Live with Confidence →
- Absorb
- Wick
- Breathe
- Comfort
- Reuse
For life without limits.
TriSage
MenoPanties™
By TriSage Wellness
Novara
Bio-identical Estrogen Vaginal Cream
Advanced localized estrogen therapy designed to help relieve vaginal dryness, intimate discomfort, and symptoms associated with genitourinary changes of menopause, while minimizing whole-body exposure.
From $83/month
★★★★★4.9/51,109 reviews
- ✓Physician-guided
- ✓Free shipping
- ✓Unlimited clinical support
- ✓Cancel anytime
Begin Your Assessment
Cancel anytime
- ✦FDA Registered
- ✦100% Bioidentical
- ✦PCAB Accredited
Product details
Ingredients+
Each pump contains: 3 mg estradiol + 100 mg micronized progesterone
Bioidentical hormones — molecularly identical to the hormones naturally produced by your body, designed to support balanced, consistent hormone levels.
Clean, pH-balanced cream base — formulated with MCT oil, hydrogenated vegan fat, glycerol monostearate, propoxyl stearate, ricinoleate, poloxamer 407, and cetearyl ether to support consistent delivery and absorption.
Why It Works+
Designed for efficient absorption. Vaginal delivery provides a direct route for hormone absorption.
Bypasses first-pass liver metabolism. Unlike oral hormones, vaginal delivery avoids initial processing through the liver, helping support steadier hormone levels.
Enhanced bioavailability. Vaginal delivery may provide greater absorption than oral or topical routes.
The result: More consistent hormone delivery designed to provide dependable symptom support.
Why It's Different+
Body-matched formulation. Estradiol and progesterone are thoughtfully combined in a ratio designed to more closely reflect the body's natural hormonal environment.
Designed for whole-body support. Novara goes beyond vaginal dryness, supporting the broader symptoms women may experience as hormone levels change, including mood, energy, sleep, and more.
Clinical support when you need it. Experienced clinicians listen to how you're feeling, monitor your progress, and adjust your treatment as your needs evolve.
Created for women, by women. Novara was founded by Dr. Davida Cummins, following her own experience navigating her own hormone health as a woman.
★★★★★
"I'm back to being me."
Linda T., 52
Clinically crafted. Quality assured.
U.S.
503A
PHARMACY
LICENSED
Active Ingredients
Sourced From
FDA-Inspected
U.S. Facilities
✦
COMPOUNDED
in the U.S.A.
Third-Party
Tested For
Purity, Potency
& Consistency
NABP®
Certified
National Association of Boards of Pharmacy
✓PCAB®
Accredited
Pharmacy Compounding Accreditation Board
✓LegitScript®
Certified
Telehealth & pharmacy certification
✓Real results
Measured improvements in just weeks.
98%
report symptom improvement
90%
sleep better
85%
improved mood
92%
say more energy
This is hormone optimization. You feel the difference within weeks.
Begin Your Assessment →
Cancel anytime
How the Novara TriSage Method helps you feel like you again
Before menopause
Hormones are higher and more stable, supporting your energy, mood, sleep, metabolism and sexual health.
Through the menopause transition
Hormone levels naturally decline and fluctuate, which can lead to changes in how you feel — physically, emotionally and mentally.
With personalized TriSage care
Our personalized approach helps support your hormone levels, so you can feel more like you again.
Hormones in harmony
Natural changes happen
Support for a brighter you
EstrogenProgesteroneTestosterone
Illustrative only. Individual hormone levels, symptoms, treatment plans and responses vary.
Begin Your Assessment
Cancel anytime
- ✦FDA Registered
- ✦100% Bioidentical
- ✦PCAB Accredited
Pricing
Simple, transparent pricing.
85%
improved mood
92%
say more energy
★★★★★4.9/51,109 reviews
$83/month
or $249 for 3 months
- ✓Prescription treatment
- ✓Free & fast shipping
- ✓Unlimited clinical follow-up
- ✓Dose adjustments as needed
- ✓Cancel anytime
✦
That's the TriSage promise.
