HRT › Head-to-head comparison
Winona vs Gennev
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Winona — 8.1/10 vs 8/10, $200/yr cheaper
★ Our Pick
Winona
$99/mo — bioidentical HRT shipped to your door
8.1/10
Monthly
$99/mo
True Annual
$1,188/yr
Labs
✗ Extra
States
Most states
Pros
✓Bioidentical compounded hormones
✓No lab testing required
✓Fast onboarding
Cons
✗No labs included
✗Cream or pill only
VS
Gennev
OB/GYN-led menopause care with education focus
8/10
Monthly
$99/mo
True Annual
$1,388/yr
Labs
✗ Extra
States
Most states
Pros
✓OB/GYN led care
✓Menopause-specialist clinicians
✓Education-first approach
Cons
✗Labs not included
✗Higher than budget options
Side-by-side comparison
| Feature | Winona | Gennev |
|---|---|---|
| Monthly price | $99/mo | $99/mo |
| True annual cost | $1,188/yr | $1,388/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | cream, pill | patch, cream, pill |
| Editorial score | 8.1/10 | 8/10 |
| Trustpilot | 4.4★ | 4.3★ |
| State availability | Most US states | Most US states |
Our verdict
Winona (8.1/10) is our pick over Gennev (8/10) for most patients. At $1,188/yr vs $1,388/yr, Winona saves you $200 per year.
Gennev may be a better fit if you want more delivery options (patch, cream, pill). Both clinics require a prescription and blood work before starting treatment.
More HRT comparisons
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$99/mo vs $0/mo · 8.1 vs 9.1 score
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$99/mo vs $49/mo · 8.1 vs 8.4 score
Winona vs Sesame Care
$99/mo vs $16/mo · 8.1 vs 8.3 score
Winona vs Evernow
$99/mo vs $35/mo · 8.1 vs 7.9 score
Gennev vs Midi Health
$99/mo vs $0/mo · 8 vs 9.1 score
Gennev vs Alloy
$99/mo vs $49/mo · 8 vs 8.4 score