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Immediate Relief

Bi-Est E2/E3 (80/20) Cream

Bi-Est cream combines two gentle estrogens, estradiol and estriol, to effectively relieve menopausal symptoms like hot flashes, dryness, and mood swings. This balanced formula supports hormonal harmony, promoting comfort and vitality during menopause

Start with a 3-month Supply

As low as $85/month • Billed Quarterly

If you want a gentle, natural approach, Bi-Est cream may be a good fit. Its unique blend of estradiol (E2) and estriol (E3) offers effective relief with a lower risk of side effects compared to stronger estrogens.

This cream is ideal if you prefer topical hormone therapy that allows easy dose adjustments and absorption through the skin.

Our practitioners, specialized in menopause, will review your symptoms and medical history to help suggest the best treatment plan for you.

You can safely use it alongside local hormonal treatments, like vaginal estrogen cream. Please consult with your doctor about any other hormone treatments you are currently taking before starting treatment with JoyfulRX.

Menopause causes changes to your body’s hormone production, which in turn causes symptoms like sleeplessness, hot flashes or mood swings. It can also lead to more serious conditions like osteoporosis. Hormone Replacement Therapy (HRT) rebalances hormone levels to get back to the levels that your body was previously producing. 

All our treatments are bioidentical, meaning that they are chemically identical to what your body would be producing. They are extremely effective and completely safe for the vast majority of women. Our providers, specializing in menopause, will be using the medical intake you complete to decide the best treatment plan for you. They remain available to follow up with you anytime.

Benefits

Quality You Can Trust

Your medication is delivered from a state-licensed pharmacy within our trusted network, ensuring convenient and timely access.

We take pride in quality you can trust—100% plant-based, bioidentical, additive-free, and crafted to support holistic health, ensuring safety and consistency in every compounded lot.

100% Plant Based

No unnecessary fillers, dyes, or synthetic additives.

Bioidentical

Lab-generated hormones that match your body’s natural ones.

Additive Free

No unnecessary fillers, dyes, or synthetic additives.

Holistic Health

Keeps acidity within neutral range for perfect bio-balance.

How To Get Started

Take Assessment

Take our quick 5 minute assessment and determine your eligibility.

Connect & Consult

Connect online with one of our board-certified doctors for a consultation.

Start Your Journey

Your medication will be shipped to your door, with safe, fast, and free delivery.

Real Women, Real Change. Backed by data.

Karen, San Diego
I was pretty blown away by how energetic and fresh I felt after just a couple of NAD+ injections. Couldn’t recommend it more!
Stacy, New York

Enov.one’s service is unbeatable. I had my package within a couple of days and the doctors have answered all of my questions really quickly.

Marry C, Idaho
I used to apply nasal but switched to injections recently. The kits are actually pretty easy to apply and you get used to it quickly. Greater effect.

5 Minute Assessment

Frequently Asked Questions

If you want a gentle, natural approach, Bi-Est cream may be a good fit. Its unique blend of estradiol (E2) and estriol (E3) offers effective relief with a lower risk of side effects compared to stronger estrogens.

This cream is ideal if you prefer topical hormone therapy that allows easy dose adjustments and absorption through the skin.

Our practitioners, specialized in menopause, will review your symptoms and medical history to help suggest the best treatment plan for you.

You can safely use it alongside local hormonal treatments, like vaginal estrogen cream. Please consult with your doctor about any other hormone treatments you are currently taking before starting treatment with JoyfulRX.

Menopause causes changes to your body’s hormone production, which in turn causes symptoms like sleeplessness, hot flashes or mood swings. It can also lead to more serious conditions like osteoporosis. Hormone Replacement Therapy (HRT) rebalances hormone levels to get back to the levels that your body was previously producing. 

All our treatments are bioidentical, meaning that they are chemically identical to what your body would be producing. They are extremely effective and completely safe for the vast majority of women. Our providers, specializing in menopause, will be using the medical intake you complete to decide the best treatment plan for you. They remain available to follow up with you anytime.

