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Fem Excel vs Winona: Which Is Better?

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

Our Verdict

Winona scores higher overall in our independent evaluation (74.5/100 vs 63.9/100), leading on trust & safety, value, experience, product range, reputation.

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
75
Winona
Good

Women-focused telehealth delivering personalized bioidentical hormone replacement therapy for menopause, with in-house compounding pharmacies across 33 states.

Visit Winona

Score Breakdown

DimensionFem ExcelWinona
Overall Score63.9/10074.5/100 ✓
Trust & Safety30%66/10070/100 ✓
Value25%60/10075/100 ✓
Experience20%72/10085/100 ✓
Product Range15%55/10065/100 ✓
Reputation10%64/10080/100 ✓

At a Glance

Founded—2020
HeadquartersCharlotte, NCAustin, TX
Publicly tradedNoNo
Treatment categories25
Treatments listed512
Starting price$108/mo$9/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 ExcelWinona
Women's Health$108–$123
PCOS Support (metformin / spironolactone)
$9
DHEA Capsules
Hormone Therapy$114–$149
Testosterone for Women (compounded)
—

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 →

Winona

+Vertically integrated: in-house compounding pharmacies, proprietary EHR, employed physicians
+Strong patient satisfaction: 4.6/5 Trustpilot with 6,000+ reviews, 80% report symptom relief in 3 months
+Accessible pricing: $54-$149/mo for core HRT with free consultations and shipping
−Billing runs every 28 days on monthly supplies, which is 13 charges a year rather than 12
−Six of the hormone products and DHEA are advertised as a 'from' price, with dose-level pricing visible only after an intake, so the figures here are floors rather than what most patients pay
−No insurance billing — entirely out-of-pocket (though HSA/FSA accepted)
Read the full Winona review →

Fem Excel vs Winona — FAQ

Is Fem Excel better than Winona?

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Winona scores higher overall in our independent evaluation (74.5/100 vs 63.9/100), leading on trust & safety, value, experience, product range, reputation.

Is Fem Excel or Winona cheaper?

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Winona has the lower starting price (from $9/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 Winona both offer?

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Both platforms treat Women's Health, Hormone Therapy. Fem Excel covers 2 treatment categories total and Winona covers 5.

Still deciding?

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