Inside Out
Every protocol starts from within. Hormonal. Metabolic. Neurological. Never surface-first.
Oriva · Women’s Telehealth for Midlife
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
Why Oriva Exists
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.
The Inside-Out Difference
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.
Every protocol starts from within. Hormonal. Metabolic. Neurological. Never surface-first.
The body’s innate intelligence, served by the best of contemporary medicine.
You are not a patient to be managed. You are the authority on your own body.
How It Works
01
Tell us about your symptoms, history, and goals. 10 minutes. No waiting room.
02
A licensed clinician reviews your intake, orders labs if needed, and designs your personalized plan.
03
FDA-approved medications delivered to your door. Ongoing check-ins, messaging, lab monitoring, plan adjustments.
What’s Included
$89–149/mo
Hormone replacement therapy (estrogen, progesterone, testosterone) + ongoing monitoring.
$149–299/mo
FDA-approved oral or injectable GLP-1 + metabolic support.
⭐ Most Popular
$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 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
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
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.
Questions
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.
No. Oriva is a direct-pay service. No insurance required, no prior authorizations, no referrals.
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.
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.
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.
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.
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.
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.
Join the waitlist. Your assessment takes 10 minutes.
Card on file · No charge today