Your home base for ongoing care.
Everything in one place — how care works, how to reach us, symptom tracking, refills, labs, and answers to your most common questions.
Find your personalized plan
Your start instructions are in your secure portal message. Read it before starting — everyone's plan is different.
Know what's normal
Most hormone changes take 4–6 weeks to show full effect. Adjustments are common and expected.
Track during changes
Tracking helps us adjust without guesswork. Recommended 2–3× per week during starts and transitions.
Message for anything clinical
Symptoms, meds, side effects, "is this normal?" — use the portal. Billing and scheduling go to email.
What's in your Member Hub
How Asynchronous Care Works
Our model is built for shared decision-making — with structure. Most care happens through secure messaging, with visits available anytime you want a real-time conversation.
How to Reach Us
Use the right channel so your message gets to the right person — and you get a faster response.
Clinical questions
Symptoms, medications, side effects, dosing questions, "is this normal?" — all of this goes through the secure portal.
- Use secure portal messaging (preferred)
- Message after completing your tracker if you want a provider review
- Do not email or text medical documents — upload through the portal
Scheduling & billing
Appointments, membership questions, receipts, general support — send these to email.
- Email: info@menopauselouisiana.com
- Reviewed during business hours, Mon–Fri
- Not seeing our emails? Add optimantra.com to your safe sender list
Track your progress, not just your symptoms.
Your tracker at menopauselouisiana.com/track is more than a check-in. It shows you what's shifting, when it shifted, and what to expect next — so you're never left guessing.
Expectations by start date
Enter when you started your protocol and see a personalized timeline of what to expect week by week — including when changes typically become noticeable.
Progress over time
Your symptom entries build a visual history. You (and your provider) can see patterns, trends, and how you're responding — not just a single snapshot.
Smarter adjustments
Pattern-based data helps your provider make better decisions — without guesswork. Logging consistently is what makes dose changes precise instead of random.
Pair it with a message
The tracker is not monitored in real time. If you want your provider to review your data, complete your log and then send a portal message letting them know.
How to Book a Visit
Many questions can be handled through messaging. But visits are available anytime you want a real-time conversation — or when it's clinically the right call.
Book in the portal
- Log in → Manage Appointments
- Choose video or in-person and select a time that works for you
- You must be physically located in Louisiana at the time of your visit
Can't find a time?
Email us with a few preferred days and times and we'll do our best to accommodate you.
Prescription Refills
Refills are processed based on your current plan and how you're doing. Please request at least one week before you run out.
How to request
- Use the refill request form — preferred
- If requesting an adjustment, complete your tracker first and note it in the form
- Keep your preferred pharmacy updated in the portal
To avoid delays
- Request at least 7 days early
- If pharmacy says "prior authorization" — message us immediately
- If you're quoted a surprisingly high price — message us, cash pricing is sometimes lower
- If medication is on backorder — we can help troubleshoot
Labs
Not everyone needs labs. If labs are part of your plan, your provider will outline exactly what to do next.
Insurance option
- Take your lab requisition to an in-network lab
- Upload results through the portal when complete
Cash-pay option
- If available for your plan, you'll receive flat-fee pricing and instructions
- Message us if you'd like to use the cash-pay pathway
Ready to move forward with labs?
Copy and paste this into a portal message:
Pharmacy & Cost Tips
Coverage varies by plan and pharmacy. We're not affiliated with any pharmacy — we just help you find the most cost-effective option for your situation.
Pricing & availability
Our pricing page has current availability info and cost comparisons to help you navigate your options.
If you're stuck
- Quoted a high price you didn't expect?
- Pharmacy said "prior authorization"?
- Medication on backorder?
- Pharmacy says they contacted us and haven't heard back? Request a copy of their communication, upload it to the portal, and message us — we can help right away.
Message us and tell us exactly what you're seeing. We'll help you troubleshoot.
Documents & Handouts
Your portal includes educational handouts — including the research behind your recommendations — plus medication guides and video instructions after enrollment.
Where to find them
- Log into portal → Documents & Handouts
- Use the search bar (try: "patch," "progesterone," "bleeding," "testosterone," "vaginal estrogen")
- New documents are added as your care plan evolves
Uploading your documents
- Upload lab reports and medical records through the portal — not email or text
- Not sure where to upload? Message us and we'll walk you through it
FAQ
Do I need a visit for every question?
No. Most questions can be handled through portal messaging. We'll recommend a visit when it's the safest or most efficient option — you don't need to wait for one to get answers.
Is needing an adjustment a sign it isn't working?
Not usually. Adjustments are a normal and expected part of hormone care as your body changes. The best outcomes come from tracking and communicating consistently over time.
How soon should I expect to feel better?
It varies by symptom and person. Some improvements happen within the first few weeks; others take longer. Most hormone changes take 4–6 weeks to show their full effect.
Where do I find the research behind my recommendations?
In your portal handouts. We include evidence-based education because there are many misconceptions about perimenopause, menopause, and HRT — we want you informed.
What if the tracker says something that worries me?
Message your provider through the portal. The tracker isn't monitored in real time — so if you have a concern, a direct message is always the right move.
Do I need to be in Louisiana for telehealth?
Yes. Our providers hold Louisiana licenses, which means you must be physically located in Louisiana during all telehealth visits and messaging interactions.