Treehouse Family Medicine is a small direct primary care office in York that Pamela Lord-Voshell runs with a family physician. Menopause care is set up as its own program, so a woman can come just for that without joining the primary care membership. It starts with a long first visit to go over symptoms, history and goals and settle on a hormone or non-hormone plan, then a six month stretch of follow-up visits, labs and unlimited messaging while the plan gets adjusted. After that she either stays on for lighter ongoing support or they write up her plan and hand her care back to her own doctor or gynecologist. Lord-Voshell spent seventeen years in primary care before shifting her focus to women's health, and she says she is going through perimenopause herself. Visits run thirty to ninety minutes and there is no waiting room.
Dr. Wax is a family physician who runs a small direct primary care practice in York with a nurse practitioner who is also Menopause Society certified. Menopause care works as its own program, so you do not need to join the primary care practice to get it. It starts with a long first visit covering your symptoms, history and goals, and you leave with a plan for hormone or non-hormone treatment. The next six months are a membership with three follow-up visits, labs and unlimited messaging while the dose gets adjusted. After that you can stay on a lighter maintenance plan or be handed back to your own doctor or gynecologist with a written summary. Patients reach the team by text rather than through a phone tree.
