Menopause Care
Personalized menopausal symptom management
Menopause care — personalized, evidence-based treatment
Hot flashes, poor sleep, mood changes, vaginal dryness?
You don’t have to just “push through it.” There are effective, safe treatment options—and we’ll help you find what works for you.
We can help you feel your best if you are:
- A women age 40–65
- Experiencing symptoms or perimenopause or menopause
- Within 7 years of your last period if postmenopausal
- Low cardiovascular and cancer risk
- Personal history of breast, ovarian, or endometrial cancer
- First-degree relative with breast, ovarian, or endometrial cancer
- Uncontrolled high blood pressure
- Uncontrolled high cholesterol
- History of blood clots, stroke, or coronary artery disease
Our Approach — Care that actually
We provide personalized treatment plans tailored to each patient’s unique needs, goals, and health profile. We start with the lowest effective dose to minimize side effects while helping you feel your best and live fully. Every woman responds to hormone therapy differently, and there is no single “perfect” dose for everyone. Because hormone levels fluctuate naturally throughout the day, lab values often do not reflect how you actually feel. For this reason, we emphasize treating based on your overall health, symptom relief, and wellness — not chasing numbers that fluctuate.
Hormone therapy is the most effective treatment for moderate to severe vasomotor symptoms. For healthy women in early menopause, benefits typically outweigh risks when properly screened.
Hormone levels naturally fluctuate throughout the day, especially during perimenopause. Because of this, routine hormone blood testing is often not helpful. We treat based on your symptoms, safety profile, and evidence-based guidelines — not arbitrary lab numbers.
Before you start, please have:
- Photo identification showing name and date of birth
- Recent blood pressure (within 3 months)
- Current mammogram (within 12 months)
- Recent cholesterol results if diagnosed with high cholesterol
Does hormone therapy actually work?
Yes. Hormone therapy is the most effective treatment for moderate to severe hot flashes and related symptoms.
For healthy women early in menopause, benefits generally outweigh risks when properly screened.
Common Treatment Options
Hormonal options
- Combined estrogen/progestin patch – approx. $120–$180/month cash price
- Combined oral pill – approx. $15–$40/month cash price
- Estradiol patch + oral progesterone – approx. $25–$80/month combined cash price
- Vaginal estrogen cream (Premarin® / Estrace®) – approx. $30–$200 depending on brand vs. generic
- Vaginal estradiol tablet – approx. $30–$80/month
Non-Hormonal Options
- Paroxetine (Brisdelle® / Paxil®) – low-dose SSRI FDA-approved for hot flashes, approx. $10–$50/month
- Venlafaxine (Effexor®) – SNRI commonly used for vasomotor symptoms, approx. $10–$40/month
- Escitalopram (Lexapro®) – SSRI option for hot flashes and mood symptoms, approx. $10–$30/month
Prices listed above reflect estimated cash-pay pricing. If you have insurance, you may use it at your pharmacy and your cost may be lower depending on your plan.
Visit fee: $75
Prescription cost is separate and paid directly to your pharmacy of choice.
Prescription duration is individualized based on how you’re responding to treatment.
- 3 months with 3 refills – for patients who are stable and doing well
- 1 month with 11 refills – for patients who prefer lower monthly cost dispensing but are stable on therapy
- 1 month with 2 refills – typically recommended when starting therapy or adjusting a dose
Our goal is to balance safety, convenience, and cost while keeping your care personalized.
Benefits & Risks
- Reduction or elimination of hot flashes
- Improved sleep
- Improved vaginal comfort
- Bone density support
- Breast tenderness
- Breakthrough bleeding (early months)
- Headache
- Small increased clot/stroke risk in higher-risk individuals
Risk depends on age, timing since menopause, route of administration, and individual health profile.
Important: If You Have a Uterus
If you still have your uterus and are taking estrogen, you must also take progesterone (or use a progesterone-releasing IUD) to protect the uterine lining. Estrogen alone can stimulate the lining of the uterus and, over time, increase the risk of endometrial hyperplasia (overgrowth of the lining) and uterine cancer. Do NOT stop progesterone while taking estrogen unless specifically directed by your provider. Progesterone is an essential part of safe hormone therapy for women with an intact uterus.No Subscriptions. No Bundles. No Surprise Charges.
We do not require memberships, subscriptions, auto-renewals, or bundled packages.
- No recurring monthly platform fees
- No automatic medication shipments
- No forced quarterly programs
- No hidden administrative charges
You pay $75 for your visit. If treatment is appropriate, your prescription is sent to the pharmacy you choose. You pay your pharmacy directly for medication.
Hormone Therapy Consent
By starting hormone therapy, you acknowledge that:
- You meet eligibility criteria for this service.
- You understand that hormone therapy has both benefits and risks.
- You have disclosed your full medical and family history.
- You agree to continue routine in-person preventive care, including mammograms, blood pressure monitoring, and appropriate lab work.
You understand that hormone therapy may cause side effects including breast tenderness, irregular bleeding, headache, mood changes, or fluid retention. Rare but serious risks may include blood clots, stroke, or cardiovascular events, particularly in higher-risk individuals.
You understand that treatment decisions are based on clinical guidelines, symptom response, and safety screening — not hormone level testing alone.
You agree to seek urgent medical care for chest pain, severe headache, vision changes, shortness of breath, or leg swelling.
Hormone therapy is prescribed only when medically appropriate. Continued therapy requires adherence to recommended preventive screenings.
Ready to get started?
Complete your secure intake. A licensed clinician will review your visit and send treatment when safe and appropriate.