A three-provider Ob/Gyn clinic in Santa Barbara, part of Cottage Medical Group. Care runs from pregnancy and birth through gynecology, and the clinic names individualized menopause care as something its whole team is trained in. Her own bio on the clinic page says she is a certified menopause specialist too, so the menopause work is hers and not only a colleague's. She goes by Maribeth on the clinic site rather than Mary, which is worth knowing before you call. She came to midwifery from the NICU and has been attending births for about 15 years. Visits are booked by phone during weekday office hours, and the clinic says all of its providers are taking new patients.
Laura Abrignani runs a small cash-pay women's health practice in Santa Barbara focused on perimenopause and menopause. She went through early menopause herself at 43, with symptoms that went undiagnosed for a while before she started hormone therapy, and she says that shapes how she listens to patients. New patients start with a long first visit that goes over health history, symptoms and any recent labs. She prescribes FDA-approved bioidentical and synthetic hormones, and compounded bioidentical hormones when they suit the patient. The practice also treats sexual health concerns such as low libido and painful sex, and offers medical weight management including GLP-1 medications. Every service is offered in person at her office or by telehealth.
She practices in the obstetrics and gynecology group at Sansum Medical Group Santa Barbara, which is part of Sutter Health. Her office is the Pueblo Care Complex on West Pueblo Street, open weekdays from 7am to 6pm and closed on weekends. Her work centers on perimenopause and menopause, with sexual health and urogenital health alongside it. She trained at Georgetown University School of Nursing. Her panel is closed right now, and the only route the group shows is the My Health Online portal for women who have already seen her. Visits are in person at that one office, and the group publishes nothing about how a first appointment runs or what she prescribes.