Taken seriously the first time
A full symptom and cycle history with a clinician who treats perimenopause daily — not a five-minute visit that ends with 'you're too young for that.'
Perimenopause
Perimenopause treatment, without the waiting.
You're not imagining it, and you're not too young. Broken sleep, hot flashes, mood swings, brain fog and weight gain around the middle are treatable perimenopause symptoms. Our clinicians evaluate the whole picture by video and build a plan — hormonal, non-hormonal or both.
- Symptom and cycle evaluation with a women's health clinician
- Treatment for hot flashes, sleep disruption and mood changes
- Menopause weight gain addressed as physiology, not willpower
- Hormonal and non-hormonal options explained side by side
- Registered dietitian and health coaching included
- Online visits — no referral or waiting list
Sleep and hot flashes
Night sweats and 3 a.m. wake-ups are usually the first thing we fix, because everything else — mood, appetite, energy — improves once sleep steadies.
Menopause weight gain
Estrogen decline shifts fat storage and insulin sensitivity. We pair metabolic care and a registered dietitian with hormone treatment instead of blaming your habits.
Mood and brain fog
Irritability, anxiety and word-finding trouble are recognized perimenopausal symptoms. We screen properly and treat rather than defaulting to an antidepressant.
Labs when they matter
Thyroid, metabolic and hormone panels ordered to a lab near you, reviewed with you on a call so you understand what changes and why.
A plan that adjusts
Perimenopause moves. Early follow-up plus ongoing nurse and clinician check-ins mean your plan changes as your symptoms do.
Questions
Common questions
What are the first signs of perimenopause?
Cycles that shorten, lengthen or skip; sleep that breaks at 3 a.m.; hot flashes or night sweats; irritability or anxiety that feels unlike you; brain fog; low libido; and weight that settles around the middle despite no change in habits. It often begins in the late thirties or forties.
Why am I gaining weight in perimenopause?
Falling estrogen shifts where your body stores fat, muscle mass declines, insulin sensitivity drops and disrupted sleep raises appetite hormones. It is physiology, not willpower — which is why we treat the hormonal and metabolic sides together rather than telling you to eat less.
Can perimenopause be treated online?
Yes. Perimenopause is diagnosed mainly by symptoms and cycle history, both of which a clinician can assess by video. Labs are ordered to a site near you when they'll change the plan, and prescriptions go to your pharmacy.
Do I have to be in menopause to start treatment?
No. Many women benefit from treatment during perimenopause, years before their final period. Options range from hormone therapy to non-hormonal medications, nutrition and sleep interventions, depending on your symptoms and history.
What if I can't or don't want to take hormones?
There are effective non-hormonal paths — certain prescription options for hot flashes and mood, targeted nutrition and strength work with a registered dietitian, sleep and stress protocols with a health coach. We build the plan around what you're comfortable with.
Free guide
Metabolism & Hormones After 35
What actually drives weight changes, when GLP-1s make sense, and the labs worth asking for — plus short updates from our clinicians as we get closer to opening.