A practice devoted entirely to perimenopause, menopause and women's sexual health for women from their mid-thirties on, with a nurse practitioner as the sole treating clinician and a physician as medical director. Care begins with a 60-minute evaluation, after which prescribing, refills, lab orders and dose changes continue only through a monthly membership, with most adjustments handled by structured symptom updates in a portal rather than repeat appointments. Patients must be in Louisiana for every interaction, and the practice does not take on general primary care, pregnancy or fertility care.