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HRT medication kit
progesterone
estradiol patch
bedside
sleep

Hormone Replacement Therapy for Sleep

Get prescription HRT (estradiol and progesterone) to stop night sweats, rebuild deep sleep, and end the 3am wake-ups at the hormonal source, if prescribed.

  • Stop night sweats and hot flashes at the source
  • Nothing habit-forming. Not a sleeping pill. Prescribed by a clinician.
  • Free & unlimited follow-ups

Compounded by trusted, highly rated pharmacies. Not an FDA-approved product. Every prescription is reviewed by a licensed clinician for your specific situation. See full Important Safety Information.

Is this a sleeping pill?

No. We don't prescribe sedatives. HRT restores the hormonal balance that produces natural deep sleep. Nothing habit-forming, no morning grogginess.

How fast will my sleep improve?

Many women notice improvement in night sweats within 1–2 weeks. Deeper, more consistent sleep typically develops over 4–8 weeks as hormone levels stabilize.

Is HRT safe?

HRT is one of the most studied treatments in medicine. Your clinician will review your personal risk factors and only prescribe what's appropriate for you. Not suitable for everyone.

Is this FDA approved?

Our HRT medications are compounded versions of FDA-approved hormones (estradiol and progesterone), prepared by trusted, licensed pharmacies that follow strict quality and safety standards. The active ingredients are identical. Compounding allows for customized dosing tailored to your body. Every prescription is individually reviewed by a licensed clinician based on your medical history.

Sleep protocols,
personalized to you

Fix the root cause

Replace the progesterone and estrogen your body needs for natural, deep sleep.

HRT sleep protocol

Ongoing support

Chat with your care team at any time for support on your sleep journey.

Clinician, certified

Private care. 100% online.

Vetted, licensed providers offer personalized support with every step of your health journey.

Online care platform
Clinical evidence

90%

of menopausal women report
disturbed sleep. HRT treats the cause.*

Get started

*Individual results may vary. Based on published menopause research.

Sleep restoration graphic

3am. Wide awake.
Sheets soaked. Again.

Eyes snap open. Heart racing. Pillow drenched. You throw off the covers, then pull them back. The ceiling stares at you for two hours while your mind races through tomorrow's to-do list. By 6am you're a zombie. You tried melatonin. Magnesium. Sleep hygiene. A white noise machine. Cutting caffeine at noon. None of it works because none of it addresses the actual problem: your progesterone fell off a cliff.

“I haven't slept through the night in two years. I don't even remember what rested feels like.”
-Menopause support community
“The night sweats are so bad I have to change the sheets at 4am. My husband moved to the guest room.”
-Perimenopause forum
“My doctor said ‘try better sleep hygiene.’ I wanted to scream.”
-HealthUnlocked member

Progesterone is your body's natural sleep aid. When it drops during menopause, your sleep architecture collapses. Estrogen decline triggers night sweats that wake you every few hours. No supplement can replace what your body stopped making.

90%
of menopausal women report disturbed sleep
3-4x
more likely to have insomnia during menopause
0
OTC supplements that replace progesterone

How Kina works

Step 1Today

Tell us about your sleep

Answer a few questions about your symptoms, sleep patterns, and medical history. Takes about 5 minutes.

Online intake form
Step 2Within 24 hours

Receive a treatment plan

Your clinician reviews your profile and prescribes the right hormone therapy for your sleep.

Treatment plan review
Step 3Within 2–3 days

Get your medication

Your prescription ships to your door from a licensed pharmacy in discreet packaging.

Medication delivery
Step 4Ongoing

Ongoing care and support

Your care team tracks sleep quality, adjusts doses, and supports you every step.

Chat with clinician

Guided by
menopause-trained clinicians

  • Comprehensive plans for medication + sleep optimization
  • Providers specializing in menopause sleep disruption
  • Licensed clinicians trained in HRT prescribing
Get started
Clinician portrait

Questions you're probably asking.

"I'm worried about HRT and cancer."

The Women's Health Initiative study from 2002 drove fear around HRT for decades. Updated research paints a very different picture. Your clinician will review your personal risk factors and only prescribe what's appropriate for you.

"Isn't this just masking the problem?"

It's the opposite. Melatonin masks the problem. Sleeping pills mask the problem. HRT replaces the hormones your body stopped making — the ones that produced natural deep sleep in the first place. It treats the cause.

"My doctor told me insomnia is just part of aging."

Fewer than 20% of OB-GYNs have training in menopause care. Many women spend years being told their symptoms are "just aging" or "just stress." Broken sleep during menopause is hormonal. It's treatable.

"Is it worth it?"

What is two years of broken sleep costing you? In energy, in focus, in your relationships, in your health? HRT is one of the most studied treatments in medicine, and it's FSA/HSA eligible.

Good to know

Why can't I sleep anymore?

Declining progesterone and estrogen directly disrupt your sleep architecture. Progesterone has a calming, sedative effect. When it drops, sleep fragments. Night sweats and hot flashes make it worse. Hormone therapy addresses this at the root.

Is this a sleeping pill?

No. We don't prescribe sedatives. Our approach restores the hormonal balance that produces natural, deep sleep. Nothing habit-forming. No morning grogginess.

How fast will I notice a difference?

Many women notice improvement in night sweats within the first 1–2 weeks. Deeper, more consistent sleep typically develops over 4–8 weeks as hormone levels stabilize.

What about deeper recovery?

Many of our patients add Sermorelin, a growth-hormone-releasing peptide, for even deeper sleep and physical recovery. Your care team can guide you through that as a next step.

What is the important safety information?

Hormone therapy carries risks that vary by individual. HRT is not appropriate for everyone, including those with a history of blood clots or hormone-sensitive cancers. Your clinician will review your full medical history. Services are provided by independently licensed providers affiliated with Arora Health & Aesthetics, LLC.

Who provides my care?

Our clinical providers are Arora Health & Aesthetics, LLC, located at 300 Lenora Street, Seattle, WA 98121. They can be contacted at medicalcompliance@arorahealthgroup.com. Visit arora-health.com for more information.

Is Kina available in my state?

Services are available only in jurisdictions where affiliated medical providers are licensed to practice and where pharmacy partners are authorized to dispense medications. Availability may vary by state and is subject to applicable laws, regulations, and licensure requirements.

You're not an insomniac.
You're low on progesterone.

Replace it, and most women say the same thing: “I forgot what real sleep felt like.”

Start your visit
No insurance required · FSA/HSA eligible · 100% online