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Fem Excel vs Sesame Care: Which Is Better?

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

Our Verdict

Sesame Care scores higher overall in our independent evaluation (74/100 vs 63.9/100), leading on trust & safety, value, product range, reputation. Fem Excel comes out ahead on experience.

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
74

Pay-per-visit marketplace connecting patients with licensed providers — no subscriptions, transparent per-visit pricing.

Visit Sesame Care

Score Breakdown

DimensionFem ExcelSesame Care
Overall Score63.9/10074/100 ✓
Trust & Safety30%66/10075/100 ✓
Value25%60/10080/100 ✓
Experience20%72/100 ✓70/100
Product Range15%55/10070/100 ✓
Reputation10%64/10070/100 ✓

At a Glance

Founded—2019
HeadquartersCharlotte, NCNew York, NY
Publicly tradedNoNo
Treatment categories26
Treatments listed57
Starting price$108/mo$11/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.

CategoryFem ExcelSesame Care
Women's Health$108–$123
PCOS Support (metformin / spironolactone)
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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 →

Sesame Care

+No subscription required — pay-per-visit model
+Transparent pricing shown before booking
+Wide range of specialties available
−No integrated pharmacy
−Less continuity of care than subscriptions
−Provider quality varies in marketplace model
Read the full Sesame Care review →

Fem Excel vs Sesame Care — FAQ

Is Fem Excel better than Sesame Care?

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Sesame Care scores higher overall in our independent evaluation (74/100 vs 63.9/100), leading on trust & safety, value, product range, reputation. Fem Excel comes out ahead on experience.

Is Fem Excel or Sesame Care cheaper?

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Sesame Care has the lower starting price (from $11/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 Fem Excel and Sesame Care both offer?

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Both platforms treat Women's Health. Fem Excel covers 2 treatment categories total and Sesame Care covers 6.

Still deciding?

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