Member Hub
What do you need today?
Visits are always an option — but most of the care happens between them, on your schedule. No appointment wait, no waiting room, no traffic. Use the actions below to message your provider, request refills, log symptoms, book a follow-up visit, or schedule an in-person testosterone visit. Reference info and FAQs are below.
🔐 Patient Portal Open your patient portal Once you're in: tap Messages to reach Crystal, or Documents & Handouts, where you can upload lab results if applicable, or find documents your provider may upload for you. (Setup forms may show first — skip past them.) Log in →Message your provider
Symptoms, side effects, dose questions — anything clinical.
After you log in: tap Messages → pick Crystal Burke from "Select Recipient" → Create New Message. (Setup forms may show first — skip past them to Messages.)
Open portal → PrescriptionsRequest a refill
Request at least 7 days early. Tracker recommended for adjustments.
Refill request → Track progressOpen symptom tracker
Log how you're feeling. Powers smarter adjustments.
Open tracker → Talk it throughBook a follow-up visit
For dose changes, new symptoms, or anything you'd rather discuss than fill out a form.
Tracker check-in always comes first — so we walk in already knowing your data, ready to talk.
Book a visit → Testosterone onlyIn-person testosterone visit
Required before you start, and to keep refills going. This visit must be in person.
For testosterone only — not for general follow-ups.
Book visit →In an emergency, don't wait for us
Messages and the symptom tracker are not monitored in real time. For chest pain, trouble breathing, a severe or sudden headache, very heavy vaginal bleeding, or swelling or pain in one leg — call 911 or go to the nearest ER. For other urgent but non-emergency concerns, use urgent care or your primary care provider.
Quick Access
Save this to your home screen.
Add the Member Hub to your home screen so it lives one tap away — like an app. Reach your portal, tracker, refills, and answers without hunting around.
📱 iPhone · Safari
- Open this page in Safari
- Tap the Share button at the bottom
- Scroll down and tap Add to Home Screen
- Tap Add to confirm
📲 Android · Chrome
- Tap the menu (three dots, top right)
- Tap Add to Home screen or Install app
- Tap Add to confirm
How Care Works
From a Tuesday-night message to a Wednesday-lunch refill.
Here's what a typical interaction looks like — start to finish — when you message us through the portal. New members usually find this useful to watch once.
Our care is proactive — we keep up with your symptoms and follow-ups — so a live visit often isn't needed. When you'd like a video visit, you can schedule one from our available appointment times. Your hormone care is based on a real medical evaluation of your symptoms, history, and labs, which is what's needed to assess and manage your hormones. Telehealth-first care does have some limits, though, and some things need a hands-on exam, so we'll coordinate an in-person visit — with us, or another provider when it makes sense — for anything telehealth can't cover. For anything urgent or an emergency, please use urgent care or the ER.
Understanding Your Treatment
This is a process, not a one-time fix.
Hormone care works by starting, settling, and adjusting over time. Start with the dose guide — it explains how that works — then go as deep as you want on what each hormone actually does.
New member? Read these three first.
There's a lot here — you don't need it all at once. If you're just getting started, these three give you everything you need for your first few weeks:
- Finding your dose — why we start where we do, and why adjusting is the plan, not a setback.
- Your medication guide(s) — how to use whatever you're starting, in the Medications section below.
- How care works — what happens after you message us, start to finish.
Where to find your plan
When your provider finalizes or updates your plan, we text you a private, secure link to view it anytime — what you're taking, how to use each medication, and what to expect. To open it, you'll confirm your last name and date of birth, then enter a one-time code we text you.
Keep that link — your plan lives there, so you can come back to it whenever you need it. For any questions about your plan, message your provider in the portal.
Message your provider in the portal →Finding your dose
Your starting dose is a starting point, not a verdict. This explains why we start conservative, why adjusting is the plan rather than a mistake, how the 3–6 week timing works, and why feeling fully like yourself takes three to six months. Read this first — it makes everything else make sense.
Read the guide →Estrogen: the in-depth guide
The ~25-minute member guide. What estrogen does, what it treats, the honest safety picture, why we use transdermal, what it won't fix, and how to tell if it's working — across both perimenopause and menopause.
Read the guide →Testosterone: the in-depth guide
The ~25-minute member guide. What testosterone is, what it does beyond libido, the realistic timing, what to expect, what it won't fix, and the evidence behind it.
