Is Sesame legit?
Checked · by Julian Caraulani, reviewed by Dr. A. Goher, MBBS
Quick answer
Yes, by the public record we checked, Sesame is a real online program: a licensed clinician reviews your health history and decides whether to prescribe. We searched the FDA warning-letter database on October 26, 2026 and found no letter naming Sesame. On Trustpilot it scores 4.6/5 from 4,579 reviews. It does not publish an all-in monthly price. Cancellation: No refund for the first month after the first visit.
- FDA warning letters
- None found (October 26, 2026)
- Trustpilot
- 4.6/5, 4,579 reviews
- Lowest all-in plan
- Not published
- Medication
- FDA-approved + compounded
- States
- Not confirmed: no state list found on its own site (2026-10-29)
- Our score
- 6.6/10, #6 of 11
Sesame
Medication billed separately · Consultation: Included in the subscription · Cancellation: No refund for the first month after the first visit
The public record
We searched the FDA warning-letter database on October 26, 2026 and found no letter naming Sesame.
- No FDA warning letter found
- Medication type stated: FDA-approved + compounded
- No all-in price published
- States its cancellation terms
Compounded medication is prepared by a pharmacy and is not FDA-approved as a finished product. As with any online program, confirm a licensed clinician reviews your intake and that the dispensing pharmacy is licensed.
What customers say
On Trustpilot, Sesame scores 4.6/5 from 4,579 reviews.
Recurring complaints are the useful signal, more than the average. Where a theme is price, compare it with the dated prices below.
Read the reviews →What Sesame charges
| Plan | Per month |
|---|---|
Menopause subscription Video visits and messaging; medication paid at the pharmacy source, 2026-10-26 | $59 plus add-ons |
- Medication in price
- Extra
- Consultation
- Included in the subscription
- Membership
- $59/month
- Labs
- Basic labs mentioned
- Insurance
- No (superbills for HSA/FSA)
- Cancellation
- No refund for the first month after the first visit
The trade-offs
In its favour
- Low monthly subscription
- Video visits
- Mostly FDA-approved prescriptions
To weigh
- Medication is extra
- Doesn't bill insurance
- Provider availability varies by area
Higher-scored programs we also track
Scored on the same five criteria as Sesame (6.6/10). See the full ranking.
What we could not verify
- The $59 price is from secondary sources; it loads after the page renders
- Medication prices not confirmed
Ready to check Sesame yourself?
Prices are on its site. A clinician decides whether treatment is right for you.
Visit SesameCommon questions
Is Sesame legit?
Yes, by the public record we checked, Sesame is a real online program: a licensed clinician reviews your health history and decides whether to prescribe. We searched the FDA warning-letter database on October 26, 2026 and found no letter naming Sesame. On Trustpilot it scores 4.6/5 from 4,579 reviews. It does not publish an all-in monthly price. Cancellation: No refund for the first month after the first visit.
Is Sesame a scam?
We searched the FDA warning-letter database on October 26, 2026 and found no letter naming Sesame. Sesame publishes its prices and its cancellation terms on its own site, and a licensed clinician decides whether to prescribe. Our score for it is 6.6/10 on the same five criteria we use for every program.
How much does Sesame really cost?
Sesame does not publish an all-in monthly price; you see it after the consultation.
Is the medication included in Sesame's price?
No, medication is billed on top of the membership or visit fee.
Does Sesame use FDA-approved or compounded medication?
FDA-approved + compounded. Compounded drugs are prepared by a pharmacy and are not FDA-approved as finished products.
Can I cancel Sesame?
No refund for the first month after the first visit.
How did HRT Watchdog check Sesame?
We read its own pricing pages and date every price, search the FDA warning-letter database with a control term that must return results, and record its public review score where one exists. Commission plays no part in its score.