Your Home Base for Ongoing Care
Everything in one place: how asynchronous care works, how to message us, the symptom tracker, refills, labs, visits, and cost guidance.
If your email app doesn’t open, email us at info@menopauselouisiana.com.
Table of Contents
How Asynchronous Care Works
Our model is built for shared decision-making with structure. Most care happens through secure messaging and brief check-ins — with visits available anytime you want (or when clinically helpful).
We review your symptoms, history, goals, and options. If treatment is a fit and you choose to move forward, membership supports ongoing management.
Prescriptions + clear instructions are placed in your portal. Most hormone therapies take 4–6 weeks to show full effect.
Adjustments are common as your body changes — this is not “failure.” When symptoms shift, message us and we’ll decide together what to do next.
Once optimized, many patients stay stable for months. You request refills through the portal, complete periodic symptom updates, and message us anytime something changes.
What Makes This Different
Traditional insurance-based care is often episodic: brief visits, long waits, and follow-up that depends on scheduling. Our membership model is designed for continuous menopause-focused care with faster access and clearer structure.
✓ Our model
- Menopause-focused continuity with a provider who knows your history
- Messaging-first care for most questions and adjustments
- Shared decisions guided by symptoms + patterns over time
- Structured check-ins during adjustments
- Refills through the portal to keep care accurate and timely
! Common traditional experience
- Short, time-limited visits
- Follow-up requires another appointment
- Refills may be pharmacy-driven without symptom context
- Months between opportunities to adjust
- Hormone care may not be the primary focus
Some employers are beginning to offer perimenopause and menopause care as a covered workplace benefit. When your employer supports this care, it can mean lower out-of-pocket costs, fewer delays in treatment, and easier long-term follow-through — without extra time off work.
If your employer may be interested — or if you’d like something to share with HR — let us know. We’re happy to provide details (no pressure and no obligation).
Prefer the secure option for anything medical: send a portal message.
How to Reach Us
Medical questions & treatment updates
For symptoms, medications, side effects, or treatment decisions:
- Secure portal message (preferred): Member Login
- Text-only (non-PHI): 504-291-6270
General, billing & scheduling
Email our team for anything non-medical.
- Email: info@menopauselouisiana.com
- Open Monday–Friday (excluding major holidays)
- Messages reviewed during business days
If your email app doesn’t open, copy/paste: info@menopauselouisiana.com
Document Library (Quick Answers)
Many common questions are answered in your portal — symptoms, medications, side effects, dosing tips, and general HRT education. If you can’t find a topic you need, tell us.
Patient Portal → Documents & Handouts
Privacy: Upload IDs, lab reports, and any medical documents through the portal (not email/text).
Symptom Tracker
The tracker helps you (and your provider) see patterns over time — so decisions aren’t based on one rough day. It’s a tool for shared decision-making, not a test.
When to use it
- During adjustments: when starting a medication or changing a dose
- When you’re unsure if HRT is working optimally
- When you’re thinking about an adjustment (it helps us make a precise decision)
- Stable maintenance: recommended every 3–6 months
How it helps (and an important note)
The tracker helps us evaluate trends in sleep, mood, hot flashes, energy, libido, side effects, and bleeding patterns — so we can adjust thoughtfully.
How to Book a Visit
Many times, symptoms can be evaluated and treatment can be adjusted through messaging. Video visits are always available if you want a real-time conversation or if something feels more complex.
Book through the portal
The easiest way to schedule is in the patient portal:
- Log in to the portal
- Click Manage Appointments
- Select the visit type and choose a time
If you can’t find a time that works
Email us and tell us your preferred days/times. We’ll do our best to help.
If You Need Labs
Not everyone will need labs. If labs are recommended, you have two options.
Lab billing note: Lab charges are billed by the lab directly (not by The Menopause Clinic). We can help with ordering and choosing the best option, but we can’t control insurance processing, lab pricing, or lab billing.
Option 1 — Use Insurance
We can upload a lab requisition for you to take to an in-network lab.
- Check coverage/pricing with your insurance before going
- If you use insurance, please upload or message us your results once available
- We request faxed results, but they don’t always come through automatically
Option 2 — Cash-Pay (Great for High-Deductible Plans)
We can send your order through Rupa Labs, which offers a flat-fee option (usually under $120).
- They’ll email you instructions
- Results come directly to us
- If you’re interested, let us know and we’ll confirm the exact cost
- Biotin
- B7
- Vitamin H
Prescription Refills
Refills are part of shared decision-making. We process refills based on how you’re feeling, and (when applicable) lab review — which is why portal refill requests work better than pharmacy-generated requests.
Refill basics
- Request refills at least one week before running out
- Refills require an active membership
- All prescriptions are canceled if membership ends
- Best practice: submit refill requests through the portal (not through your pharmacy)
How to avoid delays
- If you’re stable, routine refills are straightforward
- If you’re considering an adjustment, complete the symptom tracker so we can review trends
- Testosterone: refills depend on labs at baseline, 6–8 weeks, then every 6 months
Saving on Care & Medication Costs
HSA / FSA
Some patients can use HSA or FSA funds for membership care. Coverage varies by plan — check with your administrator.
If medications feel expensive
Let us know if you’re paying more than:
- $50/month for estrogen
- $15–25/month for progesterone
- $15/month for vaginal estrogen
- $75 total for testosterone (lasts several months)
FAQ
Because your body changes over time (stress, sleep, age, health changes, medications). Membership keeps you connected so adjustments can happen early — without waiting months for another visit.
If you’re not sure, start with a message. We’ll tell you if a visit would be helpful. And if you prefer a real-time conversation, video visits are always available.
Not usually. Adjustments are common and expected as your body changes. The best results come from communicating changes and using patterns over time.
Membership & Billing
- Billing begins the day you join
- You may cancel anytime with 10 days’ notice by emailing info@menopauselouisiana.com
- Failed payments pause care within 24 hours
- Membership is canceled if unresolved after 5 business days

