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Safe & effective treatment for your menopause symptoms

Hot flushes? Unexplained anxiety? Vaginal dryness? Our safe, personalised menopause treatments can help relieve your symptoms so you can feel like yourself again.

HRT patch applied to skin

Our service is based on guidelines from

British Menopause Society, National Institute for Health and Care Excellence, and Royal College of Obstetricians and Gynaecologists badges

Find the right menopause treatment for you

Falling oestrogen in menopause is the main cause of symptoms, that’s why replacing oestrogen with Hormone Replacement Therapy (HRT) or vaginal oestrogen has been shown to relieve symptoms quickly & effectively.

All our treatment plans are a 3-month initial prescription. While many women will feel the effects within days, for others it can take up to 3 months to feel the full benefits. After 3 months, a doctor will review your prescription to ensure you're on the right dose, and make any necessary changes.

All of our HRT is body identical (learn more).

HRT gel on hand

Systemic HRT

Systemic HRT was the first recommended treatment for menopause symptoms according to UK clinical guidelines and treats symptoms such as dry skin, hot flushes, low libido, muscle pain, unexplained anxiety and brain fog.

For women with a womb, progesterone capsules are also needed as part of your treatment.

We offer progesterone capsules, oestrogen gel, oestrogen patches and combined oestrogen & progesterone patches (all plant-based).

From: £15/month (oestrogen only) £27/month (combined)

HRT gel on hand

Alva gel on hand

Vaginal oestrogen

Vaginal HRT can be taken alongside systemic HRT, or separately. It treats vaginal symptoms such as dryness, painful sex and how often you need to use the toilet.

It's a low dose, so it's safe to take for long periods to prevent symptoms from returning.

We offer Ovestin, Vagifem or Imvaggis vaginal creams, which are all body identical oestrogen.

From £18/month

How Alva works

After 10 minutes

Get answers about your menopause.

Take Alva's free online consultation and get information about your symptoms and treatment options.

After 3 days

Get treatment delivered to you.

If treatment is appropriate for you, we deliver medication through your letterbox within 3 days.

After 3 months

Get your prescription reviewed by a doctor.

After 3 months, you get a free prescription review by a doctor to ensure you're on the right dose and make any necessary changes.


Get access to our menopause support community.

Join over 2000 women sharing their stories and supporting each other through menopause, and come along to our fortnightly virtual meetups.

Symptoms HRT is effective at treating

Unexplained depression illustration

Unexplained depression

Thinning hair illustration

Thinning hair

Headaches illustration


Lack of concentration illustration

Lack of concentration

Joint pain illustration

Joint pain

Hot flushes illustration

Hot flushes

Vaginal dryness illustration

Vaginal dryness

Urinary frequency illustration

Urinary frequency

Brittle nails illustration

Brittle nails

Dry skin illustration

Dry skin

Irritability illustration


Low libido illustration

Low libido

Designed by doctors

Image of Mr Nick Panay

Mr Nick Panay

Nick Panay is a leading clinician and academic in the menopause space. He is a former chairman of the British Menopause Society, on the board of the International Menopause Society and he co-wrote the UK guidelines for the treatment of menopause.

Mr Panay is the director of the Menopause & PMS Centre at Queen Charlotte's & Chelsea and Chelsea & Westminster Hospitals in west London. There, he leads a clinical & research team that regularly publishes its findings & trains healthcare professionals.

Image of Dr Carly Hughes

Dr Carly Hughes

Carly Hughes is an NHS GP with over 28 years of experience in primary care. She has particular expertise in behaviour changes and weight management. She’s combined her weight management expertise with her knowledge of menopause to help women understand the complex relationship between menopause and weight changes.

Dr Hughes recently completed the British Menopause Society course on delivering group cognitive behaviour therapy for hot flushes.

Take control of your menopause today

HRT patch & capsule