Q: What makes my concierge menopause care different from standard treatments?
A: My concierge menopause care offers an elevated, highly personalized approach that puts your needs front and center. Unlike standard treatments, which are often rushed or one-size-fits-all, I provide dedicated one-on-one support. Together, we create a customized treatment plan, monitor your progress closely, and make adjustments as needed. This approach ensures you receive expert, tailored menopause care that focuses on your unique health goals, extending beyond the limitations of traditional healthcare systems.


Q: Why is hormone balance important beyond just symptom relief?
A: Balanced hormones not only alleviate menopause symptoms like hot flashes, brain fog, and mood swings but also play a vital role in preventing long-term health risks. Key hormones like estrogen, progesterone, and testosterone are essential for maintaining bone density, heart health, and cognitive function. Supporting hormone balance reduces the risk of conditions such as osteoporosis, cardiovascular disease, and dementia, promoting overall longevity and wellness beyond symptom management.


Q: How is dosing and testing individualized for each woman?
A: I take a highly personalized approach to hormone dosing. For menopausal women, I use a comprehensive 24-hour urine test to evaluate hormone levels, ensuring optimal protection for the brain, heart, and bones. For perimenopausal women, where hormone levels naturally fluctuate, I focus on symptom tracking and adjust dosing carefully to match your unique needs. Starting with low doses, I titrate gradually until your symptoms are fully addressed, ensuring safety and effectiveness throughout your treatment.


Q: What is the difference between perimenopause and menopause?
A: Menopause marks the phase when a woman has gone 12 months without a menstrual period, indicating the ovaries have largely stopped producing estrogen, progesterone, and testosterone. Perimenopause, which typically begins about 10 years prior, is the transitional stage where hormone levels fluctuate and gradually decline. This phase often brings symptoms like hot flashes, brain fog, mood swings, and more. With over 150 recognized symptoms linked to hormonal changes, tailored care is essential for navigating both stages.


Q: What are the benefits of using a topical delivery method for BHRT with organic oil as the carrier?
A: Topical BHRT delivers hormones through the skin directly into the bloodstream, bypassing the liver and avoiding "first pass" metabolism, which improves absorption and reduces side effects. Using organic oil as the carrier ensures a clean, natural delivery method free from synthetic additives and harsh solvents often found in creams or patches. This approach promotes gentle, effective absorption, optimizing results while minimizing risks to the endocrine system.


Q: Are there any side effects of using topical BHRT in organic oil?
A: Side effects are rare when hormone levels are properly balanced. If they do occur, they are typically a sign of dosage adjustments being needed. Through careful monitoring and personalized titration, I minimize side effects and optimize your results to ensure you feel your best.


Q: How long does it take to see results from topical BHRT?
A: Many women experience significant symptom relief within 6 to 8 weeks of starting my BHRT protocol. However, individual responses vary, and ongoing adjustments may be necessary to achieve the best results.


Q: Is testosterone included in BHRT for women?
A: Absolutely. Testosterone is an important component of BHRT for women, supporting sexual health, muscle mass, energy levels, and bone density. I include it when indicated as part of a comprehensive, individualized hormone treatment plan.


Q: Do you accept health insurance?
A: My concierge menopause clinic does not accept insurance; however, FSA and HSA funds are welcome for eligible services. Additionally, tests such as blood work and mammograms may still be covered by your insurance. I can provide detailed documentation to help with potential reimbursement.


Q: Where do you meet with your patients?
A: All consultations are conducted online through a secure, HIPAA-compliant video platform, allowing you to access expert care conveniently from the comfort of your home.


Q: What if I live out of state?
A: While I can only prescribe medications in states where I am licensed (California, Florida, Illinois, New York, and Arizona), I can still provide consultations, guidance, and recommendations for patients in other locations. I’m happy to collaborate with your local physician to ensure you receive the best possible care. Book a consultation to discuss how I can support your hormone health.