Septima is a solo practice in Seattle for perimenopause, menopause and the years after, and Heather Vincent is the only clinician, so every visit is with her. She prescribes menopause hormone therapy and non-hormonal medication, and she does office gynecology such as IUDs, endometrial biopsies and pap smears. First visits run 90 minutes, with a 60 minute option for a tighter schedule or budget, and she prefers the intake in person in case a pelvic exam is needed. Follow-ups work in person or by video from anywhere in Washington, and each visit comes with 20 messages to her and a month of access to her strength training and education library. She spent six years in OB/GYN before opening Septima and works in collaboration with Jodie Wohl MD, a family practice and women's health physician. Bone health is a stated emphasis, which is why strength training instruction comes with every visit, and she holds community gatherings with an outside speaker four times a year.
Dr. McCloskey sees patients at The 'Pause Wellness in Galveston, a clinic for women in midlife founded by Dr. Mary Claire Haver, and she is there one day a week. She is a board certified OB-GYN who practiced general obstetrics and gynecology for years and now works only in midlife and menopause care. A first visit lasts a full hour and covers health history, symptoms and goals, with lab work drawn beforehand and a body composition scan in the office. Hormone therapy is part of the conversation with every patient, and the clinic says it follows established guidelines rather than a functional or naturopathic approach. The clinic treats Texas residents only, in person or by video, and it does not do routine well woman exams. Visits include a month of the clinic's own supplements and lifetime access to its online program, and later visits are either short prescription checks or longer reviews with new labs.
Kelly Strawser is a certified nurse midwife at Henry Ford Women's Health in Royal Oak, and her profile names her a Menopause Society Certified Practitioner. Henry Ford says its certified nurse midwives care for women from puberty through menopause, and menopausal care is one of the services they list. The midwives treat menopause as a normal life stage rather than a medical problem, and they work alongside the gynecologists and obstetricians in the same group. Hormone therapy is offered and matched to a woman's own risk profile, with estrogen available as a gel, pill, patch, ring or vaginal cream. Henry Ford cautions that custom compounded hormones are not tested for purity or safety and points women to regulated products instead. Menopause is one of the reasons a patient can be seen by video visit through the Henry Ford patient portal.
Dr. Banks is a board-certified psychiatrist who treats hormone-related mood and sleep problems alongside her regular psychiatry work. Many of her patients are midlife women who come in for something like ADHD or insomnia, and she looks at what hormones may be adding to it. She orders labs when they are indicated and in many cases prescribes estrogen, progesterone and testosterone. She also uses non-drug approaches such as supplements and lifestyle changes, and offers ketamine for some mental health care. Visits run longer than the usual 15 minutes, she keeps her panel small so appointments are not months away, and a new patient evaluation is spread over two to three sessions. Care is in person in Oakland or by video for patients anywhere in California.
Caitlin Givens is one of two providers at Takoma Park Gynecology, a small woman-owned gynecology practice run by nurse-midwives. The practice covers care from adolescence through menopause and beyond, and it does no pregnancy care. A new patient can book with her online, either as a full new patient visit with an exam or as a menopause consultation that is a conversation only. She prescribes FDA-approved hormone therapy, including estrogen, progesterone and testosterone, and uses compounded hormones only when a manufactured product is unavailable or a poor fit. Beyond menopause she works in sexual medicine and chronic vulvar conditions, and the practice also handles bone health and prescription weight management. Her interest in women's health began as a Peace Corps volunteer in northern Senegal, and she teaches nurse-midwifery and women's health students at Georgetown.
Dr. Oberg is a naturopathic doctor who runs a concierge practice from an ocean-view office in La Jolla. She has practiced since 2003 and was the founding medical director of Bastyr University's California campus. Hormone care starts with a symptom and history review and a hormone test, then moves to bioidentical hormones when they fit. She says hormones are not required and may begin with botanical or non-hormone support first. Care runs through fixed-length programs or a year-long membership, with a health coach on the team and a covering doctor when she is away. She also sees patients by video and keeps small offices in Arizona and Washington.
Sarah Curtis is a family nurse practitioner at Women's Health Associates, a large OB/GYN and primary care group in Boise and Meridian. Her own bio says her special focus is menopause and transgender care. She came to nurse practice in 2023 after more than 20 years working as a nurse. She sees patients in both the gynecology and primary care sides of the practice, so menopause care can sit alongside routine exams and screening. The group also has its own mammography and treats osteoporosis and bladder leakage in the same office. Visits are billed to insurance.
Dr. Adamchak runs a small direct primary care practice in Ellicottville, the town she grew up in. Menopausal hormone therapy is part of the membership along with the rest of her family medicine care. Members get same or next day visits in person or by video, long appointments, and can text, call or email her directly. She trained and practiced as an Army family physician, including time in Germany and a deployment to Afghanistan, and still serves in the Army Reserves. New enrollments are paused for now, with a contact list for openings in 2027. She can't take anyone on Medicare or eligible for it at this time.
