Get the relief and careyou deserve
Clinician assessment, a treatment plan, unlimited adjustments and free delivery.
Built to give backwhat menopause took
Menopause symptoms are not a personality change, and they are not a phase you owe anyone your patience with. Treated properly, most women get back the things they stopped mentioning:
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Getting menopause care in the UK is harder than having menopause.
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Getting help, the old way
and the fira way
Most women spend years between first symptom and first treatment. Almost none of that time is medical. It is queues, callbacks, and starting the story again from the beginning.
The menopause questions
a specialist would ask
fira’s assessment uses the same validated symptom scale used in menopause research, plus a full medical history and safety review. It is the file a prescriber actually reads before signing, not a marketing funnel with a stethoscope drawn on it.
What an HRT plan is built around
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Get your personalisedfira plan
From first question to signed prescription in as little as a day. (1)
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Watch your symptoms ease
week by week
Ten-second daily check-ins become a picture your clinician actually reads. Before any review, they already know how your month went. You never start the story from the beginning again.
How online menopause treatment works
Get your treatment plan from a GMC-registered clinician, from home, in three simple steps.
A 2-minute quiz, then a full clinical assessment: validated symptom scale, history, safety checks. Free, from home, at your pace.
Check out, and a GMC-registered menopause clinician reads your complete file and signs within 24 hours. Not approved? Automatic full refund, and a free summary for your GP. (1)
Your plan arrives free and discreetly. Check-ins at week 6 and week 12, dose changes at £0, your clinician one message away.
Private clinics charge up to £465 to say hello. fira starts at £0. (4)
No consultation fee. No dose tiers. No surprise at renewal.
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Menopause and HRT questions, answered
If you have any further questions, message your clinician in the app or email us at hello@fira.com.
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Join 10k+ peopleStart with the assessment.
That link has expired, you can start here.
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Assessment, treatment and your clinician. All in one place.
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The right dose is discovered, not guessed.
Nobody can know your right dose from one appointment. So we do what no GP or clinic does: watch daily, and adjust the moment you need it.
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Same medicine. Very different care.
The NHS is the cheapest way to get HRT, and it is the same medicine. The difference is how fast it adapts to you.
Clinic figures: fira survey of UK menopause clinic fees, 2026.
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A price that falls as you settle.
Pay a quarter upfront and save 20% at every step. Delivery, dose changes and messaging included throughout.
welcome back
Confirm your date of birth to pick up where you left off.
This keeps your answers private if the email was shared or forwarded.
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where are you feeling it most?
Pick up to three.
your body
whereabouts?
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which one is affecting you most?
how heavy does it feel?
1 is barely noticeable, 5 is overwhelming. Rate each one.
That's not a list of complaints. It's a pattern.
Experts recognise more than thirty symptoms driven by the same hormonal shift. Most women are told to deal with them one at a time.
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Before we go on, what should we call you?
how long have you been feeling like this?
that's a long time to carry this.
where is it hitting your life?
what have you tried so far?
Now the part a clinician actually reads.
The next few questions decide whether treatment is safe for you. They're the same questions you'd be asked in a consulting room, and they're free whatever you decide to do next.
tell us about your periods
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Have you had any of this kind of bleeding in the last 6 months?
These aren't about selling you anything. There are a few things we'd want you to get checked whatever you decide to do next.
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Have you noticed any of these in your breasts, now or in the last few weeks?
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checking your answers…
Ready to feel like you again?
We'll only use this to send your result and your assessment updates.
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You already have an account with this email.
Log inAlready have an account? Log in
Where can we reach you?
In case your clinician or care team needs a quick word. WhatsApp, never a cold call.
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your date of birth?
We ask so a clinician can confirm treatment is appropriate for your age.
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With treatment plans, you can feel
relief in as little as 4 to 6 weeks*
*Based on separate randomized, placebo-controlled clinical trials of oral estradiol and estradiol patches that each found a significant reduction in hot flashes in menopausal women as early as week 4.
