Seashore MD is Dr. Smolinsky's solo gynecology office in Little Silver, set up around the perimenopausal and menopausal years. She looks for the root cause of symptoms first and builds a plan from there, and she uses non-hormonal treatment as well as hormones. Hormone therapy comes in several forms, including pills, patches, creams, gels and EvexiPEL bioidentical pellets inserted in the office. She also treats the physical changes that come with menopause, such as bone and muscle loss, painful sex and repeat bladder infections, and she uses an Emsella chair for pelvic floor weakness and leaks. Visits can be virtual or in person, and the office draws its own blood work through an on-site Quest technician and runs ultrasounds twice a month. Dr. Smolinsky was born and raised in Israel and sees patients in Hebrew as well as English.
Dr. Yehl founded Coastal Women's Medical after 24 years in hospital medicine, having worked first as a nurse and then as a certified nurse midwife before medical school. The practice is built around long visits, with 90 minutes for a new patient and a care plan written once labs come back. Ongoing hormone care runs on a monthly membership with quarterly visits, and patients who become clinically stable can step down to a cheaper program with fewer visits. Weight change in midlife is treated as a hormonal problem, so GLP-1 medication is managed alongside hormone therapy rather than in a separate track. Primary care is reserved for concierge members, and everyone else is seen for hormone, menopause or weight care. The office also runs medical grade red light therapy and a paid audio course for women who want to arrive at an appointment prepared.
