Takes Aetna, Blue Cross Blue Shield +2 · first visit $350
Hala Taylor is a family nurse practitioner who leads hormone therapy at Tacoma Integrative Psychiatry, a psychiatry practice in University Place. The team treats mood, sleep and hormone changes together, so menopause care sits right next to psychiatric care. Hormone therapy can include estrogen, progesterone or testosterone, given by mouth, patch or on the skin, and is adjusted to how you respond. Before this role she worked as a nurse in labor and delivery and emergency medicine, and she is now training as a psychiatric nurse practitioner. First visits last 60 minutes and can be in person or by video anywhere in Washington. New patients fill out an online request form and the office calls to schedule.
Laura Valle runs a small direct-care women's health practice in Westerville and sees Ohio patients in person or by video. The first visit runs 60 to 90 minutes, and ongoing menopause and hormone care happens through a membership rather than one-off visits. New patients start on the higher-touch plan with unlimited visits and direct messaging, and patients who have been stable on hormones for a year can move to a lighter one. She prescribes FDA-approved hormone therapy and also manages testosterone, bone health, thyroid and weight. Conversations happen fully clothed in a consultation room, and exams use small, quiet speculums in a separate room. She worked as a nurse and midwife in several European countries and still delivers babies in Amish country a few weekends a month.
Dr. Silén Rivera is an OB-GYN who founded and runs Centro de Bienestar para la Mujer, a small private women's health practice in Guaynabo. She offers a dedicated menopause and perimenopause visit built around hormone replacement, and her site says she recommends FDA-approved hormone therapy. Her other main interest is sexual medicine, with its own visit for problems like low desire and pain with sex. The office also treats urinary leakage in-house, including weekly nerve stimulation sessions for overactive bladder and urethral bulking for stress leaks. She has taught at the University of Puerto Rico School of Medicine since 2017, and the website is in Spanish.
Prévant Health is Erin Phamvan's own virtual practice, and every visit happens by video. It runs as a 12-month membership with a long first visit, quarterly follow-ups, and texting with Erin between visits. Menopause care is built around detailed lab work and shared decisions about hormones, alongside thyroid, heart and metabolic care. She is also trained in an Alzheimer's prevention program and folds brain-health risk into her plans. Although the mailing address is in Nashville, the practice currently sees patients only in a set of other states, and Tennessee is not one of them. You keep your own primary care provider for in-person exams and urgent needs.
Dr. Newingham runs a small membership-based primary care practice in Newtown, Pennsylvania, and is the physician for every member. She has worked as a family physician for about a decade and trained in family medicine at Abington-Jefferson. Members get longer visits and can call or text her directly, with same or next-day appointments when possible. She also runs a six-month Midlife Health Track, which opens with a 90-minute visit covering a perimenopause evaluation and heart and metabolic risk. Her approach puts nutrition, strength, sleep and stress first and adds medication when it is needed. You can meet her for free in the office or by video before deciding to join.
Takes Aetna, Blue Cross Blue Shield +2 · first visit $150
Western Roots Healthcare is Amy Jordan's solo telehealth practice, aimed at people in rural Central Oregon who would otherwise drive a long way to see anyone. It is a general primary care practice with midlife hormone care on top, so the same person handles perimenopause and menopause symptoms, low testosterone and sexual health, and ordinary things like thyroid, blood pressure and cholesterol. She spent a decade in a clinical laboratory and fifteen years as an emergency department nurse before becoming a nurse practitioner. Hormone care runs either as regular visits or as a flat-fee year-long program for women already stable on their doses, which covers a long first visit, two follow-ups and refills for twelve months. She also runs a supervised weight program built around GLP-1 and other weight medication. Visits are by video anywhere in Oregon, and an in-person clinic in Terrebonne is planned for fall 2026.
Aspire is a small concierge women's health practice in downtown Northfield that Lillian Medhus founded, with video visits for women in Minnesota, Texas, Oklahoma and Kansas. It works alongside your primary care provider rather than replacing it, and it does no pregnancy care. Care starts with a 90-minute first visit, then a six-month program of hour-long visits, labs, coaching and messaging before you move to an ongoing membership. Menopause care centers on individual hormone therapy decisions, and members join an HRT club when they need it. Medhus also focuses on endometriosis, PCOS, pelvic pain and sexual health, and says her own health struggles led her to build the practice. If you are unsure, you can request a 20-minute call with one of the nurses first.
Takes Blue Cross Blue Shield, Molina +1 · first visit $250
Jane Epstein is a nurse practitioner with more than 35 years in practice who runs Menopause New Mexico, a small Albuquerque clinic for perimenopause and menopause. She is also a certified sexuality counselor, so sexual health gets real attention, including low libido, vaginal dryness and pain with sex. Care starts with an hour-long new patient visit that looks at symptoms, history and risks such as bone and heart health, and treatment can be hormone therapy or non-hormonal options. Visits are in person at the office or by video, and patients message Jane directly through the patient portal for refills and questions. Long-term prescriptions are renewed at a yearly hour-long visit, and Jane will send a short bridging prescription if you run low before it.
