186 practitioners have an office in Washington, and 115 more can see patients here by telehealth. 195 of them are certified by the Menopause Society, and the most are in Seattle, Vancouver and Olympia.
Dr. Fandel runs a small naturopathic office in Pacifica focused on women in perimenopause and menopause. Care starts with a long new patient visit and blood work, and follow ups can be in the office or over Zoom. She prescribes bioidentical estrogen, progesterone and testosterone and sees patients often early on to adjust the dose. Her plans usually pair hormones with herbs, supplements and diet changes, and she also treats thyroid problems and prescribes weight loss medication. A large part of the practice is aesthetics, including PRP, microneedling and hair restoration. You can book a free 15 minute phone call before committing to a visit.
Kristen Loose is the menopause specialist at Dr. Gina Mantor's medical spa and weight clinic in Westerville, where the rest of the practice focuses on aesthetics and weight loss. She treats perimenopause and menopause with standard hormone therapy, and offers non-hormonal prescriptions and lifestyle advice to women who can't or would rather not take hormones. The first consultation is free and happens by video. After that she sees patients in the office on Wednesdays and Saturdays or by appointment. She follows Menopause Society guidance closely and writes on the clinic's site that soy and black cohosh don't hold up for hot flashes.
Takes Aetna, Blue Cross Blue Shield +2 · from $58/mo
Kristen Santana is the women's health nurse practitioner at Functional Medicine of Idaho, a clinic with locations in Boise, Meridian and Eagle. She works out of the Boise clinic and lists menopause care as a main focus. The clinic combines functional medicine with conventional care. Patients can book women's health visits themselves online, and virtual visits are open to new patients in several western states.
Dana Johnson is a registered nurse who spent about 20 years in the ICU before founding Qavah Functional Wellness, a telehealth-only practice. She started it after her own Long COVID turned into autoimmune and gut problems and then a hard menopause transition. Hormone therapy is offered to Alabama residents only, while the lab and gut health services also reach a few other southern states. Each hormone plan starts with lab work and a consultation, and bioidentical hormones come as creams, gels, pills, troches or injections. Prescriptions are written by the practice's licensed providers rather than by Dana, who is a nurse. New patients start with an online consultation request, and the team calls back within one business day.
Dr. O'Sullivan is a family physician who runs a video-only menopause practice for women in Oregon and Washington. Care comes as a six-month program with a 60-minute first visit and four 30-minute follow-ups, paid monthly, with no extra charge for messaging. After that you can add another six months or come back once a year, and anyone on testosterone must have a video visit and labs every six months. She mostly prescribes FDA-approved hormones and uses compounded ones only for a medical reason. She sees many breast cancer survivors and will work with their oncology team. You still need your own primary care doctor or gynecologist, and she also co-hosts the menopause podcast The Dusty Muffins.
Orama Wellness is an online psychology practice that Linda Kondilis founded in Atlanta after years of work in reproductive mental health. Care here is talk therapy rather than medical care, and nobody on the team prescribes hormones or orders labs. The perimenopause service is about coping with sleep trouble, anxiety, brain fog, pain and changes in sex and relationships. Most of the practice is fertility and third party reproduction work, with cancer support and couples counseling alongside it. New clients request a first appointment through the practice's booking portal, and she offers a free phone consultation before starting.
Dr. Bernstein runs a small self-pay practice in Frisco devoted only to menopause, perimenopause and midlife sexual health. She spent more than 25 years as an OB/GYN in Summit and Eagle counties before opening it. Care starts with a free 15 minute phone call, then either a single one-hour visit or a six-month plan with monthly follow-ups and unlimited portal messaging, in person or by video. She often prescribes bioidentical hormones but will not use pellets because the dose cannot be adjusted, and she offers non-hormonal options for women who can't or won't take hormones. Sexual health is a real focus, with a separate consultation for painful sex, low libido and vaginal or urinary symptoms. She works alongside your regular gynecologist rather than replacing it, so Pap tests and mammograms stay with them.
A solo direct-pay practice in Lone Tree whose stated scope is dermatology, cosmetic procedures and medically supervised weight management. The physician is board certified in dermatology and obesity medicine. Every initial visit is by video, with in-person follow-ups by appointment, and the practice does not bill insurance. Hormone replacement therapy is named only as one reason for a new-patient visit on the fee schedule, and no hormone or menopause care is described anywhere else on the site.
Dr Busch opened Seattle Menopause Medicine in 2023 and works out of the Green Lake clinic in Seattle, seeing patients there and by video anywhere in Washington. She treats perimenopause and menopause with body identical estrogen, progesterone and testosterone, partners with a compounding pharmacy when one is needed, and does not recommend pellet implants of any kind. Her care runs on a Health at Every Size and trauma informed model, so a visit is built around symptoms and diagnosis rather than size. That comes out of a career spent first in community health, then in transgender care, and most recently in the medical management of eating disorders. The practice is not a primary care clinic, and she expects you to keep your own doctor for anything outside women's health. She is moving her own patients onto a concierge membership, so a new patient starts with a one time consult and then enrolls for ongoing care.
