Joyce Ildesa
Physician · Family medicine
15+ years of experience
Menopause Society Certified Practitioner
About Marea MD
Marea MD is a solo, membership-based family medicine practice in central and east San Diego run by Dr. Joyce Ildesa, who pairs primary care with menopause and perimenopause care. Members get thirty to sixty minute visits, direct text, call and email access to the physician, same or next-day response for urgent concerns, and discounted cash-pay labs, with the panel deliberately kept small. Menopause care sticks to evidence-based and FDA-approved treatment. She prescribes hormone therapy when appropriate plus non-hormonal options, and explicitly does not routinely use compounded bioidentical formulations. Menopause care is integrated with bone, cardiovascular and metabolic screening, and new patients start with a free fifteen-minute introductory video call.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Non-hormonal medication
- Supplements & lifestyle
- Lab testing
Particular focus
- Bone health
- Heart health
- Weight & metabolism
- Hair & skin
Cost and insurance
Care is by membership, and visits aren’t billed to insurance.
Insurance
Not confirmed — ask the office about your plan.
Self-pay
- Monthly Membership
- $250 per month
Care is a flat monthly or annual membership that is not billed to insurance; members keep their own insurance for care outside the practice, and the practice has opted out of Medicare.
Verified September 2026.
Qualifications
MD, MSCP