No getting lost in the system.
No one-size-fits-all protocols.
No wondering if anyone is listening.
Real clinicians. Personalized care. A team that stays with you until we get it right.
Begin Your Assessment
Cancel anytime
- ✦FDA Registered
- ✦100% Bioidentical
- ✦PCAB Accredited
*Prescription-only product, prescribed by our board certified physicians. 90 day supply replenished every 90 days.
How we compare
Why delivery method matters
How estrogen enters the body determines how well it works.
Begin Your Assessment
Cancel anytime
✦
Novara (Vaginal)
Oral
Patch
Liver metabolism
Bypasses liver
Processed by liver
Bypasses liver
Dose required
Lower, more efficient
Higher due to breakdown
Moderate
Hormone levels
Steadier absorption
Peaks & crashes
Can fluctuate with skin factors
Side effects
Lower systemic burden
Higher nausea & clotting markers
Possible skin irritation
Targeted support
Direct + systemic benefit
Systemic only
Systemic only
Your journey
What most women notice.
- 01
Weeks 1–2
Deeper sleep begins
Many women notice more restful nights and a calmer, steadier mood.
- 02
Months 1–3
Energy returns
Daytime energy lifts and hot flashes begin to ease.
- 03
Month 3+
Full balance
Your protocol is fine-tuned for lasting whole-body balance.
Begin Your Assessment
Cancel anytime
- ✦FDA Registered
- ✦100% Bioidentical
- ✦PCAB Accredited
Stories
Hear from women like you.
★★★★★4.9/51,109 reviews
"I'm back to being me. Hot flashes gone, sleeping soundly through the night."
"Fifteen years of being told to wait it out. At last, real solutions."
"I finally feel like myself again."
Menopause brought changes I wasn't prepared for. Finding something that helps me feel comfortable and confident again has meant so much.
"I wish I'd known about this sooner."
Vaginal dryness was affecting my everyday comfort and intimacy. I'm so glad I finally started talking about solutions.
"A little comfort goes a long way."
I didn't realize how much discomfort was affecting my life until I decided to address it. Feeling comfortable in my own body matters.
"Intimacy feels possible again."
I thought discomfort was just something I had to accept as I got older. It's empowering to know there are options.
Begin Your Assessment
Cancel anytime
- ✦FDA Registered
- ✦100% Bioidentical
- ✦PCAB Accredited
The science
How Novara works with your hormones.
Our exclusive Novara™ formulation uses plant-based bioidentical compounds that are molecularly identical to the hormones your body makes — so your system recognizes and uses them naturally.
❦
Bioidentical
Precisely matches your body's native hormone structure.
⚕
Physician-guided
Licensed medical doctors oversee each protocol.
♡
Clinical support
Expert nursing team available anytime.
◎
Continuous monitoring
Follow-ups and refinements as your needs change.
Begin Your Assessment
Cancel anytime
- ✦FDA Registered
- ✦100% Bioidentical
- ✦PCAB Accredited
The difference
Why optimization beats replacement.
| Novara | Conventional HRT | Doing nothing | |
|---|---|---|---|
| Personalized dosing | ✓ | Sometimes | ✕ |
| Bioidentical ingredients | ✓ | Sometimes | ✕ |
| Ongoing monitoring | ✓ | Sometimes | ✕ |
| Root-cause approach | ✓ | ✕ | ✕ |
Begin Your Assessment
Cancel anytime
- ✦FDA Registered
- ✦100% Bioidentical
- ✦PCAB Accredited
Our experts
Research-driven. Designed by women's wellness specialists.
D
Davida Hunter-Cummins
Founder
Licensed mental health therapist with 25+ years supporting women through life transitions.
D
Dr. Stephanie Thompson, MD
Medical Advisor
Endocrinologist guiding the clinical design of every Novara protocol.
