
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