Read the guide →What improves when — and the benefits you won't feel
The honest timeline: which symptoms respond in weeks, which take months, and where you likely are right now (enter your dose-change date and it tells you). Plus the long-term heart, bone, brain, and metabolic benefits, in plain language. If you're wondering "is this working yet?" — start here.
Read the guide →Communication
Use the right channel.
The right channel gets your message to the right person — and you get a faster response.
Symptoms, meds, side effects
All clinical questions go through the secure portal — never email or text.
- Use Optimantra portal messaging
- Complete your tracker first if you want a provider review
- Upload medical documents — lab reports, prior records, pharmacy contact records — through the portal, not email or text
Scheduling, billing, support
Appointments, membership questions, receipts, anything non-clinical.
- Email: info@menopauselouisiana.com
- Reviewed during business hours, Mon–Fri
- Add optimantra.com to your safe-sender list
Messages you may receive from us
A few are automated. Here's what each one means.
Prescriptions
Refills, done without delays.
Refills are processed based on your current plan and how you're doing. The fastest path is the tracker.
Best path: tracker first
Open your symptom tracker, fill it out, check the box that says you need a refill. We see how you're doing on your current plan and confirm the refill is still right for you — not just a default continuation.
- Keep your preferred pharmacy updated in the portal
- For dose adjustments, complete the tracker first so we have context
- The refill request form is also available if you prefer
Common refill problems
- Request at least 7 days before you run out
- For pharmacy issues — high price, prior auth, backorder, out of stock — see the pharmacy page for the IF/THEN guide
- If a pharmacy says they contacted us and didn't hear back, see the callout on the pharmacy page before messaging us
Your Medications
How to use your medications.
Each medication has its own guide — how to apply or take it, side effects to expect, what's normal vs. what to flag, and when to message us. Open the guide for whatever you're on.
Estrogen gel
What to expect, side effects, and when to message us — plus a step-by-step how-to.
Estrogen patch
Where to place it, rotation, side effects, what to do if it falls off — plus a step-by-step how-to.
Progesterone
How to take it, why bedtime matters, and what's normal vs. what to flag.
View guide →Vaginal estrogen
How it works, what to expect in the first few weeks, and how it fits alongside your other estrogen — plus a step-by-step how-to.
Transdermal testosterone
How to apply it, dosing, what to expect in the first few months, and the side effects worth flagging. For the bigger picture on what testosterone does in the body — beyond libido — see the Testosterone section below.
View guide →Testosterone
Your guide to testosterone.
Testosterone has its own requirements — including an in-person visit before you start and to keep your refills going. The cards below cover starting and continuing, plus a body-system overview and the full in-depth guide.
In-person visit required
Testosterone requires an in-person visit — once before you start, and to keep your refills going. See the starting and continuing pages below for the full requirements.
Want to start?
Review the requirements and process for adding testosterone to your plan — including the in-person visit needed before you begin.
Already taking it?
Review the requirements for continuing testosterone and staying on track with monitoring — including the in-person visit needed to keep refills going.
What testosterone does
A body-system overview — how testosterone supports brain, mood, energy, muscle, bones, libido, heart, eyes, and bladder.
View the overview →Testosterone: the in-depth guide
The ~25-minute member guide. What testosterone is, what it does beyond libido, realistic timing, what to expect, what it won't fix, and the evidence behind it. (Also linked under Understanding Your Treatment.)
Read the guide →The full education library
Every guide in one place — foundational explainers, a guide for each symptom, and what improves when, the honest timeline of which symptoms respond in weeks vs. months, with the long-term heart, bone, brain, and metabolic benefits in plain language.
Open the library →Weight & Metabolic Care
GLP-1 weight care, when it's right for you.
Midlife weight change is often driven by the same hormonal shifts we already treat. For some members, GLP-1 medication is a helpful next layer — but only once your hormone therapy is established, and only if it's clinically appropriate for you.
Who it's for
- Begins only after your hormone therapy is established
- Eligibility is determined by a medical assessment — it is not guaranteed
- Evaluated as its own workup, not at your initial visit
- Includes dosing, titration, monitoring, side-effect support, and pharmacy navigation
Read the weight care guide
Before anything else, read the full guide. It walks through what starting actually involves — the check-in commitment, the realistic timeline, the +$75/month add-on (medication billed separately), and what it will and won't do.
