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Effecty vs Fem Excel: Which Is Better?

Head-to-head comparison of Effecty and Fem Excel based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Effecty scores higher overall in our independent evaluation (66.8/100 vs 63.9/100), leading on value, product range. Fem Excel comes out ahead on trust & safety, reputation.

67

New York-based cash-pay telehealth brand selling compounded GLP-1s, longevity injectables (NAD+, sermorelin, glutathione) and estradiol HRT with no membership fee and published tiered pricing.

Visit Effecty
64

Women's bioidentical hormone therapy arm of Excel Medical (sister brand of Male Excel), pairing a $99/mo membership with separately billed compounded estradiol, progesterone, testosterone and thyroid.

Visit Fem Excel

Score Breakdown

DimensionEffectyFem Excel
Overall Score66.8/100 ✓63.9/100
Trust & Safety30%60/10066/100 ✓
Value25%76/100 ✓60/100
Experience20%72/10072/100
Product Range15%66/100 ✓55/100
Reputation10%55/10064/100 ✓

At a Glance

Founded2024—
HeadquartersNew York, NYCharlotte, NC
Publicly tradedNoNo
Treatment categories42
Treatments listed95
Starting price$55/mo$108/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryEffectyFem Excel
Hormone Therapy$55–$180
Estradiol (tablet, cream or patch) + Progesterone
$114–$149
Testosterone for Women (compounded)
Women's Health—$108–$123
PCOS Support (metformin / spironolactone)

Effecty

+No membership fee, and prices are published per product and don't change with dose (semaglutide $130–$170/mo, tirzepatide $190–$235/mo)
+Card is held, not charged, until a prescription is written; shipping is free and expedited
+4.6/5 on Trustpilot across ~1,300 reviews, most citing fast support responses
−Only operating since November 2024; BBB rating is B with three closed complaints
−Visits are chat-only, and the compounding pharmacies are not named on the site
−Lowest advertised prices require 12-month prepayment; month-to-month runs 25–30% higher
Read the full Effecty review →

Fem Excel

+Medication prices are published per drug ($50/mo core hormones, testosterone from $15/mo, metformin from $24/mo)
+Full women's hormone menu including testosterone and thyroid, plus metformin and spironolactone for PCOS
+Consistent patient sentiment (4.5/5 Trustpilot on about 820 reviews) and the company answers 95% of negative reviews
−Mandatory $99/mo membership stacks on top of medication, so a two-hormone regimen is about $199/mo before shipping
−Medications are billed every two months, doubling each charge
−Unavailable in AK, AR, CT, HI, ID, LA, MS, NH and RI
Read the full Fem Excel review →

Effecty vs Fem Excel — FAQ

Is Effecty better than Fem Excel?

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Effecty scores higher overall in our independent evaluation (66.8/100 vs 63.9/100), leading on value, product range. Fem Excel comes out ahead on trust & safety, reputation.

Is Effecty or Fem Excel cheaper?

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Effecty has the lower starting price (from $55/mo vs $108/mo for Fem Excel). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Effecty and Fem Excel both offer?

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Both platforms treat Hormone Therapy, Women's Health. Effecty covers 4 treatment categories total and Fem Excel covers 2.

Still deciding?

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