Fem Excel is a telehealth platform that specializes in personalized hormone replacement therapy, bioidentical hormone replacement therapy, and hormone optimization for women. It aims to address premenopause, perimenopause, menopause, and PCOS/PMOS (Polyendocrine Metabolic Ovarian Syndrome).
The brand claims to provide support for irregular periods, PMS, fatigue, weight gain, anxiety, mood swings, hormonal acne, hair thinning, and fertility challenges. It focuses on identifying underlying hormonal imbalances to help you manage symptoms.
As per the official website, the company gives access to plans based on your symptoms, medical history, laboratory results, and health goals. It highlights daily microdosing protocols and personalized formulations prepared by licensed US compounding pharmacies.
The process begins with a one-on-one online consultation with a licensed provider to assess symptoms and individual health needs. You can access the Tasso™ at-home hormone test, which measures up to 13 key biomarkers, as well as comprehensive 360 hormone panels and advanced cancer screening. Tests are processed in the platform’s own laboratory and reviewed by in-house providers using a physician-developed protocol.
Exploring the Top Products
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Hormone Therapy Treatments for Women
Fem Excel gives access to plans that may include testosterone, progesterone, thyroid medication, and estradiol to address hormonal changes affecting energy, sexual function, and menopausal symptoms.
Testosterone therapy supports bone density, muscle mass, cognitive function, mood, sexual health, and energy levels, and may help reduce fatigue and depressive symptoms. Progesterone may help manage PMS and menopausal symptoms, supporting better sleep and bone health. The brand states that Estradiol helps manage declining estrogen levels, particularly during menopause, by relieving hot flashes and night sweats while supporting skin hydration and elasticity.
It also gives access to metformin and spironolactone for specific hormone-related concerns. Metformin improves insulin sensitivity and blood sugar control, helping regulate periods, reduce excess testosterone, and manage weight. Spironolactone reduces androgen activity to help manage hormonal acne, oily skin, and excessive hair growth.
What Are the Main Advantages?
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Offers Convenient At-Home Hormone Testing
Fem Excel lets you complete recommended hormone testing at home after your free online assessment and virtual consultation with a licensed provider. The brand sends you a Tasso™ blood test kit, so you can collect your sample at home instead of scheduling a separate laboratory visit.
The kit screens for up to 13 biomarkers, including estrogen, progesterone, testosterone, thyroid hormones, and cortisol. The platform states that Excel Medical Labs, its in-house, CLIA-certified laboratory, processes the samples.
Your membership also includes comprehensive blood testing every six months. These follow-up tests help your provider track changes and adjust your plan when needed. This setup lets you complete testing at home while receiving professional review through the platform. However, some plans, including testosterone therapy in certain circumstances, may require an in-person exam under federal or state law.
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Comprehensive Hormonal and Metabolic Care
Fem Excel extends its care beyond menopause, allowing you to seek medical support for overlapping hormonal and metabolic concerns such as PCOS, thyroid imbalances, and weight-related issues. This is particularly useful if you experience persistent fatigue, unexplained weight changes, or hormonal acne alongside menopause-related symptoms. Instead of managing each concern independently, you can discuss them with the same provider, who then recommends an appropriate plan based on your symptoms. This broader approach can reduce the need to coordinate care across multiple providers and help you address related health concerns through a single plan.
Potential Drawback You Should Know About
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Prescription Costs Excluded from Membership Fees
Fem Excel requires you to pay separately for prescription medications in addition to its mandatory monthly membership fee of $99 (with some specialty plans costing up to $119). Although the membership covers access to licensed providers, virtual consultations, medical oversight, and follow-up blood testing every six months, medications are billed separately based on the prescribed plan. For example, progesterone, estradiol, and thyroid medication start at $50 per month each, testosterone cream at $15, metformin at $24, and spironolactone at $9. These additional expenses can increase the cost of the plan, particularly if you require multiple prescriptions. Since the platform does not accept health insurance, you are responsible for paying both membership and medication costs out of pocket.
Exploring Your Options Beyond Fem Excel
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Alloy
Alloy is centered on perimenopause, menopause and postmenopause. Meanwhile, Fem Excel covers a wider range of hormonal concerns including PMOS (formerly PCOS), thyroid-related issues and insulin resistance. Their services differ in the conditions they address, the range of products they offer, and the way they access support.