"This isn't about fixing women. It's about supporting them — fully."
How it works
Getting started is simple.
NovaraHormonal
What brings you to Novara?
Select what concerns you:
Troublesome hot flashes
I don't feel like myself
Low energy and poor sleep
Step 1
Complete our 5-minute health assessment
Tell us about your symptoms so our medical team can see if Novara is right for you.
NovaraRx
Your personalized formula is ready.
Prescribed for you:
Estradiol · 3 mg cream
Progesterone · 100 mg
Approved by your care team
Step 2
Receive your personalized prescription
Once approved, your tailored cream ships straight to your door. No pharmacy visit needed.
NovaraCare Team
We're with you, every step.
Your ongoing support:
Day 30 · Personal check-in
Day 60 · Dose tune-up
Real clinicians. Real support.
DHSTRNMDCare team
Step 3
Start treatment with ongoing support
Our care team is with you at every step — checking in, adjusting, and staying until we get it right.
Begin Your Assessment
Cancel anytime
- ✦FDA Registered
- ✦100% Bioidentical
- ✦PCAB Accredited
Prepared to reclaim who you are?
You don't have to accept exhaustion, sleepless nights, and feeling like a stranger in your own body. The woman you remember is still there.
Begin Your Assessment
Cancel anytime
Ongoing care
You're not navigating this alone.
Every protocol is reviewed and monitored by licensed clinicians, and your care adapts as your hormones change.
Your balance starts here.
Free, private, 5-minute assessment.
Begin Your Assessment →
Cancel anytime
- ✦FDA Registered
- ✦100% Bioidentical
- ✦PCAB Accredited
Questions?
Everything You Need to Feel Like You Again
The TriSage Method goes beyond hormones. Thoughtfully designed essentials support your body, skin, mind, and everyday life through perimenopause, menopause, and beyond.
Restore Dry, Changing Skin →
- Hydrates
- Softens
- Supports
- Protects
- Restores
- Absorbs
Radiant skin at every age.
Oura
Cold-Pressed Marula Oil
Feel More Like You →
- Tracks
- Identifies
- Reframes
- Builds
- Prepares
- Grounds
A calmer mind. A brighter you.
TriSage Method
Journal
FAQ
Your questions, answered.
Getting started
How does the assessment work?+
Answer a private 5-minute questionnaire about your symptoms, health history, and goals. A licensed physician reviews it to design your plan.
Do I need a prescription first?+
No. If Novara is right for you, our physicians write the prescription as part of your plan.
How fast is shipping?+
Most women receive their prescription within 3–5 days of approval. Shipping is always free.
Safety & ingredients
Are bioidentical hormones safe?+
Bioidentical hormones match your body's own molecular structure, and every protocol is physician-monitored.
Are there side effects?+
Common or relatively expected hormone-related effects can include breast tenderness, spotting or breakthrough bleeding, bloating/fluid retention, headache, nausea, pelvic cramping, and vaginal irritation, burning, itching, discharge or yeast infection. ACOG notes that spotting, breast soreness, bloating and headaches can occur with menopausal hormone therapy and often can be addressed by adjusting treatment.
Can I stay on it long-term?+
Yes. You can stay on it long term and ongoing follow-ups ensure your protocol stays right for you over time.
Pricing & guarantee
How much does it cost?+
Pricing is $83/month or $249 for a 3-month supply. No hidden fees; cancel anytime.
Is there a guarantee?+
Every plan comes with the TriSage promise — real clinicians, personalized care, and a team that stays with you until we get it right. And you can cancel anytime.
Begin Your Assessment
Cancel anytime
- ✦FDA Registered
- ✦100% Bioidentical
- ✦PCAB Accredited
Stay connected
Join the TriSage family.
Get updates about women's health, hormones, and all things to keep our world moving as women.
No spam, ever. Unsubscribe anytime.