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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
A woman with long hair in a black top, against a soft warm backdrop
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

Rises as the ovaries slow down. One of the clearest signals that the transition has begun.

3.0
8.1 IU/L
Estradiol

Estradiol, Ultrasensitive

The main estrogen. Swings widely in perimenopause, which is what drives most of the symptoms.

30
400 pg/mL
TSH

Thyroid-Stimulating Hormone

Thyroid changes mimic perimenopause, from hot flashes to mood and weight shifts, so it is checked from the start.

0.4
4.5 mIU/L
Ferritin

Ferritin

Iron stores. Heavier or irregular periods in perimenopause quietly deplete iron and cause fatigue.

12
150 ng/mL
HbA1c

Hemoglobin A1c

The three-month glucose average. Metabolism shifts as estrogen declines, and this catches it early.

4.0
5.6 %
Vitamin D

Vitamin D, 25-Hydroxy

Supports bone, mood and metabolic health. Especially important as estrogen's protective effect on bone fades.

30
100 ng/mL
CBC

Complete Blood Count

Red cells, white cells and platelets. Screens for anemia from heavy bleeding and gives a baseline for treatment.

CMP

Comprehensive Metabolic Panel

Kidney and liver function, electrolytes, and a fasting glucose in one draw.

Lipids

Lipid Panel

Cholesterol and triglycerides. Heart risk rises after menopause, and this is where we start tracking it.

InsulinConstant

Fasting Insulin

Shows how hard the pancreas is working now, often years before glucose moves. Insulin resistance accelerates in midlife.

2.6
24.9 uIU/mL
hs-CRPConstant

High-sensitivity C-reactive Protein

Low-grade inflammation. A marker of cardiovascular risk that becomes more relevant as estrogen declines.

0
3.0 mg/L
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 physicians who know it is more than just hormones.

Introductory price

One-time

Clarity

A clear read on where your health stands today.

$99one time

What’s included

  • A Perimenopause-specific lab panel covering the hormone markers of the transition, processed by a CLIA-certified lab
  • Full review by a board-certified OB-GYN
  • Written results explaining what your labs mean
  • Clear recommendation on whether ongoing care is right for you
  • Your baseline for ongoing care: step into Continuum or Constant when you are ready, with no obligation, and your results carry forward

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

Get Clarity

Longitudinal care

Continuum

Physician care and continuous management of your perimenopause.

$149/ month

What’s included

  • Monthly visits, with a board-certified OB-GYN
  • A Perimenopause-specific biomarker panel as your baseline, re-baselined annually, timed by your physician
  • 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, medications, and symptoms change
  • Started with Clarity? That was your baseline. Your physician builds on it and times your next panel from there.

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.

Start Continuum

Orchestrated care

Constant

Concierge care for when convenience matters most.

$349/ month

What’s included

  • Monthly visits, with a board-certified OB-GYN
  • An Expanded Perimenopause-specific biomarker panel as your baseline, re-baselined every six months, timed by your physician
  • At-home blood draws included, no trip to the lab (subject to availability in your region)
  • 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 physician, typically within 24 hours and support from your dedicated care navigator
  • A personalized plan that evolves as your labs, medications, and symptoms change
  • Started with Clarity? That was your baseline. Your physician builds on it and times your next panel from there.

At-home blood draws are available in select areas.

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.

Start Constant
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.

Understand your hormones
Board-certified OB-GYN · CLIA-certified labs