Dr. Evans is a gynecologist who left insurance-based practice because she felt she could not give women enough time. First visits run 60 to 90 minutes and she looks at hormones, metabolism, sleep, gut health and stress together. Members see her every time and can reach her directly by phone, email and text. Hormone care includes bioidentical hormone therapy where she thinks it fits, and she also does gynecologic surgery and office procedures. Visits are in person on the Los Angeles Westside and South Bay, with video visits across California. The practice is kept small on purpose, so new memberships may go to a waitlist when the panel is full.
Jackie Piasta runs a small solo membership practice in East Cobb focused on hormones, perimenopause and menopause, and midlife metabolic health. New patients start with a nurse-led pre-visit to line up labs and then an hour-long consultation with her, and ongoing care after that requires joining the membership. Members message the team through a portal and a text line, and follow-ups run 30 to 40 minutes in person or by video. She prescribes estrogen, progesterone and testosterone but does not offer hormone pellets. She is also an obesity medicine specialist who prescribes GLP-1 weight medications and treats thyroid, bladder and bone problems. New patient appointments are booking two to three months out, and she teaches menopause care to nurse practitioner students at Vanderbilt.
Pacific Menopause is a virtual clinic Dr. Ammerman built to do one thing, which is midlife and menopause care by video. New patient visits run a full 60 minutes, and follow ups are usually booked two to three months later and then spaced out to once a year once symptoms settle. She prescribes FDA approved hormone therapy and testosterone, and she spells out that this means bioidentical hormones such as estradiol and progesterone, which have the same molecular structure as the hormones the body makes. Non hormonal prescriptions are there for women who cannot take hormones or would rather avoid them. Weight is her second focus, and she prescribes both oral and injectable weight loss medication alongside work on nutrition, activity and behaviour. She also owns a gynecology clinic in Kahului, so patients on Maui can choose to see her there in person instead.
Magen Price runs a small direct care practice in the Boston area for women in perimenopause and beyond, with a strong focus on sexual health. She spent years in primary care and is also a certified sex counselor, so low libido, painful sex and trouble with orgasm get as much attention as hot flashes. Care starts with an hour-long consult with labs, then a four-month onboarding phase where she starts and adjusts treatment, then an optional ongoing maintenance membership. Visits can be in person or by video, and patients can message her directly. She prescribes testosterone for women and has written openly about taking it herself. The practice also offers a gentle pap exam for women who find pelvic exams painful or frightening.
Ally Pitman is a women's health nurse practitioner at a small Connecticut practice where most visits happen by video. Her focus is women who have had breast or gynecologic cancer and are dealing with hot flashes, sleep trouble and other hormonal symptoms after treatment. For survivors who cannot take hormones she works with non-hormonal options, and she also treats perimenopause, menopause and PMDD in women without a cancer history. Care starts with a 60-minute first visit, and labs are ordered before it so the results are ready to discuss. She works alongside two other nurse practitioners in the practice, one of whom handles autoimmune and rheumatology problems. In-person visits are limited and take place in a physical therapy office in Gales Ferry.
Bold Wellness is Torrie Clontz's own virtual practice for women in midlife, run from Las Vegas and open to patients in about fifteen states. Care starts with a two visit intake that includes a wide blood panel drawn at a lab near you and a follow up to go through the results and set a plan. After that most patients stay on a monthly membership that covers prescription changes and messaging with her through the patient portal. Alongside hormone therapy she runs a weight and metabolic program using GLP-1 medication, and she adds functional tests such as gut, cortisol and vaginal microbiome panels when they fit. She is clear that she is not a primary care provider or an OB-GYN, so patients need to keep their own and see her for the hormone and midlife side. Her own hypermobile Ehlers-Danlos diagnosis, which came after a circus career ended in injury, is why she started the practice and she treats that alongside hormones.
Jessica Bell runs GynJess on her own in Corvallis, so you see her at every visit and message her directly through the portal between appointments. Care starts with a long first consult covering menopause and sexual health, then shorter follow-ups every few months while treatment is adjusted. She prescribes FDA-approved estrogen and progesterone, adds testosterone when it fits, and talks through non-hormonal options too. She also practices sexual medicine and says perimenopause can start in your mid-thirties, so younger women are taken seriously. She sees women in person in Corvallis or by video anywhere in Oregon, and in-person patients can use her as their regular gynecologist. She also treats bladder problems, fits pessaries and cares for women with a current or past cancer diagnosis.
