1The cycle: PCOS makes it infrequent, perimenopause makes it unpredictable, and after 35 you can have both
Estrada™ | PCOS
Trusted by 20,000+ women
PCOS didn’t leave. Perimenopause showed up anyway.
You’ve had the irregular cycles, the hair, the weight that argues with you, for twenty years. Now the sleep is going, the anxiety is new, and nobody can tell you whether that’s the PCOS or your age.
Soha’s OB/GYNs treat the second thing. When perimenopause is what’s driving the change, Estrada™ is estradiol and progesterone in one daily cream, prescribed at your strength. When the hair is the problem, Cabella™ is prescribed alongside it.
Your birth control, metformin or spironolactone stay where they are. An OB/GYN reviews all of it before anything is added.
Tell an OB/GYN what’s changed
HSA/FSA eligible
OB/GYN-Prescribed TreatmentOB/GYN-Prescribed Treatment
Bioidentical Estradiol + ProgesteroneBioidentical Estradiol + Micronized Progesterone
Made in U.S.ACompounded in a Licensed U.S. Pharmacy
How PCOS shows up after 35
The symptoms you’ve had since your twenties start to change shape, and new ones arrive that look just like them. Telling the two apart is the whole job.Sound familiar?
- ✓Cycles that were always irregular, now unpredictable in a new way
- ✓Hair thinning at the part, or growing where it never did
- ✓Sleep that stopped holding, and an anxiety you didn’t have before
An OB/GYN can tell which of these is PCOS and which is perimenopause. A search bar cannot.
Start the two-minute quizIs it PCOS, or is it perimenopause?
The same three things change for both reasons. An OB/GYN reads which is which:
1The cycle: PCOS makes it infrequent, perimenopause makes it unpredictable, and after 35 you can have both
2The hair: androgens thin it in PCOS, falling estrogen thins it in perimenopause, and Cabella™ is prescribed for either once an OB/GYN has looked
3The sleep and the mood: new after 35, these usually point to perimenopause, and that is what Estrada™ is for
One review, both conditions in the frame, nothing prescribed by guesswork.
Start the two-minute quizTwo hormone stories, one body
A simplified picture of what an OB/GYN weighs. It shows patterns to discuss, not your levels or an outcome.
Hormone patterns
1 · Baseline shiftEstradiol and progesterone fall and swing in perimenopause
2 · Downstream responseLH and androgens run high in PCOS
What to bring to the OB/GYN
The symptoms you’ve had since your twenties start to change shape, and new ones arrive that look just like them. Telling the two apart is the whole job.
- ✓When your cycle changed, and how
- ✓What your hair and skin are doing
- ✓Everything you take, including birth control
An OB/GYN can tell which of these is PCOS and which is perimenopause. A search bar cannot.
Start the two-minute quiz
YOUR SOHA PLAN
What your monthly plan includes
- Prescription included
- Shipping on us
- Unlimited OB/GYN messaging
- HSA/FSA eligible
- Insurance not needed
- Dose changes as needed
- Cancel anytime
The timeline
What Estrada may look like
for you
Everyone's timeline is different. This is what hormone therapy often looks like in the first two months.
Sleep
Week 2 · The first nights
The nights get quieter.
Progesterone tends to work first. For many women the first thing that changes is sleep. Falling asleep faster, waking less, fewer sheets kicked off at 3am. Not more sleep. Uninterrupted sleep. Women describe it as the first real sign.
A guide, not a schedule of results or appointments. Follow your care plan; OB/GYN messaging is available throughout.
What Soha prescribes, and what stays put
Your PCOS care stays with the person who prescribes it:
- Birth control
- Metformin
- Spironolactone
- Lifestyle and metabolic care
THE ESTRADA APPROACH
Estrada™ for the perimenopause part, Cabella™ for the hair, both prescribed by one OB/GYN who has read the whole picture.
- A review of your PCOS history and everything you take.
- Prescribed only when perimenopause is the driver.
- Adjusted as things change, by message.
The Science
How Estrada™ can support your entire body
Progesterone
Estradiol
Base
Bioidentical Estradiol
The estrogen your body used to produce. Cooler nights. Steadier mood. Less dryness.
Bioidentical Progesterone
The calming hormone your body used to produce. Deeper sleep. A quieter mind. A protected uterine lining.
Adjusted by your OB/GYN
A dose that fits you now, and changes when you do. Set by a real OB/GYN.
What changes after you start
The symptoms you’ve had since your twenties start to change shape, and new ones arrive that look just like them. Telling the two apart is the whole job.