The evaluation itself is included in your membership, and the guide ends with a short message you can send us when you're ready. No cost to simply ask.
Read the guide →Labs
Labs, when they're actually needed.
Not everyone needs labs. If labs are part of your plan, your provider will outline exactly what to do. When you do need them, the cash-pay option is by far the simplest — results come straight to us, with nothing for you to chase.
Cash-pay: results come straight to us
The simplest option by far. One flat fee, and results are sent directly to us — nothing for you to retrieve, upload, or follow up on. We take it from there.
- If available for your plan, you'll receive flat-fee pricing and simple instructions
- Results route to us automatically — no portal upload needed
- Often the cheaper choice on a high-deductible plan
Use your insurance
Workable, but more falls on you. Insurance labs don't send results back to us, and we have no account or visibility with outside labs — so once you go this route, tracking down and delivering your results is your responsibility.
- Check your out-of-pocket cost first. If it's more than about $150, cash-pay is usually cheaper — and comes to us automatically
- You choose the in-network lab and confirm your cost before blood is drawn
- Results do not come to us — you retrieve them yourself, typically 10–12 days later, from that lab's portal or front desk
- You upload them to the portal under Documents & Handouts, with your name and the test date showing — then message us so we know they're there
- We can't see when or where you had labs done, so until you tell us they're uploaded, we won't know to look — and your provider can't review them or make changes
Pick your path and send it in the portal
Copy the message that matches how you want to do your labs, and paste it into your Optimantra portal.
Option A · Cash-pay (results come to us)
Option B · Insurance (results are my responsibility)
Pharmacy
Pharmacy issues & cost tips.
Pricing and stock both vary by pharmacy and day. We're not affiliated with any pharmacy and don't have visibility into stock from our end — but the pharmacy page walks you through what to do for cost, stock, backorders, and prior auths.
Found a better price somewhere else?
Filling somewhere new is usually faster to handle yourself — and it keeps your refills from getting stranded or split between two pharmacies.
- Ask the new pharmacy to transfer your prescription from the old one — your remaining refills move with it in one step. You don't need a new prescription from us to switch.
- We keep one active pharmacy per medication, so your full refill count stays in one place, ready when you need it — never split across pharmacies where a fill can get rejected as a duplicate.
- We send a fresh prescription when you actually need one: your refills are used up, you're on testosterone (which has transfer rules that require us), or a pharmacy confirms in writing it can't complete a transfer.
Pharmacy pricing & availability page
For any pharmacy issue — high price, out of stock, backorder, prior auth, or a proactive switch — start with the IF/THEN guide. It tells you exactly what to do and which path is fastest.
Open the pharmacy page →Recognize your situation
- Quoted a high price you didn't expect
- Pharmacy says "prior authorization"
- Medication on backorder
- Local pharmacies are out and you need a clinical alternative
Each of these has a clear path on the pharmacy page — refill form for routing-only requests, portal message when we need to discuss alternatives.
See full guide →Preventive Health
Preventive screenings save lives.
Regular screening catches health problems early, when they're most treatable. As your direct primary care for this stage of life, we handle the screenings tied to it and coordinate the rest — so nothing falls through the cracks.
Part of your care here
- Lipid panel — heart health
- A1C / fasting glucose — blood sugar
- Thyroid panel
- DEXA scan — bone density
- Breast cancer screening — risk review & clinical exam
These are part of your primary care with us — message us and we'll get them ordered.
Message your provider →Coordinated with your other care
- Mammogram — kept with your PCP for continuity
- Colon cancer screening — ages 45–75
- Cervical cancer (Pap/HPV) — ages 30–65
- Immunizations & mental health care
We'll fold the results into your plan. Have a PCP? We'll work with them — and if you don't, we can help you find the right fit.
Full screening guide →Common Questions
FAQ
Membership
Membership & billing.
What your membership covers
Your membership is built around continuous care between visits — not pay-per-visit. It includes:
- Unlimited portal messaging with your provider for clinical questions
- Dose adjustments and refills managed through your tracker and messages
- Your symptom tracker and ongoing review of how you're doing
- Preventive screenings we order and manage for this stage of life, plus coordination with your PCP on the rest
- Lab coordination and the education library
Some add-ons are billed separately — for example, GLP-1 weight care (+$75/month) and the testosterone rider. Medications and any outside lab fees are billed by the pharmacy or lab, not by us.
Medical Records