Dr Steininger, who goes by Dr Dani, runs a small menopause consult practice entirely by video for women who live in Texas or are in Texas at the time of the visit. She went into menopause at 35 as part of her own breast cancer treatment, and she says being a patient changed how she practices. First visits usually run an hour and follow-ups half an hour, and she talks through options from lifestyle changes to prescription hormones before adjusting doses over time. She works alongside your own gynecologist or primary care doctor rather than replacing them, and hands care back once treatment is steady. Women with irregular periods are asked to have a recent exam with their own gynecologist first. She also works with oncologists and invites women in cancer treatment to email her directly.
Gisele Thissen runs WISH on her own as a fully virtual practice, so every visit happens by video and there is no office to walk into. Every new patient starts with the same long one-on-one assessment, which runs about an hour and covers symptoms, history, medications and previous treatment before anything is decided. She prescribes hormone therapy and women's testosterone where it fits the history, and she treats thyroid problems, metabolic and weight concerns, and sexual health complaints alongside the menopause transition. After the assessment she recommends either a six month course of care called Reclaim or a twelve month concierge year, and neither is required. She spent over a decade as a bedside nurse in obstetrics before moving into private practice, and she sees patients in Spanish as well as English. When an exam, imaging or a specialist is needed she helps arrange it locally and brings the findings back into the plan.
Femme Executive Health is a women-only concierge practice in Baton Rouge run by Dr. Kate Freeman, a family physician. Patients pay a yearly membership for primary care with longer visits and secure messaging, and insurance is still billed for covered visits and tests. She manages perimenopause, menopause and hormone therapy as part of that care. Anyone thinking of joining can book a free in-person visit to meet her first.
Dr. Cassidy runs a small concierge family medicine practice in Cherry Creek that cares for whole households, from children to adults. She keeps a limited patient list so visits run 30 to 60 minutes, and members can message her directly and get same-day or next-day appointments. New menopause patients usually start with a long first visit and labs, then a results review and a check-in over the first month. When hormones fit, she tends to use estradiol through the skin with progesterone, and she also offers non-hormonal medicines for hot flashes. She writes a lot about perimenopause being brushed off as stress, and her care is built around connecting symptoms over time. Prospective patients can book a free meet and greet before joining.
Tina Remillard is a physician assistant at OutPsych, a psychiatry group, and her menopause work centers on the mood, anxiety and focus problems that shifting hormones can bring. She can prescribe hormone therapy, psychiatric medication or both, and folds hormone treatment into psychiatric care when it helps. Care starts with a long evaluation of 75 to 90 minutes, and once things settle, hormone follow-ups come every three to six months. All visits are by video. She spent about twenty years in primary care and her whole career in LGBTQ+ communities, and she also treats ADHD and PMDD. She sees adults only, and new patients start with a free short consult.
Dr. Bone is a New Orleans native and OB-GYN who left traditional practice to run a small membership practice in Metairie. She keeps her panel small so visits are long, and members can reach her directly by cell phone and email. The membership covers gynecology and menopause care, including hormone therapy, plus everyday problems like flu, strep or a UTI. It does not cover ongoing management of conditions like diabetes or heart disease, so she works alongside your primary care doctor for those. Most visits are in the office, and video visits are offered only case by case with approval first. Prospective members can book a free meet and greet call before joining.
Kelly Tull runs a small solo practice in East Longmeadow focused on women in midlife, with visits in her office or by video for Massachusetts residents. Every new patient starts with a free 15-minute discovery call, followed by an unhurried hour-long intake. She prescribes estrogen and progesterone when appropriate and considers testosterone in select cases after talking through the evidence. She says perimenopause is mostly a clinical diagnosis and only orders labs when they would change the plan. She is also a certified sexuality counselor, so pain with sex, low desire and vaginal and urinary symptoms get real attention here. Patients who prefer not to do video can choose secure messaging instead.
Good Energy is a two-midwife gynecology practice in downtown Batavia, and Sarah is the menopause half of it. She covers perimenopause, menopause and primary ovarian insufficiency, and will use hormone therapy, non-hormonal medication or lifestyle changes depending on what a woman wants. Visits run 30 to 60 minutes, and you can pay per visit or join a membership that bundles an annual visit, a problem visit and a few short follow-ups. Care is in person in Batavia two days a week or by video anywhere in Illinois. Before co-founding this practice she was clinical director of a midwifery group and saw patients virtually for Tia, a women's health primary care company. Trauma-informed care is the guiding idea here, so nothing happens in an exam without being explained first, and the practice keeps a few reduced-rate appointments open each month where you pick the rate yourself with no income paperwork.
Christina Kitchen runs a small self-pay practice in Jackson, working out of Expansion Health, and has cared for women's sexual and hormonal health for more than twenty years. She has a dedicated hour-long perimenopause and menopause consult that covers hormone and non-hormone treatments and plans labs as needed. Sexual health is a big part of her work. She has separate visits for low libido and pain with sex, and those visits also look at whether perimenopause is involved. Visits are deliberately long, and she also sees women for gynecologic exams, PCOS and metabolic health. An optional concierge membership adds same-day or next-day access for patients who want it.
