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.
Harmony Gynecology is a one-doctor gynecology practice in Salt Lake City that Dr. Servoss opened after more than two decades in community hospitals and a large health system. She writes that big patient panels and quick visits were what she wanted to get away from, so she books fewer appointments a day and keeps visits long. Care runs from teenagers through postmenopausal women, with a separate hormone consultation visit and problem visits that cover perimenopause and menopause. Members get direct access to her by secure message, phone, text or video, plus wholesale lab pricing and reduced rates on in-office procedures. Membership is optional and you can pay per visit instead. She does not deliver babies at this office, and she refers out for assisted reproduction and more complex surgery.