41 practitioners have an office in Nevada, and 61 more can see patients here by telehealth. 61 of them are certified by the Menopause Society, and the most are in Reno, Las Vegas and Henderson.
Dr. Dombo is a board-certified OB-GYN who is going through the menopausal transition herself. She says starting hormone therapy and changing her nutrition and supplements took her from exhaustion and poor sleep back to enjoying life, and that is why she does this work. She trained in the early 2000s, when hormone therapy was widely feared, and now calls it the gold standard for symptom relief. The first visit runs 60 minutes and covers medical and gynecologic history, medications, nutrition and exercise, then a personal treatment plan. The visit also lists a nutritionist assessment, an exercise plan and mindset coaching, and follow-ups run 25 minutes. She writes publicly about why menopause hits Black women harder and how often they face barriers to care.