From first visit to a plan you understand.
No mystery, no assembly line. Here is exactly what happens when you become a patient — and the practical details people actually want to know.
Comprehensive evaluation
A full consultation covering your symptoms, cycle history, medical and family history, and goals — plus targeted labs where they genuinely add information.
Whole-picture assessment
Thyroid, metabolic, lipid, and bone risk are reviewed alongside your menopausal status, so the plan treats the whole system.
Your plan, explained
Hormonal, non-hormonal, or both — with the evidence, the trade-offs, and the reasoning laid out plainly, and every question answered.
Follow-up & fine-tuning
A re-evaluation at about three months, doses adjusted to your response, risks re-reviewed over time, and long-term screening built into the schedule.
The practical details
Where: in person at our La Jolla, Poway, or La Mesa offices. What to bring: your medication list, prior lab results if you have them, and — genuinely useful — a few notes on your cycle pattern and worst symptoms. Records: we can request prior records for you once you're scheduled. Labs: ordered only where they add information; for many women over 45 the diagnosis is clinical and extensive hormone panels are unnecessary. Who you'll see: a physician for the initial consultation; our physician assistants participate in follow-up care with physician oversight. Insurance: most major plans and Medicare — details here.
What we ask of you
Come with your questions unfiltered — including the ones that feel awkward. The consultation is unhurried by design, and the plan is not finished until you understand it well enough to explain it to someone else.