Oriva

Alive from the inside out.

For women 40–60 who are done being told their symptoms are just part of aging. HRT and GLP-1, prescribed together by clinicians who specialize in midlife.

10 minutes · Card on file · No charge today

  • FDA-approved medications only
  • Licensed clinicians in all 50 states
  • No contracts, cancel anytime
  • HIPAA-protected, always
HRT · GLP-1 · One plan

Every day, 6,000 American women enter menopause. Most are failed by the system.

20%

of OB/GYN residency programs adequately train doctors on menopause care

4 in 10

women say menopause symptoms interfere with work every week

3+

providers most women try before finding real relief

You’ve been told it’s just part of aging. That the weight gain, the fog, the fatigue, the sleepless nights — these are what getting older looks like. That’s not medicine. That’s dismissal. You deserve better.

You’re not broken. Your hormones are.

We start where your symptoms actually start.

Every women’s health brand approaches the female body as something to be corrected — weight to lose, wrinkles to reduce, youth to restore. Oriva is structurally different. We start from within: your hormonal system, your metabolic system, your nervous system. When those are in balance, everything that appears on the outside follows. This is not a marketing angle. It is a clinical truth.

Inside Out

Every protocol starts from within. Hormonal. Metabolic. Neurological. Never surface-first.

Ancient + Precise

The body’s innate intelligence, served by the best of contemporary medicine.

Sovereign

You are not a patient to be managed. You are the authority on your own body.

One plan. One care team. Everything your body needs.

  1. 01

    Complete Your Health Assessment

    Tell us about your symptoms, history, and goals. 10 minutes. No waiting room.

  2. 02

    Meet Your Care Team

    A licensed clinician reviews your intake, orders labs if needed, and designs your personalized plan.

  3. 03

    Begin Your Journey

    FDA-approved medications delivered to your door. Ongoing check-ins, messaging, lab monitoring, plan adjustments.

HRT GLP-1 Weight Management At-Home Labs Unlimited Messaging Plan Adjustments

Premium care. One subscription. No fragmentation.

HRT Care

$89–149/mo

Hormone replacement therapy (estrogen, progesterone, testosterone) + ongoing monitoring.

GLP-1 Weight Management

$149–299/mo

FDA-approved oral or injectable GLP-1 + metabolic support.

⭐ Most Popular

The Whole Woman Plan

$249–399/mo

HRT + GLP-1 + unified care team + at-home labs + unlimited messaging.

Exact pricing confirmed after clinical intake review. Pricing depends on medication selection and lab requirements.

Why We Built This

I was spending $2,000 a month just to feel like myself again. So we built the alternative.

I spent two years writing checks to four different providers. One for hormones. One for weight. One for sleep. One for the anxiety that tied it all together. None of them talked to each other. None of them talked to me — not really.

I’d sit in waiting rooms feeling like I was handing over my credit card and my dignity at the same time. I was 50, gaining weight I couldn’t explain, sleeping three hours a night, and every doctor I saw treated one symptom like it existed in a vacuum. I wasn’t a whole person to any of them. I was a co-pay.

So I started reading. Asking questions nobody wanted to answer. I found the right combination of HRT and GLP-1 medication — and I lost over 40 pounds. But more than that, I started feeling like myself again. Not a younger version. Just — me. Awake. Present. Alive.

Oriva is the thing I wish had existed when I was crying in my car after another dismissed appointment. One team. One plan. Your hormones and your weight, treated like what they are — connected.

I built this for every woman still sitting in that car.

— Richa

R

40+ lbs

her own journey

Richa Badami

Co-Founder & Creative Director

Theater director turned health advocate. Richa lost 40+ lbs on her own HRT and GLP-1 journey — then built Oriva so no woman would have to figure it out alone.

The Clinical Voice

U

Board-Certified · Family Medicine

Chief Medical Officer

Dr. Uldine Castel, MD

Board-certified family medicine physician with deep roots in HIV/AIDS care and women’s health. Dr. Castel joined Oriva as Chief Medical Officer because she believes midlife women deserve the same clinical rigor and coordinated care she’s spent her career demanding.

  • MD, Family Medicine
  • HIV/AIDS Care
  • Women’s Health
  • Midlife Specialty

What you’re probably wondering.

Is this safe?

Yes. All medications are FDA-approved. Every treatment plan is designed by a licensed clinician based on your individual intake and labs. We do not prescribe compounded medications.

Do I need insurance?

No. Oriva is a direct-pay service. No insurance required, no prior authorizations, no referrals.

What if I’m already on HRT?

We welcome women who are already on HRT. Our clinicians will review your current protocol and either continue it or optimize it based on your intake and labs.

How does GLP-1 work for menopause weight gain?

Menopause weight gain is driven by hormonal shifts that change how your body stores fat, especially around the abdomen. GLP-1 medications work on metabolic pathways that are directly affected by this hormonal shift. Combining HRT and GLP-1 addresses both root causes simultaneously.

Will my card be charged when I join the waitlist?

No. We collect your payment information to confirm your spot and make your onboarding seamless when we open — but your card will not be charged until your first treatment plan is active. We’ll notify you before any charge.

When will I hear back?

We’re onboarding women in cohorts to ensure every member gets the attention she deserves. You’ll receive a confirmation email immediately, and a personal outreach from our team within 3–5 business days.

What states do you serve?

We serve all 50 states. Oriva’s clinical care is delivered through OpenLoop Health, whose network of 16,000+ licensed clinicians covers every state in the US.

What is OpenLoop Health?

Oriva’s clinical infrastructure is powered by OpenLoop Health, a leading telehealth platform with 16,000+ licensed clinicians and coverage across all 50 states. You get the care quality of a major health system, delivered with the simplicity of a startup.

You’ve been managing this alone long enough. That ends here.

Join the waitlist. Your assessment takes 10 minutes.

Card on file · No charge today