Menopause and hormone care
Hormone care that takes the time it deserves.
Unhurried visits with a physician who knows your history, labs read in full, and every treatment decided together. No template, no rush.
Three stages, one plan
Where you are shapes what care looks like.
Perimenopause, menopause and the years after each ask different questions. Choose a stage to see what changes and what care may include.
Symptom tracker
Track what you notice. Bring it to your visit.
Tap the symptoms you have noticed, then rate each from 1 to 5. Nothing here is a diagnosis. It gives your physician a clear starting point.
Symptoms
Select as many as apply.
No symptoms selected yet. Choose one above to rate its severity.
Treatment options
Hormone and non-hormonal paths, weighed one by one.
Each path has a place and a set of trade-offs. Your physician reviews them against your symptoms, history and labs.
Estradiol
Considered when: hot flashes, night sweats, sleep disruption, vaginal symptoms or bone protection are part of the picture.
- Oral tablet
- Transdermal patch or gel
- Low-dose vaginal cream, tablet or ring for local symptoms
Route, dose and form change how the body absorbs estradiol. Clotting and other risks differ by route.
Progesterone
Considered when: you still have a uterus and take estrogen. Progesterone protects the uterine lining.
- Micronized progesterone
- Timing and schedule set by the physician
- Not generally needed after a hysterectomy when estrogen is used alone
Side effects such as drowsiness or breast tenderness are common and often change with dose or timing.
Non-hormonal
Considered when: estrogen is not appropriate, not preferred, or as an addition to other care.
- Prescription non-hormonal medicines for hot flashes
- Cognitive behavioral therapy for sleep and mood
- Vaginal moisturizers, lubricants and pelvic floor therapy
Effects vary person to person. Some options carry their own interaction and side effect profiles.
A clinician decides. Options are weighed against your health history, labs, age, time since menopause and personal preferences. No single option is right for everyone.
Longevity and peptides
Clinician-guided, where appropriate. Evidence still emerging.
Some patients ask about longevity-focused options. We discuss them openly, review the evidence honestly and only consider them after a clinician has reviewed your full history and labs.
Sermorelin
A synthetic analog of growth hormone releasing hormone. It is studied mainly in small trials, and long-term outcome data are limited.
- What a clinician reviews
- Current hormone status, metabolic labs, medications and goals.
- Form
- Injectable. Compounded versions are not FDA-approved.
Not FDA-approved in compounded form. No efficacy is promised. Eligibility is always decided by a licensed clinician.
NAD+
A coenzyme involved in cellular energy metabolism. Human outcome data for supplemental NAD+ are still limited and mixed.
- What a clinician reviews
- Kidney and liver function, current supplements and the reason for interest.
- Form
- Injection or infusion. Compounded versions are not FDA-approved.
Not FDA-approved in compounded form. Results vary, and no benefit is promised. A clinician decides whether it fits.
We do not offer efficacy claims for either option. Hormone health, bone and heart health and sleep come first in our planning, and peptides are considered only as an addition when a clinician judges them appropriate.
Comprehensive lab panel
A full picture, read by your physician.
Comprehensive hormone and metabolic panel
Drawn at a partner laboratory and reviewed in full by your physician. Hormone values move across a cycle and across the year, so one result rarely decides care.
Hormones
- EstradiolTrend, not a single value
- FSH and LHRead with symptoms
- Total and free testosteroneWomen and men, reference ranges
- SHBG and DHEA-SBioavailable hormone context
- ProgesteroneWhen clinically relevant
Thyroid, metabolic and heart
- TSH and free T4Thyroid function
- Fasting glucose and HbA1cBlood sugar over time
- Lipid panel and Lp(a)Cardiovascular risk
- hs-CRPInflammation marker
Organ, blood and nutrients
- Comprehensive metabolic panelKidney and liver
- CBC and ferritinBlood count and iron stores
- Vitamin D (25-OH)Bone and muscle
- Vitamin B12Energy and mood
Bone and follow-up
- Bone density (DXA)Referral when advised
- Bone turnover markersClinician-ordered
- Repeat scheduleSet by your physician
Panel contents are a sample. Your physician selects the tests you need, and insurance coverage and laboratory fees vary.
Safety first
Who hormone therapy may not be right for.
- A history of estrogen-sensitive breast cancer, or certain uterine cancers
- Unexplained vaginal bleeding that has not been evaluated
- A past blood clot, such as deep vein thrombosis or pulmonary embolism
- A past stroke or heart attack
- Active liver disease
- Known or suspected pregnancy
- Migraine with aura, which needs individual review
Pricing
One physician, one plan, a steady pace.
Concierge
$590/mo
Continuous care with a named physician for hormone health, labs and longevity planning.
Start assessment- A named physician who knows your history
- Same-week visits, in person or by video
- Coordinated lab orders with results read in full
- Messages to your care team on clinical questions
- A quarterly review of treatment options
Sample pricing for illustration. Labs, medicines and imaging are billed separately.
FAQ
Questions we hear most.
A clinician looks at your symptoms, your cycle pattern and your age together. Hormone levels rise and fall during this stage, so one blood result rarely settles the question.
Safety depends on your age, time since menopause, personal and family history, and the route and dose chosen. Your physician reviews these before any decision, and reviews them again over time.
Usually yes. Screening can include breast imaging, a pelvic exam, bone density and labs, depending on your age and history. Your physician will tell you what is due.
Progesterone is generally used to protect the uterine lining when estrogen is taken by someone who still has a uterus. If the uterus has been removed and estrogen is used alone, it is usually not needed. Your physician confirms the plan.
Compounded versions are not FDA-approved. Evidence for these uses is still emerging. We consider them only where a clinician judges them appropriate, after a full review of your history and labs.
Same-week visits
Talk with a physician this week.
Share your email and a care coordinator will reply to arrange a first visit. A licensed clinician decides whether care is a fit.