Physician-led care for perimenopause & menopause
Individualized care for the perimenopause and menopause transition.
Clinical protocols developed and reviewed by a board-certified OB-GYN. Treatment is prescribed only when clinically appropriate following a medical evaluation, and compounded medications are prepared by a licensed pharmacy pursuant to an individual prescription.
How it works
Four steps, starting with a quick quiz.
Take the quiz
A short guided quiz points you to the pathways most relevant to your symptoms and goals.
Complete your intake
A clinical history built for perimenopause and menopause specifically.
Physician review
A licensed physician reviews your history and clinical information and determines which pathways, if any, are appropriate for you.
Protocol & shipment
If treatment is prescribed, your prescription is dispensed by a licensed compounding pharmacy at the dose your physician determines.
Led by a physician
Dr. Philip Deibel, MD
Double board-certified in Obstetrics & Gynecology and in Lifestyle Medicine · Founder, D5 Health · Supervising physician, HerTide Health
Dr. Deibel is a practicing OB-GYN and the founder of D5 Health, a personalized medicine clinic in Raleigh, North Carolina. He is double board-certified in Obstetrics & Gynecology and in Lifestyle Medicine, with advanced training in peptide therapy and hormone therapy.
He earned his MD at Wake Forest School of Medicine and completed his OB-GYN residency at Northwestern's McGaw Medical Center, and brings approximately sixteen years of clinical practice to the stage of life HerTide is built around.
Physician-led. Every HerTide plan is reviewed by a physician before anything is prescribed. HerTide's care is delivered through HerTide Health PLLC, a North Carolina professional limited liability company.
Five pathways
Therapies grouped by clinical area. A physician determines which, if any, are appropriate for you.
Skin & Collagen
Topical formulations including estriol, a form of estrogen; tretinoin, a topical retinoid; and GHK-Cu, a naturally occurring copper-peptide complex. These may be prescribed by a licensed provider when clinically appropriate as part of an individualized treatment plan.
Take the quizHair & Scalp
Oral minoxidil, a vasodilator prescribed off-label for this use, and a topical formulation containing finasteride and minoxidil. Prescribed following clinical evaluation when a provider determines treatment is appropriate.
Take the quizMetabolic Health
Sermorelin and tesamorelin are growth hormone releasing hormone (GHRH) analogs designed to stimulate the body's natural release of growth hormone. Semaglutide and tirzepatide are GLP-1 receptor agonists.
Semaglutide (e.g., Ozempic®, Wegovy®) and tirzepatide (e.g., Mounjaro®, Zepbound®) are FDA-approved for specific indications and are prescribed only when clinically appropriate. Not all patients are candidates. If compounded medications are prescribed, they are not FDA-approved and are prepared by a licensed compounding pharmacy pursuant to a valid prescription. Compounded drugs are not the same as, nor interchangeable with, FDA-approved medications.
Take the quizCognitive Health
NAD+ is a naturally occurring coenzyme involved in cellular metabolism. Low-dose naltrexone is an opioid receptor antagonist prescribed off-label at reduced doses to decrease inflammation. Vitamin B12 and glutathione are administered as injectable formulations. Prescribed following clinical evaluation.
Take the quizSexual Health
PT-141 (bremelanotide) is a melanocortin receptor agonist that acts centrally to support desire. Climax Cream is a separate topical formulation containing sildenafil, a PDE5 inhibitor that acts locally to support arousal and sensation.
Take the quizPrescribed and pharmacy-compounded
How HerTide medications are prescribed and prepared.
Licensed compounding pharmacy
Compounded medications are prepared to your prescription by a licensed U.S. compounding pharmacy.
Physician-guided
A licensed physician reviews your history, determines your protocol, and monitors your response over time.
Prescription required
All prescription products are provided only after a consultation with a licensed medical provider, who determines whether treatment is appropriate based on individual medical history and clinical evaluation.
Compounded medications are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or manufacturing quality before they are marketed.
Simple, additive pricing
One pathway or several, the price scales with you.
- Physician-reviewed intake
- One active protocol
- Ongoing monitoring
- Everything in 1 pathway
- Second protocol added
- Coordinated dosing review
- Everything in 2 pathways
- Third protocol added
- Coordinated multi-protocol review
Each additional pathway beyond three is +$100/mo.
Plans may include compounded medications, which are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or manufacturing quality before they are marketed. Any prescription follows a physician evaluation and is dispensed by a licensed pharmacy.