Prescribed by licensed clinicians when clinically appropriate. Not suitable for everyone.
Hormone levels don't have to keep falling. Treatment can stabilise them.
Oestrogen levels with treatment
For illustration only. Everyone's hormone levels are different.
If eligible, a licensed clinician will help you find the right treatment and dose.
We work with clinicians who:
Prescribed by licensed clinicians when clinically appropriate. Not suitable for everyone.
your symptoms
Eleven quick ones, so we can measure this properly.
This is a standard menopause symptom scale used in clinics and research. Answering it now gives your prescriber a real starting point, and gives us something to compare against in twelve weeks so you can see whether treatment is working.
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about your body
Do you have a hormonal coil fitted?
A hormonal coil can provide the second hormone you need, and contraception, in one.
roughly when was it fitted
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about your body
Which coil is it?
Only one strength is licensed to protect the womb lining, so the exact device matters.
your medicines
Tell us about it.
what it is called
how long you have taken it
who prescribes it
how you have been feeling
A few more about your mood.
You told us earlier that your mood has been affected, so we ask everyone in that position the standard set of questions a GP would use. Hormone treatment can help low mood that comes with menopause. It is not a treatment for depression, and if that is closer to what is going on we would rather say so and point you somewhere that can help properly.
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We ask everyone these questions. There is no wrong answer, and answering honestly does not stop you getting treatment.
Thank you for telling us that.
You do not have to be in crisis to want help with this, and you do not have to explain it to anyone before you ask. If it would help to talk to someone now, these people are there for exactly this.
A clinician reads every answer on this assessment before any treatment is prescribed, so what you have told us here will be seen.
your medicines
What else do you take?
Everything, including anything from the chemist and any supplements. Some medicines change how hormone treatment works, and a few work the other way round: oestrogen can alter how much thyroid medication you need.
your medicines
Are you allergic to any medicines?
your medicines
Are you allergic to peanuts or soya?
Some of the capsules we prescribe contain soya lecithin, so we never send them to anyone with a peanut or soya allergy.
about your body
Your height and weight
Weight affects which dose and which form suits you best.
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the last few
Do you smoke, and how much do you drink?
drinks in a usual week
the last one
Anything you want your prescriber to know?
Anything at all. Something a form did not ask about, something you are worried about, or something you have tried before that did not suit you.
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sending your assessment…
We have your assessment. Your recommendation isn't ready yet, we'll email it to you shortly.
Your recommendation
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Selected based on your symptoms
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{{ recoHeroFineQLead }}, paid upfront, saving 20%
nothing upfront, billed monthly
3-month minimum to calibrate your treatment. Cancel anytime after.
Your assessment is valid for 7 days · your clinician review slot is held for 48 hours
Treatment details
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Everything arrives together, with plain-English instructions for each item.
Most women feel the first shift within 4 to 6 weeks, nights usually change first: fewer wakings, fewer sweats. Mood and clarity tend to follow. And if you're not feeling better by week 12, month 4 is free.
For illustrative purposes only.
Your starting dose is set from your answers, then adjusted free of charge whenever you need it.
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Together, they're the same molecules your body has made all your life.
Too strong, too gentle, not sure? Message from the app, a clinician reviews within one working day and adjusts your dose at no cost. Most women fine-tune once or twice in the first months. That's the treatment working, not failing.
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All of it is a sign your body is adjusting, and it usually settles on its own. You'll know exactly what's normal and what's worth a message, and your clinician is one tap away either way.
A GMC-registered menopause clinician reviews your answers and signs your prescription within 24 hours of checkout. If treatment isn't right for you, they won't sign, and you're refunded in full, automatically.
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Only packs that suit your answers are shown. Your clinician confirms the final prescription.
How it works
How it works
A 2-minute quiz, then a full clinical assessment: validated symptom scale, history, safety checks. Free, from home, at your pace.
Check out, and a GMC-registered menopause clinician reads your complete file and signs within 24 hours. Not approved? Automatic full refund, and a free summary for your GP.