Dr. Aguilera-Ruiz is a naturopathic doctor whose clinical focus is women's health, including perimenopause and menopause. Care is mostly virtual across California, with an office visit in Sacramento if you live nearby. The first visit is 40 minutes, a treatment plan follows once your labs are reviewed, and after that you can book single visits or join a membership with unlimited visits and messaging. She can prescribe hormone therapy, but she does not prescribe testosterone or DHEA. Her own long struggle with chronic mono at college, and a clinic that offered only antidepressants, is why she chose naturopathic medicine. She asks patients to keep a primary care doctor or OB-GYN for exams and imaging.
Dr. McKenzie is a naturopathic physician running a solo primary care practice in Kirkland, with menopause and sexual health at its center. She treats menopause symptoms with hormone therapy taken by mouth, through the skin or vaginally, and also prescribes testosterone for women after checking blood levels first. She is also a certified sex counselor, so painful sex, low desire and pelvic floor problems get as much attention as hot flashes. New patients are seen in the office for a full intake, and video visits are used afterward for lab reviews and medication check-ins. The practice runs a program on sex and intimacy after cancer and offers vaginal laser treatment for dryness after menopause.
MauveMD is a small practice run by Dr. Scanlon that sees only women in perimenopause and menopause. Visits run longer than a usual gynecology appointment and happen in her Bellingham office or by video. She prescribes FDA-approved estrogen, progesterone and testosterone and uses compounded hormones only when no approved option exists. She does not offer pellets. She also runs a non-hormonal track for breast cancer survivors and can coordinate with your oncology team. This is consult care that does not replace your primary care doctor, and new patients often wait four weeks or more, with a waitlist for earlier openings.
Paula Glessner-Vallee runs Dame Wellness For Women as a solo telehealth practice for women who live in Arizona. There are no in-person visits, and the practice works by appointment only. Alongside perimenopause and menopause care it offers medical weight loss with GLP-1 prescriptions, plus contraceptive management. The menopause page says plainly that it prescribes FDA-approved medications only and does not offer bioidentical hormone replacement or pellets. Lab work may be required before a prescription, and the one visit type on its scheduler runs sixty minutes. The homepage currently states that the practice is not accepting new patients.
Dr. De Rosales is a nephrologist and internal medicine physician with training in women's health. She sees women in perimenopause and menopause for hormone therapy, and she also runs a separate medical weight loss track. All visits are by video. The first visit is an hour so she can go through your whole history, and she says many women in perimenopause see several doctors before anyone considers it. Follow-ups are shorter and spaced every six to twelve weeks. Her monthly HRT membership adds email access to her and prescription refills between visits.
Dr. Dziuba is a family physician and co-founder of Foundation Direct Family Care, a direct primary care office in Dalton that does not take insurance. She runs the practice's hormone therapy service herself, and it has its own plan separate from the full primary care membership. The first visit covers a full consultation, starting labs and the first month of care. After that she adjusts treatment with unlimited office or video visits and texts her directly. For menopause she works with estrogen, progesterone and testosterone, and the in-house pharmacy stocks non-controlled hormone medications at a discount. She is proficient in Spanish, and the practice keeps a waitlist for new members that it says usually clears in four to six weeks.
Dr. DeSplinter runs a solo direct patient care practice for midlife women in Spring, north of Houston, and sees patients across Texas by video, phone and secure message. She left traditional practice after her own patients began waiting months for an appointment, and she now keeps a small panel on a monthly membership that covers visits, office procedures, pelvic ultrasound and many generic medications. Hormone therapy is estrogen, progesterone and testosterone, and she says she has other options for women who cannot take hormones or would rather not. She also runs a medical weight program that uses GLP-1 drugs alongside quarterly body composition scans. She still operates, so hysteroscopy, laparoscopy and hysterectomy are done by her rather than referred out. Patients can keep their own gynecologist or primary care doctor if they want, and she has a soft spot for public school teachers and for seeing mothers and daughters together.
Dr. Pauley is a pediatric endocrinologist who opened this direct-pay practice in 2023. Much of the clinic is growth and puberty care for children, and she also sees adults, so the menopause side is one part of a broad endocrine practice. Women come for perimenopause and menopause care that includes hormone therapy, and the practice also treats thyroid problems and runs a medically supervised weight program. New patients fill out an online request form, then the office calls to set up a one hour first visit. Some follow-ups are done by video. The menopause page names her nurse practitioner, Jennifer Delgado, as the clinician to work with, so a new patient may see either of them.