Dr. Evans runs a small direct pay primary care clinic in Pensacola with evening and weekend hours. Menopause hormone therapy is one of her main services, alongside disease prevention, sexual health and weight loss. She also sees men, and she does not treat chronic pain. A new patient starts with a longer in-depth visit, either in the clinic or by video if you live in Florida or Iowa. After that, follow-ups can be in the clinic or by video. Insurance is not billed for her visits, though you can use your coverage for lab work or some prescriptions.
A small family practice in north Ames seeing patients from newborns through midlife, with stated expertise in women's health and pediatrics, run by a physician assistant who is a Menopause Society Certified Practitioner. Care is given in the office and by video, with scheduling and messaging through a patient portal. Perimenopause, menopause, well woman exams and contraception are listed among its services, though the site describes no hormone treatment in detail.
Dr. Kunkel is a gynecologist who runs her own membership practice for women's health inside Direct Doctors, a physician-only direct care group in East Greenwich. She spent seven and a half years as a general OB/GYN before building a practice around midlife women, and she also holds board certification in obesity medicine. New patients start with a one-time consult of up to an hour, then join her monthly membership, which is required for hormone therapy. Members can reach her directly by text, email and phone. She also treats primary ovarian insufficiency and handles in-office gynecology such as biopsies and IUDs. She began her working life in theater before switching to medicine.
IntimMedicine Specialists is a small Washington DC practice that Dr. Simon founded and still runs as medical director, with two physician assistants who have worked with him since the 1990s. He treats women across the whole reproductive span, and the midlife side of the practice covers menopause and perimenopause, low testosterone, bone loss, sexual pain and sexual function after cancer. His approach to hormones is to balance estrogen, progesterone and testosterone, and the practice says most women can use hormone therapy with few risks. For testosterone he will use gels, injections or pellets, and he says he does not treat on lab values alone. Visits happen in the M Street office or by video, and virtual appointments are offered on Saturday mornings as well as weekdays. New patients submit a form or call and the office rings back to finish booking, and because the practice runs its own clinical trials some patients are offered a place in a study.
Downtown Drs. Brown is a small concierge primary care office in downtown Lexington, started in 2018 by Cady Brown and her husband Ryan, both internal medicine physicians. She holds Menopause Society certification, and the practice lists menopause and hormone therapy in its women's health services alongside everyday internal medicine work like thyroid and heart risk. Membership buys an annual physical that ends in a written wellness plan, plus direct phone, text and email access to her doctor between visits. Care happens in person at the Mill Street office, and virtual visits are used mainly when a member is away from home. The practice has reached the size it wants, so new patients join a waiting list. No pharmaceutical reps are allowed in the office, and there are no nurse practitioners or physician assistants, so members see their own doctor every visit.
Annie August runs a small cash-pay practice in St. Charles focused on perimenopause, menopause, thyroid and weight for midlife women, with video visits for women anywhere in Illinois. Care starts with a short paid Clarity Visit, then a two-part Foundations consultation with a broad lab panel included and a written six-month plan. Women who go ahead join a six-month program for hormone therapy, prescription oversight and portal messaging, then a lower-cost maintenance plan with visits every three months. She prescribes bioidentical hormones and offers compounded options, and GLP-1 medication is available in the weight program. She writes openly about her own early-40s crash, a Hashimoto's diagnosis and losing 50 pounds on hormone therapy. She cannot see anyone on Medicare, even as a paying patient.
Healthy You is a direct care practice Dr. Borensztein opened in Collingswood in 2024, and menopause care sits alongside her thyroid, diabetes and weight work. New patient visits run 60 to 90 minutes and have to be in person at the Collingswood office, after which follow-ups can be virtual. She uses FDA-approved bioidentical estrogen and progesterone, adds testosterone when it is indicated, and offers non-hormonal options for women who cannot or would rather not take hormones. Bone health and cardiovascular risk are handled inside the menopause plan rather than sent elsewhere, and she is also board certified in obesity medicine, so menopause weight change gets treated as a metabolic problem. Members get her direct line for texting and unlimited visits. She went to medical school in Buenos Aires, where her family is from, and speaks Spanish.
Synchronicity Health is a small Sacramento practice built around Somer Schreiber-Small, a family nurse practitioner with more than 20 years in healthcare. Menopause care here means bioidentical hormones given as injections, pellets or creams, and she is a certified pellet provider. Hormone care runs as a monthly membership with follow-up visits about every six weeks, and the first hormone consult is billed on its own. The same practice also does GLP-1 weight loss and a direct primary care option, so a patient can have her hormones and her general health looked after in one place. New patients can book online or start with a free wellness call, and some visits can be done by telehealth. Her bio says her recent work includes seeing patients in post-acute care facilities.
