Now enrolling · validation cohort

Your hormones and your weight
are the same conversation.

Oriva is one physician-led plan for the hormonal, metabolic, and neurological shifts of midlife — because your body doesn't treat them separately, and neither should your doctor.

How it works
FDA-approved
medications only
Licensed clinicians
in all 50 states
No contracts.
Cancel anytime.
One body. One plan.
The problem

Sound familiar?

01
You've gained 15 pounds in two years.
Nothing you used to do works anymore.
02
Your doctor says, "it’s just menopause."
And gave you 15 minutes.
03
You're exhausted by 3pm.
Your brain feels like it’s underwater.
04
You've Googled "why can't I lose weight after 45."
More times than you’d like to admit.
Here’s what no one told you

Your weight gain and your menopause symptoms are the same problem. Hormonal decline causes metabolic changes that make your body store fat differently. Treating one without the other is like bailing water without fixing the leak.

That’s why we built Oriva.
Why this matters

The system wasn’t built for this stage of life.

0M

Women currently in menopause

And the number is rising.

0%

gain weight during perimenopause

On average, 10–15 lbs.

0 min

is what your primary care doctor gets

To hear all of it.

0 yrs

of training in menopause medicine

That most OB-GYNs never receive.

Sources: NAMS · Mayo Clinic · AMA
The solution

One plan. One team. The whole picture.

Every Oriva plan is built on three pillars, coordinated by a single care team that sees all of you — not one symptom at a time.

01
Hormone Therapy

Estrogen, progesterone, and testosterone — prescribed by clinicians who specialize in midlife women’s health. FDA-approved. Shipped to your door.

Estradiol · Progesterone · Testosterone
02
Weight Management

FDA-approved GLP-1 medications — including the new oral pills — prescribed as part of your integrated plan. No more separate subscriptions.

Semaglutide · Tirzepatide · Oral GLP-1
03
Ongoing Care

Lab testing, progress tracking, unlimited messaging with your care team, and a plan that evolves with you. Not a prescription mill — a relationship.

Labs · Messaging · Follow-up visits
How it works

Three steps to feeling like yourself again.

01
Complete your health assessment
2 minutes. No insurance needed. Your answers shape your plan.
02
Meet a clinician who specializes in midlife women’s health
Video visit, scheduled at your convenience. No 15-minute rush.
03
Receive your personalized plan — and medications — at your door
One team. Unlimited messaging. A plan that evolves with you.
The team

Built by women who’ve been where you are.

Richa Badami
Richa Badami
Co-Founder · Creative Director
“

I spent two years and $2,000/month bouncing between providers. One for HRT. One for GLP-1. Neither one talked to the other. Oriva is what I wished existed.

Dr. Uldine Castel, MD
Dr. Uldine Castel, MD
Chief Medical Officer · Board-Certified
“

Midlife women deserve a doctor who connects the dots — not one who treats symptoms in isolation. Oriva is how medicine should work at this stage of life.

Pricing

Transparent pricing. No surprises.

Cash-pay · HSA / FSA eligible · Cancel anytime. All plans include unlimited messaging with your care team.

Starting at
Hormone Therapy
$89 / month
  • Clinician consultation
  • FDA-approved HRT
  • Shipping included
  • Ongoing messaging support
Most complete
Everything. Together.
The Whole Woman Plan
$249 / month
  • HRT + GLP-1 medications
  • Quarterly lab testing
  • Personalized care plan
  • One team, one price
Starting at
Weight Management
$149 / month
  • Clinician consultation
  • FDA-approved GLP-1
  • Including oral pills
  • Ongoing messaging support
Final pricing based on your personalized treatment plan.
Questions

You might be wondering…

Oriva partners with a nationwide network of licensed clinicians who specialize in women’s health. All medications are FDA-approved and dispensed by licensed U.S. pharmacies. Your prescriptions are written by real doctors after a real consultation.

FDA-approved hormone replacement therapy (estradiol, progesterone, testosterone) and FDA-approved GLP-1 weight management medications (oral pills and injectables). We do not prescribe compounded medications.

No. Oriva is cash-pay — no insurance required, no prior authorization, no waiting. HSA and FSA eligible. We may add insurance billing in the future.

In many cases, yes — and emerging research suggests they work better together for menopausal women. Your clinician will evaluate your specific health profile and recommend the right combination for you.

Most services treat your hormones OR your weight — never both. Your regular doctor has 15 minutes and isn’t trained in menopause medicine. Oriva is the only service designed specifically to treat midlife women’s hormonal health and weight management together — led by women who understand this stage of life firsthand.

You’re not broken. Your hormones are. Let’s fix that.

Two minutes. One assessment. A real care team on the other side.

FDA-approved only· Licensed in all 50 states· HSA / FSA eligible