Dr. Cleveland is a gynecologist who left insurance-based practice to open her own direct-pay clinic in Salt Lake City. You see her at every visit. First visits run an hour and follow-ups half an hour. Most patients join a monthly membership that covers unlimited visits, messaging between visits and yearly labs, but you can also book single visits. She talks through the benefits and risks of hormone therapy and also offers non-hormonal options. She has extra training in obesity medicine and prescribes GLP-1 drugs. She also does gynecologic procedures in the office and outpatient surgery.
Dr. Krebs founded Clear Medical, a small direct primary care practice in Koloa on Kauai. You can see her just for menopause care and keep your own primary care doctor. Menopause visits are paid one at a time, with no membership or contract. She starts with a long first conversation, then builds a treatment plan and adjusts it over time as your labs change. Hormone therapy is used when it fits, alongside non-hormonal options and lifestyle changes. Before medicine she spent four years as a biochemistry researcher studying mitochondria and neurodegeneration, and that background shows in how she practices. Her primary care membership currently has a waitlist.
Takes Aetna, Blue Cross Blue Shield · first visit $300
Dr. Benkley is a naturopathic doctor whose practice centers on perimenopause and menopause. She sees patients in person at Mandala Medicine and Wellness in southeast Portland and by video anywhere in Oregon, Washington and New Hampshire. The first visit is a long intake followed by labs. She lays out the full treatment plan at a follow-up about four weeks later. Treatment can include menopausal hormone therapy, non-hormonal medications, supplements and lifestyle changes, with attention to long-term heart and bone health. She does not do primary care, and her practice openly welcomes queer, non-binary and trans patients with ovaries.
Concierge Medicine of Minnesota is a membership practice in Apple Valley where Dr. Westmoreland is the only doctor. One annual fee covers office visits, video and phone appointments, and direct messaging with her, and she guarantees same or next-day scheduling. New patients start with a free meet and greet, then sign a membership agreement, and the staff gathers their old records before the first full exam. Menopause and perimenopause care is her own work, and she treats hormone therapy as one option to weigh against a patient's history rather than something she starts by default. The practice says it does not use compounded medications, citing thin scientific backing and possible risks. Women who would rather not join can pay for a single two-hour consultation with her instead, and members can have her come to the house for an extra fee.
Curate Medical is a virtual-first practice that sees women anywhere in Florida. Dr. Sramek is one of its by-appointment physicians, so a new patient books a 60 minute visit with her and returns for 45 minute follow-ups as needed. That route is designed to sit alongside the primary care and gynecology a woman already has locally, and Curate handles the labs, imaging and referrals that go with it. The practice also runs an ongoing primary care membership, but it is open only with the medical director, so it is not a way to be seen by Dr. Sramek. Her own areas are hormonal and non-hormonal treatment for perimenopause and menopause, plus metabolic and weight care and sexual health. She played Division I soccer at Dartmouth before medical school.
Amanda Merrell runs a functional medicine practice in Duluth that centers on women in perimenopause and menopause, and she also sees men for midlife health. Care starts with a long first visit, usually in person at her office, and many follow-ups can happen by video. She leans heavily on lab testing and pairs nutrition, lifestyle changes and supplements with prescription medication when she thinks it is needed. The practice also offers dietitian visits and health coaching online. She expects you to keep a separate primary care doctor for routine and urgent care. The first step is a free 15-minute phone call with her team.
Dr. Bernardy is a family physician who runs a direct primary care practice in south Charlotte with one other doctor. Membership covers unlimited office visits of 30 to 60 minutes, direct messaging, and phone or video visits, with same-day or next-day appointments. Menopause care sits inside her general women's health work alongside Pap smears, pelvic exams and birth control. She spent years as national medical director for an employer-based primary care company and taught residents at the University of Colorado. The office has its own pharmacy with medicines at wholesale prices and a physician-supervised weight program. You can book a free video meet and greet with her before joining.
Kate Stormfield runs Monarch West as a one-person telehealth practice with a deliberately small panel of patients. She treats perimenopause and menopause with estrogen, progesterone, testosterone and non-hormonal options, and also provides gender-affirming hormone care and sexual health services. She spent more than ten years at Planned Parenthood in Vermont, where she helped grow its telehealth services. New patients start with a longer video visit. Follow-ups usually come at one month after starting hormones and then every few months in the first year. Testosterone can only be prescribed to patients in Oregon. She sees women aged about 35 to 65 and expects you to keep your own primary care provider.
