How It Is Given
Getting Started
Most Common
Menopause care
Hot flashes, broken sleep and brain fog are treatable, and you should not have to argue for a proper assessment. We review your symptoms and history, order bloodwork only where it changes the answer, and prescribe when hormone therapy is the right fit. Serving women across Los Angeles and nearby.
What we treat
Most women arrive with two or three of these at once. They share one cause, which is why treating them together usually works better than treating them one by one.
The symptom hormone therapy treats best, and the one most likely to wake you at three in the morning.
Learn moreOften night sweats in disguise. Fixing the sweats usually fixes the sleep, and oral progesterone can help on its own.
Learn moreWord-finding trouble and lost threads. It is a recognized symptom of the transition, not early dementia.
Learn moreThe one symptom that does not settle by itself. Local estrogen clears it in the large majority of cases.
Learn moreWhy timing matters
Women arriving at Los Angeles appointments afraid of hormone therapy are usually carrying a headline from 2002 rather than a fact about themselves. The 2002 Women's Health Initiative headline stopped a generation of prescriptions overnight. What the reporting left out was the age of the women studied: the average participant was 63 and more than a decade past menopause.
Two decades of re-analysis have separated that group from the women who start treatment near menopause. Begin before 60, or within ten years of your last period, and the benefit-to-risk balance looks very different from the 2002 headline.
That is why the first question we ask is not which medicine you want. It is when your periods changed, and how long ago. The detail sits in treatment options, menopause symptoms and stages of menopause. The date your periods changed tells a Los Angeles clinician more than any preference you arrive with between a patch and a tablet.
How it works
A consultation that starts with your cycle history and your symptoms rather than a product list. Bring anything you have already tried.
Thyroid disease, anemia and low ferritin all copy menopause. Bloodwork is ordered where it would change the plan, not as routine.
If hormone therapy fits, you start on the lowest dose likely to work, in the form that suits your history. Patches for most, tablets where they are the better fit.
Booked before you leave. We change one thing at a time so we can tell what worked, then move to annual reviews once you are settled.
What it costs
There are three invoices, not one price: two come from us and the third comes from whichever pharmacy in Los Angeles fills the prescription. The consultation, the bloodwork and the prescription are billed separately, and only the first two come from us. Knowing that upfront stops the surprise at the pharmacy counter.
Medicine is where the range is widest. A generic estradiol patch can be under $40 a month with coverage; the same treatment as a brand name and uninsured can pass $250. Compounded pellets sit outside insurance entirely at roughly fifteen hundred a year. Related reading: fsh and estradiol testing, insurance and coverage and estradiol go further into it. Coverage status and generic versus brand are what separate a $40 patch from a $250 one at a Los Angeles pharmacy, so check both before collection.
Common questions
The five we are asked most often, answered the way we would answer them in the room.
Patient reviews
I had been waking three or four times a night for two years and had been told it was just stress. The consultation actually went through my cycle history. Six weeks on a patch and I am sleeping through.
What I wanted was someone who would talk about the risks honestly rather than sell me something. They walked through the clot data and why a patch suited me better than tablets.
The brain fog was the part nobody warned me about. Having a clinician tell me it was a recognized symptom and not early dementia was worth the appointment on its own.
It took two dose changes before things settled, which they had told me upfront might happen. The three-month review was booked before I left the first appointment.
From the blog
Next step
A consultation covers your symptoms, your history and what the evidence says for someone in your position. If hormone therapy is not right for you, we will say so and go through what else helps.
Consultations are by appointment. Prescriptions are issued only where clinically appropriate.