PatchProgesteroneCreamOnce signed, your prescription is dispensed and your first 3-month supply ships free by Royal Mail Tracked 24: next-day delivery.
Message a clinician about your symptoms whenever you need, and log how you feel each day in the symptom tracker. No appointment, no fee.
Every 3 months your symptom log goes to your clinician, who adjusts your dose live, at no cost. And when you need to be seen, book a same-day GP appointment across multiple specialisms from £80, against £195 or more the traditional route.
fira support
Your plan for symptom relief that holds
Hot flushes, broken sleep, low mood, treated with the same hormones your body recognises, at the dose that's right for you.
A GMC-registered menopause clinician reviews every dose change, side effect and follow-up. Replies within one working day, no appointment to book, no fee.
Track your symptoms, watch them ease week by week, change your dose, message your clinician, one place, open at 3am.
"97% of members said their worst symptom had eased by week 12."
Your questions
Before you decide
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Checkout opens soon. Your assessment is saved and nothing has been charged. We will email you the moment payment is live.
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We cannot show your price right now, so we are not going to take you to payment without it. Nothing has been charged. Please try again in a moment, or contact us and we will sort it out.
Your plan
Select your plan
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Nothing ships until a clinician signs, or you're refunded automatically.
your assessment
A clinician needs to look at this with you
Your answers need a conversation before anything can be prescribed, so we are not going to put a recommendation in front of you. One of our clinicians will be in touch, and there is nothing to pay.
If you would rather reach us first, message the companion and it will route you straight to the clinical team.
Where should we send your box?
Enter your details exactly as they appear on your ID, it avoids delivery and prescription delays.
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Your order
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Delivery
Your confirmation and login link go here. Double-check it before you pay.
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A clinician reviews what you've shared and signs your prescription within 24 hours. Not approved means an automatic full refund, same day.
Payment
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By confirming your payment you agree to our Terms of service and Privacy policy. Your payment is processed securely. Prescribed by licensed clinicians when clinically appropriate. Not suitable for everyone.
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A GMC-registered menopause clinician reviews your full assessment within 24 hours of checkout. If treatment isn't right for you, they won't sign, you're refunded in full, automatically, within 24 hours, and you receive a free written summary for your GP.
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A clinician reviews and signs your prescription within 24 hours. If it isn't approved, you get every penny back automatically, the same day. {{ recoPackName }} ships to {{ ckShortAddr }} once it's signed.
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Choose your plan
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Pay as you go, month by month.
Every plan includes your medication, free delivery, and a GMC-registered menopause clinician. If you are not feeling better by week 12, month 4 is free. A clinician signs your prescription within 24 hours; if they cannot approve it, you get every penny back automatically, whichever option you choose.
Checkout opens soon. Your choice is saved and nothing has been charged. We will email you the moment payment is live.
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We cannot show your price right now, so we are not going to take you to payment without it. Nothing has been charged. Please try again in a moment, or contact us and we will sort it out.
We'd like you to see a doctor about this first
Thank you for telling us. What you've described needs looking at in person, and it needs looking at sooner rather than later, most of the time it turns out to be nothing serious, but it isn't something to wait on. Please contact your GP this week and ask for an appointment. If you can't get one, NHS 111 can help you find a route.
We're not going to offer you treatment today, and we're not going to charge you for anything. When you've been seen, come back, we'll still be here.
Below is a summary of what you've told us. Take it with you; it'll save you explaining it all again.
sent, check your inbox.
We're not quite the right fit yet
At your age, symptoms like these can have a wider range of causes, and they deserve a work-up we can't safely deliver as an online-only service today. That's on us, not you.
Please take your summary below to your GP. And if you'd like to hear from us when fira opens to your age group, leave your email, we'll let you know.
you're on the list, we'll be in touch.
fira is for people 18 and over
We can't offer an assessment today based on the date of birth you gave us. Please check back when you turn 18.