Takes Aetna, Blue Cross Blue Shield +4 · from $125/mo
Dr. Siddiqui is a board-certified osteopathic family physician who runs her own primary care practice in southeast Orlando. She lists menopause care and hormone replacement therapy as services, and the practice also offers medical weight loss and osteopathic manipulation. Patients can use insurance or join a monthly direct primary care membership with unlimited visits and after-hours access to her. Virtual visits are available on request.
Dr. Evans is a gynecologist who left insurance-based practice because she felt she could not give women enough time. First visits run 60 to 90 minutes and she looks at hormones, metabolism, sleep, gut health and stress together. Members see her every time and can reach her directly by phone, email and text. Hormone care includes bioidentical hormone therapy where she thinks it fits, and she also does gynecologic surgery and office procedures. Visits are in person on the Los Angeles Westside and South Bay, with video visits across California. The practice is kept small on purpose, so new memberships may go to a waitlist when the panel is full.
Jackie Piasta runs a small solo membership practice in East Cobb focused on hormones, perimenopause and menopause, and midlife metabolic health. New patients start with a nurse-led pre-visit to line up labs and then an hour-long consultation with her, and ongoing care after that requires joining the membership. Members message the team through a portal and a text line, and follow-ups run 30 to 40 minutes in person or by video. She prescribes estrogen, progesterone and testosterone but does not offer hormone pellets. She is also an obesity medicine specialist who prescribes GLP-1 weight medications and treats thyroid, bladder and bone problems. New patient appointments are booking two to three months out, and she teaches menopause care to nurse practitioner students at Vanderbilt.
Magen Price runs a small direct care practice in the Boston area for women in perimenopause and beyond, with a strong focus on sexual health. She spent years in primary care and is also a certified sex counselor, so low libido, painful sex and trouble with orgasm get as much attention as hot flashes. Care starts with an hour-long consult with labs, then a four-month onboarding phase where she starts and adjusts treatment, then an optional ongoing maintenance membership. Visits can be in person or by video, and patients can message her directly. She prescribes testosterone for women and has written openly about taking it herself. The practice also offers a gentle pap exam for women who find pelvic exams painful or frightening.
Ally Pitman is a women's health nurse practitioner at a small Connecticut practice where most visits happen by video. Her focus is women who have had breast or gynecologic cancer and are dealing with hot flashes, sleep trouble and other hormonal symptoms after treatment. For survivors who cannot take hormones she works with non-hormonal options, and she also treats perimenopause, menopause and PMDD in women without a cancer history. Care starts with a 60-minute first visit, and labs are ordered before it so the results are ready to discuss. She works alongside two other nurse practitioners in the practice, one of whom handles autoimmune and rheumatology problems. In-person visits are limited and take place in a physical therapy office in Gales Ferry.
Bold Wellness is Torrie Clontz's own virtual practice for women in midlife, run from Las Vegas and open to patients in about fifteen states. Care starts with a two visit intake that includes a wide blood panel drawn at a lab near you and a follow up to go through the results and set a plan. After that most patients stay on a monthly membership that covers prescription changes and messaging with her through the patient portal. Alongside hormone therapy she runs a weight and metabolic program using GLP-1 medication, and she adds functional tests such as gut, cortisol and vaginal microbiome panels when they fit. She is clear that she is not a primary care provider or an OB-GYN, so patients need to keep their own and see her for the hormone and midlife side. Her own hypermobile Ehlers-Danlos diagnosis, which came after a circus career ended in injury, is why she started the practice and she treats that alongside hormones.
Jessica Bell runs GynJess on her own in Corvallis, so you see her at every visit and message her directly through the portal between appointments. Care starts with a long first consult covering menopause and sexual health, then shorter follow-ups every few months while treatment is adjusted. She prescribes FDA-approved estrogen and progesterone, adds testosterone when it fits, and talks through non-hormonal options too. She also practices sexual medicine and says perimenopause can start in your mid-thirties, so younger women are taken seriously. She sees women in person in Corvallis or by video anywhere in Oregon, and in-person patients can use her as their regular gynecologist. She also treats bladder problems, fits pessaries and cares for women with a current or past cancer diagnosis.
Dr Steininger, who goes by Dr Dani, runs a small menopause consult practice entirely by video for women who live in Texas or are in Texas at the time of the visit. She went into menopause at 35 as part of her own breast cancer treatment, and she says being a patient changed how she practices. First visits usually run an hour and follow-ups half an hour, and she talks through options from lifestyle changes to prescription hormones before adjusting doses over time. She works alongside your own gynecologist or primary care doctor rather than replacing them, and hands care back once treatment is steady. Women with irregular periods are asked to have a recent exam with their own gynecologist first. She also works with oncologists and invites women in cancer treatment to email her directly.
