Sian West-Porter
Physician · OB-GYN
6–10 years of experience
Menopause Society Certified Practitioner
About The TelePause
Dr. West runs The TelePause, a video-only menopause practice for women who are in Michigan at the time of the visit. The first visit is a full hour covering your history, baseline labs and an honest talk about the risks and benefits of hormone therapy, and treatment can start that same day. After that you either book follow-ups one at a time or join a six-month membership with longer visits and monthly check-ins through the patient portal. She uses FDA-approved estrogen, progesterone and testosterone, and has non-hormonal medicines for women who can't or won't take hormones. She grew up in a family that distrusted doctors and once planned to become a naturopath, and she is openly critical of both dismissive doctors and the wellness supplement trade. A free 15-minute call is available first if you want to see whether she's a fit.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Non-hormonal medication
- Supplements & lifestyle
- Lab testing
Particular focus
- Bone health
- Bladder & UTIs
Cost and insurance
Insurance
Doesn’t accept insurance
Provides itemized receipts you can submit for out-of-network reimbursement.
Can’t see patients on Medicare, even paying out of pocket.
Self-pay
- Initial Telehealth Consultation (60 min)
- $495
- Follow-Up Telehealth Consultation, non-member (30 min)
- $275 per visit
- Membership
- $250 per month
- Free consultation
- HSA and FSA accepted
Labs and prescriptions go through your own lab, pharmacy or insurance, and a superbill is available on request for one-time visits.
Verified September 2026.
Qualifications
DO, MSCP