Concierge Medicine of Westlake is Dr. Fiffick's own practice. She keeps the patient panel small and runs it on annual memberships rather than billing insurance. The women's health membership covers non-obstetric care through midlife, with perimenopause and menopause symptom management alongside bone health, cardiovascular risk and urogenital health, and it includes hormone prescription management when she judges it appropriate. Members get 30 or 60 minute visits, same or next day openings, and her direct phone, text and email, and virtual visits are offered as a supplement with prior approval when an exam is not needed. She came to women's health through family medicine after being told early on that the only route was OB-GYN, then spent two years in the Cleveland Clinic's Specialized Women's Health fellowship. As an osteopathic physician she also does hands-on manipulative treatment, which patients can buy as its own membership or one visit at a time.
Duet Family Health is Dr. Schroeder's solo direct primary care practice in Chicago, which she opened in 2024 after Village Medical closed its Illinois offices. Women can come for menopause care on its own and pay per visit, or join the membership and get menopause care along with the rest of their primary care. The first visit has to be in person, and after that much of the care runs by video, phone and portal message, with menopause follow-ups every three to six months. She prescribes hormonal and non-hormonal treatment but will not prescribe compounded hormones, and she says checking hormone levels is usually not useful in perimenopause. Her first fifteen years were at a community health center, where she delivered babies and trained family medicine residents. New patients start with a free video meet and greet, and people 65 and over join a waitlist.
Empower Wellness is Dr. DeGreve's own clinic in Madison. She treats women through perimenopause and menopause using estrogen, progesterone and testosterone, and the practice also sees men for testosterone therapy. Care starts with one long consultation where she goes through your history and works out a plan with you, and after that you stay on through a monthly plan that covers appointments and messaging her directly. There is a lighter plan for women already settled on hormone therapy, where each follow-up visit is paid for on its own, and the fuller membership runs for a minimum of six months. She is board certified in obesity medicine and lifestyle medicine as well as family medicine, so weight is handled in the same visit instead of sent elsewhere. Her FAQ takes on the old Women's Health Initiative breast cancer worry head on and explains why she thinks estrogen is a reasonable option for many women.
Lynn Coates-Leisen is the nurse practitioner who sees patients at this small Thousand Oaks office, where a physician is the medical director. She came into nurse practitioner work after decades in healthcare, and she was the first menopause practitioner certified in Ventura County. Alongside perimenopause and menopause she handles thyroid disease, weight and proactive cardiovascular screening, and she offers hormonal and non-hormonal options. The practice promises it will never up-sell costly procedures or pellets. She writes the clinic blog herself, including a post warning readers off grey market peptides. New patients usually start with a free ten minute phone call to see whether the practice is a fit, and visits happen in the office or by video within California.
Somæntis is a small longevity and metabolic health clinic in Boca Raton that Dr. D'Aleman opened in 2024 with her husband, who manages it. Care runs on an annual membership that covers a set number of physician visits, email and text access, and a block of testing including a DEXA scan, resting metabolic rate and a wide blood panel. She treats hormones as part of the metabolic picture rather than a separate track, and prescribes hormone therapy, testosterone and GLP-1 medication where they fit a plan. Before this she spent years as a pediatrician, including frontline primary care in rural Oregon during the pandemic, then retrained in lifestyle and obesity medicine. Visits can be in the office or by video, and new patients start with a free 20 minute meet and greet with the physician. The clinic says plainly that it is not a primary care practice and does not cover urgent or emergency needs.
Gliss Wellness is a virtual-only OB/GYN practice Dr. Walsh co-founded with a second board-certified OB/GYN, and menopause care is its main focus. Care starts with a 30-minute video consultation about your symptoms, and if hormone therapy suits you, you leave with prescriptions for the first three months. A follow-up at three months keeps refills going for the rest of the year, and refills in between happen by message through the patient portal. There is no membership, and you fill prescriptions at your own pharmacy. The doctors can't examine you in person but can order labs and other tests. Dr. Walsh's own interests include pelvic pain, endometriosis, fibroids and weight loss, and a free 15-minute call lets you meet the team before booking.
Takes Aetna, Blue Cross Blue Shield +4 · first visit $150
Kelly Perisin is a nurse practitioner at MyMenopauseRx, a video-only practice that treats nothing but perimenopause and menopause. It was started by a Chicago-area gynecologist and bills insurance like a regular office. Visits take about 30 minutes on Zoom, and you can book the same clinician every time and message the care team between visits. Kelly came to menopause care from weight management and urgent care, and she draws on that when helping women with midlife weight gain. The practice prescribes FDA-approved estradiol and progesterone sent to your own pharmacy, and it prescribes testosterone directly only for patients in Illinois. It is meant to work alongside your own primary care doctor, who still handles anything that needs a physical exam.
Dr. Saadatmand is a reproductive psychiatrist at a women's mental health group practice in Walnut Creek. She treats the mood, anxiety, sleep and sexual health side of perimenopause, and her care may include medication, supplements, lab testing and therapy. The practice doesn't say it prescribes hormone therapy, so this is a place for perimenopausal depression or anxiety rather than hot flash treatment. Care starts with a long intake visit and continues with follow-ups with the same psychiatrist, mostly by video. She completed a fellowship in reproductive psychiatry and also holds training in nutritional psychiatry. New patients currently join a waitlist.