For menopause-related concerns, Alloy has a more extensive range of options. Its hormone therapies include estradiol pills from $39.99 per month, sprays and gels from $69.99, and patches from $100. Its range also includes vaginal estradiol cream for dryness and discomfort, sexual wellness products, prescription skincare, hair and lash options, and weight-management options. These include FDA-approved medications, alongside compounded medications where available. Fem Excel highlights estradiol and progesterone, but does not feature the same range of menopause-related skincare, vaginal health, sexual wellness, hair, gut health and weight-management products.
Fem Excel covers more types of hormonal concerns. Alongside estradiol and progesterone, its options include testosterone from $15 per month, thyroid medication from $50, metformin from $24, and spironolactone from $9. These are listed for concerns such as low energy, sleep and mood changes, insulin resistance, irregular periods, and excess hair growth. However, Alloy does not currently cover testosterone, thyroid medication, or metformin.
The two companies also organize their care differently. Alloy focuses on quick access to clinicians specialising in menopause. Its process starts with a 5–10-minute online intake, with a plan typically provided within 12 hours. The platform offers free delivery, 24/7 messaging, and ongoing support. Fem Excel begins with a $99 consultation and at-home hormone test kit, using symptoms, medical history, goals, and test results to shape an individual plan. Its $99 monthly medical membership includes video consultations, regular check-ins, a dedicated care team, and unlimited messaging. The first month is free, and members can pause or cancel without a contract. The brand highlights that medication is billed separately.
Alloy combines more services in one place. Meanwhile, Fem Excel has a wider selection to address a broader mix of hormonal concerns and a clearly outlined testing and follow-up process.
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Midi Health
Midi Health and Fem Excel both focus on women’s hormonal health, particularly during perimenopause and menopause, but they take slightly different approaches.
As per its official website, Midi Health maintains a broad focus on women’s health, covering everything from hot flashes, sleep problems, and weight changes to PCOS, thyroid conditions, and vaginal infections. It claims to address fatigue, brain fog, and bone, muscle, and joint health with its products. Fem Excel keeps its focus more closely on hormone health and optimization. Its services cover premenopause, perimenopause, menopause, and PCOS, along with related concerns such as low libido, fatigue, anxiety, mood changes, and brain fog.
The way the two brands approach care also has some differences. With Midi Health, the process starts with a virtual appointment, followed by a personalized Care Plan and progress tracking. Depending on the concerns being addressed, this may include blood tests for metabolic health, thyroid function, insulin sensitivity, hormone levels, and B12, as well as bone density assessments when needed. The Care Plan can include hormone and non-hormone prescriptions, lifestyle guidance, supplements and botanicals. Fem Excel also starts with an online consultation, but places particular emphasis on hormone testing through its at-home Tasso™ kit, which can measure up to 13 biomarkers. Samples are processed in its in-house lab and reviewed by its providers using a physician-developed protocol. The brand also mentions full 360 panels and advanced cancer screening.
When it comes to medication and products, Midi Health offers a wider mix of prescription options and everyday wellness products. Its offerings include HRT patches, vaginal estrogen, estradiol cream, and testosterone prescriptions, as well as weight management options. You can also explore non-prescription products such as Nightly Steady Sleep+, Daily Cortisol Support, Berberine+, Daily Brain Boost, and Creatine+. Fem Excel has a more focused medication list, with options such as testosterone, progesterone, thyroid medication, estradiol, and metformin.
Pricing is another area where the brands differ. Midi Health accepts several major insurance plans, including BCBS, Health Net, UnitedHealthcare, Cigna, and Aetna, and also offers self-pay appointments. The amount you pay depends on your insurance coverage, and Midi states that it does not charge hidden subscription fees. Fem Excel publishes more specific prices for its services, including the initial consultation and test-kit package costing around $99. Its medical membership is $99 per month, with the first month free. This includes video access, a dedicated care team, regular check-ins, and unlimited messaging. You can pause or cancel without a contract. Medication is billed separately, with core prescriptions and add-ons charged every two months.
Midi Health may be more suitable for addressing a wider range of health concerns, with access to different formulations and insurance coverage. Fem Excel, on the other hand, puts more emphasis on hormone testing and ongoing support through its monthly membership. It focuses more on providing access to hormone-related support compared to Midi Health’s broader women-care options.
Pros
- Specialized women’s hormone healthcare positioning.
- Offers personalized bioidentical hormone plans.
- Provides comprehensive estrogen, progesterone, and thyroid support.
- Highlights regular monitoring and 60-day provider check-ins.
Cons
- Does not accept traditional health insurance.
- Users in independent reviews highlighted unexpected recurring subscription charges after cancellation requests.
- Customers reported delayed delivery of medications.
