Women's health comparison · Reviewed for 2026
Is Alloy worth it for women's menopause care in 2026? An honest review.
This comparison reflects publicly available information about Alloy as of July 2026 and may have changed since.
Alloy is a focused menopause telehealth service with genuinely credentialed physicians and FDA-approved branded hormone therapy. If menopause is the only thing you need, it is a solid choice. The tradeoff shows up the moment you want more than one kind of care, because Alloy prices each product on its own and runs its weight vertical as a separate paid program.
At a glance
 | Alloy | |
|---|---|---|
| Monthly membership | One $99/mo covers every condition | No monthly fee for menopause, one-time $49.95 consult |
| What is covered | Weight loss, men's, women's, plus labs | Women's menopause and related care only |
| Medication type | Branded and compounded options by plan | FDA-approved branded HRT, compounded when appropriate |
| Doctor access | Unlimited visits, ongoing 24/7 care | Unlimited messaging with a menopause-certified physician |
| Adding a second condition | Same membership, no new fee | Weight care is a separate $99/mo program fee |
| Labs | Discounted quarterly panel at $29/mo | Not a lab-testing service |
Based on publicly available information as of 2026-07-13. Confirm current details on each company's own site.
What Alloy is, and who it is for
Alloy is a telehealth service built specifically around menopause. Its prescribing clinicians are certified in menopause medicine by The Menopause Society, which is a real point of difference from general telehealth platforms. It serves women moving through perimenopause and postmenopause who want hormone therapy, non-hormonal options, and related care like vaginal estrogen, skincare, and hair.
If you know you want menopause hormone therapy and you value a physician who specializes in it, Alloy is a credible, focused option. It is not built to be your one home for weight care, men's health in a household, or ongoing lab monitoring across everything you take.
Alloy's pricing in 2026
Getting started costs a one-time $49.95 consultation fee. That fee is charged even if you turn out not to be eligible, so treat it as nonrefundable. There is no separate monthly membership for menopause care, and unlimited messaging with your prescribing physician is included.
Medications are billed quarterly as three-month supplies. As of July 2026, the estradiol pill runs about $39.99 per month and the estradiol patch about $74.99 per month, with progesterone included free when it is paired with estrogen for patients with a uterus. Skincare, sexual health, and hair products are each priced on their own, typically as three-month supplies. It is a clean model for one prescription and an adding-up model once you want several.
The what-is-included catch
Alloy's structure is a la carte. Menopause HRT has no monthly membership, which is genuinely nice, but there is also no single membership that carries over to anything else. Its weight vertical runs as a separate program with its own monthly fee on top of medication, and there is no men's health at all because Alloy is women-only.
Sipra takes the opposite approach. One $99/mo monthly membership covers unlimited physician visits, ongoing 24/7 care, and access to every medication across weight loss, men's health, and women's health, with discounted labs on top. Buying a second kind of care does not mean paying a second membership. Sipra's medication price is also fixed by how long your plan runs, not by your dose, so it does not climb as your dose is adjusted, and longer plans cost less per month.
Alloy has no menopause membership, which sounds cheaper, until you notice every extra product and its weight program each carry their own price.
Where Alloy falls short
Alloy is narrow by design. There is no lab-testing and treatment loop under one roof, no men's health, and weight care sits behind a separate monthly program fee. For a household or a person managing more than one goal, the per-product math and the extra program fee add up quickly.
Sipra pairs testing with treatment under a single membership, so a physician who orders your labs can also act on them. Quarterly protocol labs are available at $29/mo, discounted with membership, and thyroid and hormone labs are included with women's care so members can monitor what they take. Sipra is LegitScript certified (50053943), there are no hidden fees, and you are not charged until a physician approves your plan. The Sipra Promise refunds unshipped medication on longer plans if you are not satisfied.
Alloy pros and cons
What is good
- Physicians are certified in menopause medicine by The Menopause Society, a real specialist credential
- Menopause hormone therapy is FDA-approved branded medication, and compounded is used only when clinically appropriate
- No monthly membership for menopause care, you pay only the one-time consult plus medication
- Unlimited messaging with your prescribing physician is included, and progesterone is free when paired with estrogen
What to weigh
- Women's menopause focus only, with no men's health and no single membership that carries across conditions
- Weight care is billed as a separate $99/mo program fee on top of medication
- Not a lab-testing and monitoring service, so testing plus treatment do not live under one roof
sipra vs Alloy, side by side
| Alloy | |
|---|---|---|
| Care model | One membership across weight, men's, women's | Menopause specialist, women only |
| Monthly membership | Single $99/mo covers everything | None for menopause, per-product a la carte |
| Consultation fee | No charge until a physician approves | $49.95 one-time, nonrefundable if ineligible |
| Estradiol patch | Branded or compounded by plan | Branded FDA-approved, about $74.99/mo billed quarterly |
| Progesterone | Included in women's protocols | Free when paired with estrogen for a uterus |
| Adding weight loss | Same membership, no new fee | Separate $99/mo program fee plus medication |
| Men's health | Covered under the same membership | Not offered |
| Labs | Discounted quarterly panel at $29/mo | Testing is not part of the service |
| Price vs dose | Fixed by plan length, not dose | Priced per product |
| Certification | LegitScript certified (50053943) | Menopause Society certified physicians |
| Satisfaction policy | Sipra Promise refunds unshipped meds on longer plans | Verify current Trustpilot and BBB standing |
As of 2026-07-13. Scope note: Alloy leads with FDA-approved branded hormone therapy, while Sipra women's protocols may use compounded medication where clinically appropriate. Compounded and branded are not the same, and neither is presented as equivalent to the other.
Who should choose which
Choose Alloy if
- Menopause hormone therapy is the only care you need right now
- You specifically want a menopause-certified physician and FDA-approved branded HRT
- You prefer paying per product with no monthly membership
Choose sipra if
- You want weight loss, men's, or women's care under one membership
- You want testing and treatment together, with labs a physician can act on
- You would rather not pay a separate fee every time you add a second kind of care
Frequently asked questions
How much does Alloy cost for menopause in 2026?
As of July 2026, Alloy charges a one-time $49.95 consultation fee, then bills medication quarterly. The estradiol pill runs about $39.99 per month and the estradiol patch about $74.99 per month, with progesterone included free when paired with estrogen. There is no separate monthly menopause membership.
Does Alloy charge a monthly membership?
Not for menopause care. You pay the one-time consult plus the cost of each medication. Its weight care vertical is different and carries a separate $99 per month program fee on top of medication. Sipra instead uses one $99/mo membership that covers every condition.
Is Alloy's hormone therapy FDA-approved or compounded?
Alloy leads with FDA-approved branded hormone therapy for menopause, such as branded estradiol and progesterone, and uses compounded formulations only when clinically appropriate. Compounded and branded medications are not the same thing, and results vary by individual.
Can Alloy handle weight loss and men's health too?
Alloy offers a weight care program for women behind a separate monthly fee, but it does not offer men's health and is women-focused. Sipra covers weight loss, men's, and women's health, plus discounted labs, under a single membership.
Does Alloy include lab testing?
Alloy is a treatment service, not a lab-testing service. Sipra pairs testing with treatment under one membership, with quarterly protocol labs at $29/mo and thyroid and hormone labs included with women's care, so a physician can order and act on your results.
Your hormones deserve better than guesswork
- Online visits with licensed physicians
- Estradiol, progesterone, HRT & sexual wellness
- Lab fees are included, no surprises
- FSA & HSA eligible with all plans
*Price includes medication only. Active $99/mo Sipra membership required.
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