Dr. Mahdai runs the menopause side of Timely Health, a small cash-pay preventive clinic in Rancho Bernardo that she shares with a second internist focused on women's heart health. Care starts with an hour-long visit covering symptoms, hormones and metabolic health, and most patients then move onto a monthly membership with secure texting and a few follow-up visits a year. She prescribes FDA-approved and bioidentical hormone therapy and uses compounded hormones only when needed. She is also board certified in obesity medicine, so weight, bone and thyroid concerns are handled in the same plan. The clinic has its own DEXA scanner, and the membership includes an initial bone and body composition scan. Visits can be in person or by video anywhere in California.
Dr. Binno is an OB-GYN who is also board certified in obesity medicine. That means weight change in perimenopause is something she treats herself, including with GLP-1 medication when a patient qualifies. Most care is by video, with in-person visits one day a week in Carlsbad. First visits run up to an hour and start from the patient's history, symptoms and recent labs. She supports compounded hormones for reasons like an allergy, but says her experience with them is limited, and she does not prescribe pellets. She will see women who already have an OB-GYN, and she leaves exams and mammograms to their local doctors.
Solo virtual practice Stearns founded after a nurse practitioner career that began at a sexual medicine clinic and continued in geriatric primary care. She sees women through perimenopause, menopause and beyond, licensed only in California. New patients start with a free 15-minute discovery call and a long initial consultation with a questionnaire completed beforehand, then choose between stand-alone visits and The Midlife Membership, a concierge model with a four-month foundation phase and direct access between visits. She prescribes only FDA-approved hormone therapy sent to a local retail pharmacy and explains at length why she does not use hormone pellets. She does no in-person exams or procedures and works alongside a patient's primary care and gynecology providers. Beyond core menopause care she offers osteoporosis management and cancer-informed menopause care for women with a history of breast or gynecologic cancer.
Mia Elder is a certified nutritionist whose practice works only with women in perimenopause, menopause and postmenopause, including women with premature ovarian insufficiency, surgical menopause, and women who are on hormone therapy or cannot take it. She prescribes nothing and does not manage hormone therapy, so the care here is nutrition counseling alongside whatever a woman's own prescriber is doing. Care runs either as a single ninety minute midlife check-up or as a six session program that opens with a full intake and then meets every few weeks, with message access and research done between sessions. She was diagnosed with premature ovarian insufficiency at 39 after five years of being told nothing was wrong, and she built the practice around what she wishes she had been given. She spent seven years in metabolic health at Dexcom and reads continuous glucose monitor data, and she says plainly that she will not hand anyone a list of forbidden foods. California patients need a physician referral before she can see them.
Dr. Davis trained in pediatric emergency medicine and child abuse pediatrics, and her own perimenopause led her to open this menopause practice. She prescribes FDA-approved hormone therapy and doesn't stop it by default at 60 or 65. The first visit runs 50 minutes. After you start hormones there's a required check-in about two months later, then one visit a year once your dose is settled. Most care happens by video for women who are in California at the time of the visit, and the San Diego office also sees patients in person. The practice doesn't act as your primary care office, so you need your own doctor for routine care.