Island Women's Health is a solo practice on Bainbridge Island built around perimenopause and menopause care. Martini is a certified nurse midwife and nurse practitioner who spent 14 years in obstetrics and gynecology before opening it, including midwifery work in Guatemala and care for Navajo and Zuni patients through the Indian Health Service in New Mexico. A new patient visit runs an hour and follow ups run thirty minutes, and either can happen in the office or remotely. Care is offered in English and Spanish, and a limited number of reduced-rate visits are set aside each month for patients who cannot manage the standard fee, with no explanation required. The practice currently books on Wednesdays and Sundays and plans to add in-person gynecology services such as smear tests and pelvic pain evaluation in 2027.
Dr. Steinberg spent more than two decades as a Seattle area gynecologist before leaving her previous practice in 2024 to open her own, centered on hormones, perimenopause and menopause. She does not work with insurance, which she says lets her give each patient more of her time. New patients start with an hour-long visit, by video or in person at an office in Bothell, and shorter follow-ups come after labs or starting treatment. Patients who would rather not pay per visit can choose one yearly fee that covers all visits. She also looks after bone health, heart disease prevention and bladder problems, but no longer does surgery and refers out for it.
A physician-led longevity and performance practice based in Seattle, where the practitioner is medical director. Care begins with an in-person day in the Seattle area for baseline diagnostics, covering over a hundred biomarkers, body composition, cardiorespiratory fitness, continuous glucose monitoring, genomics and multi-cancer screening. It then moves to quarterly labs and structured medical reviews, with follow-ups virtual or in person. A women's track is described for perimenopause, menopause and after, with hormone and metabolic diagnostics and ongoing telehealth support, and physicians provide prescriptions and referrals as clinically appropriate.
Septima is a solo practice in Seattle for perimenopause, menopause and the years after, and Heather Vincent is the only clinician, so every visit is with her. She prescribes menopause hormone therapy and non-hormonal medication, and she does office gynecology such as IUDs, endometrial biopsies and pap smears. First visits run 90 minutes, with a 60 minute option for a tighter schedule or budget, and she prefers the intake in person in case a pelvic exam is needed. Follow-ups work in person or by video from anywhere in Washington, and each visit comes with 20 messages to her and a month of access to her strength training and education library. She spent six years in OB/GYN before opening Septima and works in collaboration with Jodie Wohl MD, a family practice and women's health physician. Bone health is a stated emphasis, which is why strength training instruction comes with every visit, and she holds community gatherings with an outside speaker four times a year.
Heat Wave Health is a one clinician telehealth practice for perimenopause, menopause and midlife health, seeing patients in Washington, Illinois and Oregon. Desirae Bloomquist founded it and is the only clinician, so she runs the appointments, reads the labs and answers the secure messages herself. Care runs on a monthly membership with a six month commitment at the start, and there is a lower cost membership later on once treatment has settled. Alongside symptom relief the practice works on bone, heart, cognitive, metabolic and sexual health, and it treats thyroid problems and midlife weight gain, including GLP-1 medication when it fits. There is a separate strand of survivorship care for women after cancer, with hormone decisions made alongside their oncology team. The site is direct about hormone therapy being optional, and says plainly that a woman can get care here without committing to it.
Takes Aetna, Blue Cross Blue Shield +3 · from $99/mo
Steady State Health is a virtual practice run by Josie Cowburn, a nurse practitioner who treats perimenopause, menopause, ADHD and metabolic health as one problem rather than three. Care runs by video for patients in Oregon and Washington, with labs drawn at a local site and a written plan sent a few days after the review visit. Patients can either use insurance for individual visits or buy one of the cash-pay programs, which bundle an advanced hormone and metabolic panel with the visits that interpret it. Hormone therapy is prescribed and adjusted over time, and ADHD evaluation and medication management sit alongside it because she treats the two as connected. She founded the practice after her own perimenopause symptoms were dismissed and her ADHD went undiagnosed for years, and she says she had to piece together her hypermobile Ehlers-Danlos syndrome herself. Anyone who needs a physical exam is referred out to a local primary care provider.
Alex Suarez runs Care By Alex as a solo practice out of Sugar Land, with virtual visits and in person visits both by appointment. New patients choose one of two starting points, a single wellness consultation or a longer deep dive that bundles an intake, a foundational lab panel and a separate visit to go through the results. She prescribes hormone replacement therapy, testosterone and GLP-1 weight medication when she judges them appropriate, alongside supplement and lifestyle guidance. Thyroid care is a real part of the practice, and she looks past a single TSH value at free T3, free T4, reverse T3 and antibodies. Ongoing hormone treatment is currently delivered through Juvan MD, a Houston wellness practice where she also sees patients, so the independent Care By Alex route is mainly consultations. She says she started the practice after struggling with her own hormones and weight and being told her labs looked normal.