What We Considered When Assessing Fem Excel
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Brand Reputation
FemExcel provides online women’s hormone and wellness services, including hormone replacement therapy, thyroid plans, consultations, and related medications. Although the company claims more than 20 years of industry experience through its predecessor, Revita Medical, founded by Dr. Peter Fotinos and Craig Larsen, it itself has a relatively short operating history.
The brand holds an A rating from the Better Business Bureau (BBB). Customers have reported unexpected $99 monthly membership charges, charges after requesting cancellation, and medication payments following membership termination. Some also claim that supposedly free assessments, consultations, and testing offers did not clearly disclose subsequent membership charges.
One customer alleged that a nurse practitioner recommended multiple medications without first reviewing laboratory results or adequately considering interactions with existing medications. She also reported that the promised blood-testing kit never arrived and that recurring $99 charges continued despite receiving no further services. A few users also reported waiting approximately three weeks for medication and receiving an incorrect tracking number. Meanwhile, some customers confirmed receiving a refund after reporting charges following cancellation.
Based on our evaluation, FemExcel has some positive credibility indicators. However, its relatively short operating history and repeated concerns around medical follow-up warrant caution.
We wouldn’t classify the brand as a scam, but we also wouldn’t describe it as a fully established or consistently reliable healthcare provider. Before signing up, we recommend checking your clinician’s credentials and asking whether appropriate lab testing and follow-up care are included.
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Real User Experiences
To evaluate Fem Excel, we analyzed customer reviews on Trustpilot, where the brand holds a 4.5 out of 5 rating based on more than 800 reviews.
Numerous customers praise their knowledge, professionalism, and compassionate approach. Many users mention feeling heard and understood, particularly after struggling to receive adequate support from their regular doctors for menopause and hormonal concerns. They appreciate that providers take time to understand their symptoms, answer questions, explain options, and recommend personalized care.
Many customers report improvements after starting the plan, including better sleep, reduced joint and body pain, increased energy, weight management, and improved hormonal stability. However, results vary between people. Some report weight gain, disrupted sleep, hormonal discomfort, unwanted side effects, or little improvement in their symptoms.
Customers appreciate being able to access specialized women’s healthcare without frequent in-person visits. The consultation process is generally described as straightforward. However, some report difficulties scheduling follow-up appointments and communicating with the support team, which affects the experience.
We also noticed that users have raised concerns regarding pricing transparency. Several customers complain about unexpected monthly subscription charges, additional prescription expenses, and unclear explanations of membership fees. Some were unaware that subscription payments would recur or that medication costs would be billed separately. Others consider the service expensive relative to the value received.
Customers report delayed prescription refills, communication difficulties, and problems coordinating laboratory tests and medication orders. One user described waiting almost three weeks for prescription refills, while another experienced confusion over whether laboratory tests were required before medication orders could proceed. Based on what we observed, the brand appears to have a positive impression. However, recurring complaints indicate that its administrative and billing processes need improvement.
Final Thoughts: Is Fem Excel the Right Fit for Your Hormonal Health Needs?
Fem Excel combines symptom-based assessments, at-home testing, and ongoing medical consultations to develop personalized plans. This approach may benefit you if you continue to experience hormonal symptoms despite receiving normal bloodwork results.
However, the brand’s use of compounded bioidentical hormones raises concerns about safety, consistency, and clinical evidence. These formulations do not undergo the same premarket evaluation for quality, potency, and efficacy. Moreover, symptoms such as fatigue, mood changes, and weight fluctuations can stem from thyroid disorders, anemia, or other metabolic conditions, making proper diagnosis important before starting hormone plan.
You should also consider the precautions associated with hormone therapy. An estrogen plan requires adequate progesterone protection if you have an intact uterus to reduce the risk of endometrial hyperplasia. A history of blood clots, cardiovascular disease, liver disease, or unexplained vaginal bleeding also requires careful medical evaluation before trying the plan. Regular follow-ups also remain important even when your symptoms improve.
The brand offers convenient access to personalized hormonal care, but its limited long-term safety evidence and recurring membership costs are important drawbacks. Its approach may not suit everyone, so consider the clinical evidence behind its protocols, the qualifications of its providers, and the level of ongoing medical supervision before committing to the platform.
- About the Author
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Alisha Matthew has been a practicing nutritionist since 2016. She holds a master’s degree in nutrition from the University of IOWA. She is a staunch believer in improving the human health index by educating people about nutrition and the importance of nutrition in leading a healthy and happy life. Her long-term goal is to keep educating people on general health and keep herself updated with the latest trends in the field of health.