Adrian Thompson runs Vida Women's Health on her own, so every visit and message is with her. She started the practice after her own perimenopause, when her OB-GYN told her she was too young for hormone therapy. Visits run 60 minutes and happen mostly by video, with in-person visits also offered in Falls Church City. She prescribes FDA-approved bioidentical estrogen, progesterone and testosterone through your regular pharmacy, and steers away from compounded hormones and unneeded lab panels. Most patients use a one-year visit package that includes six visits and direct messaging, though single visits are available. She also sees breast cancer survivors and BRCA previvors, working with their oncology team on hormonal or non-hormonal options.
Carrie Pagliano is a pelvic floor physical therapist, so this is hands-on and movement-based care and she does not prescribe. Her site lists the pelvic floor and bladder changes of perimenopause and menopause, including painful sex, among the things she treats. Visits are in person in Arlington or by video, and she says most plans of care run four to six visits. She uses external ultrasound imaging, fits pessaries, and says an internal exam is never required. Anything outside her scope she refers on to a network of medical providers she has built over 25 years in the DC area. She also teaches clinicians and runs courses and a podcast, but patients can book her directly.
