Vanessa Armenise runs Balance Hormone and Wellness as a telehealth practice for women in perimenopause and menopause, and patients must be physically located in Tennessee at the time of every appointment. Armenise spent nearly two decades in oncology and advanced practice roles, including Memorial Sloan Kettering Cancer Center, and writes that survivorship and careful symptom management shaped the way they work. Care begins with a 60 minute video consultation that reviews symptoms, menstrual and medical history, prior hormone use, risk factors and goals before any treatment is recommended. Compounded testosterone is prescribed through a licensed compounding pharmacy, and the practice tells readers plainly that compounded medicines are not FDA approved and that calling a hormone bioidentical does not make it safer. The practice also says a conversation about menopause care does not commit anyone to hormone therapy, and that nonhormonal options will be considered for women who cannot or do not want to take hormones. Armenise started the practice after their own midlife symptoms showed how hard that care was to find.
Women's Health Specialists is an OB/GYN group in East Memphis with seven physicians and two advanced practice clinicians, and it is a division of Memphis Obstetrics and Gynecological Association. Dr. Moore has been in private practice in Memphis since 1984 and has stopped delivering babies, so her work now centers on gynecology and on helping patients live healthier lives as they age. She is the only clinician in the group whose page names the Menopause Society certification, and she has also done professional training in low carb nutrition. The group lists hormone replacement among its gynecology services and offers the MonaLisa Touch vaginal laser for menopausal dryness and painful sex. Biopsies, colposcopy, IUD placement and lab work are done in the office rather than sent out. Her name is not on the online new patient request form, so a new patient reaches her by calling the office.