Cognitive Health During Menopause

Brain First Menopause Care. Developed by a Neurologist.

It's Not Stress.
It's Your Brain on Menopause.
And It's Treatable.

What symptoms
are you experiencing?

PearlPAK® improves…

Built for Women.
By a Woman.

“As both a woman and a neurologist, I witnessed firsthand how women’s cognitive struggles during menopause were too often dismissed or misunderstood. That experience inspired me to dedicate my mission to changing this narrative and ensuring women’s voices and health are taken seriously.”

Science-backed. Woman-led. Made for you.

PearlPAK®

Designed and Timed to Mirror A Woman’s Natural Cycle.

PearlPAK® supports the body with estriol and progesterone, to protect against difficulties with memory and concentration that can occur during menopause.

Targets the Brain

We use systemic estriol, not estradiol, that targets the brain with less unwanted binding to breast tissue

Clinically Backed

PearlPAK® was developed through decades of NIH funded research

40 years of safety data

Our patented combination of hormones has been used safely in Europe for decades

Natural and Standardized

We use bioidentical hormones from nationally recognized and regulated pharmacies

Women Deserve Better Menopause Support

We believe menopause care should be rooted in science, compassion, and respect. Too many women are left untreated or under-treated, which is why our concierge team will be with you every step of the way.

Women in Menopause who experience Brain Fog.

OB-GYN residents who feel prepared to treat symptoms of menopause

Women in menopause who receive treatment for their symptoms

women who’s symptoms of menopause are dismissed by their provider

We Do Things Differently.

CleopatraRX / other brands

Targets Cognitive Health

For memory, focus & clarity in peri + menopause

Unique Estriol Formulation

With estriol + progesterone for balanced support

Founded by a Neuroscientist

Dr. Voskuhl, expert in women’s brain health

Prescription-Only for Safety

Personalized telehealth care with licensed clinicians

Flat, Transparent Pricing

$147/month, prescription & delivery included

Neuroscientist Formulated

NIH Research Backed

Bioidentical

Clinically Tested

Personalized

Doctor Recommended

Getting back to
clarity starts here.

Take the First Step

Start by completing our Brain Fog Assessment or scheduling a quick consult with a nurse. It only takes 2 minutes to begin your journey to mental clarity.

Talk with a Nurse

During your nurse consultation, we’ll review your symptoms, health history, and answer any questions. This helps ensure PearlPAK® is the right fit for you.

Get Your Personalized PearlPAK®

If approved, your prescription will be sent to a licensed pharmacy—and then shipped straight to your door. No pick-up necessary. Simple, convenient, and made just for you.

12 months of concierge tailored care evolving as your needs do.

With PearlPAK® you’ll have 24/7 access to our menopause trained medical staff. Take the first step toward mental clarity.

First Consultation

Day 1

PHASE 1

Nurse consult reviews your health, answers questions, and confirms if PearlPAK® is right for you.

Better Sleep, Less Heat

3 Month

PHASE 2

Hot flashes and night sweats improve with 3 months of consistent use at proper doses.

Physical Comfort Improves

4-6 Month

PHASE 3

Vaginal dryness and urinary urgency improve with 4-6 months of consistent use.

Your Mind Returns

12 Month

PHASE 4

Symptoms of menopausal brain fog begin to improve by 12 months.

Most women notice meaningful changes within the first 3-6 months

12 months of tailored care, evolving as your needs do.

You’re not imagining it. Brain fog, forgetfulness, and mental fatigue during menopause are real—and you deserve a solution made just for you. Take the first step toward mental clarity.

Consultation

Day 1

PHASE 1

Nurse consult reviews your health, answers questions, and confirms if PearlPAK®
is right for you.

Vasomotor

3 Month

PHASE 2

Hot flashes and night sweats improve with 3 months of consistent use at proper doses.

Genitourinary

4-6 Month

PHASE 3

Vaginal dryness and urinary urgency improve with 4-6 months of consistent use

Cognitive

12 Month

PHASE 4

Symptoms of menopausal brain fog begin to improve by 12 months

Testimonials

What Happens When You Finally Get the Right Treatment

“Playing brain games solving puzzles have always been fun for me, but I noticed my brain felt tired and I lacked focus. After taking PearlPAK® , my concentration significantly improved. My focus is now increased and I’m tackling business challenges more easily. I’m back to playing my games and loving it!”

~ Diane M. ~

“I was losing my train of thought and could not find the right words. With PearlPAK® treatment, I now have no issue with making my points flow smoothly despite interruptions. I also have my full vocabulary back and readily available for use.”

~ Kathleen R. ~

“I had noticed my wife’s quick wit had diminished. Sometime after she started taking PearlPAK® , her quick wit gradually returned. She makes me laugh again.”

~ Robert S. ~

HRT Smart™

Not sure if it’s brain fog?

Take our Menopause Brain Fog Assessment to see if you have brain fog. It only takes 2 minutes.

Dr. Voskuhl On Oprah:
The Menopause Revolution

Watch Dr. Voskuhl on Oprah discussing cognitive decline in women during menopause. To watch the full conversation, “An Oprah Special: The Menopause Revolution” is streaming now on Hulu and Disney+.

Clarity is Possible — and It Starts with a Doctor Who Gets You

You’re not imagining it. Brain fog, forgetfulness, and mental fatigue during menopause are real—and you deserve a solution made just for you.

Take the first step toward mental clarity.

Brain First Menopause Care. Developed by a Neurologist.

It's Not Stress. It's Your Brain on Menopause.And It's Treatable.

What symptoms are you experiencing?

Built for Women. By a Woman.

Science-backed. Woman-led. Made for you.

PearlPAK®

Designed and Timed to Mirror A Woman’s Natural Cycle.

Targets the Brain

Clinically Backed

40 years of safety data

Natural and Standardized

Women Deserve Better Menopause Support

We Do Things Differently.

Targets Cognitive Health

Unique Estriol Formulation

Founded by a Neuroscientist

Prescription-Only for Safety

Flat, Transparent Pricing

Getting back to clarity starts here.

Take the First Step

Talk with a Nurse

Get Your Personalized PearlPAK®

12 months of concierge tailored care evolving as your needs do.

First Consultation

Day 1

PHASE 1

Better Sleep, Less Heat

3 Month

PHASE 2

Physical Comfort Improves

4-6 Month

PHASE 3

Your Mind Returns

12 Month

PHASE 4

12 months of tailored care, evolving as your needs do.

Consultation

Day 1

PHASE 1

Vasomotor

3 Month

PHASE 2

Genitourinary

4-6 Month

PHASE 3

Cognitive

12 Month

PHASE 4

Testimonials

What Happens When You Finally Get the Right Treatment

HRT Smart™

Not sure if it’s brain fog?

Dr. Voskuhl On Oprah: The Menopause Revolution

Clarity is Possible — and It Starts with a Doctor Who Gets You

Black Friday Sale Alert

40% OFF

It's Not Stress.
It's Your Brain on Menopause.
And It's Treatable.

What symptoms
are you experiencing?

Built for Women.
By a Woman.

Getting back to
clarity starts here.

Dr. Voskuhl On Oprah:
The Menopause Revolution