The best GLP-1 for women — judged on the questions we actually have.

1. #1

   Mama-Match

   Gala Health

   Featured on this board

   $179/mo for either medication, flat across doses, with a genuinely gentle microdose tier — if you can live with an annual plan and a pharmacy it will not name.

   Semaglutide:

   $179/mo

   Tirzepatide:

   $179/mo

   States:

   All 50 states (as advertised)

   Visit Gala Health ↗Read the full review →
2. #2

   Mama-Match

   Sesame

   Brand only: Wegovy pill from about $149/mo, Zepbound about $349–$499/mo, with a real video visit — pricier and with more moving parts than a flat compounded plan, but transparent.

   Semaglutide:

   Brand only (Wegovy pill from ~$149/mo)

   Tirzepatide:

   Brand only (Zepbound ~$349–$499/mo)

   States:

   All 50 states

   Visit Sesame ↗Read the full review →
3. #3

   Mama-Match

   Enhance MD

   $249/mo semaglutide, $329/mo tirzepatide with no commitment ($212 and $280 on the 12-month plan), a named Medical Director and a real video visit before anything is prescribed.

   Semaglutide:

   $249/mo with no commitment ($212/mo on the 12-month plan)

   Tirzepatide:

   $329/mo with no commitment ($280/mo on the 12-month plan)

   States:

   40 states + DC (not AL, AR, GA, HI, LA, MS, MO, ND, SC, TN)

   Visit Enhance MD ↗Read the full review →
4. #4

   Mama-Match

   Willow

   Injections from $299 and $399/mo, with higher dose tiers; compounded tablets, named doctors and coverage in 36 states.

   Semaglutide:

   From $299/mo depending on dose

   Tirzepatide:

   From $399/mo depending on dose

   States:

   36 states (not AL, AK, AR, DE, KS, LA, MS, ND, NM, RI, SD, UT, VT, WV)

   Visit Willow ↗Read the full review →
5. #5

   Mama-Match

   Luvo Health

   Semaglutide is $209 and tirzepatide $249 every four weeks after the first-cycle discount. Cancellation requires 72 hours’ notice.

   Semaglutide:

   $209 every 4 weeks; $104.50 initially

   Tirzepatide:

   $249 every 4 weeks; $124.50 initially

   States:

   Depends on licensing, pharmacy and medication; confirm your state

   Visit Luvo Health ↗Read the full review →
6. #6

   Mama-Match

   yourEra

   yourEra advertises semaglutide from $79 and tirzepatide from $159 with care and shipping included; confirm your refill amount and schedule.

   Semaglutide:

   From $79/mo

   Tirzepatide:

   From $159/mo

   States:

   50-state network; treatment availability varies

   Visit yourEra ↗Read the full review →
7. #7

   Mama-Match

   Oak

   Oak advertises treatment from $119 and compounded and branded options; confirm the product, total and renewal before paying.

   Semaglutide:

   Total varies by product and plan

   Tirzepatide:

   Total varies by product and plan

   States:

   Confirm your product’s availability in your state

   Visit Oak ↗Read the full review →
8. #8

   Mama-Match

   Bodybuilding Health+

   Introductory and bundled compounded treatment offers; clarify conflicting prices, renewal and refunds before paying.

   Semaglutide:

   Varies; ongoing price unconfirmed

   Tirzepatide:

   Varies; ongoing price unconfirmed

   States:

   Certain states; confirm availability with support

   Visit Bodybuilding Health+ ↗Read the full review →
9. #9

   Mama-Match

   Found Health

   Semaglutide $289 and tirzepatide $359 every 4 weeks, including medication, care and membership. Discounts have conditions; brand medication costs extra.

   Semaglutide:

   $289 per 4 weeks ($179 introductory; $169 on the 12-month commitment plan)

   Tirzepatide:

   $359 per 4 weeks ($219 introductory; $239 on the 12-month commitment plan)

   States:

   Compounded treatment is not available in all states; confirm your treatment

   Visit Found Health ↗Read the full review →
10. #10

    Mama-Match

    Strut Health

    Strut advertises semaglutide from $129 and tirzepatide from $149, with oral options; FDA issued a warning letter in February 2026.

    Semaglutide:

    From $129/mo; oral $199/30 days

    Tirzepatide:

    From $149/30 days with auto refill

    States:

    Availability depends on state and treatment

    Visit Strut Health ↗Read the full review →

GLP-1 and women's health, answered

Do GLP-1 medications help with PCOS and insulin resistance?

PCOS requires a clinical discussion, not a provider ranking. Ask what evidence supports the exact treatment being considered, how your other medicines and pregnancy plans affect it, and whether you need specialist follow-up. Appearing on this list does not verify that a program offers specialist PCOS care.

Can I take a GLP-1 while I'm on hormonal birth control?

Ask your prescriber, because the answer depends on the medication. Tirzepatide's labeling advises women using oral contraceptives to switch to a non-oral method, or add a barrier method, for four weeks after starting and after each dose increase — because these medicines slow stomach emptying, which can affect how a pill is absorbed. Semaglutide's labeling does not carry that same instruction. Either way, tell the clinician exactly what you use.

Will a GLP-1 change my period?

Possibly, and we would rather be honest that this is under-studied. Cycle changes are not a listed side effect, but weight loss and improved insulin sensitivity can shift cycles on their own — women with PCOS in particular sometimes find that ovulation returns and periods become more regular. That is worth knowing for a second reason: a cycle that becomes predictable again can mean fertility returns sooner than expected.

What if I'm trying to get pregnant, or might be?

Pregnancy and breastfeeding need separate discussions with your clinician. GLP-1 weight-loss treatment is not recommended during pregnancy. During breastfeeding, the exact drug and formulation matter: Wegovy tablets are not recommended because of the SNAC absorption ingredient. Injectable semaglutide and tirzepatide labels call for weighing benefits, risks and the limits of infant-safety data; they do not establish that treatment is safe for every nursing parent. Compounded products do not inherit FDA approval from the branded drug. Discuss your own medication and timing before starting or changing treatment.

Does a GLP-1 work differently in perimenopause?

There is no good evidence that it works less well, and no good evidence that it is a treatment for menopausal weight change either — that research simply has not been done at the size it deserves. What we do know is that shifting hormones, sleep and muscle loss all affect this decade, so protecting muscle with protein and strength work matters more, not less. A clinician who knows where you are in that transition is worth more than any ranking.

Rankings reflect our published methodology. This page is informational and is not medical advice; compounded medications are not FDA-approved brand-name products. See our medical disclaimer.