Hormone Replacement Therapy

Are you over 18 years of age?* This field is required.

Terms and Conditions* This field is required.

State* This field is required.

What was you gender assigned at birth?* This field is required.Please select one

Female

Male

Nice! Looks like you're good to go on our end.

Let's continue with some questions about you.

ZyNori connects you with providers that specialize in hormone replacement therapy (HRT) for women experiencing natural, age-related hormonal transitions (perimenopause, menopause, postmenopause). Our goal is to empower you to manage symptoms like hot flashes, mood fluctuations, and sleep disturbances.

Important: Our services do not include gender-affirming hormone therapy. We respect all individuals and recommend that those seeking gender-affirming care connect with providers who specialize in that field.

Do you still have your menstrual cycle?* This field is required.Please select one

Yes

Irregular

Have you had a hysterectomy?* This field is required.Please select "Yes" if your uterus has been removed.

Yes

Have you had an oophorectomy?* This field is required.Please select "Yes" if your ovaries have been removed.

Yes

When was your last mammogram?* This field is required.

Within the last year

1-2 years ago

More than 3 years ago

I've never had a mammogram

What were the results of your mammogram?* This field is required.Please select one

Dense breast tissue

Negative (no issues)

Abnormal

Other

I've never had a mammogram

Please provide additional information about your mammogram results* This field is required.

Are you pregnant, trying to become pregnant, or breastfeeding?* This field is required.Please select one

Pregnant

Trying

Breastfeeding

What method are you using for birth control?* This field is required.Please enter the type of birth control.

Have you ever had breast cancer?* This field is required.Please select one

Yes

If you have had breast cancer, please provide details* This field is required.

Has anyone in your family ever had breast cancer?* This field is required.Please select one

Yes

Unknown

If yes, what was the family member's relationship to you?* This field is required.

Mother

Sister(s)

Aunt

Cousin

Unknown

Have you ever had any other female cancers (ovarian, uterine, endometrial, cervical)?* This field is required.Please select one

Yes

Unknown

If yes, what was the type of cancer?* This field is required.

Ovarian

Uterine

Endometrial

Cervical

Other

Has anyone in your family ever had female cancers (ovarian, uterine, endometrial, cervical)?* This field is required.Please select one

Yes

Unknown

If yes, what was the family member's relationship to you?* This field is required.

Mother

Sister(s)

Aunt

Cousin

Unknown

Do you currently smoke or use tobacco products?* This field is required.Please select one

Yes

Have you been diagnosed with a thyroid disorder?* This field is required.Please select one

Yes

Indicate the severity of the following symptoms:* This field is required.Please select one response per symptom

Indicate the severity of the following behavioral symptoms:* This field is required.Please select one response per symptom

Indicate the severity of the following cognitive and behavioral symptoms:* This field is required.Please select one response per symptom

Indicate the severity of the following physical symptoms:* This field is required.Please select one response per symptom

Indicate the severity of the following changes:* This field is required.Please select one response per symptom

Indicate the severity of the pelvic/sexual health symptoms:* This field is required.Please select one response per symptom

Indicate the severity of the following skin and hair symptoms:* This field is required.Please select one indicator per symptom

Indicate the severity of the following breast health symptoms:* This field is required.Please select one indicator per symptom

Preferred Treatment Option(s):* This field is required.Your hormone balance is a shared decision between you and your provider-your goals, preferences and lifestyle are central to chooking the right treatment.

Hormone Patch (starts at $50)

Oral Capsules (starts at $15)

Topical Drops (Starts at $50)

Topical Gel (starts at $75)

Vaginal Cream (starts at $40)

Aside from hormone balance, is there another area of your health you'd like to improve?* This field is required.This helps us get a full picture of your health goals and find the right treatment options for you.

Better Sex

Hair Regrowth

Weight Management

Anti-Aging

Supplement Support

Lab Testing

Is there anything else you would like your provider to know?* This field is required.

Create an account to view treatment options.

Address* This field is required.

City* This field is required.

Zipcode* This field is required.