Service
Menopause & Hormone Therapy
Perimenopause and menopause care from a provider who takes the symptoms seriously — including what the hormones are doing to your mood and sleep.
Being told it's normal is not treatment
Hot flashes, broken sleep, brain fog, joint pain, low mood and a libido that disappeared are not things to endure quietly for a decade. They are symptoms, they have treatments, and dismissing them is a failure of care rather than a clinical finding.
Perimenopause can begin years before periods stop, which is why so many people are told they are too young for this to be what it obviously is.
What care can involve
- A real symptom history, including the ones people don't volunteer
- Labs where they are useful, and an explanation of why they often are not diagnostic
- Hormone therapy where appropriate, with benefits and risks laid out honestly
- Non-hormonal options, which matter for people who cannot or prefer not to take hormones
- Sleep, mood and cognitive symptoms, assessed properly rather than assumed
- Bone and cardiovascular health, which is the part that gets forgotten
The mood piece, taken seriously
Mood changes in perimenopause are commonly dismissed as stress and commonly treated as depression without anyone asking which it is. Sometimes it is depression. Sometimes it is hormonal. Often it is both, and they need different things.
Your provider is a board-certified psychiatric nurse practitioner as well as a family nurse practitioner, which means that question gets asked properly instead of guessed at.
What it costs
We are a self-pay practice. We do not bill insurance, which means no prior authorizations, no coverage denials, and no surprise bill months later. You know the price before you book.
We publish our rates because “call for pricing” is a barrier, and barriers are what keep people from getting care.
Available across 23 states
Menopause & HRT by video wherever you are licensed to be seen.
Frequently asked questions
- Is hormone therapy safe?
- For many people it is an appropriate and effective treatment, and for some it is not. Risk depends on your age, time since menopause, personal and family history. You will get a real discussion of benefits and risks rather than either a blanket yes or a blanket no.
- How do I know if I'm in perimenopause?
- Largely from symptoms and cycle changes rather than a single lab value, since hormone levels fluctuate considerably during this stage. That is why history matters more than a blood test here.
- Do you prescribe compounded bioidentical hormones?
- We will be clear about what is FDA-approved and what is not. Compounded hormone products are frequently marketed as safer or more natural without evidence supporting that claim, and you are entitled to know the difference.
- Can you help if I can't take hormones?
- Yes. Effective non-hormonal options exist for hot flashes, sleep and mood, and they are a legitimate first choice for many people rather than a consolation prize.
Medication is prescribed only where clinically appropriate following an evaluation. No prescription is guaranteed, and this page does not promise any specific medication or outcome. You must be physically located in a state where your provider is licensed at the time of your visit.
Care that connects
One provider means these are handled together, not referred out.
Medically reviewed by Shumeka Hill, DNP, PMHNP-BC, FNP-BC, CPNP-AC, LCDC II. Last reviewed .
Ready to start?
Most new patients are seen within the same week. Call 888-391-0272 or book online.