Photo of Anastasiia Neelagaru

Anastasiia Neelagaru

Physician · Women's health

11–15 years of experience

Menopause Society Certified Practitioner

About Flourish Medical

Dr. Neelagaru runs a virtual-only specialty clinic for menopause and sexual medicine. She no longer provides primary care, so patients keep their own doctor for routine care, physicals and pelvic exams. New patients start with a free video strategy call, and care runs through 60-minute video visits or her four-month Flourish Method program with labs and monthly follow-ups. She prescribes FDA-approved bioidentical estrogen, progesterone and testosterone, plus vaginal estrogen and non-hormonal options, and she does not place pellets but helps women move off them. Sexual health is at the center of her practice, and she also sees male partners for erectile dysfunction and low testosterone. She is perimenopausal herself and says her own hormonal changes shaped how she practices.

Care

Treats

  • Perimenopause
  • Menopause
  • Hot flashes
  • Sleep problems
  • Mood & anxiety
  • Brain fog
  • Vaginal dryness
  • Low libido
  • Irregular periods

Prescribes

  • Hormone therapy
  • Vaginal estrogen
  • Testosterone
  • Non-hormonal medication
  • Weight medication
  • Lab testing

Particular focus

  • Early menopause
  • Bone health
  • Weight & metabolism

Cost and insurance

Insurance

Doesn’t accept insurance

Provides itemized receipts you can submit for out-of-network reimbursement.

Self-pay

Available — prices aren’t published, ask for rates

  • Free consultation
  • HSA and FSA accepted

Insurance can still be used for labs, diagnostic tests and medications, and a superbill is available after each visit for possible reimbursement.

Verified September 2026.

Qualifications

MD, MSCP