Laura Martha Abrignani

Nurse practitioner · Women's health

15+ years of experience

Menopause Society Certified Practitioner

About Coastal Well Woman

Laura Abrignani runs a small cash-pay women's health practice in Santa Barbara focused on perimenopause and menopause. She went through early menopause herself at 43, with symptoms that went undiagnosed for a while before she started hormone therapy, and she says that shapes how she listens to patients. New patients start with a long first visit that goes over health history, symptoms and any recent labs. She prescribes FDA-approved bioidentical and synthetic hormones, and compounded bioidentical hormones when they suit the patient. The practice also treats sexual health concerns such as low libido and painful sex, and offers medical weight management including GLP-1 medications. Every service is offered in person at her office or by telehealth.

Care

Treats

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

Prescribes

  • Hormone therapy
  • Compounded hormones
  • Weight medication

Particular focus

  • Weight & metabolism

Cost and insurance

Insurance

Doesn’t accept insurance

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

Self-pay

Perimenopause / Menopause Wellness Consult (50 min)
$275
Follow Up Visit: Established
$125 per visit
Menopause & Lifestyle Coaching (50 min)
$195 per visit
  • HSA and FSA accepted

Verified September 2026.

Qualifications

RN, NP, MSN, MSCP