Fountain vs. Hers vs. Winona: Which Is My Go-To for Menopause HRT?

I hit 52 and realized I couldn’t outwork menopause. The sleep disruptions, the brain fog, the energy that used to carry me through the day, gone by mid-afternoon. I knew exactly what was happening, and I knew pushing through wasn’t a solution.

Hormone Replacement Therapy addresses the hormonal changes driving those symptoms. So I did what I always do: I researched. I spent months evaluating three of the most talked-about HRT platforms: Fountain, Winona, and Hers. 

Here’s what I found:

If You Want HRT That Actually Customizes Your Doses to Your Symptoms… Choose Fountain

Most HRT platforms work like this: you answer a questionnaire, you get a protocol, done. 

Fountain is different. After a thorough intake and video visit, your provider builds a Hormone Therapy Kit around your specific symptoms and goals – not a standard package with your name on it. And as things shift (because they will), your protocol shifts with you. 

Hers and Winona offer some degree of personalization, but the level of individual attention at Fountain is a different tier.

If You Want HRT That Includes Testosterone (Not Just Estrogen)… Choose Fountain

This ended up being a major differentiator. Treating menopause effectively isn’t about replacing one hormone; it’s about the full picture.

I recently learned that not only do women’s testosterone levels decrease in menopause, but testosterone also plays a significant role in energy, mood, motivation, and libido. 

Most menopause platforms focus on estrogen and progesterone, but don’t offer support for testosterone, which can lead to lingering symptoms. Fountain is one of the few platforms that incorporates testosterone into a fully customized protocol when appropriate, individually dosed and monitored as part of a broader plan. 

Hers and Winona largely stay focused on estrogen and progesterone, which works for some women, but may leave part of the picture unaddressed. 

If You’re Looking for the Fastest Start… Choose Hers

If speed is the priority, Hers has the edge. Quick intake, minimal touchpoints, fast path to treatment. 

Fountain is still efficient – assessment, video visit, and your treatment can ship within days, if medically appropriate – but the added steps are intentional. If you want the most straightforward entry point, Hers wins that category.

If You Want Ongoing Adjustments (Not a One-Time Prescription)… Choose Fountain

Hormones shift. What works in month one may need adjusting by month four. 

Fountain providers review how you’re feeling through regular check-ins and video visits, fine-tuning your protocol over time – not just setting it and walking away (like Hers and Winona). That’s what made the biggest difference for me.

If You Want 24/7 Access to Real Providers… Choose Fountain

When something feels off at 11pm, you don’t want to wait three business days for a reply. 

Fountain offers 24/7 text support plus face-to-face video visits, and I’ve never waited more than 5 minutes for a reply. 

Winona offers physician messaging, but it’s less timely. Hers is growing fast in this space, but their support infrastructure is still catching up.

The Ultimate Winner… Fountain

After months of comparing platforms, reading fine print, and actually going through the process, here’s what I know: the difference between Fountain and the others isn’t one feature. It’s the philosophy. Most platforms are built to get you started.

Fountain is built to get you better. For women who’ve spent years being told their symptoms are normal, or manageable, or just part of aging – that distinction matters more than any comparison chart can capture. I’m not the same person I was at 52. That’s not nothing.