Madison Pieper
Nurse practitioner
6–10 years of experience
Menopause Society Certified Practitioner
About Trillion Health & Hormone
A women's health and gynecology group specializing in bioidentical hormone replacement for women in perimenopause and after menopause, with a Norfolk office among nine sites across four states. Care runs as an in-person consultation with a board-certified provider, a hormone blood panel including thyroid, and a follow-up visit to review results and set a plan, followed by weekly or bi-weekly nurse-run injection visits and periodic lab check-ins. Hormones are supplied as sublingual progesterone, sublingual biestrogen and injectable testosterone. Alongside hormone care the practice offers routine gynecology, contraception, platelet-rich plasma treatments for sexual wellness and hair, weight medication and aesthetics.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Weight medication
- Gyn procedures
- Lab testing
Particular focus
- Bone health
- Heart health
- Thyroid
- Bladder & UTIs
- Pelvic pain
- Weight & metabolism
- Hair & skin
Cost and insurance
Insurance
Private insurance — plans not listed, ask about yours
Self-pay
- Initial consultation, labs and follow-up
- $395
Verified October 2026. Coverage depends on your plan — confirm with your insurer before your visit.
Qualifications
WH-NP, MSCP
