, whether that’s a quick consult or continuous care with unlimited messaging, prescription renewals, and optional video calls.

   Meanwhile, Alloy takes a more structured approach by providing personalized plans exclusively through a subscription model. Once you complete a short online quiz, you’ll receive a doctor-developed plan within two days. Alloy does not accept insurance but provides free shipping and a cancel-anytime structure for convenience.

   Evernow casts a wider options across both prescription medications and wellness supplements. The platform provides FDA-approved options like Estradiol Patches, Estradiol Pills, Progesterone, Norethindrone (a progestin), and Oral Minoxidil, which is commonly used for hair regrowth. Evernow also has a curated supplement line aimed at improving sleep, mood, skin health, and energy levels.

   Alloy, on the other hand, puts science and expert-led care front and center, with a narrower but deeper focus on estrogen-supportive options. The brand offerings include Estradiol Pills, Estradiol Patches, and Estradiol Vaginal Cream, often paired with Oral Progesterone when needed. For vaginal and sexual health, Alloy features the O-Mazing sexual wellness enhancer and bundles it with Estradiol Vaginal Cream.

2. Bonafide

   Bonafide focuses on non-hormonal products for symptom-specific relief. Its product lineup includes Relizen for hot flashes and night sweats, Revaree and Revaree Plus for vaginal dryness, Ristela for enhanced sexual satisfaction, and Silvessa for addressing changes in skin and hair during menopause. These products could give you hormone-free options and are available via monthly subscriptions ranging from $43 to $72.

   MyAlloy, however, provides a more clinical, prescription-based approach, and its offerings include FDA-approved oral estradiol pills for systemic symptoms, vaginal estradiol cream and option for symtoms of Genitourinary Syndrome of Menopause, M4 estriol-based face options for skin aging, a Daily Synbiotic for gut health, and a prescription topical cream to enhance sexual satisfaction. MyAlloy’s model also involves an online consultation with a menopause-trained physician, which is followed by personalized planning.

How Did We Evaluate MyAlloy?

1. Brand Reputation

   To assess MyAlloy, we looked at multiple trust indicators, including the brand’s age, background, user feedback, and third-party ratings.

   Although MyAlloy is relatively new in the telehealth space, especially in menopause care, it has quickly established credibility by offering FDA-approved, doctor-prescribed options. The platform’s focus on evidence-based options and accessible online consultations reflects a modern, user-centered approach.

   On Trustpilot, MyAlloy has earned a 4.4-star rating from over 2,000+  users, with many praising their professional support, product effectiveness, and ease of use. This volume and consistency in reviews point to a largely positive customer experience.

   We also factored in the Better Business Bureau (BBB) rating, where MyAlloy holds an A grade. This suggests that the brand is transparent and responsive to consumer concerns. That said, a few complaints have been filed, often related to billing practices, shipping delays, or communication lapses.

2. Consumer Responses

   We closely examined verified customer reviews on Trustpilot to understand real user experiences with the platform. The majority of reviews, many rated five stars, indicate strong satisfaction with the brand’s services and products. Users consistently praised the ease of the online process, the professionalism of Alloy’s medical team, and the noticeable improvement in symptoms like hot flashes and skin changes after starting the plan. These reviews suggest that Alloy delivers on its promise of providing accessible, menopause-focused care with FDA-approved options.

   We also took note of recurring themes that highlight both strengths and limitations. On the positive side, customers appreciated the feeling of being heard by medical professionals, the convenience of the platform, and the effectiveness of procedures such as estradiol-based products and skincare products. However, some users pointed out pain points like high product pricing and occasional confusion during the ordering process.

Frequently Asked Questions

1. Can I use MyAlloy products if I’m already on birth control?
   No. If you’re currently using hormonal birth control or another form of hormone support, you’ll need to disclose this during Alloy’s intake process. These procedures can overlap or interfere with each other.
2. Will I need to do lab tests or hormone level checks while using MyAlloy?
   Alloy doesn’t require hormone-level testing before starting your procedure. Instead, their model relies on your reported symptoms and medical history to guide prescriptions.
3. Does MyAlloy Also Give Compounded hormone-based formulas?
   No, Alloy only gives access to FDA-approved, standardized hormone options like estradiol and does not have compounded bioidentical hormones.

Conclusion

MyAlloy is focused on providing a telehealth-based approach to menopause care centered on personalized, doctor-prescribed support. You can have access to FDA-approved, bioidentical options designed to relieve symptoms like hot flashes, vaginal dryness, low libido, and hormone-related skin changes.

The platform also includes options for hormone-responsive skincare, custom-compounded topical options for sexual wellness, and a synbiotic supplement to support gut health and estrogen metabolism. However, there are a few things to consider. You’ll need to pay a non-refundable consultation fee of $49 before accessing any menopause plan.

You can also explore natural approaches, like eating more phytoestrogen-rich foods like soy, flaxseeds, and lentils, that may help mimic estrogen’s effects. Regular exercise, stress management, and nutrients like vitamin D, B vitamins, and magnesium can also support your hormones and support your reproductive health.