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best for perimenopause

Low-Dose Birth Control Pill

$39.99 per month
(Sold in a 3-month supply)

We like to call it the peri-pill! Low-dose birth control provides relief from perimenopausal symptoms like hot flashes, night sweats, and irregular periods. Plus, it provides contraception, which, yes, you still need!

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    Unlimited messaging with a menopause-trained doctor

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Learn more about the Low-Dose Birth Control Pill

What is it: Generic oral contraceptives contain estrogen and progesterone, which are also used in MHT. In birth control pills, the hormones are in slightly different forms, but they are very similar and can also provide relief from symptoms.

Who is it for: Low-dose birth control is recommended for women experiencing menopausal symptoms while still having menstrual periods. It provides relief from hot flashes, night sweats, and other symptoms, regulates unruly menstrual cycles, which are common during menopause, and provides contraception. It is not recommended that women who have a history of breast cancer, heart attack or stroke, who smoke, have a history of blood clots in the legs or lungs, or have uncontrolled high blood pressure take oral contraceptives.

What am I getting: 3-month supply of a low-dose birth control pill (1 mg/20 mcg).

How to get it: Prescription required. You'll be assigned a menopause-trained doctor who will review your symptoms and medical history. You'll receive personalized treatment recommendations and together will come up with a plan. We'll ship everything to your door and you'll be able to message your doctor any time for free for as long as your prescription is active.

Simple daily pill
Symptom relief + cycle regulation + contraception makes low-dose birth control a great choice for women in perimenopause.
Multi-symptom relief
Generic oral contraceptives contain estrogen and progesterone, which are also used in MHT. In birth control pills, the hormones are in slightly different forms. Low-dose birth control pills provide symptom relief, cycle control, and reliable contraception.
See results in as little as 2 weeks
While results timelines vary, most people see significant improvements in their symptoms in 2-4 weeks.

Not sure what you need?

That's what our intake is for! After you complete our medical questionnaire, a menopause-trained doctor will review your symptoms and medical history and answer your questions to help you find the best solution(s) for you.

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Did you know?

95% of Alloy customers taking MHT feel symptom relief in 2 weeks or less

How it works

1.

Tell us about yourself

Fill out a quick medical intake form.

2.

Work with a menopause trained doctor

Create a treatment plan for your symptoms.

3.

Get relief delivered

Prescription medication delivered to your door.

Frequently asked questions

  • How do I know if low-dose birth control is right for me?+
    Your menopause-trained doctor will review your symptoms and medical history and help determine the best treatment plan for you. Low-dose birth control is typically recommended for premenopausal and perimenopausal women. In perimenopause, you may be symptomatic but are still getting a period. Low-dose birth control is recommended because it provides cycle control, symptom relief, and reliable birth control, which, yes, you still need!
  • Can I use low-dose birth control with other forms of hormone treatment?+
    Low-dose birth control can safely be used alongside local hormonal treatments, like vaginal estradiol and M4. Please consult with your doctor about any other hormone treatments you are currently taking before starting treatment with Alloy.
  • Is low-dose birth control eligible for HSA or FSA reimbursement?+
    Yes! Your consult and the medication are both eligible. The consult is considered a telehealth or telemedicine visit and is generally reimbursable. Medications prescribed by a licensed provider are eligible to be paid for or reimbursed by your HSA or FSA. Your invoice is available to download and include when you submit to your plan for reimbursement. If you require more information, please contact us at support@myalloy.com and we will assist you. Note: The IRS defines which medical expenses are eligible under an HSA or FSA and the products carried on Alloy are in compliance with these requirements. However, these plans can vary and some may not allow all eligible HSA or FSA expenses. It's important to always check with your benefits administrator to determine which expenses are eligible before you shop.
  • Where is Alloy available?+
    At this time, Alloy is available in all 50 U.S. states, plus Washington, D.C. If you live outside the U.S., you are still welcome in the Alloy community! You can sign up for our newsletter, follow us on social media @myalloy, access our blog, and enjoy our webinars as well as other free resources, regardless of where you live.

What Alloy customers are saying

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“I was amazed at how informed and prompt the doctor was in responding to my questions and helping me! I am a doctor myself and very very informed about many things to do with my health but I am an oncologist. I have learned so much from the doctor and Alloy and the YouTube channel! So many brilliant capable women standing up and saying no more this is not OK and we’re gonna fix this now. I am so thrilled to be part of Alloy! I have referred every woman I know to the site.”

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Lisa on Trustpilot
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My experience has been excellent. They responded quickly, listened to my symptoms and responded with a protocol that’s easy to follow. I’m feeling 100 percent better. Thank you so very much.

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Ketteridge on Trustpilot
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Thankful for Alloy and their doctors that make women’s health a priority! I love that I don’t have to jump through hoops or over-explain my needs in order to get the menopausal healthcare that I need in order to live a vibrant life. Thank you!

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Regina on Trustpilot
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“I love this was a hassle free process, and I felt I was actually listened to and taken seriously, something I feel can be sorely lacking in the medical world when it comes to women. Women know their bodies, and it shouldn’t be a struggle to get the treatment that works best for you. We’re all different, and the key is finding what works for us individually. Thank you, Alloy. My quality of life during perimenopause is so much better now!”

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Stephanie on Trustpilot
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“My doctor wasn't interested in pursuing care for perimenopause. I looked for other options and read about Alloy. In two weeks I feel so much better and like I'm human again. The process was simple and worth so much. Thank you.”

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Jennifer on Trustpilot

The Alloy Promise

Alloy believes that every woman deserves accurate, up-to-date information and the agency to make her own decisions about her health based on facts, not fear.


All of our board-certified physicians follow ACOG and The Menopause Society guidelines and prescribe only FDA-approved, generic medications for the treatment of menopausal symptoms. The safety of our products is our top priority.


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