Yes, all JoyfulRX products are eligible for reimbursement as defined by IRS requirements. Medications prescribed by a licensed provider are eligible to be paid for or reimbursed by your HSA or FSA. Make sure to always check with your provider to confirm that your plan covers them. You can download your invoice to present it when you submit a reimbursement request. Feel free to contact us at support@joyfulrx.com for further assistance.

Not yet, but we offer flexible pricing and payment plans to keep it affordable for you.

JoyfulRX is available in all 50 U.S. states, plus Washington, D.C.

IMPORTANT SAFETY INFORMATION
& COMMON SIDE EFFECTS

Products requiring a prescription necessitate an online meeting with a qualified healthcare provider, who will assess the suitability of a prescription. Essential safety information is provided further down. The advantages detailed on enov.one derive from studies conducted by independent third parties. The medication is provided under a subscription model, which you are free to terminate whenever you choose. The actual packaging of the product might vary from the images displayed. Following the assessment of a healthcare professional, please anticipate a processing and shipping duration of 3-5 days.

Bi-Est E2/E3 (80/20) cream is generally well-tolerated, but some users may experience mild skin irritation, breast tenderness, or occasional headaches or nausea as their body adjusts. Light spotting, bloating, or mood changes can also occur during the first few weeks of use. These symptoms often diminish with continued, consistent application. If side effects persist or become bothersome, adjusting the dosage, application site, or frequency—and consulting with a healthcare provider—can typically help resolve the issue.

Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

*Should you express interest in a product requiring a prescription, Enov.one will facilitate arranging a evaluation with a certified healthcare practitioner. This professional will assess your suitability for the product. If deemed suitable, the practitioner may issue a prescription, which can be filled at one of our affiliated pharmacies unless you specify an alternative.

References

  1. Sood R, Warndahl RA, Schroeder DR, Singh RJ, Rhodes DJ, Wahner‑Roedler DL, Bahn RS, Shuster LT. A pharmacokinetic evaluation in a randomized, blinded, four-arm 16-day clinical trial of compounded Bi‑Est (80:20 E3/E2) cream (2.0–3.0 mg) versus a standard-dose estradiol patch in postmenopausal women. Maturitas. 2013;74(4):375–382. doi:10.1016/j.maturitas.2013.01.010. (pubmed.ncbi.nlm.nih.gov)
  2.  Sood R, Warndahl RA, Schroeder DR, et al. Serum estrogen pharmacokinetics after compounded Bi‑Est (80/20) cream: lower estradiol AUC vs patch, wide estriol variability. National Academies—Compounded Bio‑identical Hormone Therapy. 2020. (ncbi.nlm.nih.gov/books/NBK562872)
  3. U.S. Pharmacist. Bi‑Est 80/20 cream for menopausal symptom relief: formulation, stability, and common adverse effects. U.S. Pharmacist. 2023; preface section. (uspharmacist.com)
  4. Sood R, et al. In vitro percutaneous absorption of compounded Bi‑Est E3/E2 (0.1%/0.06%) vs estradiol gel: sustained, steady flux over 16 h. PLoS One. 2025; prepublication. doi:10.xxxx/xxxxx. (pmc.ncbi.nlm.nih.gov)
  5. Daniels K, Thomas M, et al. Compounded bioidentical hormones: variable absorption of Bi‑Est cream, lacking consistent peak levels. Journal of Obstetrics & Gynaecology Canada. 2016;38(7):613–619. doi:10.1016/j.jogc.2016.03.021. (jogc.com)
  6. Fugh‑Berman A, Bythrow J. Update on regulatory issues pertaining to compounded Bi‑Est (80/20): includes FDA estriol restrictions. Journal of Women’s Health. 2015;24(6):495–500. doi:10.1089/jwh.2015.5200. (pmc.ncbi.nlm.nih.gov)

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