Skip to main content
Specialty · (Peri)menopause

Perimenopause and menopause care that starts when it starts.

The years before menopause are not a waiting room. Sleep, mood, cycle changes, and symptoms read together, with baseline labs informing the judgment of a board-certified OB-GYN.

ForFor women told to come back when it gets worse
ApproachEarly, specialist-led
An older woman in glasses and a cream blazer in warm neutral light
What’s included

Five steps, one care team.

Every plan begins the same way and adapts from there. Transparent pricing, no surprises, no add-on fees.
i.

Tell us about you

A clinical assessment maps your symptoms, history, and goals to the right care pathway.

ii.

Consult with a physician

A board-certified OB-GYN takes your symptoms seriously in the context of your full history.

iii.

Complete your baseline labs

A hormone and metabolic baseline gives the changes you're feeling a reference point.

iv.

Receive care, including medication if appropriate

Your physician builds a plan from your symptoms and baseline, including hormone therapy or other medication when appropriate.

v.

Receive ongoing care

Symptoms and labs are revisited regularly because perimenopause moves, and your care should too.

Complete your baseline labs

What we measure.

The changes you are feeling deserve a reference point. Reproductive, thyroid, metabolic, and nutritional markers, read together, not one at a time.
FSH

Follicle-Stimulating Hormone

Rising FSH is one of the clearest signals of the perimenopausal shift.

3.0
8.1 IU/L
E2

Estradiol

Your estrogen level, which fluctuates and declines through this transition.

30
100 pg/mL
TSH

Thyroid-Stimulating Hormone

Thyroid problems mimic perimenopause. Ruled in or out from the start.

0.4
4.5 mIU/L
HbA1c

Hemoglobin A1c

A three-month blood sugar average, since metabolism shifts in these years.

4.0
5.6 %
Vitamin D

Vitamin D, 25-Hydroxy

A common deficiency that affects bone and metabolic health.

30
100 ng/mL
Ferritin

Ferritin

Iron stores. Heavy or erratic bleeding in perimenopause often drives ferritin low.

12
150 ng/mL
Lipids

Lipid Panel

Cardiometabolic risk, which rises as estrogen falls.

Based on published reference values for women.
Clinical approach

Evidence-based, specialist-led.

Most women navigate perimenopause through a ten-minute primary care visit and a Google search. That's not care.

Specialist physicians prescribe body-identical estradiol, progesterone, and testosterone when appropriate. A physician adjusts forms, doses, and combinations based on what's actually changing, not on the calendar.

The perimenopausal years are long. Your care should be too. Your care stays with you through the transition and into the years that follow.

Plans

Choose your level of care.

2 months free with annual billing.

Perimenopause care from specialists who know it is more than just hormones.

One-time

Clarity

A clear read on where your health stands today.

$99one time

What’s included

  • Perimenopause-curated lab panel covering the hormone markers of the transition, processed by a CLIA-certified lab
  • Full review by a board-certified OB-GYN who specializes in your condition
  • Written results and care plan explaining what your labs mean and what to do next
  • Clear recommendation on whether ongoing care is right for you
  • A natural next step into Continuum or Constant when you are ready, with no obligation

Labs and specialist review are included in the $99 price. Clarity does not include prescriptions or ongoing visits.

Join the waitlist

Longitudinal care

Continuum

Specialist care and continuous management of your perimenopause.

$149/ month

What’s included

  • 4 OB-GYN visits a year, one each quarter, with a board-certified specialist
  • Full lab panel at the start, then re-baselined once a year, plus targeted labs when your treatment changes
  • Prescription management: your OB-GYN prescribes and adjusts medications when clinically appropriate, filled through licensed partner and retail pharmacies
  • Care between visits: message your care team anytime, with clinical review of your questions
  • A personalized plan that evolves as your labs and symptoms change

Medications are billed at cost with no markup, you pay exactly what they cost, and every charge is itemized. They are not included in the membership price.

Join the waitlist

Orchestrated care

Constant

Concierge care for when convenience matters most, with at-home lab draws.

$349/ month

What’s included

  • 6 OB-GYN visits a year, one every other month, with a board-certified specialist
  • Full lab panel at the start, then re-baselined every six months, plus targeted labs when your treatment changes
  • At-home blood draws included, no trip to the lab
  • Priority response from your care team, typically within 24 hours
  • Prescription management and adjustments, filled through licensed partner and retail pharmacies
  • Free shipping on your medications
  • Unlimited messaging with your care team, with clinical review
  • A personalized plan that evolves with your labs and symptoms

Medications are billed at cost with no markup, you pay exactly what they cost, and every charge is itemized. They are not included in the membership price.

Join the waitlist
FAQ

Questions, answered.

If yours isn’t here, your physician will answer it directly in your first consult.

Perimenopause can begin in your late thirties. If you're noticing changes, this is the right time to establish a baseline.

Hormone therapy isn't one single thing, and whether it's a good fit depends on the specific therapy, your health history, and your individual risk factors. Rather than a one-size-fits-all answer, a physician reviews your personal risk-benefit profile and walks you through the options before anything is prescribed.

A physician has a full toolkit, including sleep, vasomotor, and mood interventions that don't require HRT, used alone or in combination.

Begin

The plan starts with a baseline.

A clinical assessment to tell us about you. A board-certified OB-GYN, real labs, and a plan built around your hormones.

Join the waitlist
Board-certified OB-GYN · CLIA-certified labs