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Evolve Telemedicine vs Fem Excel: Which Is Better?

Head-to-head comparison of Evolve Telemedicine 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

Fem Excel scores higher overall in our independent evaluation (63.9/100 vs 55.3/100), leading on trust & safety, value, experience, reputation. Evolve Telemedicine comes out ahead on product range.

55

A small concierge-style telehealth operator selling compounded hormone, weight-loss, and wellness therapies through a paid membership.

Visit Evolve Telemedicine
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

DimensionEvolve TelemedicineFem Excel
Overall Score55.3/10063.9/100 ✓
Trust & Safety30%55/10066/100 ✓
Value25%48/10060/100 ✓
Experience20%60/10072/100 ✓
Product Range15%65/100 ✓55/100
Reputation10%50/10064/100 ✓

At a Glance

Founded——
HeadquartersBloomfield Hills, MICharlotte, NC
Publicly tradedNoNo
Treatment categories32
Treatments listed55
Starting price$149.99/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.

CategoryEvolve TelemedicineFem Excel
Hormone Therapy$149.99
Baseline Labs
$114–$149
Testosterone for Women (compounded)

Evolve Telemedicine

+Broad concierge-style hormone and wellness menu (BHRT, TRT, thyroid support, peptide therapy, GLP-1 weight loss, sexual wellness, hair) under one membership with a free initial consult.
+Reports (per prior research, not independently verified on-site) shipping compounded medications to patients in all 50 states.
+A majority of Trustpilot reviewers (78% five-star) describe knowledgeable, thorough clinical staff.
−Reviewers report medication price increases of 200-300% within a few months of enrolling, with claims that comparable prescriptions cost significantly less elsewhere.
−Trustpilot sample is small (54 reviews) — too limited to draw strong reputational conclusions despite the 4.1 average.
−Lab result and refill turnaround delays are a recurring complaint, with patients told to request refills 20-25 days in advance to avoid running out.
Read the full Evolve Telemedicine 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 →

Evolve Telemedicine vs Fem Excel — FAQ

Is Evolve Telemedicine better than Fem Excel?

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Fem Excel scores higher overall in our independent evaluation (63.9/100 vs 55.3/100), leading on trust & safety, value, experience, reputation. Evolve Telemedicine comes out ahead on product range.

Is Evolve Telemedicine or Fem Excel cheaper?

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Fem Excel has the lower starting price (from $108/mo vs $149.99/mo for Evolve Telemedicine). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Evolve Telemedicine and Fem Excel both offer?

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Both platforms treat Hormone Therapy. Evolve Telemedicine covers 3 treatment categories total and Fem Excel covers 2.

Still deciding?

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