- ✓Your OB/GYN adjusts the strength by message
- ✓Cabella™ can be added for the hair
- ✓Your PCOS prescriptions stay where they are
An OB/GYN can tell which of these is PCOS and which is perimenopause. A search bar cannot.
Start the two-minute quizHow it works
Getting started is simple
Estrada™ Quiz
Estrada · Hormonal
Relief starts here.Prescribed by an OB/GYN.
Which of these have you noticed in the past month? Choose all that apply.
- Fatigue
- Insomnia
- Brain fog
Step 1
Tell us what's going on
A short online intake about your symptoms, history, and goals. About two minutes, no appointment. Not a checklist. An OB/GYN reads every answer.
An OB/GYN before, during, and after.
Swipe to explore your care
Told it’s PCOS. Told it’s your age. Nobody said which.
Two minutes of questions about your cycle, your hair, your sleep and what you already take. An OB/GYN reads them and tells you which is which, and what, if anything, to add.
No appointment. No waiting six weeks to be told it’s stress.
Tell an OB/GYN what’s changed
No insurance needed. Cancel anytime.
Here for your questions
Good questions.
Thoughtful care.
Explore your care, one question at a time.
PCOS
No. PCOS is usually managed with birth control, metformin, spironolactone and metabolic care, and those stay with the OB/GYN or endocrinologist who prescribes them. Estrada™ is for the perimenopausal symptoms that arrive on top of PCOS after 35, when an OB/GYN confirms that is what’s driving them.
Your OB/GYN reviews everything you take before anything is prescribed. Birth control that contains estrogen is not combined with Estrada™; the OB/GYN decides which one fits your stage. Metformin is reviewed case by case.
Often, yes. Cabella™ is minoxidil, with or without finasteride, as a topical solution or a daily tablet, prescribed by an OB/GYN for thinning hair whether the cause is PCOS, perimenopause or both. The same OB/GYN can review both.
History first: when the cycle changed and how, what the hair and skin are doing, whether sleep and mood changed recently. Your OB/GYN may ask for testing. The answer decides what is prescribed, and sometimes the answer is nothing new.
Safety
Benefits and risks depend on your history and the treatment. Your OB/GYN should review both, including alternatives, before prescribing.
It describes a hormone with the same molecular structure as one produced in the body. The term does not mean a medicine is risk-free.
If you have a uterus and are considering systemic estrogen, ask your OB/GYN how the uterine lining will be protected and which formulation is appropriate.
Hormone medicines can cause side effects. Ask about those associated with your prescription and report new symptoms to your OB/GYN.
Some health conditions make treatment unsuitable. Share your complete medical history, including cancer, blood clots, liver disease, or unexplained bleeding.
The WHI studied particular hormone regimens and health outcomes. Ask your OB/GYN how the evidence relates to your age, history, and proposed treatment.
Breast-cancer risk can differ by regimen and duration. Discuss your personal and family history with your OB/GYN rather than assuming all hormone treatments have the same risks.
There is no set end date. You and your OB/GYN revisit it as you go.
Heart health belongs in your risk review. Hormone therapy should not be started solely to prevent heart disease.
Clot risk depends on your history and treatment. Using a cream does not establish that your prescription has no clot risk.
Your OB/GYN decides whether tests or other monitoring are needed. Bring previous results if you have them.
List all prescriptions, over-the-counter medicines, and supplements so your OB/GYN can review possible interactions.
Getting a prescription
You can begin by sharing your concerns. An OB/GYN determines whether further evaluation or a diagnosis is needed before treatment.
The introductory quiz is brief. A prescribing review may require additional questions or information.
Yes. Soha is OB/GYN reviewed. Your plan also includes unlimited messaging with an OB/GYN for ongoing questions and support.
Yes. Unlimited messaging with an OB/GYN is included in your Soha plan, so you can ask questions about your routine and discuss how you are feeling as treatment continues.
Using the cream
Once a day. When you start, your OB/GYN goes over the timing with you.
Follow the instructions supplied with your prescription, or ask your pharmacist or OB/GYN what to do.
Use the storage instructions and beyond-use date on your pharmacy label.
Who can start
Care comes from an OB/GYN licensed in your state. Confirm availability for your location before beginning treatment.
No. HSA and FSA funds can be used, though.
This service is for adults. Your OB/GYN also considers your age, symptoms, and health history when assessing whether treatment is appropriate.
Shipping
Timing depends on prescribing review and pharmacy preparation. Check your order updates for the expected dispatch date.
Yes. The outer box is plain and gives no hint of what is inside.
Whenever you like, from your account, and there is no fee for it.
Still have something on your mind?Unlimited messaging with an OB/GYN.