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.
Dr. Oberg is a naturopathic doctor who runs a concierge practice from an ocean-view office in La Jolla. She has practiced since 2003 and was the founding medical director of Bastyr University's California campus. Hormone care starts with a symptom and history review and a hormone test, then moves to bioidentical hormones when they fit. She says hormones are not required and may begin with botanical or non-hormone support first. Care runs through fixed-length programs or a year-long membership, with a health coach on the team and a covering doctor when she is away. She also sees patients by video and keeps small offices in Arizona and Washington.
Concierge Medicine of Westlake is Dr. Fiffick's own practice. She keeps the patient panel small and runs it on annual memberships rather than billing insurance. The women's health membership covers non-obstetric care through midlife, with perimenopause and menopause symptom management alongside bone health, cardiovascular risk and urogenital health, and it includes hormone prescription management when she judges it appropriate. Members get 30 or 60 minute visits, same or next day openings, and her direct phone, text and email, and virtual visits are offered as a supplement with prior approval when an exam is not needed. She came to women's health through family medicine after being told early on that the only route was OB-GYN, then spent two years in the Cleveland Clinic's Specialized Women's Health fellowship. As an osteopathic physician she also does hands-on manipulative treatment, which patients can buy as its own membership or one visit at a time.
Gliss Wellness is a virtual-only OB/GYN practice Dr. Walsh co-founded with a second board-certified OB/GYN, and menopause care is its main focus. Care starts with a 30-minute video consultation about your symptoms, and if hormone therapy suits you, you leave with prescriptions for the first three months. A follow-up at three months keeps refills going for the rest of the year, and refills in between happen by message through the patient portal. There is no membership, and you fill prescriptions at your own pharmacy. The doctors can't examine you in person but can order labs and other tests. Dr. Walsh's own interests include pelvic pain, endometriosis, fibroids and weight loss, and a free 15-minute call lets you meet the team before booking.
Takes Aetna, Blue Cross Blue Shield +4 · first visit $150
Kelly Perisin is a nurse practitioner at MyMenopauseRx, a video-only practice that treats nothing but perimenopause and menopause. It was started by a Chicago-area gynecologist and bills insurance like a regular office. Visits take about 30 minutes on Zoom, and you can book the same clinician every time and message the care team between visits. Kelly came to menopause care from weight management and urgent care, and she draws on that when helping women with midlife weight gain. The practice prescribes FDA-approved estradiol and progesterone sent to your own pharmacy, and it prescribes testosterone directly only for patients in Illinois. It is meant to work alongside your own primary care doctor, who still handles anything that needs a physical exam.
Gennev is an all-virtual menopause clinic owned by Unified Women's Healthcare, and care starts with a 30 minute video visit with a menopause-trained doctor. Dunsmoor-Su is Gennev's chief medical officer and she also carries her own patient list. The areas she names herself include premature ovarian insufficiency, breast cancer risk and survivorship, endometriosis, and weight management with medication. Her background is clinical epidemiology, and she still runs women's health drug trials as a medical director at a Seattle research centre and teaches OB-GYN residents. She says she treats each visit as a chance to explain the current evidence so the decision about treatment is a shared one. Doctors here prescribe FDA-approved hormone therapy when a patient is a candidate and non-hormonal medicines when she is not, and the clinic tells patients to steer clear of compounded weight drugs made outside FDA oversight.
Beyer is a Midi clinical leader and sits on the company advisory board, and she still sees patients by video. She trained in obstetrics and gynaecology, then dropped obstetrics to work on gynaecology and hormonal health only. Weight is her second focus and she holds a diplomate from the American Board of Obesity Medicine. She talks openly about gaining weight before her 50th birthday and losing 35 pounds over five months, and she uses that with patients who are struggling. Care runs through Midi only, so visits are by video and anything needing an exam or imaging goes to an outside clinician. Her page has no booking link of her own, so the Midi sign-up does not let a new patient choose her by name.
Bevin Meyer is a family nurse practitioner at Vancouver Clinic's Columbia Tech Center office in east Vancouver, seeing patients of all ages as a primary care provider. Her own profile names hormonal health and metabolic wellness among her clinical interests and says she is particularly passionate about supporting women through perimenopause. The clinic publishes nothing about which hormone treatments she prescribes, and no provider profile anywhere on its site names a specific therapy. She spent 11 years in hospital nursing before qualifying as a nurse practitioner. New patients can book with her through the clinic's MyChart online scheduling, and unlike most of her family medicine colleagues she is not listed for video visits. Her profile mentions she gardens, mountain bikes and trail runs, and that she recently finished her first trail marathon in Moab.
